Factors accounting for cocaine use two years following initiation of continuing care

Merikle, Elizabeth; Mulvaney, Frank D.; Weiss, Richard V.; Koppenhaver, Janelle M.

doi:10.1046/j.1360-0443.2001.9622134.x

Cited by 86 publications

(73 citation statements)

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“…Affiliation with 12-step fellowships, both during and after treatment, is a cost-effective and useful approach to promoting recovery from alcohol-and other drug-related problems (e.g., Christo & Franey, 1995;Fiorentine & Hillhouse, 2000, Humphreys & Moos, 2001McKay, Merikle, Mulvaney, Weiss, & Kopenhaver, 2001;Miller, Ninonuevo, Klamen, & Hoffmann., 1997;Montgomery, Miller, & Tonigan, 1995;Morgenstern, Labouvie, McCray, Kahler, & Frey, 1997;Project MATCH Research Group, 1997;Timko, Moos, Finney, & Lesar, 2000; for reviews : Tonigan, Toscova, & Miller, 1996;Humphreys, Wing, McCarty, Chappel, Gallant, Haberle et al, 2004). Although the bulk of 12-step studies have focused on substance use as the primary outcome, there is also some evidence that the benefits of 12-step affiliation extend to other areas of psychosocial functioning including less severe distress and psychiatric symptoms, higher likelihood of being employed, and enhanced quality of life (e.g., Gossop, Harris, Best, Man, Manning, Marshall, & Strang, 2003;Moos, Finney, Ouimette, & Suchinsky, 1999).…”

Section: Affiliation With 12-step Fellowshipsmentioning

confidence: 99%

The Role of Social Supports, Spirituality, Religiousness, Life Meaning and Affiliation with 12-Step Fellowships in Quality of Life Satisfaction Among Individuals in Recovery from Alcohol and Drug Problems

Laudet

Morgen²,

White

2006

Alcoholism Treatment Quarterly

232

173

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SUMMARYMany recovering substance users report quitting drugs because they wanted a better life. The road of recovery is the path to a better life but a challenging and stressful path for most. There has been little research among recovering persons in spite of the numbers involved, and most research has focused on substance use outcomes. This study examines stress and quality of life as a function of time in recovery, and uses structural equation modeling to test the hypothesis that social supports, spirituality, religiousness, life meaning, and 12-step affiliation buffer stress toward enhanced life satisfaction. Recovering persons (N = 353) recruited in New York City were mostly inner-city ethnic minority members whose primary substance had been crack or heroin. Longer recovery time was significantly associated with lower stress and with higher quality of life. Findings supported the study hypothesis; the 'buffer' constructs accounted for 22% of the variance in life satisfaction. Implications for research and clinical practice are discussed.

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Section: Affiliation With 12-step Fellowshipsmentioning

confidence: 99%

The Role of Social Supports, Spirituality, Religiousness, Life Meaning and Affiliation with 12-Step Fellowships in Quality of Life Satisfaction Among Individuals in Recovery from Alcohol and Drug Problems

Laudet

Morgen²,

White

2006

Alcoholism Treatment Quarterly

232

173

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“…Studies show that employment is positively associated with mental health functioning [11][12], as well as with improved abstinence across substances, including alcohol [13], opiates [11], and cocaine [14]. Employment can also affect rearrests.…”

Section: Introductionmentioning

confidence: 99%

Effects of structured vocational services on job-search success in ex-offender veterans with mental illness: 3-month follow-up

LePage¹,

Washington²,

Lewis³

et al. 2011

JRRD

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Abstract-With the high number of incarcerated veterans with mental illness and substance dependence returning to the community annually, a significant need exists for technologies that will help them return to employment. This study evaluates three methods of assistance: (1) basic vocational services, (2) selfstudy of a vocational manual designed for formerly incarcerated veterans, and (3) a group led by vocational staff using the vocational manual. We evaluated 69 veterans to determine the number finding employment within 3 months after enrollment in the study. The group format was expected to be superior to self-study, and self-study was expected to be superior to basic services. Though the group format was found to be superior to both self-study and basic services, the results for self-study and basic services were statistically similar. Limitations and directions for future refinement are discussed.

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“…5) Heavy reliance on single-item predictors has raised concerns about the reliability of the measures and, therefore, the replicability of findings (4). and 6) Predictor selection has not extended beyond bivariate to more informative multivariate analyses (4,7,8).…”

Section: Introductionmentioning

confidence: 99%

Predictors Of Drinking Outcomes Among Alcoholics

Staines

Magura

Rosenblum

et al. 2003

The American Journal of Drug and Alcohol Abuse

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Predicting outcomes for individual patients entering substance abuse treatment has long been a clinical goal in the addictions field. Intake data from the Addiction Severity Index and other standardized scales were collected on 248 alcohol dependent/abusing patients entering an urban hospital treatment program. The outcome measure was frequency of drinking days in the past 30 days. Baseline data were used to identify predictors of posttreatment drinking frequency at two follow-up interviews (3 and 12 months postbaseline). Stepwise multiple regressions indicated that a set of baseline predictors accounted for similar and substantial proportions of outcome variance at the two follow-ups. When psychosocial predictors were combined with an index of alcohol use severity (which included drinking frequency), the proportions of variance explained were 31% and 28% at 3 and 12 months, respectively. Two psychosocial predictors were significant at both time periods, and thus most likely to be replicated in future research: a treatment motivation index (a combination of measures of commitment to treatment success and internal motivation to seek treatment) and an index of 12-step (selfhelp) participation (a combination of measures of frequency of 12-step meeting attendance and perceived helpfulness of 12-step participation). While the predictability of short-term (3 month) outcomes could help clinicians tailor treatment strategies to maximize patient motivation and reduce drinking behavior, the predictability of longer term (12 month) outcomes could help counselors plan aftercare programs, encourage selfhelp participation, and promote recovery-oriented activities to sustain initial treatment-induced gains.

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Factors accounting for cocaine use two years following initiation of continuing care

Cited by 86 publications

References 0 publications

The Role of Social Supports, Spirituality, Religiousness, Life Meaning and Affiliation with 12-Step Fellowships in Quality of Life Satisfaction Among Individuals in Recovery from Alcohol and Drug Problems

The Role of Social Supports, Spirituality, Religiousness, Life Meaning and Affiliation with 12-Step Fellowships in Quality of Life Satisfaction Among Individuals in Recovery from Alcohol and Drug Problems

Effects of structured vocational services on job-search success in ex-offender veterans with mental illness: 3-month follow-up

Predictors Of Drinking Outcomes Among Alcoholics

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