The effects of sponsorship in 12-step treatment of injection drug users

Crape, Byron; Latkin, Carl A.; Laris, Alexandra; Knowlton, Amy R.

doi:10.1016/s0376-8716(01)00175-2

Cited by 69 publications

(60 citation statements)

References 37 publications

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“…Our results are consistent with the few studies of SUD that demonstrate an association between helping others and positive substance-use outcomes (Crape et al, 2002;Pagano et al, 2004;. For each one-unit increase in level of helping behaviors (going from "rarely" to "sometimes" meeting the needs of friends or relatives), the likelihood of SUD remission more than doubled.…”

Section: Discussionsupporting

confidence: 90%

Impact of Helping Behaviors on the Course of Substance-Use Disorders in Individuals With Body Dysmorphic Disorder*

Pagano¹,

Phillips²,

Stout³

et al. 2007

J. Stud. Alcohol Drugs

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ABSTRACT. Objective: Alcoholics Anonymous and 12-step facilitated treatments for substance-use disorders (SUDs) encourage individuals with SUD to consider the needs of others and engage in helping behaviors as a method to become sober. SUDs are one of the most common comorbid disorders among individuals with body dysmorphic disorder (BDD). The purpose of this study is to examine prospectively the relationship between helping behaviors and the likelihood of SUD and BDD remission. Method: Data on 163 individuals during the course of 3 years were derived from the Prospective Study of Body Dysmorphic Disorder, a longitudinal investigation of patterns and predictors of the course of BDD. Kaplan-Meier survival estimates were used to calculate probabilities of time to BDD and SUD remission. Cox regression analyses were conducted to calculate the relative likelihood of levels of helping behaviors as time-varying predictors of remission from both SUD and BDD. Results: The course of SUD and BDD was chronic for most subjects; the estimated probability of remission from an SUD across 3 years was .29 and .17 for a full BDD remission. Results indicated that increases in helping behaviors were significantly predictive of SUD remission (hazard ratio [HR] = 2.59, p = .0134). Helping behaviors were also predictive of BDD remission among those with or without SUD but at a trend level of significance (HR = 1.51, p = .0676). Conclusions: These findings extend previous work reporting significant relationships between helping behaviors and positive long-term SUD outcomes. Implications of the mechanisms involved in the link between helping behaviors and remission from SUD and BDD are discussed. (J. Stud. Alcohol Drugs 68: [291][292][293][294][295] 2007)

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Section: Discussionsupporting

confidence: 90%

Impact of Helping Behaviors on the Course of Substance-Use Disorders in Individuals With Body Dysmorphic Disorder*

Pagano¹,

Phillips²,

Stout³

et al. 2007

J. Stud. Alcohol Drugs

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“…Investigations studying predictors of AA involvement and service have not found strong and consistent effects for demographic characteristics, with the possible exceptions of gender, employment, and age (Crape et al, 2002;Pagano et al, 2004Pagano et al, , 2007. There is some evidence to suggest that adults involved in AAH are more likely to be employed (Crape et al, 2002) and older (Pagano et al, 2004).…”

Section: Predictors Of Aa Involvementmentioning

confidence: 97%

Predictors of Initial AA-Related Helping: Findings From Project MATCH

Pagano

Zemore

Onder

et al. 2009

J. Stud. Alcohol Drugs

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ABSTRACT. Objective: The purpose of this article is to identify the factors that predict initial Alcoholics Anonymous (AA)-related helping following treatment admission. Method: Data were derived from Project MATCH (Matching Alcoholism Treatments to Client Heterogeneity), a longitudinal investigation of the effi cacy of three behavioral treatments for alcohol abuse and dependence. Cox proportional hazard regressions were performed to determine the extent to which demographic, clinical, belief, and AA factors predicted initial AA-related helping. Results: Demographic characteristics, drinking severity, antisocial personality, and purpose in life were not associated with initial AA-related helping. Increased self-effi cacy, faith-based practices, meeting attendance, number of steps worked, having a sponsor, and length of sobriety predicted initial AA-related helping. Alcoholics reported elevated depressive symptoms before initial AA-related helping, lowered depressive symptoms at the start of AA-related helping, and similarly lowered depressive symptoms in the interval following initial AA-related helping. Conclusions: The profi le of prospective helpers in AA is not limited to alcoholics from certain backgrounds or higher functioning in terms of drinking or clinical severity. To increase participation in AA-related helping, and hence outcomes, results suggest strengthening self-effi cacy and progress in other AA programmatic components. (J. Stud. Alcohol Drugs 70: [117][118][119][120][121][122][123][124][125] 2009)

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“…In a prospective investigation of 503 inner-city drug users recruited from the community, Crape et al (2002) report that being a sponsor was related to not using drugs at baseline (odds ratio [OR] ≈ 7) and to abstinence at 1-year follow-up (OR = 3.2), after adjusting for various demographic and clinical variables, including AA/NA attendance. They also suggest that being a sponsor may have increased abstinence likelihood because it was associated with greater treatment involvement and with motivation for lifestyle change.…”

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confidence: 99%