Structural Ecosystems Therapy for HIV+ African-American women and drug abuse relapse.
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.
Feaster
Daniel J
DJ
Leonard M. Miller School of Medicine, Department of Epidemiology and Public Health, University of Miami, FL 33136, USA. dfeaster@med.miami.edu
Burns
Myron J
MJ
Brincks
Ahnalee M
AM
Prado
Guillermo
G
Mitrani
Victoria B
VB
Mauer
Megaly H
MH
Szapocznik
Jose
J
D000328:Adult; D001741:Black or African American / Q000523:psychology*; D017753:Ecosystem; D005196:Family Therapy / Q000379:methods*; D005260:Female; D015658:HIV Infections / Q000523:psychology*; D006801:Humans; D009035:Mothers / Q000523:psychology; D016032:Randomized Controlled Trials as Topic; D012008:Recurrence; D013315:Stress, Psychological / Q000517:prevention & control*; D019966:Substance-Related Disorders / Q000534:rehabilitation*; D014481:United States