The effect of social investment on treatment outcome.
- Authors
- Longabaugh, R; Beattie, M; Noel, N; Stout, R; Malloy, P
- Year
- 1993
- Journal
- Journal of studies on alcohol
- PMID
- 8341050
- DOI
- 10.15288/jsa.1993.54.465
Social support is associated with better response to treatment. Treatments focused on relationships, such as marital and family therapy, are directed in part at promoting this support. However, the strength of the relationship between support and abstinence is modest, as is the demonstrated incremental effectiveness of treatments focused on relationships. Treatment-matching research needs to determine under what set of conditions treatments focused on relationships will enhance abstinence. The primary aim of this study was to determine whether the relationship between alcohol involvement and alcohol-specific social support is moderated by a person's social investment. The second aim was to determine the set of circumstances under which extended individually focused cognitive behavioral (CB) treatment and a relationship enhancement (RE) of brief cognitive behavioral treatments would improve outcomes. Patients were randomly assigned to individual or relationship-enhanced outpatient treatment and followed for 12 months. Results indicated that a patient's social investment did moderate the strength of the relationship between support and posttreatment alcohol involvement: Among high investors, there was a strong positive relationship, while the association was weak for low investors. A hypothesized triple-order interaction between social investment, posttreatment support and treatment did not materialize. However, an interaction between support and treatment showed that those with high support did equally well in either treatment, while those posttreatment support was low benefited from CB, but experienced poor outcomes when treated in relationship enhancement of CB. Further analyses indicated that increasing alcohol-specific support for low investors was probably contraindicated. We suggest that patients with low investment should be treated in an extended cognitive behavioral modality, while relationally enhanced CB treatment should be limited to high investors who are likely to experience support for their abstinence following treatment.
No figures extracted from this document.
No chunks β full text not yet ingested.
No entities extracted from this document yet.
No uploaded files.
No citations found.
In this knowledge base
External
| Title | Authors | Journal | Year | Link |
|---|---|---|---|---|
| Relationship between social support and substance use among American Indian people with a self-identified substance use problem. | Neavill ME et al. | β | 2026 | β |
| Evaluations of potential sex differences in alcohol use and problems in 454 offspring from the San Diego Prospective Study. | Schuckit MA et al. | β | 2025 | β |
| Moving beyond animal models: enriched environments and human substance use disorders. | Barillot L et al. | β | 2025 | β |
| AUD Risk, Diagnoses, and Course in a Prospective Study Across Two Generations: Implications for Prevention. | Schuckit MA | β | 2022 | β |
| An examination of abstinence social support among recovery home residents with psychiatric comorbidity. | Majer JM et al. | β | 2021 | β |
| Predictors of Increases in Alcohol Problems and Alcohol Use Disorders in Offspring in the San Diego Prospective Study. | Schuckit MA et al. | β | 2019 | β |
| The Role of Social Support in Motivating Reductions in Alcohol Use: A Test of Three Models of Social Support in Alcohol-Impaired Drivers. | Moon TJ et al. | β | 2019 | β |
| AiRCare: A naturalistic evaluation of the effectiveness of a protracted telephone-based recovery assistance program on continuing care outcomes. | Proctor SL et al. | β | 2017 | β |
| Long-term recall of social relationships related to addiction and HIV risk behaviors. | Stout RL et al. | β | 2017 | β |
| Simulating drinking in social networks to inform alcohol prevention and treatment efforts. | Hallgren KA et al. | β | 2017 | β |
| Abstinence Social Support Among Ex-Prisoners With Substance Use Disorders. | Majer JM et al. | β | 2016 | β |
| Briefer assessment of social network drinking: A test of the Important People Instrument-5 (IP-5). | Hallgren KA et al. | β | 2016 | β |
| Interaction of Motivation and Social Support on Abstinence among Recovery Home Residents. | Korcha RA et al. | β | 2016 | β |
| Network Support II: Randomized controlled trial of Network Support treatment and cognitive behavioral therapy for alcohol use disorder. | Litt MD et al. | β | 2016 | β |
| Social Influences on Abstinence Self-Efficacy among Justice-Involved Persons. | Majer JM et al. | β | 2016 | β |
| Adolescent social networks: general and smoking-specific characteristics associated with smoking. | Roberts ME et al. | β | 2015 | β |
