title: Social stress, economic hardship, and psychological distress as predictors of sustained abstinence from substance use after treatment.
abstract: Social characteristics associated with disadvantage, such as racial/ethnic minority status, female gender, and low socioeconomic status (SES), are often associated with increased psychological distress and substance use disorders. This project tests a conceptual model derived from Pearlin's social stress theory for predicting abstinence from substance use between baseline and 1-year follow-up in secondary data from a large statewide sample of Kentucky substance abuse treatment participants (N = 1,123). Racial minority status, employment, and higher education level were predictive of substance use at follow-up, while female gender was predictive of abstinence. Limitations, implications for practice, and suggestions for future research are discussed.
authors: 1Indiana University, School of Social Work, 902 W. New York Street, ES 4138, Indianapolis, IN, USA.
authors: Elizabeth A
authors: EA
authors: Wahler
authors: Melanie D
authors: MD
authors: Otis
mesh_terms: D000328:Adult; D004522:Educational Status; D004651:Employment / Q000523:psychology / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D007629:Kentucky / Q000453:epidemiology; D008297:Male; D008913:Minority Groups / Q000523:psychology / Q000706:statistics & numerical data; D011203:Poverty / Q000523:psychology / Q000706:statistics & numerical data; D011584:Psychology; D012008:Recurrence; D012307:Risk Factors; D012737:Sex Factors; D013315:Stress, Psychological / Q000150:complications* / Q000523:psychology; D019966:Substance-Related Disorders / Q000191:economics / Q000453:epidemiology* / Q000523:psychology / Q000628:therapy
keywords: addiction; economic hardship; relapse; social disadvantage; stress; substance abuse