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Cited by 139Substance Abuse Treatment and OutcomesOpioid Use Disorder TreatmentHomelessness and Social Issues

Role of social support and self-efficacy in treatment outcomes among clients with co-occurring disorders☆

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Warren, Jazmin I., Stein, Judith A., Grella, Christine E.·2007·Drug and Alcohol Dependence
DOI 10.1016/j.drugalcdep.2007.01.009PMC PMC2753536
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Abstract

Individuals with co-occurring substance use and psychiatric disorders have a more severe clinical course and poorer outcomes than do individuals with one disorder. In an attempt to find intervening variables that may contribute to improvement in treatment outcomes among individuals with co-occurring disorders, we investigated the roles of social support and self-efficacy in a sample of 351 clients with co-occurring disorders in residential drug abuse treatment programs (53% male; 35% African American, 13% Hispanic). Given their demographic variability, we also explored how ethnicity and age influence self-efficacy and access to social support, as well as their relationships to the outcomes. Structural equation modeling was used to examine the impact of the demographics and baseline psychological status, substance use, social support, and self-efficacy on mental health and substance use outcomes 6 months after treatment entry. Time in treatment was included as a control. Greater social support at baseline predicted better mental health status and less heroin and cocaine use; greater self-efficacy predicted less alcohol and cocaine use. Older clients reported less social support. African-American ethnicity was associated with more cocaine use at baseline and follow-up; however, African Americans reported more self-efficacy, which moderated their cocaine use. The current study highlights the potential therapeutic importance of clients' personal resources, even among a sample of severely impaired individuals.

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Authors
Warren, J. I., Stein, J. A., & Grella, C. E.
Affiliations
University of California, Los Angeles (US)
ORCID
Grella, Christine E.
Venue
Drug and Alcohol Dependence
Publisher
Elsevier BV
Published
2007-07-10
Volume
89
Issue
2-3
Pages
267-274
ISSN
0376-8716 (ISSN-L)
DOI
10.1016/j.drugalcdep.2007.01.009
PMC
PMC2753536
OpenAlex
W2156479176
Cited by
138
References
51
Citations by year
2026: 4 · 2025: 3 · 2024: 5 · 2023: 4 · 2022: 6 · 2021: 8 · 2020: 2 · 2019: 9 · 2018: 8 · 2017: 15 · 2016: 14 · 2015: 11 · 2014: 11 · 2013: 10 · 2012: 10
FWCI
3.45
Type
journal article
Language
en
Open access
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Drug and Alcohol Dependence (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institute on Drug Abuse (R01 DA 11966, P01 DA01070-33, R01DA011966, P01DA001070)
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
co-occurring disorders, social support, self-efficacy, treatment outcomes, mental health outcomes, substance use outcomes, cocaine use, heroin use, alcohol consumption, ethnicity, African Americans, age, personal resources
MeSH terms
Adolescent, Adult, Age Factors, Alcoholism, Mental Disorders, Black or African American, California, Female, Follow-Up Studies, Hispanic or Latino, Humans, Length of Stay, Male, Middle Aged, Patient Care Team, Social Support, Illicit Drugs, Models, Statistical, Comorbidity, Substance Abuse Treatment Centers, Treatment Outcome, Diagnosis, Dual (Psychiatry), Substance-Related Disorders, Self Efficacy, Black People, White People

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