The Mediating Influence of Treatment Participation Rate on Post-Treatment Employment

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2016-10-01 DOI:10.1177/0034355215610068

Min Kim, S. Leierer, W. Leigh Atherton, Paul J. Toriello, Steven R. Sligar

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引用次数: 1

Abstract

This study explored treatment participation rate as a mediator between individuals’ baseline alcohol use, drug use, and psychiatric issue levels and post-treatment employment status. The study sample included 106 unemployed or underemployed individuals with substance use disorders who were participants in an intensive drug abuse treatment program. Structural equation modeling was applied to examine relationships between study variables. The results showed that (a) the direct effect of individuals’ baseline alcohol use, drug use, and psychiatric issue severities reduced treatment participation rate; (b) the direct effect of treatment participation rate ameliorated post-treatment employment status; and (c) the indirect effect of individuals’ baseline alcohol use, drug use, and psychiatric issue severities on post-treatment employment status was mediated by treatment participation rate, which reduced the negative influence of baseline issue severity on employment. This significant mediating effect has both practical and theoretical importance in that it indicates the need for increased focus on treatment participation in practice and future research.

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治疗参与率对治疗后就业的中介影响

本研究探讨了治疗参与率作为个体基线酒精使用、药物使用、精神问题水平和治疗后就业状况之间的中介。研究样本包括106名失业或未充分就业的物质使用障碍患者，他们参加了一个强化药物滥用治疗计划。结构方程模型用于检验研究变量之间的关系。结果显示:(a)个体基线酒精使用、药物使用和精神问题严重程度的直接影响降低了治疗参与率;(b)治疗参与率改善治疗后就业状况的直接作用;(c)个体基线酒精使用、药物使用和精神问题严重程度对治疗后就业状况的间接影响是通过治疗参与率介导的，这降低了基线问题严重程度对就业的负面影响。这种显著的中介效应具有实践和理论重要性，因为它表明需要在实践和未来的研究中增加对治疗参与的关注。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.