Structural ecosystems therapy for hiv+ african-american women and drug abuse relapse

Daniel J Feaster, Myron J. Burns, Ahnalee M. Brincks, Guillermo J Prado, Victoria Mitrani, Megaly H. Mauer, Jose Szapocznik

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

This report examines the effect of Structural Ecosystems Therapy (SET) for (n=143) HIV+ African-American women on rate of relapse to substance use relative to both a person-centered approach (PCA) to therapy and a community control (CC) group. A prior report has shown SET to decrease psychological distress and family hassles relative to these 2 comparison groups. In new analyses, SET and CC had a significant protective effect against relapse as compared with PCA. There is evidence that SET's protective effect on relapse was related to reductions in family hassles, whereas there was not a direct impact of change in psychological distress on rates of relapse. Lower retention in PCA, perhaps caused by the lack of a directive component to PCA, may have put these women at greater risk for relapse. Whereas SET did not specifically address substance abuse, SET indirectly protected at-risk women from relapse through reductions in family hassles. 2010

Original languageEnglish
Pages (from-to)204-219
Number of pages16
JournalFamily Process
Volume49
Issue number2
DOIs
StatePublished - Jun 1 2010

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relapse
drug abuse
African Americans
Substance-Related Disorders
Ecosystem
Recurrence
human being
Therapeutics
Psychology
substance abuse
community
American
Group
HIV
Control Groups
lack
evidence

Keywords

  • Drug Abuse
  • Ecosystems
  • Family
  • HIV/AIDS
  • Relapse

ASJC Scopus subject areas

  • Social Sciences (miscellaneous)
  • Social Psychology
  • Clinical Psychology

Cite this

Structural ecosystems therapy for hiv+ african-american women and drug abuse relapse. / Feaster, Daniel J; Burns, Myron J.; Brincks, Ahnalee M.; Prado, Guillermo J; Mitrani, Victoria; Mauer, Megaly H.; Szapocznik, Jose.

In: Family Process, Vol. 49, No. 2, 01.06.2010, p. 204-219.

Research output: Contribution to journalArticle

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