| Recovery resources and psychiatric severity among persons with substance use disorders. | Majer JM et al. | β | 2015 | β |
| Social Support Among Substance Using Women with Criminal Justice Involvement. | Majer JM et al. | β | 2015 | β |
| Social Support and Treatment Outcome in Alcohol Dependence Syndrome in Armed Forces. | Dixit S et al. | β | 2015 | β |
| Comorbid mental health and substance abuse issues among individuals in recovery homes: Prospective environmental mediators. | Aase DM et al. | β | 2014 | β |
| Factors affecting the stability of social networks during early recovery in ex-offenders. | Stone A et al. | β | 2014 | β |
| Gender and Social Pressure to Change Drinking Behavior: Results from the National Alcohol Surveys from 1984-2010. | Polcin DL et al. | β | 2014 | β |
| Sober-Living Houses and Changes in the Personal Networks of Individuals in Recovery. | Mueller DG et al. | β | 2014 | β |
| Psychometric properties of the Important People Instrument with college student drinkers. | Hallgren KA et al. | β | 2013 | β |
| Age-based differences in treatment outcome among alcohol-dependent women. | Al-Otaiba Z et al. | β | 2012 | β |
| Do social networks explain 12-step sponsorship effects? A prospective lagged mediation analysis. | Rynes KN et al. | β | 2012 | β |
| Mapping the maintenance stage of recovery: a qualitative study among treated and non-treated former alcohol dependents in Poland. | Klingemann JI | β | 2012 | β |
| Sex differences in how a low sensitivity to alcohol relates to later heavy drinking. | Schuckit MA et al. | β | 2012 | β |
| Twenty-one-year trends and correlates of pressure to change drinking. | Polcin DL et al. | β | 2012 | β |
| A prospective evaluation of how a low level of response to alcohol predicts later heavy drinking and alcohol problems. | Schuckit MA et al. | β | 2011 | β |
| Quality of life, needs, and interest among cocaine users: differences by cocaine use intensity and lifetime severity of addiction to cocaine. | Morales-Manrique CC et al. | β | 2011 | β |
| Testing a level of response to alcohol-based model of heavy drinking and alcohol problems in 1,905 17-year-olds. | Schuckit MA et al. | β | 2011 | β |
| An Exploratory Analysis of Changes in Self-Regulation and Social Support Among Men and Women in Recovery. | Ferrari JR et al. | β | 2010 | β |
| Comparing structural equation models that use different measures of the level of response to alcohol. | Schuckit MA et al. | β | 2010 | β |
| Network support as a prognostic indicator of drinking outcomes: the COMBINE Study. | Longabaugh R et al. | β | 2010 | β |
| An evaluation of the full level of response to alcohol model of heavy drinking and problems in COGA offspring. | Schuckit MA et al. | β | 2009 | β |
| Changing network support for drinking: network support project 2-year follow-up. | Litt MD et al. | β | 2009 | β |
| Emphasizing interpersonal factors: an extension of the Witkiewitz and Marlatt relapse model. | Hunter-Reel D et al. | β | 2009 | β |
| The mobilization of community resources to support long-term addiction recovery. | White WL | β | 2009 | β |
| 12-step participation among dually-diagnosed individuals: a review of individual and contextual factors. | Aase DM et al. | β | 2008 | β |
| Level of response to alcohol within the context of alcohol-related domains: an examination of longitudinal approaches assessing changes over time. | Trim RS et al. | β | 2008 | β |
| Network support for drinking: an application of multiple groups growth mixture modeling to examine client-treatment matching. | Wu J et al. | β | 2008 | β |
| Social network variables in alcoholics anonymous: a literature review. | Groh DR et al. | β | 2008 | β |
| Social support and cognitive impairment in clients receiving treatment for alcohol- and drug-use disorders: a replication study. | Buckman JF et al. | β | 2008 | β |
| The performance of elements of a 'level of response to alcohol'-based model of drinking behaviors in 13-year-olds. | Schuckit MA et al. | β | 2008 | β |
| A factor analysis of the important people inventory. | Groh DR et al. | β | 2007 | β |
| Friends, family, and alcohol abuse: an examination of general and alcohol-specific social support. | Groh DR et al. | β | 2007 | β |
| Social networks and their influence on drinking behaviors: differences related to cognitive impairment in clients receiving alcoholism treatment. | Buckman JF et al. | β | 2007 | β |
| Substance abuse prevalence and treatment among Latinos and Latinas. | Alvarez J et al. | β | 2007 | β |
| The need for substance abuse after-care: longitudinal analysis of Oxford House. | Jason LA et al. | β | 2007 | β |
| Theory-based processes that promote the remission of substance use disorders. | Moos RH | β | 2007 | β |
