Meta-Analysis of social relationships and posttreatment drinking outcomes: comparison of relationship structure, function and quality.

Beattie, Martha

doi:10.15288/jsa.2001.62.518

Cited by 60 publications

(64 citation statements)

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“…Individuals suffering from such disorders exist in a complex network of social forces that, in contrast to the short-term effects of formal treatment, exert a more enduring infl uence on behavior (Moos, 2003). Research of increasing sophistication shows these forces affect behavioral health trajectories and outcomes, including alcohol use (Beattie, 2001;Beattie and Longabaugh, 1999;Rosenquist et al, 2010;Valente, 2010). For example, a large, prospective, social network study found that less drinking among a person's close social ties led to reduced subsequent alcohol use (Rosenquist et al, 2010).…”

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confidence: 99%

Association Between Social Influences and Drinking Outcomes Across Three Years

Stout

Kelly

Magill

et al. 2012

J. Stud. Alcohol Drugs

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ABSTRACT. Objective:Multiple studies have shown social network variables to mediate and predict drinking outcome, but, because of selfselection biases, these studies cannot reliably determine whether the infl uence is causal or correlational. The goal of this study was to evaluate evidence for a causal role for social network characteristics in determining long-term outcomes using state-of-the-art statistical methods. Method: Outpatient and aftercare clients enrolled in Project MATCH (N = 1,726) were assessed at intake and at 3, 6, 9, 12, and 15 months; the outpatient sample was also followed to 39 months. Generalized linear modeling with propensity stratifi cation tested whether changes in social network ties (i.e., number of pro-abstainers and pro-drinkers) at Month 9 predicted percentage of days abstinent and drinks per drinking day at 15 and 39 months, covarying for Alcoholics Anonymous (AA) attendance at Month 9. Results: An increase in the number of pro-drinkers predicted worse drinking outcomes, measured by percentage of days abstinent and drinks per drinking day, at Months 15 and 39 (p < .0001). An increase in the number of pro-abstainers predicted more percentage of days abstinent for both time periods (p < .01). The social network variables uniquely predicted 5%-12% of the outcome variance; AA attendance predicted an additional 1%-6%. Conclusions: Network composition following treatment is an important and plausibly causal predictor of alcohol outcome across 3 years, adjusting for multiple confounders. The effects are consistent across patients exhibiting a broad range of alcohol-related impairment. Results support the further development of treatments that promote positive social changes and highlight the need for additional research on the determinants of social network changes.

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confidence: 99%

Association Between Social Influences and Drinking Outcomes Across Three Years

Stout

Kelly

Magill

et al. 2012

J. Stud. Alcohol Drugs

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“…As a conclusion, "the effect od social relationships on drinking is variable, inconstant and weak". (Beattie, 2001) More complex relationships operate when the short-term treatment effects diminished. The specific support for an alcoholic mediates the relationship between general support and PDA (percent days abstinent) and both general social support and specific support for an alcoholic are reciprocal mediators in their relationship with PDA.…”

Section: Alcoholism and Perceived Social Supportmentioning

confidence: 99%

Aspects of Social Support in the Case of Abstinent Alcoholic

Tamas¹

2015

lumenss

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“…Higher levels of marital satisfaction also have been related to better treatment outcomes (Beattie, 2001;McCrady et al, 2002McCrady et al, , 2004. More generally, a stable relationship with a partner and more family support have been positively associated with abstinence and tend to protect against relapse to substance use (McKay et al, 2001;Walton et al, 2002).…”

Section: Friend and Partner Relationship Quality And Posttreatment Abmentioning

confidence: 99%

Depressive Symptoms, Friend and Partner Relationship Quality, and Posttreatment Abstinence

McKee

Bonn‐Miller²,

Moos³

2011

J. Stud. Alcohol Drugs

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ABSTRACT. Objective: This study employed a prospective design to examine the role of friend and partner relationship quality 1 year following substance use disorder treatment in the association between depressive symptoms at discharge from treatment and abstinence from substance use 2 years after treatment. Method: The sample consisted of 1,453 male veterans who used alcohol and at least one other substance in the 3 months before treatment admission, who completed treatment, and who were abstinent from substances during the 2 weeks before discharge. Results: Fewer depressive symptoms at treatment discharge predicted better relationship quality with friends and a partner at 1-year follow-up, as well as abstinence from substance use at 2-year follow-up. Furthermore, friend and partner relationship quality at 1 year predicted abstinence from substance use at 2 years. Friend relationship quality at 1 year mediated part of the association between fewer depressive symptoms at treatment discharge and abstinence at 2-year follow-up. Conclusions: A stronger focus in treatment on reducing depressive symptoms and enhancing the quality of patients' relationships with their friends and partner may increase the likelihood of long-term abstinence.

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Meta-Analysis of social relationships and posttreatment drinking outcomes: comparison of relationship structure, function and quality.

Cited by 60 publications

References 0 publications

Association Between Social Influences and Drinking Outcomes Across Three Years

Association Between Social Influences and Drinking Outcomes Across Three Years

Aspects of Social Support in the Case of Abstinent Alcoholic

Depressive Symptoms, Friend and Partner Relationship Quality, and Posttreatment Abstinence

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