Applying a stress and coping framework to research on mutual help organizations

Humphreys, Keith; Finney, John W.; Moos, Rudolf H.

doi:10.1002/1520-6629(199410)22:4<312::aid-jcop2290220404>3.0.co;2-6

Cited by 52 publications

(31 citation statements)

References 12 publications

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“…Several studies have suggested that AA involvement partially mediates the relationship between network support for drinking (Tonigan et al, 1996) and subsequent drinking outcomes (Humphreys et al, 1994;Longabaugh et al, 1998Longabaugh et al, , 2001. That is, individuals assigned to TSF have greater subsequent AA involvement compared with those assigned to CBT or MET, and it is the AA involvement that leads to better drinking outcomes by buffering the negative effects of social networks supportive of drinking.…”

Section: Limitations and Future Directionssupporting

confidence: 60%

Network Support for Drinking: An Application of Multiple Groups Growth Mixture Modeling to Examine Client-Treatment Matching

Witkiewitz

2008

J. Stud. Alcohol Drugs

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Objective-The current study re-examined the Project MATCH (Matching Alcoholism Treatments to Client Heterogeneity) hypothesis that individuals with high network support for drinking would have the best treatment outcomes if they were assigned to twelve-step facilitation (TSF).Method-Drinking consequences, as measured by the Drinking Inventory of Consequences, was the primary outcome measure. Growth mixture models with multiple groups were used to estimate the drinking consequence trajectories of 952 outpatients during the 12 months following treatment for each of the three Project MATCH treatment conditions. Growth factors within latent trajectory classes were regressed on network support for drinking to assess whether treatment condition moderated the relationship between network support for drinking and drinking consequences over time.Results-Three latent classes were identified, representing low (n = 154, 16.2%), medium (n = 400, 42%), and high (n = 398, 41.8%) levels of drinking consequences. Classes did not differ across treatment groups. Greater network support for drinking predicted more drinking consequences over time but only for clients assigned to cognitive-behavioral therapy and motivational enhancement therapy, not TSF.Conclusions-This study provides further support for one of the original Project MATCH matching hypotheses: Clients with social networks supportive of drinking had better outcomes immediately after treatment if they were assigned to TSF. Because the original Project MATCH studies found this matching effect only at the 3-year follow-up, these results add validity to the network support for drinking matching effect. The study also provides additional evidence that accounting for heterogeneity in alcohol treatment outcomes is important for accurately estimating treatment effectiveness.

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Section: Limitations and Future Directionssupporting

confidence: 60%

Network Support for Drinking: An Application of Multiple Groups Growth Mixture Modeling to Examine Client-Treatment Matching

Witkiewitz

2008

J. Stud. Alcohol Drugs

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“…Some population studies show that women are more likely to drop out of AA/NA (Humphreys et al, 1994) and may not participate for reasons related to program structure, challenges related to lack childcare or if they sense AA/NA is punitive and male dominated (Kaskutas, 1994). Other studies demonstrate that while women may drop out of 12 step attendance more than men after 12 months of treatment (Humphreys et al, 1991), they were more likely to attend in the first place (Humphreys et al, 1994). However, in those studies, after the initial dropout period, women were found to attend as regularly as men (Humphreys et al, 1994).…”

Section: Discussionmentioning

confidence: 99%

“…Other studies demonstrate that while women may drop out of 12 step attendance more than men after 12 months of treatment (Humphreys et al, 1991), they were more likely to attend in the first place (Humphreys et al, 1994). However, in those studies, after the initial dropout period, women were found to attend as regularly as men (Humphreys et al, 1994). Additionally gender and other sociodemographic variables have not been reliably found to be strongly associated with 12-step attendance in prior studies among general groups of substance abusers (Bogenschultz, 2008; Emrick et al, 1993; Tonigan et al, 1996) or among HIV+ substance users (Burnam et al, 2001).…”

Section: Discussionmentioning

confidence: 99%

Factors associated with attendance in 12-step groups (Alcoholics Anonymous/Narcotics Anonymous) among adults with alcohol problems living with HIV/AIDS

