A stress-coping profile of opioid dependent individuals entering naltrexone treatment: A comparison with healthy controls.
Open accessAbstract
BACKGROUND: Stress is known to increase addiction vulnerability and risk of relapse to substance use. PURPOSE & METHOD: We compared opioid dependent individuals entering naltrexone treatment (n = 57) with healthy controls (n = 75) on measures of stress, coping, and social support and examined the relative contribution of group membership, coping, and social support to stress within the sample. Analyses of variance (ANOVA) and covariance (ANCOVA), and stepwise multiple regression were conducted. RESULTS: Compared with controls, opioid dependent subjects reported greater stress, less use of adaptive coping, but comparable use of maladaptive/avoidant coping. No group differences were found with respect to social support. Perceived stress was predicted by group membership, low social support, and greater use of maladaptive/avoidant coping, and the prediction by social support and maladaptive/avoidant coping did not differ by group. CONCLUSION: Opioid dependent individuals entering naltrexone treatment experience higher levels of stress and report less use of adaptive coping strategies when compared with controls. Group membership, maladaptive/avoidant coping, and social support independently contribute to perceived stress. Findings suggest that novel treatment approaches that decrease maladaptive/avoidant coping and improve social support are important aspects of decreasing stress during early recovery from opioid addiction.
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Higher levels of social support are associated with less stress.
“Higher levels of social support have also been associated with less stress (Hyman et al., 2009).”
From The Importance of Social Support in Recovery Populations: Toward a Multilevel Understanding (2023) · cites this paper as Hyman et al., 2009
Past research has found a positive correlation between social support and recovery, as well as associations with higher quality of life, subjective well-being, days of abstinence, less stress, treatment retention, and treatment self-efficacy.
“Not only has past research noted a positive correlation between social support and recovery, but also a higher QOL (Beattie et al., 1993), subjective well-being, days of abstinence (Longabaugh et al., 2010), less stress (Hyman et al., 2009), treatment retention (Dobkin et al., 2002; Lang & Belenko, 2000, Sphora et al., 2019), and treatment self-efficacy (Stevens et al., 2015).”
From The Importance of Social Support in Recovery Populations: Toward a Multilevel Understanding (2023) · cites this paper as Hyman et al., 2009
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Cites
Social Relationships and Health.
Cohen, S. (2004) · American Psychologist · doi:10.1037/0003-066x.59.8.676 · Cited by 4,852 · see citing works
Measuring the Functional Components of Social Support
Cohen, S., Mermelstein, R., Kamarck, T., & Hoberman, H. M. (1985) · Social Support: Theory, Research and Applications · doi:10.1007/978-94-009-5115-0_5 · Cited by 2,296 · cited 2× · see citing works
“The ISEL has proven valid and reliable in a number of samples (Cohen et al., 1985).”
MethodHow does stress increase risk of drug abuse and relapse?
Sinha, R. (2001) · Psychopharmacology · doi:10.1007/s002130100917 · Cited by 1,505 · see citing works
Self-citationStress Generation, Avoidance Coping, and Depressive Symptoms: A 10-Year Model.
Holahan, C. J., Moos, R. H., Holahan, C. K., Brennan, P. L., & Schutte, K. K. (2005) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.73.4.658 · Cited by 558 · see citing works
Everyday Problem Solving and Emotion: An Adult Developmental Perspective
Blanchard-Fields, F. (2007) · Current Directions in Psychological Science · doi:10.1111/j.1467-8721.2007.00469.x · Cited by 493 · see citing works
Hofmann, S. G. (2008) · Clinical Psychology Review · doi:10.1016/j.cpr.2007.04.009 · Cited by 397 · see citing works
Social support and relapse: Commonalities among alcoholics, opiate users, and cigarette smokers
Havassy, B. E., Hall, S. M., & Wasserman, D. A. (1991) · Addictive Behaviors · doi:10.1016/0306-4603(91)90016-b · Cited by 348 · see citing works
Warren, J. I., Stein, J. A., & Grella, C. E. (2007) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2007.01.009 · Cited by 138 · see citing works
Personality, stress, and social support in cocaine relapse prediction
