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The impact of changes in social support on substance use outcomes among treatment seeking women

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TitleInfo
Title
The impact of changes in social support on substance use outcomes among treatment seeking women
Name (type = personal)
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Peyser
NamePart (type = given)
Deena
NamePart (type = date)
1987-
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Deena Peyser
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author
Name (type = personal)
NamePart (type = family)
Bates
NamePart (type = given)
Marsha E.
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Marsha E. Bates
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Advisory Committee
Role
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chair
Name (type = personal)
NamePart (type = family)
Leyro
NamePart (type = given)
Teresa
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Teresa Leyro
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Advisory Committee
Role
RoleTerm (authority = RULIB)
internal member
Name (type = personal)
NamePart (type = family)
Sanchez
NamePart (type = given)
Diana
DisplayForm
Diana Sanchez
Affiliation
Advisory Committee
Role
RoleTerm (authority = RULIB)
internal member
Name (type = personal)
NamePart (type = family)
Clifford
NamePart (type = given)
Patrick
DisplayForm
Patrick Clifford
Affiliation
Advisory Committee
Role
RoleTerm (authority = RULIB)
outside member
Name (type = corporate)
NamePart
Rutgers University
Role
RoleTerm (authority = RULIB)
degree grantor
Name (type = corporate)
NamePart
School of Graduate Studies
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RoleTerm (authority = RULIB)
school
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Text
Genre (authority = marcgt)
theses
OriginInfo
DateCreated (qualifier = exact)
2019
DateOther (qualifier = exact); (type = degree)
2019-01
CopyrightDate (encoding = w3cdtf)
2019
Place
PlaceTerm (type = code)
xx
Language
LanguageTerm (authority = ISO639-2b); (type = code)
eng
Abstract (type = abstract)
Social support is a complex construct that plays an important role in promoting and sustaining abstinence among individuals with alcohol and substance use disorders. Social support networks naturally or purposefully change during substance use treatment and these changes may influence treatment outcomes. Increased recognition of the dynamic nature of social factors that can impact treatment outcomes among women with substance use disorders may allow for more tailored treatment interventions. This study focused on characterizing and comparing the composition of women’s social support networks at the beginning and end of a 12-week substance use intervention. Predictors of abstinence at treatment completion were examined with a novel focus on changes in social support that occur over treatment. Finally, the comorbidity of depression and whether it moderates the relationship between social support and substance use outcomes was explored. Participants included 52 women, ages 18 and older, enrolled in an intensive outpatient substance use treatment program. Given high attrition rates, multiple imputation was performed to address missing data, thus maximizing the data available for analysis. Within-subjects paired t-tests were used to assess changes in social support from baseline to treatment completion. Regression analyses were used to analyze the relationship between social support (at baseline, treatment completion, and change) and substance use outcomes (abstinence and drinks per drinking days (DDD)) at treatment completion. The results showed that network size significantly increased, but the percent of high risk (HR) users remained stable over treatment. There was a significant decrease in the percent of women and an increase in the percent of friends from work, per network, between the two time points. While the frequency of contact with HR users in networks remained stable over time, the frequency of contact with low risk (LR) users was not correlated over time and there was no significant association between percent of, and frequency of contact with, LR users at either time. Rates of abstinence increased significantly, yet baseline percent days abstinent was the only significant predictor of abstinence at treatment completion in the models examined. None of the baseline, treatment completion, or change variables was a significant predictor of DDD. Depression severity did not moderate the relationship between social support and substance use outcomes. The lack of significant network effects may be due to high dropout rates and limited power. In conclusion, this study focused on an understudied population and sheds light on the structure of social support networks among women at the start and completion of a substance use treatment program, as well as on changes in network composition over time. Future studies may investigate the impact of changes in social support on substance use using larger samples and assess post-treatment time points to ascertain whether long-term interventions focusing on social support may be beneficial. This knowledge may offer insight into the social support factors that influence abstinence among high risk women with alcohol and drug use disorders.
Subject (authority = RUETD)
Topic
Psychology
Subject (authority = ETD-LCSH)
Topic
Substance abuse--Treatment--Social aspects
RelatedItem (type = host)
TitleInfo
Title
Rutgers University Electronic Theses and Dissertations
Identifier (type = RULIB)
ETD
Identifier
ETD_9371
PhysicalDescription
Form (authority = gmd)
electronic resource
InternetMediaType
application/pdf
InternetMediaType
text/xml
Extent
1 online resource (79 pages) : illustrations
Note (type = degree)
Ph.D.
Note (type = bibliography)
Includes bibliographical references
Note (type = statement of responsibility)
by Deena Peyser Faleck
RelatedItem (type = host)
TitleInfo
Title
School of Graduate Studies Electronic Theses and Dissertations
Identifier (type = local)
rucore10001600001
Location
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NjNbRU
Identifier (type = doi)
doi:10.7282/t3-7e4p-pz58
Genre (authority = ExL-Esploro)
ETD doctoral
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Rights

RightsDeclaration (ID = rulibRdec0006)
The author owns the copyright to this work.
RightsHolder (type = personal)
Name
FamilyName
Peyser
GivenName
Deena
Role
Copyright Holder
RightsEvent
Type
Permission or license
DateTime (encoding = w3cdtf); (qualifier = exact); (point = start)
2018-11-30 09:16:41
AssociatedEntity
Name
Deena Peyser
Role
Copyright holder
Affiliation
Rutgers University. School of Graduate Studies
AssociatedObject
Type
License
Name
Author Agreement License
Detail
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.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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windows xp
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DateCreated (point = end); (encoding = w3cdtf); (qualifier = exact)
2018-11-30T03:19:06
DateCreated (point = end); (encoding = w3cdtf); (qualifier = exact)
2018-11-30T03:19:06
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