Orwat¹,

Samet²,

Tompkins³

et al. 2011

Drug and Alcohol Dependence

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Background Despite the value of 12-step meetings, few studies have examined factors associated with attendance among those living with HIV/AIDS, such as the impact of HIV disease severity and demographics. Objective This study examines predisposing characteristics, enabling resources and need on attendance at Alcoholic Anonymous (AA) and Narcotics Anonymous (NA) meetings among those living with HIV/AIDS and alcohol problems. Methods Secondary analysis of prospective data from the HIV-Longitudinal Interrelationships of Viruses and Ethanol study, a cohort of 400 adults living with HIV/AIDS and alcohol problems. Factors associated with AA/NA attendance were identified using the Anderson model for vulnerable populations. Generalized estimating equation logistic regression models were fit to identify factors associated with self-reported AA/NA attendance. Results At study entry, subjects were 75% male, 12% met diagnostic criteria for alcohol dependence, 43% had drug dependence and 56% reported attending one or more AA/NA meetings (past six months). In the adjusted model, female gender negatively associated with attendance, as were social support systems that use alcohol and/or drugs, while presence of HCV antibody, drug dependence diagnosis, and homelessness associated with higher odds of attendance. Conclusions Non-substance abuse related barriers to AA/NA group attendance exist for those living with HIV/AIDS, including females and social support systems that use alcohol and/or drugs. Positive associations of homelessness, HCV infection and current drug dependence were identified. These findings provide implications for policy makers and treatment professionals who wish to encourage attendance at 12-step meetings for those living with HIV/AIDS and alcohol or other substance use problems.

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“…Research has documented the benefits of 12-step participation in psychosocial functioning and recovery-promoting domains, including enhanced self-efficacy to resist temptations to use drugs and/or alcohol and motivation for abstinence (Kelly, Myers, & Brown, 2000;Morgenstern, Labouvie, McCrady, Kahler, & Frey, 1997), improved coping strategies (Humphreys, Finney J., & Moos RH. 1994;Humphreys, Moos, & Finney, 1996;Morgenstern et al, 1997;Timko, Finney, Moos, & Moos, 1995;Timko, Moos, Finney, & Lesar, 2000;Snow, Prochaska, & Rossi, 1994), improved social support and particularly social support for recovery (Humphreys & Noke, 1997;Humphreys et al, 1999), reduced psychological problems such as depression and anxiety (Gossop et al, 2003), lower stress (Laudet & White, 2008), higher quality of life (Gossop et al, 2003) and higher levels of life meaning and purpose (White & Laudet, 2006).…”

Section: Enhancing Recovery Capital: Participation In 12-step Fellowsmentioning

confidence: 99%

The Road to Recovery: Where Are We Going and How Do We Get There? Empirically Driven Conclusions and Future Directions for Service Development and Research

Laudet

2008

Substance Use & Misuse

116

103

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The term "recovery" is often used in the addiction field. However, we have thus far failed to define the term, to delineate its dimensions, or to elucidate the pre-requisite conditions to this outcome. This has hindered service development and evaluation as well as changes in policy. This paper: (1) Reviews empirical findings about how "recovery" is defined and experienced by individuals engaged in the process; (2) Examines factors associated with recovery initiation, maintenance and sustained life style, and review obstacles to recovery; and (3) Discusses implications for services and research; implications include the need to adopt a long-term, wellness centered approach to addressing substance use-related problems, the importance for society to address the stigma of former addiction and to offer attractive viable opportunities to promote making significant life changes towards recovery from substance use.

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Applying a stress and coping framework to research on mutual help organizations

Cited by 52 publications

References 12 publications

Network Support for Drinking: An Application of Multiple Groups Growth Mixture Modeling to Examine Client-Treatment Matching

Network Support for Drinking: An Application of Multiple Groups Growth Mixture Modeling to Examine Client-Treatment Matching

Factors associated with attendance in 12-step groups (Alcoholics Anonymous/Narcotics Anonymous) among adults with alcohol problems living with HIV/AIDS

The Road to Recovery: Where Are We Going and How Do We Get There? Empirically Driven Conclusions and Future Directions for Service Development and Research

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