McMahon, R. C. (2001) · Journal of Substance Abuse Treatment · doi:10.1016/s0740-5472(01)00187-8 · Cited by 111 · see citing works
A systematic review on the efficacy of naltrexone maintenance treatment in opioid dependence
Kirchmayer, U., Davoli, M., Verster, A. D., Amato, L., Ferri, A., & Perucci, C. A. (2002) · Addiction · doi:10.1046/j.1360-0443.2002.00217.x · Cited by 106 · see citing works
Leri, F., Tremblay, A., Sorge, R. E., & Stewart, J. (2004) · Neuropsychopharmacology · doi:10.1038/sj.npp.1300435 · Cited by 80 · see citing works
Flagged first, then by citations
Research works printed but not linked: 33
- Ames SC Roitzsch JC 2000 The impact of minor stressful life events and social support on cravings: A study of inpatients receiving treatment for substance dependence Addictive Behaviors 25 4 539 547 10972445
- Back SE Gentilin S Brady KT 2007 Cognitive-behavioral stress management for individuals with substance use disorders: A pilot study The Journal of Nervous and Mental Disease 195 8 662 668 17700298
- Beutler LE Moos RH Lane G 2003 Coping, treatment planning, and treatment outcome: Discussion Journal of Clinical Psychology 59 10 1151 1167 12968279
- Birditt KS Fingerman KL 2003 Age and gender differences in adults’ descriptions of emotional reactions to interpersonal problems Journal of Gerontology 58B 4 237 245 12878652
- Broome KM Simpson DD Joe GW 2002 The role of social support following short-term inpatient treatment The American Journal on the Addictions 11 57 65 11876584
- Carver CS Scheier MF Weintraub JK 1989 Assessing coping strategies: A theoretically based approach Journal of Personality and Social Psychology 56 2 267 283 2926629
- Cohen S Hoberman HM 1983 Positive events and social supports as buffers of life change stress Journal of Applied Social Psychology 13 99 125
- Cohen S Kamarck T Mermelstein R 1983 A global measure of perceived stress Journal of Health and Social Behavior 24 385 396 6668417
- Comer SD Sullivan MA Hulse GK 2007 Sustained-release naltrexone: novel treatment for opioid dependence Expert Opinion Investigational Drugs 16 8 1285 1294 17685876
- DeLongis A Holtzman S 2005 Coping in context: The role of stress, social support, and personality in coping Journal of Personality 73 6 1633 1656 16274448
- Eftekhari A Turner AP Larimer ME 2004 Anger expression, coping, and substance use in adolescent offenders Addictive Behaviors 29 1001 1008 15219349
- First M Spitzer R Gibbon M Williams J 1995 Structured Clinical Interview for DSM-IV Patient Edition American Psychiatric Press Inc Washington DC
- Goeders NE 2003 The impact of stress on addiction European Neuropsychopharmacology 13 435 441 14636959
- Haarr RN Morash M 1999 Gender, race, and strategies of coping with occupational stress in policing Justice Quarterly 16 2 303 336
- Hammen C 1991 Generation of stress in the course of unipolar depression Journal of Abnormal Psychology 100 555 561 1757669
- Hasking PA Oei TPS 2002 Confirmatory factor analysis of the COPE questionnaire on community drinkers and an alcohol-dependent sample (2002) Journal of Studies on Alcohol & Drugs 63 5 631 640 12380860
- Hyman SM Fox H Hong KA Doebrick C Sinha S 2007 Stress and drug-cue induced craving in opioid dependent individuals in naltrexone treatment Experimental and Clinical Psychopharmacology 15 2 134 143 17469937 PMC2392893
- Hyman SM Paliwal P Sinha R 2007 Childhood maltreatment, perceived stress, and stress-related coping in recently abstinent cocaine dependent adults Psychology of Addictive Behaviors 21 2 233 238 17563143 PMC2392892
- Lazarus RS Folkman S 1984 Stress, appraisal, and coping Springer New York
- Lunsford SL Simpson KS Chavin KD Hildebrand LG Miles LG Shilling LM Smalls GR Baliga PK 2006 Racial differences in coping with the need for kidney transplantation and willingness to ask for live organ donation American Journal of Kidney Diseases 47 2 324 331 16431262
- Meyer LH Schwartz S Frost DM 2008 Social patterning of stress and coping: Does disadvantaged social statuses confer more stress and fewer coping resources? Social Science & Medicine 67 368 379 18433961 PMC2583128
- Ozbay F Johnson DC Dimoulas E Morgan CA III Charney D Southwick S 2007 Social support and resilience to stress: From neurobiology to clinical practice Psychiatry 4 5 35 40 PMC2921311 20806028
- Ptacek JT Smith RE Dodge KL 1994 Gender differences in coping with stress: When stressor and appraisals do not differ Personality and Social Psychology Bulletin 20 4 421 430
