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Cited by 34Substance Abuse Treatment and OutcomesHomelessness and Social IssuesOpioid Use Disorder Treatment

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Building abstinent networks is an important resource in improving quality of life

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Muller, Ashley Elizabeth, Skurtveit, Svetlana, Clausen, Thomas·2017·Drug and Alcohol Dependence
DOI 10.1016/j.drugalcdep.2017.09.006
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Abstract

Aims To investigate changes in social network and quality of life of a substance use disorder cohort as they progressed through treatment. Design Multi-site, prospective, observational study of 338 adults entering substance use disorder treatment. Setting Patients at 21 facilities across Norway contributed baseline data when they initiated treatment, and follow-up data was collected from them one year later. Methods The cohort was divided into those who completed, dropped out, and remained in treatment one year after treatment initiation. For each treatment status group, general linear models with repeated measures analyzed global and social quality of life with the generic QOL10 instrument over time. The between-group factor was a change in social network variable from the EuropASI. Findings Those who gained an abstinent network reported the largest quality of life improvements. Improvements were smallest or negligible for the socially isolated and those who were no longer in contact with the treatment system. Conclusions Developing an abstinent network is particularly important to improve the quality of life of those in substance use disorder treatment. Social isolation is a risk factor for impaired quality of life throughout the treatment course.

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  • Social isolation and low social support have been indicative of early termination of treatment.

    “Conversely, social isolation and low social support have been indicative of increased psychological stress (Dobkin et al., 2002), more severe substance use, early termination of treatment (Muller et al., 2017), or shorter length of stay at recovery homes (Groh et al., 2007), and relapse (Stone et al., 2016).”

    From The Importance of Social Support in Recovery Populations: Toward a Multilevel Understanding (2023) · cites this paper as Muller et al., 2017

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Metadata

Authors
Muller, A. E., Skurtveit, S., & Clausen, T.
Affiliations
  • University of Oslo (NO)
  • Norwegian Institute of Public Health (NO)
Corresponding author
Muller, Ashley Elizabeth
ORCID
Venue
Drug and Alcohol Dependence
Publisher
Elsevier BV
Published
2017-11
Volume
180
Pages
431-438
ISSN
0376-8716 (ISSN-L)
DOI
10.1016/j.drugalcdep.2017.09.006
OpenAlex
W2760175472
Cited by
34
References
2
Citations by year
2026: 4 · 2025: 3 · 2024: 4 · 2023: 2 · 2022: 8 · 2021: 4 · 2020: 6 · 2019: 2 · 2018: 1
FWCI
1.94
Type
journal article
Language
en
Open access
Licence
Locations
  • Drug and Alcohol Dependence (publishedVersion)
  • PubMed (publishedVersion)
  • NORA - Norwegian Open Research Archives (submittedVersion, cc-by-nc-nd)
Funders
Norwegian Centre for Addiction Research
Topics
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Social Sciences › Sociology and Political Science › Homelessness and Social Issues
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
Keywords
addiction treatment, social networks, social isolation, quality of life, abstinence, treatment discontinuation, social support
MeSH terms
Adult, Health Resources, Humans, Norway, Prospective Studies, Quality of Life, Substance-Related Disorders

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