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Fostering Resilience for Adults with Substance Use Disorder: A Clinical Study of an Integrative Group Model
Title
Fostering Resilience for Adults with Substance Use Disorder: A Clinical Study of an Integrative Group Model.
Creator
Foster, Karrol-Jo Lee, Gill, Carman, Florida Atlantic University, College of Education, Department of Counselor Education
Abstract/Description
The purpose of this research study was to determine the effects of Fostering Resilience™ (FR), a new integrative relapse prevention group protocol for improving relapse risk, internalized shame, and psychological well-being in adults with substance use disorders (SUD). This study also sought to identify any relationship among relapse risk, internalized shame, and psychological well-being. It is the first study to investigate the new FR manualized program model compared to treatment as usual ...
Show moreThe purpose of this research study was to determine the effects of Fostering Resilience™ (FR), a new integrative relapse prevention group protocol for improving relapse risk, internalized shame, and psychological well-being in adults with substance use disorders (SUD). This study also sought to identify any relationship among relapse risk, internalized shame, and psychological well-being. It is the first study to investigate the new FR manualized program model compared to treatment as usual (TAU). The FR model was created based upon direct client experience, the supposition of the intrinsic role shame plays in SUD, and the corresponding belief in the essential value of implementing shame reduction techniques for improving treatment outcomes. Participants were 43 adults with SUD (19 FR and 24 TAU) seeking outpatient treatment. All participants received the 8-week intensive outpatient (IOP) treatment, with the FR group receiving 16 sessions of the manualized FR relapse prevention group protocol in lieu of other TAU group options. Assessments were administered pre and postintervention. Results indicated that the FR treatment group produced a significant reduction in relapse risk (p = .002, ES = .825), shame (p = .004, ES = .763), and psychological wellbeing (p = .008, ES = .679) from baseline to post-intervention, while the TAU comparison group produced a non-significant improvement in relapse risk (p = .209, ES = .264), shame (p = 055, ES = .409) and psychological well-being (p = .088, ES = .456). Correlation results indicated highly significant correlations between all the dependent variables. All correlations dropped post-intervention, although remained significant. The strongest relationship was found between shame and relapse risk at baseline: ALL (n = 43, r = .880), FR (n = 19, r = .869), TAU (n = 24, r = .908). This preliminary study establishes support for the new FR model as a beneficial treatment for significantly improving relapse risk, internalized shame, and psychological well-being in adults with SUD. It also provides important knowledge and insight regarding the critical nature of shame and its role relative to relapse risk and psychological well-being in those with SUD.
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Date Issued
2018
PURL
http://purl.flvc.org/fau/fd/FA00013109
Subject Headings
Substance abuse--Relapse--Prevention, Resilience, Psychological, Clinical studies, Shame
Format
Document (PDF)
Pubertal timing as a moderator of the associations between parental restrictiveness and adolescent alcohol abuse
Title
Pubertal timing as a moderator of the associations between parental restrictiveness and adolescent alcohol abuse.
Creator
Dickson, Daniel J., Laursen, Brett, Florida Atlantic University, Charles E. Schmidt College of Science, Department of Psychology
Abstract/Description
Adolescent alcohol abuse increases across the adolescent years. If left unchecked, alcohol abuse can give rise to delinquency, poor grades, and risky sexual behavior (Stueve & O’Donnell, 2005; Ellickson, Tucker, & Klein, 2003). Past research suggests that minimal parental oversight increases the risk for adolescent alcohol abuse. There is also evidence, however, that parents withdraw from oversight in the face of adolescent problem behaviors (Barber & Olsen, 1997; Hafen & Laursen, 2009). Each...
Show moreAdolescent alcohol abuse increases across the adolescent years. If left unchecked, alcohol abuse can give rise to delinquency, poor grades, and risky sexual behavior (Stueve & O’Donnell, 2005; Ellickson, Tucker, & Klein, 2003). Past research suggests that minimal parental oversight increases the risk for adolescent alcohol abuse. There is also evidence, however, that parents withdraw from oversight in the face of adolescent problem behaviors (Barber & Olsen, 1997; Hafen & Laursen, 2009). Each may vary according to the child’s physical development. Parents may respond to pubertal maturation with reduced supervision and early maturing girls may be sensitive to parent supervision because of the additional pressures and attention they receive from older, possibly deviant, peers (Stattin, Kerr, & Skoog, 2011).
