Veterans Integrated Service Network 4, Mental Illness Research, Education and Clinical Center Michael J. Crescenz VA Medical Center , Philadelphia , PA , USA.
Center for Studies of Addiction, Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania , Philadelphia , PA , USA.
Subst Use Misuse. 2019;54(13):2144-2155. doi: 10.1080/10826084.2019.1638406. Epub 2019 Jul 19.
Social networks that support recovery lead to enhanced treatment outcomes and sobriety regardless if this support stems from family, peer groups or 12-Step programs. Treatment process factors including readiness to change and commitment to abstinence also impact substance use. However, little is understood about the relationship between social support to treatment process factors during and after treatment for substance use disorders. To identify the ways in which different social networks foster substance use change in a sample of individuals with cocaine dependence from intensive outpatient programs (IOPs). Data were drawn from two studies examining adults ( = 489) with cocaine dependence in IOPs for substance use disorders collected between 2004 and 2009. Assessment data were collected at 3- to 6-month intervals from baseline to 24-months and included the University of Rhode Island change assessment questionnaire, timeline followback, thoughts about abstinence, perceived social support - friend, and family versions and analyzed using GEE and mediational analyses. Greater perceived friend social support was associated with greater readiness to change whereas greater perceived familial social support was associated with substance use goal; greater social support from both friends and family were associated with less substance use. Greater AA/NA participation was associated with substance use goal and readiness to change, and less substance use. Substance use goals partially mediated the impact of social support on later substance use. While peer and familial support are key to sustained recovery, their impact differentially affects treatment process variables. This information could be used to inform social support treatment interventions.
支持康复的社交网络可提高治疗效果和戒断率，无论这种支持来自家庭、同龄群体还是 12 步康复计划。治疗过程中的因素，包括改变的意愿和对戒断的承诺，也会影响物质使用。然而，人们对物质使用障碍治疗过程中及治疗后社交支持与治疗过程因素之间的关系知之甚少。本研究旨在确定不同的社交网络如何在一个来自强化门诊项目（IOP）的可卡因依赖个体样本中促进物质使用改变。本研究的数据来自两项研究，共纳入了 489 名患有可卡因依赖的 IOP 物质使用障碍成年人，数据收集于 2004 年至 2009 年。从基线到 24 个月，每隔 3-6 个月进行一次评估，评估数据包括罗德岛大学变化评估问卷、时间线回溯、戒断想法、朋友感知社会支持和家庭感知社会支持量表，并使用广义估计方程和中介分析进行分析。更大的朋友感知社会支持与更高的改变意愿相关，而更大的家庭感知社会支持与物质使用目标相关；来自朋友和家庭的更大的社会支持与更少的物质使用相关。更多的 AA/NA 参与与物质使用目标和改变意愿相关，且与更少的物质使用相关。物质使用目标部分中介了社会支持对后续物质使用的影响。虽然同伴和家庭支持是持续康复的关键，但它们对治疗过程变量的影响是不同的。这些信息可以用于指导社交支持治疗干预。
