Havassy B E, Hall S M, Wasserman D A
University of California, San Francisco.
Addict Behav. 1991;16(5):235-46. doi: 10.1016/0306-4603(91)90016-b.
Links between social support and relapse were examined in a study of alcoholics, cigarette smokers, and opiate users completing treatment for drug use (N = 221). Subjects were followed weekly until relapse for a maximum of 12 weeks after the end of treatment. Structural and functional social support and support for abstinence and drug use were investigated. With demographic variables and drug-treatment group controlled, greater structural support (as measured by an index of social integration and by partner status) predicted a lower risk of relapse. Greater experienced partner support for abstinence also predicted lower risk. Social network members' use of the subject's problem drug predicted heightened relapse risk, but the effect was not statistically significant. This study contributes to a cross-drug model of relapse. It highlights the importance of social integration and abstinence-specific functional support in predicting the risk of relapse, independent of the particular drug of abuse.
在一项针对完成药物使用治疗的酗酒者、吸烟者和阿片类药物使用者（N = 221）的研究中，对社会支持与复发之间的联系进行了考察。在治疗结束后，每周对受试者进行随访，直至复发，最长随访12周。研究了结构性和功能性社会支持以及对戒酒和药物使用的支持。在控制了人口统计学变量和药物治疗组的情况下，更大的结构性支持（通过社会融合指数和伴侣状况来衡量）预示着复发风险较低。伴侣对戒酒的更多实际支持也预示着较低的风险。社交网络成员对受试者问题药物的使用预示着复发风险增加，但该效应在统计学上不显著。这项研究为复发的跨药物模型做出了贡献。它强调了社会融合和特定于戒酒的功能性支持在预测复发风险方面的重要性，而与特定的滥用药物无关。
