Titre : | Acceptance and relationship context: a model of substance use disorder treatment outcome |
Titre traduit : | (Consentement et construction de relations sociales : un modèle prédicteur de résultats dans le traitement des troubles liés à l'usage de drogues.) |
Auteurs : | E. V. GIFFORD ; J. B. RITSCHER ; J. D. McKELLAR ; R. H. MOOS |
Type de document : | Périodique |
Année de publication : | 2006 |
Format : | 1167-1177 / fig. ; tabl. |
Note générale : |
Addiction, 2006, 101, (8), 1167-1177
|
Langues: | Anglais |
Discipline : | TRA (Traitement et prise en charge / Treatment and care) |
Mots-clés : |
Thésaurus mots-clés TRAITEMENT ; PRONOSTIC ; EFFICACITE ; GUERISON ; MODELE ; OBSERVANCE DU TRAITEMENT ; SOCIABILITE |
Résumé : | Aims: This study presented and tested a model of behavior change in long-term substance use disorder recovery, the acceptance and relationship context (ARC) model. The model specifies that acceptance-based behavior and constructive social relationships lead to recovery, and that treatment programs with supportive, involved relationships facilitate the development of these factors. Design: This study used a prospective longitudinal naturalistic design and controlled for baseline levels of study variables. Setting and participants: The model was tested on a sample of 2549 patients in 15 residential substance use disorder treatment programs. Measurements: Acceptance-based responding (ABR), social relationship quality (SRQ), treatment program alliance (TPA) and substance use-related impairment were assessed using interviews and self-report questionnaires. Findings: TPA predicted ABR and SRQ and, in turn, ABR predicted better 2-year and 5-year treatment outcomes. The baseline-controlled model accounted for 41% of the variance in outcome at 2-year follow-up and 28% of the variance in outcome at 5-year follow-up. Conclusions: Patients from treatment programs with an affiliative relationship network are more likely to respond adaptively to internal states associated previously with substance use, develop constructive social relationships and achieve long-term treatment benefits. (Author' s abstract) |
Domaine : | Drogues illicites / Illicit drugs |
Refs biblio. : | 76 |
Affiliation : |
Center for Health Care Evaluation, 795 Willow Road (MPD 152), Menlo Park, CA 94125. Etats-Unis. United States. |
Numéro Toxibase : | 208851 |
Centre Emetteur : | 02 Coordonnateur |
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