Disclosure Attitudes, Beliefs, and Behaviors in Recovery from Problematic Alcohol Use: A US Sample
DOI:
https://doi.org/10.62174/psocial.6606Keywords:
social support, alcohol use, social psychology, addictive behavior, disclosureAbstract
Social support has been found to positively assist in recovery from problematic alcohol use. is project examined the relationship between disclosure of alcohol recovery status to social connections, and longest period of alcohol abstinence. This cross-sectional study had (N=154) adult participants from the US who were in recovery from problematic alcohol use. Beyond demographic data, participants reported on a variety of things including medical, psychiatric and recovery history. Longest period of alcohol abstinence was associated with participant’s level of openness to disclosure, belief in the efficacy of disclosing, number of social connections disclosed to and categories of people one disclosed to. e most common social connections disclosed to were close friends, support groups, and healthcare providers. Disclosing to one’s parents, grandparents and children corresponded to the longest periods of alcohol abstinence. Our findings suggest that disclosing recovery status to social connections may support longer periods of alcohol abstinenceReferences
Baan, R.; Straif, K.; Grosse, Y.; et al. Carcinogenicity of alcoholic beverages. The Lancet: Oncology 8(4):292–293, 2007. PMID: 17431955
Barry, C. L., McGinty, E. E., Pescosolido, B. A., & Goldman, H. H. (2014). Stigma, Discrimination, Treatment Effectiveness, and Policy: Public Views About Drug Addiction and Mental Illness. Psychiatric Services, 65(10), 1269–1272. https://doi.org/10.1176/appi.ps.201400140
Bagnardi, V.; Rota, M.: Botteri, E.; et. al. Alcohol consumption and site-specific cancer risk: A comprehensive dose–response meta-analysis. British Journal of Cancer 112(3):580–593, 2015. PMID: 25422909
Berkman, Lisa F, Glass, Thomas, Brissette, Ian, & Seeman, Teresa E. (2000). From social integration to health: Durkheim in the new millennium. Social Science & Medicine (1982), 51(6), 843-857
Birtel, M. D., Wood, L., & Kempa, N. J. (2017). Stigma and social support in substance abuse: Implications for mental health and well-being. Psychiatry Research, 252(February), 1–8. https://doi.org/10.1016/j.psychres.2017.01.097
Centers for Disease Control and Prevention (CDC). Alcohol and Public Health: Alcohol-Related Disease Impact (ARDI). Annual Average for United States 2011–2015 Alcohol-Attributable Deaths Due to Excessive Alcohol Use, All Ages. https://nccd.cdc.gov/DPH_ARDI/Default/Default.aspx. Accessed May 26, 2021
Cohen, Sheldon, & Wills, Thomas Ashby. (1985). Stress, Social Support, and the Buffering Hypothesis. Psychological Bulletin, 98(2), 310-357.
Dobkin, Patricia L, Civita, Mirella De, Paraherakis, Antonios, & Gill, Kathryn. (2002). The role of functional social support in treatment retention and outcomes among outpatient adult substance abusers. Addiction (Abingdon, England), 97(3), 347-356.
Eaton, D. K., Kann, L., Kinchen, S., Shanklin, S., Ross, J., Hawkins, J., … Centers for Disease Control and Prevention. (2008). Youth Risk Behavior Surveillance– United States, 2007. Morbidity and Mortality Weekly Report, 57(4), 1–131.
Eddie, D., & Kelly, J. F. (2017). How many or how much? Testing the relative influence of the number of social network risks versus the amount of time exposed to social network risks on post-treatment substance use. https://doi.org/10.1016/j.drugalcdep.2017.02.012
Glass, J. E., Mowbray, O. P., Link, B. G., Kristjansson, S. D., & Bucholz, K. K. (2013). Alcohol stigma and persistence of alcohol and other psychiatric disorders: A modified labeling theory approach. Drug and Alcohol Dependence, 133(2), 685–692. https://doi.org/10.1016/j.drugalcdep.2013.08.016
Grewal, P.; and Viswanathen, V.A. Liver cancer and alcohol. Clinics in Liver Disease 16(4):839–850, 2012. PMID: 23101985
Hingson, R.W.; Zha, W.; and White, A.M. Drinking beyond the binge threshold: Predictors, consequences, and changes in the U.S. American Journal of Preventive Medicine 52(6):717–727, 2017.
