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Social support and relapse: Commonalities among alcoholics, opiate users, and cigarette smokers
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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“Social support is frequently noted as an important factor in recovery from alcohol and drug use (Beattie & Longabaugh, 1997; Havassy et al., 1991).”
From The Importance of Social Support in Recovery Populations: Toward a Multilevel Understanding (2023) · cites this paper as Havassy et al., 1991
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Metadata
- 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
- 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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