Richter S S, Brown S A, Mott M A
Department of Veterans Affairs Medical Center, San Diego, CA.
J Subst Abuse. 1991;3(4):371-85. doi: 10.1016/s0899-3289(10)80019-7.
Although poor social resources and low self-esteem have been implicated in the development of teenage drug abuse, the role of these factors in the remission of adolescent addiction remains unclear. This study examines social support characteristics and self-esteem in relation to outcome following adolescent chemical dependency treatment. Adolescents and their parents completed self-report questionnaires and a research interview during treatment and at 6 and 12 months post-treatment. Two types of outcome were assessed at follow-up: (1) alcohol and drug use, and (2) functioning in major life domains (e.g., family, school/work, peers). Results indicate that the quality of social resources (i.e., drug-use patterns of supports) reported during treatment was related to alcohol- and drug-use status post-treatment, with abstainers reporting more nonusing supports than teens who returned to heavy drug use. Self-esteem and the degree of satisfaction with social support during treatment were negatively correlated with the number of major life problems during the 6 months following discharge. Altogether, inpatient measures of self-esteem, number of high-quality supports, and social support satisfaction accounted for 16% of the variance in 6-month substance use outcome and 25% of the variance in psychosocial functioning 6 months post-treatment. Six-month social support and self-esteem measures were similarly related to 1-year outcome. The implications of these findings for adolescent drug abuse treatment are discussed.
尽管社会资源匮乏和自尊水平低下被认为与青少年药物滥用的发展有关，但这些因素在青少年成瘾缓解过程中的作用仍不明确。本研究考察了青少年药物依赖治疗后的社会支持特征和自尊与治疗结果的关系。青少年及其父母在治疗期间以及治疗后6个月和12个月完成了自我报告问卷和一次研究访谈。随访时评估了两种类型的结果：（1）酒精和药物使用情况，以及（2）主要生活领域（如家庭、学校/工作、同伴）的功能状况。结果表明，治疗期间报告的社会资源质量（即支持的药物使用模式）与治疗后酒精和药物使用状况相关，与恢复大量药物使用的青少年相比，戒酒者报告的非使用支持更多。治疗期间的自尊和对社会支持的满意度与出院后6个月内主要生活问题的数量呈负相关。总体而言，自尊的住院测量、高质量支持的数量以及社会支持满意度在6个月药物使用结果的方差中占16%，在治疗后6个月心理社会功能的方差中占25%。6个月的社会支持和自尊测量与1年的结果也有类似的关系。讨论了这些发现对青少年药物滥用治疗的意义。
