Historique
Périodique
Acceptance and relationship context: a model of substance use disorder treatment outcome
(Consentement et construction de relations sociales : un modèle prédicteur de résultats dans le traitement des troubles liés à l'usage de drogues.)
Auteur(s) :
GIFFORD, E. V. ;
RITSCHER, J. B. ;
McKELLAR, J. D. ;
MOOS, R. H.
Année
2006
Page(s) :
1167-1177
Langue(s) :
Anglais
Refs biblio. :
76
Domaine :
Drogues illicites / Illicit drugs
Thésaurus mots-clés
TRAITEMENT
;
PRONOSTIC
;
EFFICACITE
;
GUERISON
;
MODELE
;
OBSERVANCE DU TRAITEMENT
;
SOCIABILITE
Note générale :
Addiction, 2006, 101, (8), 1167-1177
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)
Affiliation :
Center for Health Care Evaluation, 795 Willow Road (MPD 152), Menlo Park, CA 94125.
Etats-Unis. United States.
Etats-Unis. United States.