Substance use in the social network had a substantial negative impact on treatment outcome. Consistent with the social learning model and the traditional "persons, places, and things," this suggests interventions should get drug-using significant others into treatment and teach patients coping skills to reduce their negative influence.

No abstract

Abuse Comorbidity version (SCID-SAC) was developed to detect treatable mood and anxiety syndromes among substance abusers based on the temporal relationship of these disorders over the lifetime. The authors describe the instrument and report a study of test-retest reliability in 31 methadone maintenance patients prescreened for depression. Kappas for the combined category, Primary or Persistent During Abstinence, were 0.74 within major depression, 0.67 within any depressive syndrome, and 0.43 withinpanic disorder, with intraclass correlations for ages at onset and ratings of mood disorder chronicity at good levels. %is finding suggests that such retrospective data can be reliably measured by use of the SCID-SAC.

No abstract