Continued Successful SA Recovery during the Maintenance Stage: Intra-Individual Resource Loss & Gain Predict Relapse

Abstract

Objectives We combine Hobfoll’s Conservation of Resources (COR) theory and key components of self-help group “step work” ideology to investigate how dynamic changes in key intra-individual resource loss and gains (self-esteem, abstinence self-efficacy, existential growth) influence relapse rates in a sample of individuals in the Maintenance Stage of substance abuse recovery. Methods Participants (n = 579) completed two surveys over a nine month period that assessed baseline and changes in intra-individual loss and gain resources as well as relapse rates over study course. Multiple regression analyses were performed to predict whether baseline and dynamic changes in intra-individual scores predict relapse rates over time. Results Individuals that reported lower levels of resource gain at baseline, as well as decreased gain trajectories and increased loss trajectories over time were more likely to relapse. Conclusions Findings support self-help group “step work” models and the application of COR theory for relapse likelihood prediction in a sample of individuals in longer term substance abuse recovery. Research efforts should examine the complex relationship between these dynamic intra-individual resources, social cognition, self-regulation and relapse risk. Future interventions should address the importance of the continual development and protection of these valuable intra-individual resources to prevent relapse.

An Empirically Based Theory of the Relationships among Social Embeddedness, Economic Viability, Learned Recovery Skills and Perceived Quality of Life in Recovery Homes

“…In addition, past studies have pointed to the importance of individual change being the best predictor of individual outcomes over time (Chavarria, Stevens, Jason, & Ferrari, 2012). Walt, Stevens, Jason, and Ferrari (2012) found that steady improvement in personal gain scores (e.g., self-esteem, abstinence self-efficacy) over time predicted lower relapse rates. Our study provides more support for integrative models that illustrate this dynamic effect of resource loss and gain.…”

Latent Profile Analysis in Recovery Homes: A Single Quantitative Dimension Captures Most but Not All of the Important Details of the Recovery Process

“…This recovery factor improvement protects residents from a premature exit from the OH during the high-risk period when most evictions occur. Prior studies have also found positive recovery outcomes among Black and Latinx residents of OH 8 – 10 . It appears that people of color are able to create or access resources better than White residents when living in recovery homes, 11 but the reasons for this differential outcome are not known.…”

“…Prior studies have also found positive recovery outcomes among Black and Latinx residents of OH. [8][9][10] It appears that people of color are able to create or access resources better than White residents when living in recovery homes, 11 but the reasons for this differential outcome are not known.…”