The impact of social support and self-esteem on adolescent substance abuse treatment outcome

Richter, Stephanie S.; Brown, Sandra A.; Mott, Mariam A.

doi:10.1016/s0899-3289(10)80019-7

Cited by 118 publications

(75 citation statements)

References 22 publications

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“…Gender based differences in the expression of psychopathology, particularly along the internalizingexternalizing dimension, might have better explained the differences in outcome over gender. For other personal characteristics, the lack of relation between self-esteem and early treatment outcomes is consistent with other findings from this lab (Richter et al, 1991). However, the lack of associations between alcohol expectancies and treatment outcomes were surprising.…”

Section: Discussionsupporting

confidence: 89%

“…While studies have shown that girls are at less risk for post-treatment substance use than boys (Catalano et al, 1991;Latimer et al, 2000a), less consistent evidence has been found for the impact of age, ethnicity and SES (e.g., Brown et al, 1994;Jainchill et al, 1997). Pretreatment substance use has been implicated in adult substance treatment outcomes (Shuckit et al, 1998;Scott et al, 2003), but studies have shown that pretreatment substance use characteristics alone have not been predictive of relapse patterns up to 1 year following treatment (Brown et al, 1989;Richter et al, 1991;Latimer et al, 2000a).…”

Section: Introductionmentioning

confidence: 99%

“…However, a body of research has shown that family history of alcoholism can convey risk for poor substance-related decision-making in that children in families with alcoholics display higher levels of impulsiveness than their peers (Chassin et al, 2004). While general indices of peer support suggest a detrimental impact on teen substance use (Latimer et al, 2000b;Piko, 2000;Ashby Wills et al, 2004), having nonusing social supports in youth social networks has been shown to be predictive of abstinence posttreatment (Richter et al, 1991;McCrady, 2004). Personal characteristics, like personality, motivation, learning, self-esteem and psychiatric diagnosis and symptomatology, can impact youth trajectories post-treatment.…”

Section: Introductionmentioning

confidence: 99%

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Substance use treatment outcomes for youth: Integrating personal and environmental predictors

Anderson

Ramo

Schulte

et al. 2007

Drug and Alcohol Dependence

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This investigation examined personal and environmental predictors of substance treatment outcomes in youth. 424 adolescents (M = 15.9 years, SD = 1.3) completed comprehensive assessments, including substance use, environmental factors (e.g., family history, social supports), and person-centered variables (e.g., Axis I diagnosis, motivation, self-esteem), at study intake and throughout the year following inpatient treatment. Youth treatment outcomes were assessed by relapse status (abstaining, minor relapse, major relapse) and DSM-IV dependence symptoms at one year. Relapse status was predicted by demographic (age), environmental (social supports), and person-centered factors (diagnosis) while dependence symptoms were best predicted by substance use variables alone. Consideration of the general and specific nature of risk and protection within the adolescent developmental context were explored.

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Section: Discussionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Substance use treatment outcomes for youth: Integrating personal and environmental predictors

Anderson

Ramo

Schulte

et al. 2007

Drug and Alcohol Dependence

Self Cite

View full text Add to dashboard Cite

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“…This observation may be of particular importance for individuals with substance-use disorders and cognitive impairment. Clients in treatment for substance-use disorders are known to be positively infl uenced by abstinence-supporting social infl uences (Knight and Simpson, 1996;Manuel et al, 2007;Richter et al, 1991;Siddall and Conway, 1988;Zywiak et al, 2002) and negatively infl uenced by maintaining relationships with drinking-supporting individuals (e.g., see, Marlatt, 1985;McCrady, 2004); and the infl uence of agents in the social environment can become amplifi ed in treatment clients with diminished cognitive capacity. This amplifi ed infl uence would then represent an alternative change process operating outside the context of treatment but serving to promote or impede sustained behavioral changes needed for recovery.…”

mentioning

confidence: 99%

Social Support and Cognitive Impairment in Clients Receiving Treatment for Alcohol- and Drug-Use Disorders: A Replication Study

Buckman

Bates

Morgenstern

2008

J. Stud. Alcohol Drugs

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ABSTRACT. Objective:The infl uence that social network members exert on the drinking behaviors of alcohol-dependent individuals may represent a behavioral change process that is sensitive to co-occurring cognitive impairment and operates outside treatment to promote or impede outcomes. This study was aimed at extending earlier research support for this hypothesis by assessing impairment in memory as well as executive functions in a more heterogeneous population with alcohol-and/or drug-use disorders. Method: Latent class analysis was used as a person-centered approach to characterize the nature and extent of social support for abstinence from alcohol and drug use in 122 men and women entering treatment for substance-use disorders. Substance use, executive dysfunction, and memory impairments were compared across latent classes at four points during the fi rst year after treatment entry. The interrelationship of impairment and social support on treatment outcomes was also examined. Results: Three independent social support classes-(1) Frequent Positive Support, (2) Limited Positive Support, and (3) Negative Support-were identifi ed. The Frequent Positive Support class demonstrated the most frequent substance use and greatest executive impairment at treatment entry but-by the end of treatment-showed pronounced improvements in both. In addition, less recovery of executive function by the end of treatment predicted better 12-month substance-use outcomes in the Frequent Positive Support class, whereas it predicted poorer outcomes in the Negative Support class. Conclusions:The results offer further evidence for the heightened importance of informal social network processes in the treatment outcomes of persons with severe and ongoing defi cits in executive functioning. (J. Stud. Alcohol Drugs 69: [738][739][740][741][742][743][744][745][746] 2008)

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“…For AUD clients in general, treatment retention (Siddall and Conway, 1988) and recovery (Knight and Simpson, 1996;Richter et al, 1991) are facilitated by abstinence-supporting social influences, whereas risk for relapse is enhanced by negative social influences (e.g., see Marlatt, 1985;McCrady, 2004). Empirical studies that use a variable-centered approach to studying social support networks have identified abstinence role models, larger social networks, and the number of supportive relationships as most predictive of positive outcomes (Zywiak et al, 2002).…”

mentioning

confidence: 99%

Social Networks and Their Influence on Drinking Behaviors: Differences Related to Cognitive Impairment in Clients Receiving Alcoholism Treatment

Buckman

Bates

Cisler

2007

J. Stud. Alcohol Drugs

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Objective-Mechanisms of behavioral change that support positive addiction treatment outcomes in individuals with co-occurring alcohol-use disorders and cognitive impairment remain largely unknown. This article combines person-and variable-centered approaches to examine the interrelated influence of cognitive impairment and social support on stability of and changes in drinking behaviors of Project MATCH (Matching Alcoholism Treatments to Client Heterogeneity) outpatients and aftercare clients (N= 1, 726) during the first year after their entry into treatment.Method-Latent class analysis identified homogeneous groups of clients based on the nature and extent of social support for abstinence or drinking at treatment entry. Cognitive impairment and drinking outcomes were compared across latent classes, and the interaction between impairment and social support on drinking outcomes was examined using mixture probit regression.

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The impact of social support and self-esteem on adolescent substance abuse treatment outcome

Cited by 118 publications

References 22 publications

Substance use treatment outcomes for youth: Integrating personal and environmental predictors

Substance use treatment outcomes for youth: Integrating personal and environmental predictors

Social Support and Cognitive Impairment in Clients Receiving Treatment for Alcohol- and Drug-Use Disorders: A Replication Study

Social Networks and Their Influence on Drinking Behaviors: Differences Related to Cognitive Impairment in Clients Receiving Alcoholism Treatment

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