Tracy Elizabeth M, Kim Hyunsoo, Brown Suzanne, Min Meeyoung O, Jun Min Kyoung, McCarty Christopher
Grace Longwell Coyle Professor in Social Work, Mandel School of Applied Social Sciences of Case Western Reserve University.
J Soc Social Work Res. 2012 Mar 23;3(2):65-79. doi: 10.5243/jsswr.2012.5.
This study examines the relationship among 4 treatment stages (i.e., engagement, persuasion, active treatment, relapse prevention) and the composition, social support, and structural characteristics of personal networks. The study sample includes 242 women diagnosed with substance dependence who were interviewed within their first month of intensive outpatient treatment. Using EgoNet software, the women reported on their 25 alter personal networks and the characteristics of each alter. With one exception, few differences were found in the network compositions at different stages of substance abuse treatment. The exception was the network composition of women in the active treatment stage, which included more network members from treatment programs or 12-Step meetings. Although neither the type nor amount of social support differed across treatment stages, reciprocity differed between women in active treatment and those in the engagement stage. Networks of women in active treatment were less connected, as indicated by a higher number of components, whereas networks of women in the persuasion stage had a higher degree of centralization, as indicated by networks dominated by people with the most ties. Overall, we find social network structural variables to relate to the stage of treatment, whereas network composition, type of social support, and sociodemographic variables (with a few exceptions) do not relate to treatment stage. Results suggest that social context, particularly how social contacts are arranged around clients, should be incorporated into treatment programs, regardless of demographic background.
本研究考察了4个治疗阶段（即参与、劝服、积极治疗、预防复发）与个人社交网络的构成、社会支持及结构特征之间的关系。研究样本包括242名被诊断为物质依赖的女性，她们在强化门诊治疗的第一个月内接受了访谈。使用EgoNet软件，这些女性报告了她们的25个 alters 个人社交网络以及每个alter的特征。除了一个例外，在药物滥用治疗的不同阶段，社交网络构成几乎没有差异。例外情况是处于积极治疗阶段的女性的社交网络构成，其中包括更多来自治疗项目或12步会议的网络成员。尽管不同治疗阶段的社会支持类型和数量均无差异，但积极治疗阶段的女性与参与阶段的女性在互惠性方面存在差异。积极治疗阶段女性的社交网络联系较少，这表现为组件数量较多；而劝服阶段女性的社交网络则具有较高的集中化程度，这表现为网络由联系最为紧密的人主导。总体而言，我们发现社交网络结构变量与治疗阶段相关，而社交网络构成、社会支持类型和社会人口统计学变量（有少数例外）与治疗阶段无关。结果表明，无论人口背景如何，社会环境，特别是围绕客户安排社会接触的方式，都应纳入治疗方案。
