Fredrik D Moe, Tore Tjora, Christian Moltu, James R McKay, Egon Hagen, Aleksander Erga, Jone Bjornestad
{"title":"在一群多重物质使用障碍的个体中,无毒友谊和物质使用轨迹的变化。","authors":"Fredrik D Moe, Tore Tjora, Christian Moltu, James R McKay, Egon Hagen, Aleksander Erga, Jone Bjornestad","doi":"10.1177/14550725251332929","DOIUrl":null,"url":null,"abstract":"<p><p><b>Aims:</b> We used reports (<i>n</i> = 208) of drug-free friendships and alcohol and drug use by people diagnosed with substance use disorder in order to investigate their annual change trajectories across 4 years after treatment and the association between these trajectories and debut age and gender. <b>Methods:</b> The participants were recruited from the Stavanger region, Norway. Using cross-sectional analysis, we first examined the relationship between \"alcohol and drug use\" and \"drug-free friendships\" across the five follow-ups. We tested whether these associations were significant using chisquare chi-squared tests. Second, we developed three latent growth curve models examining the association between \"alcohol and drug use\" and \"drug-free friendships\". <b>Results:</b> Our analysis displays a stable drug-free friendships pattern across follow-ups. Only in the fourth follow-up was there a significant association between lower \"alcohol and drug use\" and having \"drug-free friendships\" (χ<sup>2</sup> = 18.27, df = 8, <i>p</i> < .05). In model 1, we found no association between gender, debut age, and alcohol and drug use; model 2 had significant variance on intercept but not on slope; model 3 had good fit (χ<sup>2</sup> = 44.33, df = 39, comparative fit index = 0.98, root mean square error of approximation = 0.027). However, we did not find any significant regression path between the \"alcohol and drug use\" and \"drug-free friendships\" slopes. <b>Conclusions:</b> Drug-free relationships were in the studied cohort group found to have little influence on reducing alcohol and drug use, while debut age and gender were unrelated to use trajectories across 4 years. We suggest that future research should focus on the frequency and quality of drug-free friendships and participants' friendship assessments because previous research has found such relationships to facilitate recovery.</p>","PeriodicalId":46180,"journal":{"name":"Nordic Studies on Alcohol and Drugs","volume":" ","pages":"257-273"},"PeriodicalIF":2.2000,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12003346/pdf/","citationCount":"0","resultStr":"{\"title\":\"Changes in the trajectories of drug-free friendships and substance use among a cohort of individuals with multiple substance use disorders.\",\"authors\":\"Fredrik D Moe, Tore Tjora, Christian Moltu, James R McKay, Egon Hagen, Aleksander Erga, Jone Bjornestad\",\"doi\":\"10.1177/14550725251332929\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p><b>Aims:</b> We used reports (<i>n</i> = 208) of drug-free friendships and alcohol and drug use by people diagnosed with substance use disorder in order to investigate their annual change trajectories across 4 years after treatment and the association between these trajectories and debut age and gender. <b>Methods:</b> The participants were recruited from the Stavanger region, Norway. Using cross-sectional analysis, we first examined the relationship between \\\"alcohol and drug use\\\" and \\\"drug-free friendships\\\" across the five follow-ups. We tested whether these associations were significant using chisquare chi-squared tests. Second, we developed three latent growth curve models examining the association between \\\"alcohol and drug use\\\" and \\\"drug-free friendships\\\". <b>Results:</b> Our analysis displays a stable drug-free friendships pattern across follow-ups. Only in the fourth follow-up was there a significant association between lower \\\"alcohol and drug use\\\" and having \\\"drug-free friendships\\\" (χ<sup>2</sup> = 18.27, df = 8, <i>p</i> < .05). In model 1, we found no association between gender, debut age, and alcohol and drug use; model 2 had significant variance on intercept but not on slope; model 3 had good fit (χ<sup>2</sup> = 44.33, df = 39, comparative fit index = 0.98, root mean square error of approximation = 0.027). However, we did not find any significant regression path between the \\\"alcohol and drug use\\\" and \\\"drug-free friendships\\\" slopes. <b>Conclusions:</b> Drug-free relationships were in the studied cohort group found to have little influence on reducing alcohol and drug use, while debut age and gender were unrelated to use trajectories across 4 years. We suggest that future research should focus on the frequency and quality of drug-free friendships and participants' friendship assessments because previous research has found such relationships to facilitate recovery.</p>\",\"PeriodicalId\":46180,\"journal\":{\"name\":\"Nordic Studies on Alcohol and Drugs\",\"volume\":\" \",\"pages\":\"257-273\"},\"PeriodicalIF\":2.2000,\"publicationDate\":\"2025-06-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12003346/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Nordic Studies on Alcohol and Drugs\",\"FirstCategoryId\":\"90\",\"ListUrlMain\":\"https://doi.org/10.1177/14550725251332929\",\"RegionNum\":3,\"RegionCategory\":\"社会学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/4/16 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"SUBSTANCE ABUSE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nordic Studies on Alcohol and Drugs","FirstCategoryId":"90","ListUrlMain":"https://doi.org/10.1177/14550725251332929","RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/4/16 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"SUBSTANCE ABUSE","Score":null,"Total":0}
Changes in the trajectories of drug-free friendships and substance use among a cohort of individuals with multiple substance use disorders.
Aims: We used reports (n = 208) of drug-free friendships and alcohol and drug use by people diagnosed with substance use disorder in order to investigate their annual change trajectories across 4 years after treatment and the association between these trajectories and debut age and gender. Methods: The participants were recruited from the Stavanger region, Norway. Using cross-sectional analysis, we first examined the relationship between "alcohol and drug use" and "drug-free friendships" across the five follow-ups. We tested whether these associations were significant using chisquare chi-squared tests. Second, we developed three latent growth curve models examining the association between "alcohol and drug use" and "drug-free friendships". Results: Our analysis displays a stable drug-free friendships pattern across follow-ups. Only in the fourth follow-up was there a significant association between lower "alcohol and drug use" and having "drug-free friendships" (χ2 = 18.27, df = 8, p < .05). In model 1, we found no association between gender, debut age, and alcohol and drug use; model 2 had significant variance on intercept but not on slope; model 3 had good fit (χ2 = 44.33, df = 39, comparative fit index = 0.98, root mean square error of approximation = 0.027). However, we did not find any significant regression path between the "alcohol and drug use" and "drug-free friendships" slopes. Conclusions: Drug-free relationships were in the studied cohort group found to have little influence on reducing alcohol and drug use, while debut age and gender were unrelated to use trajectories across 4 years. We suggest that future research should focus on the frequency and quality of drug-free friendships and participants' friendship assessments because previous research has found such relationships to facilitate recovery.