| The psychological science of addiction. | Gifford E et al. | β | 2007 | β |
| Impact of practitioner's training in the management of alcohol dependence: a quasi-experimental 18-month follow-up study. | Malet L et al. | β | 2006 | β |
| Social environmental influences on the development and resolution of alcohol problems. | McCrady BS et al. | β | 2006 | β |
| Cost-effectiveness of public sector substance abuse treatment: comparison of a managed care approach to a traditional public sector system. | Beattie MC et al. | β | 2005 | β |
| Disordered eating, trauma, and sense of community: examining women in substance abuse recovery homes. | Curtis CE et al. | β | 2005 | β |
| Sex differences in social support and self-efficacy within a recovery community. | Davis MI et al. | β | 2005 | β |
| Helping other alcoholics in alcoholics anonymous and drinking outcomes: findings from project MATCH. | Pagano ME et al. | β | 2004 | β |
| Alcohol abuse. | O'Farrell TJ et al. | β | 2003 | β |
| Does retention matter? Treatment duration and improvement in drug use. | Zhang Z et al. | β | 2003 | β |
| Social behaviour and network therapy basic principles and early experiences. | Copello A et al. | β | 2002 | β |
| Social support and self-efficacy for abstinence: is peer identification an issue? | Majer JM et al. | β | 2002 | β |
| Social support and zero sharing risk among hazardously drinking injection drug users. | Stein MD et al. | β | 2002 | β |
| The role of functional social support in treatment retention and outcomes among outpatient adult substance abusers. | Dobkin PL et al. | β | 2002 | β |
| Oxford house: a review of research and implications for substance abuse recovery and community research. | Jason LA et al. | β | 2001 | β |
| Sober living houses: potential roles in substance abuse services and suggestions for research. | Polcin DL | β | 2001 | β |
| A study of barriers to the engagement of significant others in adult addiction treatment. | De Civita M et al. | β | 2000 | β |
| Multidimensional subtypes and treatment outcome in first-time DWI offenders. | Ball SA et al. | β | 2000 | β |
| Coping Strategies of Alcoholic Women. | Michels PJ et al. | β | 1999 | β |
| Current Status of Professional Training in the Addictions. | Keller DS et al. | β | 1999 | β |
| General and alcohol-specific social support following treatment. | Beattie MC et al. | β | 1999 | β |
| Optimizing the cost-effectiveness of alcohol treatment: a rationale for extended case monitoring. | Stout RL et al. | β | 1999 | β |
| Technology transfer of Network Therapy to community-based addictions counselors. | Keller DS et al. | β | 1999 | β |
| A survival analysis of communal-living, self-help, addiction recovery participants. | Bishop PD et al. | β | 1998 | β |
| Behavioral couples treatment of alcohol and drug use disorders: current status and innovations. | Epstein EE et al. | β | 1998 | β |
| A comparison sample validation of "your workplace": an instrument to measure perceived alcohol support and consequences from the work environment. | Rice C et al. | β | 1997 | β |
| Alcohol treatment outcome methodology: state of the art 1989-1993. | Breslin FC et al. | β | 1997 | β |
| Analysis of alcohol use clusters among subcritically injured emergency department patients. | Minugh PA et al. | β | 1997 | β |
| An exploratory study of male recovering substance abusers living in a self-help, self-governed setting. | Jason LA et al. | β | 1997 | β |
| Integrating psychotherapy and pharmacotherapy to improve drug abuse outcomes. | Carroll KM | β | 1997 | β |
| Interpersonal factors and post-treatment drinking and subjective wellbeing. | Beattie MC et al. | β | 1997 | β |
| Nonpharmacologic approaches to substance abuse treatment. | Carroll KM et al. | β | 1997 | β |
| Validation of a scale for network therapy: a technique for systematic use of peer and family support in addition treatment. | Keller DS et al. | β | 1997 | β |
| Injury as a motivator to reduce drinking. | Longabaugh R et al. | β | 1995 | β |
| Two pathways out of drinking problems without professional treatment. | Humphreys K et al. | β | 1995 | β |
| Drinking outcomes of alcohol abusers diagnosed as antisocial personality disorder. | Longabaugh R et al. | β | 1994 | β |
| Implementing long-term EAP follow-up with clients and family members to help prevent relapse-With implications for primary prevention. | Foote A et al. | β | 1994 | β |
| Patient-Treatment Matching: Rationale and Results. | Mattson ME | β | 1994 | β |
| Age group differences in response to treatment for problematic alcohol use. | Rice C et al. | β | 1993 | β |
| Project MATCH (Matching Alcoholism Treatment to Client Heterogeneity): rationale and methods for a multisite clinical trial matching patients to alcoholism treatment. | β | β | 1993 | β |