- Rounsaville BJ Onken LS Blaine JD 1995 Can psychotherapy rescue naltrexone treatment of opioid addiction? Potentiating the efficacy of medications: integrating psychosocial therapies with pharmacotherapies in the treatment of drug dependence. (NIDA Research Monograph Series Number, 105, pp.37–52, NIH Publication No. 95-3899) Rockville, MD National Institute on Drug Abuse 8742771
- Shaham Y Stewart J 1996 Effects of opioid and dopamine receptor antagonists on relapse induced by stress and re-exposure to heroin in rats Psychopharmacology (Berl) 125 4 385 91 8826544
- Sinha R Steckler T Kalin N Reul JMHM 2005 Stress and Drug Abuse Handbook on Stress and the Brain: Part 2: Stress: Integrative and Clinical Aspects Elsevier Science Amsterdam 333 356
- Sinha R 2008 Chronic stress, drug use, and vulnerability to addiction Annals of the New York Academy of Sciences 1141 105 130 18991954 PMC2732004
- Sinha R Kimmerling A Doebrick C Kosten TR 2007 Effects of lofexidine on stress-induced and cue-induced opioid craving and opioid abstinence rates: preliminary findings Psychopharmacology 190 569 574 17136399
- Sorge RE Rajabi H Stewart J 2005 Rats maintained chronically on buprenorphine show reduced heroin and cocaine seeking in tests of extinction and drug-induced reinstatement Neuropsychopharmacology 30 9 1681 92 15798781
- Tucker TK Ritter AJ 2000 Naltrexone in the treatment of heroin dependence: A literature review Drug & Alcohol Review 19 73 82
- Turner RJ Lloyd DA 2003 Cumulative adversity and drug dependence in young adults: racial/ethnic contrasts Addiction 98 305 315 12603230
- Wills TA Kozlowski 1990 Stress and coping factors in the epidemiology of substance use Research Advances in Alcohol and Drug Problems 10 215 250 New York Plenum Press
- Wills TA Hirky AE Zeichnec M Eudler NS 1996 Coping and substance abuse: A theoretical model and review of the evidence Handbook of coping: Theory, research, and applications 279 302 New York Wiley
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Thomas, A. C., Allen, F. L., Phillips, J., & Karantzas, G. (2011) · Psychology of Addictive Behaviors · doi:10.1037/a0024865 · Cited by 70 · see citing works
Mc Donnell, E., Hevey, D., McCauley, M., & Ducray, K. N. (2018) · Substance Use & Misuse · doi:10.1080/10826084.2018.1473438 · Cited by 37 · see citing works
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Islam, M. F., Guerrero, M., Nguyen, R. L., Porcaro, A., Cummings, C., Stevens, E., Kang, A., & Jason, L. A. (2023) · Alcoholism Treatment Quarterly · doi:10.1080/07347324.2023.2181119 · Cited by 36 · see citing works
“…and recovery, but also a higher QOL (Beattie et al., 1993), subjective well-being, days of abstinence (Longabaugh et al., 2010), less stress (Hyman et al., 2009), treatment retention (Dobkin et al., 2002; Lang & Belenko, 2000; Spohra et al., 2019), and treatment self-efficacy (Stevens et…”
BackgroundRogers, A. H., Garey, L., Bakhshaie, J., Viana, A. G., Ditre, J. W., & Zvolensky, M. J. (2020) · The Clinical Journal of Pain · doi:10.1097/ajp.0000000000000870 · Cited by 19 · see citing works
- Authors
- Hyman, S. M., Hong, K.-I. A., Chaplin, T. M., Dabre, Z., Comegys, A. D., Kimmerling, A., & Sinha, R.
- Affiliations
- Yale University (US)
- Venue
- Psychology of Addictive Behaviors
- Published
- 2009-12
- Volume
- 23
- Issue
- 4
- Pages
- 613-619
- ISSN
- 0893-164X (ISSN-L)
- 1939-1501
- PMC
- PMC2802459
- OpenAlex
- W2080966121
- Cited by
- 58
- References
- 11
- Citations by year
- 2026: 1 · 2024: 5 · 2023: 4 · 2022: 2 · 2021: 6 · 2020: 5 · 2019: 5 · 2018: 5 · 2017: 8 · 2016: 3 · 2015: 2 · 2014: 2 · 2013: 2 · 2012: 4
- FWCI
- 2.69
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Psychology of Addictive Behaviors (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (R01-DA18219; P50-DA16556; K02-DA17232)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
- Keywords
- opioid use disorder, perceived stress, coping strategies, social support, maladaptive coping, addiction recovery, relapse risk, substance use disorders
- MeSH terms
- Adaptation, Psychological, Adolescent, Adult, Analysis of Variance, Female, Humans, Male, Naltrexone, Narcotic Antagonists, Opioid-Related Disorders, Personality Inventory, Surveys and Questionnaires, Regression Analysis, Self Concept, Social Support, Stress, Psychological, Chi-Square Distribution, Patient Selection
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