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The relationship between interpersonal factors and drinking outcomes of women recovering from alcohol use disorders: testing the potential mediational role of intra-individual factors
Descriptive
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Title
The relationship between interpersonal factors and drinking outcomes of women recovering from alcohol use disorders: testing the potential mediational role of intra-individual factors
Name
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Reel
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Dorian Hunter
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Dorian Hunter Reel
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author
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McCrady
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Barbara
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Advisory Committee
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Barbara S. McCrady
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chair
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Epstein
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Elizabeth
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Advisory Committee
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Elizabeth E. Epstein
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internal member
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McCarthy
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Danielle
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Advisory Committee
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Danielle McCarthy
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internal member
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Rutgers University
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degree grantor
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Graduate School - New Brunswick
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school
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Text
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theses
OriginInfo
DateCreated
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2008
DateOther
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2008-10
Language
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English
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electronic
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application/pdf
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text/xml
Extent
vii, 99 pages
Abstract
Aim: To test the validity of four proposed mediators of the impact of alcohol-specific
social support on drinking outcomes: coping, motivation, negative affect and self-efficacy.
Method: Participants included 158 women participating in two Cognitive Behavior Therapy
clinical trials. All participants completed an extensive battery of assessments prior to treatment entry, just post-treatment (three-months) and six months post-treatment. The measures used for this study included the Beck Anxiety Inventory and the Beck Depression Inventory to assess negative affect, the Coping Behaviours Inventory to assess coping, the Important People and Activities Interview to assess social support for drinking and for not drinking, the Situational Confidence Questionnaire to assess self-efficacy, the Stages of Change Readiness and Treatment
Eagerness Scale to assess motivation, and the Timeline Follow-back Interview to assess drinking frequency and intensity. Exploratory and confirmatory factor analyses were conducted to
construct latent models of each of the proposed mediators. Structural equation models were then
constructed and estimated to evaluate the hypothesized mediational models. Results: Coping and self-efficacy at the end of treatment were predictive of drinking frequency and intensity at six month post-treatment follow-up, and negative affect and motivation at the end of treatment were predictive of drinking frequency at six month post-treatment follow-up. However, neither coping, negative affect, nor self-efficacy was predicted significantly by abstinence-specific social support. Motivation was negatively predicted by support for drinking, but not by support for not drinking. The relationship between support for drinking and drinking frequency was found to be partially mediated by motivation. Conclusion: Motivation may be a mechanism by which social support exerts its effect on drinking outcomes. More work is needed to further probe the potential roles of each of these variables in mediational models and to understand the mechanisms by which general social support impacts drinking outcomes.
social support on drinking outcomes: coping, motivation, negative affect and self-efficacy.
Method: Participants included 158 women participating in two Cognitive Behavior Therapy
clinical trials. All participants completed an extensive battery of assessments prior to treatment entry, just post-treatment (three-months) and six months post-treatment. The measures used for this study included the Beck Anxiety Inventory and the Beck Depression Inventory to assess negative affect, the Coping Behaviours Inventory to assess coping, the Important People and Activities Interview to assess social support for drinking and for not drinking, the Situational Confidence Questionnaire to assess self-efficacy, the Stages of Change Readiness and Treatment
Eagerness Scale to assess motivation, and the Timeline Follow-back Interview to assess drinking frequency and intensity. Exploratory and confirmatory factor analyses were conducted to
construct latent models of each of the proposed mediators. Structural equation models were then
constructed and estimated to evaluate the hypothesized mediational models. Results: Coping and self-efficacy at the end of treatment were predictive of drinking frequency and intensity at six month post-treatment follow-up, and negative affect and motivation at the end of treatment were predictive of drinking frequency at six month post-treatment follow-up. However, neither coping, negative affect, nor self-efficacy was predicted significantly by abstinence-specific social support. Motivation was negatively predicted by support for drinking, but not by support for not drinking. The relationship between support for drinking and drinking frequency was found to be partially mediated by motivation. Conclusion: Motivation may be a mechanism by which social support exerts its effect on drinking outcomes. More work is needed to further probe the potential roles of each of these variables in mediational models and to understand the mechanisms by which general social support impacts drinking outcomes.
Note
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M.S.
Note
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Includes bibliographical references (p. 71-77).
Subject
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Topic
Psychology
Subject
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Topic
Women alcoholics
Subject
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Topic
Women--Alcohol use
Subject
(ID = SUBJ4);
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Topic
Alcoholism--Psychological aspects
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Graduate School - New Brunswick Electronic Theses and Dissertations
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rucore19991600001
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http://hdl.rutgers.edu/1782.2/rucore10001600001.ETD.17552
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ETD_1143
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doi:10.7282/T3513ZG0
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ETD graduate
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The author owns the copyright to this work.
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Copyright protected
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Open
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Dorian Reel
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Rutgers University. Graduate School - New Brunswick
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Non-exclusive ETD license
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Author Agreement License
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I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
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