Cited by 348Substance Abuse Treatment and OutcomesOpioid Use Disorder TreatmentHomelessness and Social Issues

Social support and relapse: Commonalities among alcoholics, opiate users, and cigarette smokers

Havassy, Barbara E., Hall, Sharon M., Wasserman, David A.·1991·Addictive Behaviors

Abstract

Links between social support and relapse were examined in a study of alcoholics, cigarette smokers, and opiate users completing treatment for drug use (N = 221). Subjects were followed weekly until relapse for a maximum of 12 weeks after the end of treatment. Structural and functional social support and support for abstinence and drug use were investigated. With demographic variables and drug-treatment group controlled, greater structural support (as measured by an index of social integration and by partner status) predicted a lower risk of relapse. Greater experienced partner support for abstinence also predicted lower risk. Social network members' use of the subject's problem drug predicted heightened relapse risk, but the effect was not statistically significant. This study contributes to a cross-drug model of relapse. It highlights the importance of social integration and abstinence-specific functional support in predicting the risk of relapse, independent of the particular drug of abuse.

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Crossref · 10.1016/0306-4603(91)90016-b

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Authors
Havassy, B. E., Hall, S. M., & Wasserman, D. A.
Affiliations
  • University of California, San Francisco (US)
  • San Francisco VA Medical Center (US)
Corresponding author
Havassy, Barbara E.
Venue
Addictive Behaviors
Publisher
Elsevier BV
Published
1991-01
Volume
16
Issue
5
Pages
235-246
ISSN
0306-4603 (ISSN-L)
OpenAlex
W1987173107
Cited by
348
References
42
Citations by year
2026: 5 · 2025: 10 · 2024: 3 · 2023: 13 · 2022: 17 · 2021: 13 · 2020: 18 · 2019: 16 · 2018: 14 · 2017: 14 · 2016: 14 · 2015: 15 · 2014: 13 · 2013: 11 · 2012: 8
FWCI
4.07
Type
journal article
Language
en
Open access
closed
Locations
  • Addictive Behaviors (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health (5r01da003082-10)
  • National Institute on Drug Abuse (DA03082, DA-02538, R01DA002538, DA 00065)
Topics
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
  • Health Sciences › Health Professions › General Health Professions › Homelessness and Social Issues
Keywords
social support, relapse, alcoholism, opiate use, cigarette smoking, pharmacotherapy, structural social support, functional social support, partner support, abstinence, social integration, relapse risk
MeSH terms
Adult, Alcoholism, Female, Follow-Up Studies, Humans, Male, Methadone, Middle Aged, Opioid-Related Disorders, Recurrence, Risk Factors, Social Environment, Social Support, Substance Abuse Treatment Centers, Smoking Cessation

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