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Date Issued
2014
PURL
http://purl.flvc.org/fau/fd/FA00004278, http://purl.flvc.org/fau/fd/FA00004278
Subject Headings
High school students -- Alcohol use, Parent and teenager, Precocious puberty, Substance abuse -- Prevention, Teenagers -- Alcohol use, Vigilance (Psychology)
Format
Document (PDF)
The Assessment of Inhibitory Subcomponents in Relation to Young Adult Binge Drinking
Title
The Assessment of Inhibitory Subcomponents in Relation to Young Adult Binge Drinking.
Creator
Paz, Andres L., Rosselli, Monica, Florida Atlantic University, Charles E. Schmidt College of Science, Department of Psychology
Abstract/Description
Research identifying the relationship between inhibition and binge drinking in young adults is limited. Accordingly, this study aimed to identify which subcomponent(s) of inhibitory performance is most sensitive at discerning binge-drinking behavior among young adults through a longitudinal design. The sample consisted of 182 alcohol consuming college students (48.3% male) with a mean age of 21.04±1.83 years. Inhibitory processing and alcohol behavior were assessed at baseline and six months...
Show moreResearch identifying the relationship between inhibition and binge drinking in young adults is limited. Accordingly, this study aimed to identify which subcomponent(s) of inhibitory performance is most sensitive at discerning binge-drinking behavior among young adults through a longitudinal design. The sample consisted of 182 alcohol consuming college students (48.3% male) with a mean age of 21.04±1.83 years. Inhibitory processing and alcohol behavior were assessed at baseline and six months later at follow-up. Alcohol behavior was also evaluated throughout participation via 13 biweekly alcohol logs. Multiple regression analysis revealed that interference inhibition (Simon task) contributed to the prediction of the number of drinks consumed during binge drinking occasion among males. These findings suggest that specific subcomponents of response inhibition, and not others, are more suitable for predicting alcohol consumption habits.
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Date Issued
2016
PURL
http://purl.flvc.org/fau/fd/FA00004658
Subject Headings
Alcoholism -- Prevention, Binge drinking -- Epidemiology, Compulsive behavior, Decision making -- Psychological aspects, Drinking of alcoholic beverages, Substance abuse -- Prevention, Young adults -- Alcohol use
Format
Document (PDF)
Culturally Tailoring a Substance Use Intervention Among Southeastern Urban American Indian and Alaska Native Youth
Title
Culturally Tailoring a Substance Use Intervention Among Southeastern Urban American Indian and Alaska Native Youth.
Creator
Wimbish-Cirilo, Rose M., Lowe, John, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description
In the United States, post European-colonial influence and exposure to substances such as alcohol historically mark the beginning of substance use exposure and involvement among all American Indian and Alaska Native (AI/AN) people. Research findings indicate there are strong interrelationships between the origin and prevalence of substance use and U.S.-European colonization, historical trauma, forced assimilation, cultural losses, and relocation among urban AI/AN people (Burt, 1986; Clinton,...
Show moreIn the United States, post European-colonial influence and exposure to substances such as alcohol historically mark the beginning of substance use exposure and involvement among all American Indian and Alaska Native (AI/AN) people. Research findings indicate there are strong interrelationships between the origin and prevalence of substance use and U.S.-European colonization, historical trauma, forced assimilation, cultural losses, and relocation among urban AI/AN people (Burt, 1986; Clinton, Chadwick, & Bahr, 1975; Yuan et al., 2010). In an historical sense, the unsuccessful attempts of relocating AI/AN people to urban areas place the future generations of urban AI/AN youth at risk for substance use, health conditions, and health disparities. Nationally, incident rates of substance use among urban AI/AN populations ages 12 and over is rising steadily, two to three folds higher than other ethnicities in urban areas within states such as Florida. The overall objective of this study is to culturally tailor the evidence-based Lowe (2013) Cherokee Talking Circle Intervention for substance use prevention among Cherokee adolescents to that of an Urban Taking Circle Intervention for use among urban AI/AN adolescents in Florida. Therefore, the feasibility of culturally tailoring this substance use intervention among a southeastern urban AI/AN youth was examined and presented within this dissertation.
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Date Issued
2016
PURL
http://purl.flvc.org/fau/fd/FA00004692, http://purl.flvc.org/fau/fd/FA00004692
Subject Headings
Alaska Natives -- Social conditions, Crisis intervention (Mental health services), Indians of North America -- Alcohol use -- Prevention, Indians of North America -- Social conditions, Indians of North America -- Substance use -- Prevention, Substance abuse -- Treatment
Format
Document (PDF)