Baseline subjective stress predicts 1-year outcomes among drug court clients.
Psychological stress has long been known to predict negative changes in physical and behavioral health in the general population. The same relationships have been found in research on drug abusers. In this longitudinal study, 477 clients of two Kentucky drug courts were followed for 1 year to examine the relationship between subjective stress at intake and outcomes 1 year after the baseline of this 18-month drug court program. Greater baseline subjective stress was significantly associated with poorer employment, substance use, criminal justice, and health outcomes at 1-year follow-up, even after adjusting for selected demographic characteristics and baseline levels of the outcomes of interest. If these results are replicated in these and other drug courts, then a stress reduction treatment trial within the drug court context should be attempted and evaluated.
Department of Behavioral Science, College of Medicine, University of Kentucky, Lexington, KY 40536-0086, USA. tgarrit@uky.edu
Thomas F
TF
Garrity
Sallie H
SH
Prewitt
Michelle
M
Joosen
Michele Staton
MS
Tindall
J Matthew
JM
Webster
Carl G
CG
Leukefeld
D000328:Adult; D003415:Crime / Q000331:legislation & jurisprudence*; D004651:Employment / Q000706:statistics & numerical data; D005260:Female; D006304:Health Status; D006801:Humans; D007629:Kentucky / Q000453:epidemiology; D008137:Longitudinal Studies; D008297:Male; D013315:Stress, Psychological / Q000453:epidemiology* / Q000523:psychology; D019966:Substance-Related Disorders / Q000453:epidemiology* / Q000534:rehabilitation