Tags

Type your tag names separated by a space and hit enter

Role of social support and self-efficacy in treatment outcomes among clients with co-occurring disorders.
Drug Alcohol Depend. 2007 Jul 10; 89(2-3):267-74.DA

Abstract

Individuals with co-occurring substance use and psychiatric disorders have a more severe clinical course and poorer outcomes than do individuals with one disorder. In an attempt to find intervening variables that may contribute to improvement in treatment outcomes among individuals with co-occurring disorders, we investigated the roles of social support and self-efficacy in a sample of 351 clients with co-occurring disorders in residential drug abuse treatment programs (53% male; 35% African American, 13% Hispanic). Given their demographic variability, we also explored how ethnicity and age influence self-efficacy and access to social support, as well as their relationships to the outcomes. Structural equation modeling was used to examine the impact of the demographics and baseline psychological status, substance use, social support, and self-efficacy on mental health and substance use outcomes 6 months after treatment entry. Time in treatment was included as a control. Greater social support at baseline predicted better mental health status and less heroin and cocaine use; greater self-efficacy predicted less alcohol and cocaine use. Older clients reported less social support. African-American ethnicity was associated with more cocaine use at baseline and follow-up; however, African Americans reported more self-efficacy, which moderated their cocaine use. The current study highlights the potential therapeutic importance of clients' personal resources, even among a sample of severely impaired individuals.

Authors+Show Affiliations

Department of Psychology, University of California-Los Angeles, Los Angeles, CA 90095, USA.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

17329040

Citation

Warren, Jazmin I., et al. "Role of Social Support and Self-efficacy in Treatment Outcomes Among Clients With Co-occurring Disorders." Drug and Alcohol Dependence, vol. 89, no. 2-3, 2007, pp. 267-74.
Warren JI, Stein JA, Grella CE. Role of social support and self-efficacy in treatment outcomes among clients with co-occurring disorders. Drug Alcohol Depend. 2007;89(2-3):267-74.
Warren, J. I., Stein, J. A., & Grella, C. E. (2007). Role of social support and self-efficacy in treatment outcomes among clients with co-occurring disorders. Drug and Alcohol Dependence, 89(2-3), 267-74.
Warren JI, Stein JA, Grella CE. Role of Social Support and Self-efficacy in Treatment Outcomes Among Clients With Co-occurring Disorders. Drug Alcohol Depend. 2007 Jul 10;89(2-3):267-74. PubMed PMID: 17329040.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Role of social support and self-efficacy in treatment outcomes among clients with co-occurring disorders. AU - Warren,Jazmin I, AU - Stein,Judith A, AU - Grella,Christine E, Y1 - 2007/02/27/ PY - 2006/10/05/received PY - 2007/01/12/revised PY - 2007/01/17/accepted PY - 2007/3/3/pubmed PY - 2007/8/19/medline PY - 2007/3/3/entrez SP - 267 EP - 74 JF - Drug and alcohol dependence JO - Drug Alcohol Depend VL - 89 IS - 2-3 N2 - Individuals with co-occurring substance use and psychiatric disorders have a more severe clinical course and poorer outcomes than do individuals with one disorder. In an attempt to find intervening variables that may contribute to improvement in treatment outcomes among individuals with co-occurring disorders, we investigated the roles of social support and self-efficacy in a sample of 351 clients with co-occurring disorders in residential drug abuse treatment programs (53% male; 35% African American, 13% Hispanic). Given their demographic variability, we also explored how ethnicity and age influence self-efficacy and access to social support, as well as their relationships to the outcomes. Structural equation modeling was used to examine the impact of the demographics and baseline psychological status, substance use, social support, and self-efficacy on mental health and substance use outcomes 6 months after treatment entry. Time in treatment was included as a control. Greater social support at baseline predicted better mental health status and less heroin and cocaine use; greater self-efficacy predicted less alcohol and cocaine use. Older clients reported less social support. African-American ethnicity was associated with more cocaine use at baseline and follow-up; however, African Americans reported more self-efficacy, which moderated their cocaine use. The current study highlights the potential therapeutic importance of clients' personal resources, even among a sample of severely impaired individuals. SN - 0376-8716 UR - https://www.unboundmedicine.com/medline/citation/17329040/Role_of_social_support_and_self_efficacy_in_treatment_outcomes_among_clients_with_co_occurring_disorders_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0376-8716(07)00045-2 DB - PRIME DP - Unbound Medicine ER -