title: Functional social support within a medical supervised outpatient treatment program.
abstract: BACKGROUND
  This study examined functional social support (FSS) and its impact on treatment outcome in alcohol-dependent outpatients treated with supervised disulfiram.
  
  
  METHODS
  FSS was assessed cross-sectionally in 46 severe alcohol-dependent patients participating in a close-meshed biopsychosocial treatment program. The FSS was measured with the Medical Outcome Study Social Support Survey.
  
  
  RESULTS
  We found significantly higher FSS levels in patients with a current partnership. No significant influence was found of the FSS on days until relapse and retention time. However, FSS was positively correlated with cumulative abstinence. In comparison with another patient sample, it can be shown that the patients of the close-meshed biopsychosocial treatment program seemed to perceive more FSS, presumably through the higher frequency of the outpatient treatment contacts.
  
  
  CONCLUSIONS
  High FSS is associated with a current partnership and with a higher cumulative time of abstinence through close professional supervision. A better understanding of the underlying mechanisms of social relationships in alcohol-dependent patients would probably help to improve treatment outcome in the future.
authors.affiliation: Department of Addictive Behavior and Addiction Medicine, Central Institute of Mental Health, University of Heidelberg, Mannheim, Germany. jochen.mutschler@puk.zh.ch
authors.forename: Jochen
authors.initials: J
authors.lastname: Mutschler
authors.forename: Sarah
authors.initials: S
authors.lastname: Eifler
authors.forename: Gülseren
authors.initials: G
authors.lastname: Dirican
authors.forename: Martin
authors.initials: M
authors.lastname: Grosshans
authors.forename: Falk
authors.initials: F
authors.lastname: Kiefer
authors.forename: Wulf
authors.initials: W
authors.lastname: Rössler
authors.forename: Alexander
authors.initials: A
authors.lastname: Diehl
mesh_terms: D000328:Adult; D000427:Alcohol Deterrents / Q000008:administration & dosage* / Q000627:therapeutic use; D000437:Alcoholism / Q000534:rehabilitation*; D000553:Ambulatory Care / Q000379:methods; D003430:Cross-Sectional Studies; D023801:Directly Observed Therapy / Q000379:methods*; D004221:Disulfiram / Q000008:administration & dosage* / Q000627:therapeutic use; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D012720:Severity of Illness Index; D012944:Social Support; D018454:Spouses; D013997:Time Factors; D016896:Treatment Outcome
chemical_list: D000427:Alcohol Deterrents; D004221:Disulfiram