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Changes in coping moderate substance abuse outcomes differentially across behavioral treatment modality
Laura E Kuper1, Robert Gallop, Shelly F Greenfield
1Alcohol and Drug Abuse Treatment Program, McLean Hospital, Belmont, Massachusetts 02478, USA.
The American Journal on Addictions
|October 21, 2010
Summary
This study found that coping strategies impact substance use treatment outcomes differently based on the therapy group. Women's Recovery Group showed problem-focused coping reduced drinking, while Group Drug Counseling saw increased drinking days with this strategy.
Area of Science:
- Psychology
- Addiction Medicine
- Clinical Psychology
Background:
- Coping mechanisms are crucial in substance use disorder (SUD) treatment.
- Understanding how different therapeutic modalities influence coping strategy effectiveness is vital for optimizing treatment.
- Previous research has not fully explored the differential impact of group therapy types on coping and SUD outcomes.
Purpose of the Study:
- To investigate if the association between changes in coping strategies and treatment outcomes for substance use disorders differs between two group therapy conditions.
- To compare a new manualized group treatment for women (Women's Recovery Group) with an established mixed-gender group treatment (Group Drug Counseling).
Main Methods:
- Secondary data analysis of participants from the Women's Recovery Group (n=29) and Group Drug Counseling (n=7).
- Utilized subscales from the Ways of Coping Questionnaire to assess changes in coping strategies.
- Examined the relationship between coping strategy changes and substance abuse outcomes (e.g., drinking days).
Main Results:
- No significant differences were found in the changes of coping strategies between the two treatment groups.
- The association between coping strategy changes and substance abuse outcomes varied significantly by treatment condition.
- In Women's Recovery Group, increased problem-focused coping correlated with decreased drinking days; paradoxically, it correlated with increased drinking days in Group Drug Counseling.
- For both groups, increased wishful thinking correlated with increased substance use, and increased social support coping correlated with decreased substance use, with these associations being stronger in Group Drug Counseling.
Conclusions:
- Treatment modality significantly influences the relationship between coping strategies and substance use disorder outcomes.
- Contextual factors within different group therapy settings may explain the observed differential effects of coping strategies.
- Future research should consider treatment modality when examining the role of coping in SUD recovery.
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