The impact of family systems and social networks on substance use initiation and recovery among women with substance use disorders.

IF 3.2 2区 心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY Psychology of Addictive Behaviors Pub Date : 2024-04-25 DOI:10.1037/adb0001007
Abenaa A Jones, Sienna Strong-Jones, Rachael E Bishop, Kristina Brant, Jill Owczarzak, Kelly W Ngigi, Carl Latkin
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Abstract

Objective: While social networks influence individuals with substance use disorders (SUDs), the mechanisms for such influence are under-explored among women who use drugs. This study triangulates the perspectives of criminal justice professionals, SUD treatment professionals, and women with past and current experiences with substance use to explore these dynamics.

Method: We conducted semistructured interviews (N = 42) in 2022 with women with current or past opioid use disorder (n = 20), SUD treatment professionals (n = 12), and criminal justice professionals (n = 10) who work with women with opioid use disorder. Interviews centered around participants' backgrounds, perceived barriers and facilitators to medications for opioid use disorder (MOUD) treatment, and gender-specific issues in MOUD treatment. All interviews were audio-recorded, transcribed, and deidentified. We used a four-step qualitative data analysis process to code transcripts.

Results: Across these participants' accounts, we identified mechanisms by which women's social networks influenced their opioid use trajectories: intergenerational substance use, family support and strain, intimate partner influence, and peer support and pressure. Overall, the emergent themes in the present study reflect the embedded nature of support within social systems. Women who had access to and engaged with various forms of social support tended to be those who use/used MOUD and self-identified as in recovery.

Conclusions: Combining MOUD treatment with psychosocial interventions allows women to heal from trauma, learn effective coping skills, and receive valuable resources to support recovery. Interventions focusing on family resilience and peer recovery support can disrupt the cycle of addiction and promote MOUD treatment success. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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家庭系统和社会网络对有药物使用障碍的妇女开始使用药物和康复的影响。
目的:虽然社会网络会影响药物滥用障碍(SUD)患者,但在吸毒女性中,这种影响机制还未得到充分探讨。本研究从刑事司法专业人员、药物滥用障碍治疗专业人员以及过去和现在有药物滥用经历的女性的角度出发,对这些动态因素进行了三角测量:2022 年,我们对当前或过去患有阿片类药物使用障碍的女性(20 人)、SUD 治疗专业人员(12 人)和从事阿片类药物使用障碍女性工作的刑事司法专业人员(10 人)进行了半结构式访谈(42 人)。访谈围绕参与者的背景、对阿片类药物使用障碍(MOUD)治疗药物的认知障碍和促进因素,以及 MOUD 治疗中的性别特定问题展开。所有访谈均经过录音、转录和去身份化处理。我们采用四步定性数据分析流程对记录誊本进行编码:在这些参与者的叙述中,我们发现了妇女的社会网络对其阿片类药物使用轨迹的影响机制:代际药物使用、家庭支持和压力、亲密伴侣的影响以及同伴支持和压力。总体而言,本研究中出现的主题反映了社会系统中支持的嵌入性。能够获得并参与各种形式的社会支持的女性往往是那些使用/使用 MOUD 并自我认定处于康复期的女性:结论:将 MOUD 治疗与社会心理干预相结合,可使女性从创伤中痊愈,学习有效的应对技能,并获得支持康复的宝贵资源。以家庭复原力和同伴康复支持为重点的干预措施可以打破成瘾的恶性循环,促进 MOUD 治疗的成功。(PsycInfo Database Record (c) 2024 APA,保留所有权利)。
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来源期刊
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.
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