The role of social connection in opioid use disorder treatment engagement.

IF 3.2 2区心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY

Psychology of Addictive Behaviors Pub Date : 2024-03-01 Epub Date: 2023-06-29 DOI:10.1037/adb0000934

Emma M Schweitzer, Adelya Urmanche, Julia Kong, Sahar Hafezi, Joshua Zhao, Nina A Cooperman, Anna B Konova

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引用次数: 0

Abstract

Objective: Medications for opioid use disorder (OUD or MOUD) treatment combining pharmacotherapy with psychosocial support are effective for managing OUD. However, treatment engagement remains a challenge, with retention rates ∼30%-50%. Although social connection has been identified as important to recovery, it remains unclear whether and how social factors can bolster participation in treatment.

Method: Individuals receiving MOUD at three outpatient treatment programs (N = 82) and healthy community controls (N = 62) completed validated measures assessing social connection including (a) size, diversity, and embeddedness of social networks; (b) perceived social support and criticism within familial relationships; and (c) subjective social status. For those receiving MOUD, we also examined how aspects of social connection related to opioid (re)use and treatment engagement (medication adherence, group, and individual meeting attendance) assessed over ∼8 weeks/person.

Results: Compared to controls, individuals receiving MOUD had smaller and less diverse and embedded social networks (Cohen's d > 0.4), and despite similar levels of perceived social support (d = 0.02), reported higher levels of social criticism (d = 0.6) and lower subjective social status (d = 0.5). Within the MOUD group, higher social network indices correlated specifically with higher therapeutic group attendance (Rs > 0.30), but not medication adherence, while higher levels of perceived criticism correlated with more frequent opioid use (R = 0.23). Results were mostly robust to control for sociodemographic variables, psychological distress/COVID-19, and treatment duration, but differed by MOUD type/program.

Conclusions: These findings highlight the potential importance of assessing an individual's social capital, promoting positive social connection, and continuing to assess the implementation and value of psychosocial support in MOUD treatment. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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社会联系在参与阿片类药物使用障碍治疗中的作用。

目的：阿片类药物使用障碍（OUD 或 MOUD）药物治疗结合药物疗法和社会心理支持对控制 OUD 非常有效。然而，参与治疗仍是一项挑战，保留率在 30%-50% 之间。虽然社会联系被认为对康复很重要，但社会因素是否以及如何促进治疗的参与仍不清楚：方法：在三个门诊治疗项目中接受MOUD的患者（82人）和健康社区对照组（62人）完成了评估社会联系的有效测量，包括（a）社会网络的规模、多样性和嵌入性；（b）感知到的社会支持和家庭关系中的批评；以及（c）主观社会地位。对于接受MOUD治疗的患者，我们还研究了社会联系的各个方面与阿片类药物（再）使用和治疗参与（坚持用药、参加小组和个人会议）的关系，并对每个人进行了8周以上的评估：与对照组相比，接受 "牟利治疗 "的患者的社交网络规模较小，多样性和嵌入性较弱（Cohen's d > 0.4），尽管感知的社会支持水平相似（d = 0.02），但报告的社会批评水平较高（d = 0.6），主观社会地位较低（d = 0.5）。在 MOUD 组中，较高的社会网络指数与较高的治疗小组出勤率特别相关（Rs > 0.30），但与服药依从性无关，而较高的感知批评水平与更频繁地使用阿片类药物相关（R = 0.23）。在控制社会人口变量、心理困扰/COVID-19和治疗持续时间后，结果大多是稳健的，但因MOUD类型/项目而异：这些发现强调了评估个人社会资本、促进积极的社会联系以及继续评估社会心理支持在MOUD治疗中的实施情况和价值的潜在重要性。(PsycInfo Database Record (c) 2023 APA, 版权所有）。

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来源期刊

Psychology of Addictive Behaviors Multiple-

CiteScore

4.90

自引率

11.80%

发文量

165

期刊介绍： Psychology of Addictive Behaviors publishes peer-reviewed original articles related to the psychological aspects of addictive behaviors. The journal includes articles on the following topics: - alcohol and alcoholism - drug use and abuse - eating disorders - smoking and nicotine addiction, and other excessive behaviors (e.g., gambling) Full-length research reports, literature reviews, brief reports, and comments are published.