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

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

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

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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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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.
ORCID: Hall, Sharon M.
Wasserman, David A.
Venue: Addictive Behaviors
Publisher: Elsevier BV
Published: 1991-01
Volume: 16
Issue: 5
Pages: 235-246
ISSN: 0306-4603 (ISSN-L)
DOI: 10.1016/0306-4603(91)90016-b
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
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
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
Social Sciences › Sociology and Political Science › 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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Social support and relapse: Commonalities among alcoholics, opiate users, and cigarette smokers

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