IARC Working Group on the Evaluation of Carcinogenic Risks to Humans. Personal habits and indoor combustions. Volume 100 E. A review of human carcinogens. IARC Monographs on the Evaluation of Carcinogenic Risks to Humans 100(Pt E):373–472, 2012. PMID: 23193840
Jones, C.M.; Paulozzi, L.J.; and Mack, K.M. Alcohol involvement in opioid pain reliever and benzodiazepine drug abuse-related emergency department visits and drug—related deaths—United States, 2010. Morbidity and Mortality Weekly Report 63(40):881–885, 2014. PMID: 25299603
Kaskutas, Lee Ann, Borkman, Thomasina J, Laudet, Alexandre, Ritter, Lois A, Witbrodt, Jane, Subbaraman, Meenakshi Sabina, . . . Bond, Jason. (2014). Elements that define recovery: The experiential perspective. Journal of Studies on Alcohol and Drugs, 75(6), 999-1010.
Kelly, John F, Abry, Alexandra W, Milligan, Connor M, Bergman, Brandon G, & Hoeppner, Bettina B. (2018). On Being "In Recovery": A National Study of Prevalence and Correlates of Adopting or Not Adopting a Recovery Identity Among Individuals Resolving Drug and Alcohol Problems. Psychology of Addictive Behaviors, 32(6), 595-604
Kelly J.F., Stout R.L., Magill M., Tonigan J.S. The role of Alcoholics Anonymous in mobilizing adaptive social network changes: A prospective lagged mediational analysis. Drug and Alcohol Dependence. 2010;114(2–3):119–126.
Mawson, E., Best, D., Beckwith, M., Dingle, G. A., & Lubman, D. I. (2015). Social identity, social networks and recovery capital in emerging adulthood: A pilot study. Substance Abuse: Treatment, Prevention, and Policy, 10(1). https://doi.org/10.1186/s13011-015-0041-2
McCutcheon V.V., Lessov-Schlaggar C.N., Steinley D., Bucholz K.K. Social network drinking and family history contribute equally to first-onset alcohol dependence in high risk adults. Drug and Alcohol Dependence. 2014;141:145–148.
Mericle A.A. The role of social networks in recovery from alcohol and drug abuse. The American Journal of Drug and Alcohol Abuse. 2014;40(3):179–180.
Mowbray O., Quinn A., Cranford J.A. Social networks and alcohol use disorders: Findings from a nationally representative sample. The American Journal of Drug and Alcohol Abuse. 2014;40(3):181–186.
Organization, World Health. (2019). Global Status Report on Alcohol and Health 2018. Geneva: World Health Organization.
Sacks, J.J.; Gonzales, K.R.; Bouchery, E.E.; et al. 2010 national and state costs of excessive alcohol consumption. American Journal of Preventive Medicine 49(5):e73–e79, 2015. PMID: 26477807
SAMHSA, Center for Behavioral Health Statistics and Quality. 2019 National Survey on Drug Use and Health. Table 5.4A – Alcohol Use Disorder in Past Year among Persons Aged 12 or Older, by Age Group and Demographic Characteristics: Numbers in Thousands, 2018 and 2019.
SAMHSA, Center for Behavioral Health Statistics and Quality. 2019 National Survey on Drug Use and Health. Table 2.20B – Binge Alcohol Use in Past Month among Persons Aged 12 or Older, by Age Group and Demographic Characteristics: Percentages, 2018 and 2019.
SAMHSA, Center for Behavioral Health Statistics and Quality. 2019 National Survey on Drug Use and Health. Table 2.21B – Heavy Alcohol Use in Past Month among Persons Aged 12 or Older, by Age Group and Demographic Characteristics: Percentages, 2018 and 2019.
SAMHSA, Center for Behavioral Health Statistics and Quality. 2019 National Survey on Drug Use and Health (NSDUH-2019-DS0001). Public data set. https://www.niaaa.nih.gov/publications/brochures-and-fact-sheets/alcohol-facts-and-statistics. Accessed May 26, 2021.
Sinha R. How does stress increase risk of drug abuse and relapse? Psychopharmacology (Berl). 2001 Dec;158(4):343-59. doi: 10.1007/s002130100917. Epub 2001 Oct 26. PMID: 11797055.
Stevens, E., Jason, L. A., Ram, D., & Light, J. (2015). Investigating Social Support and Network Relationships in Substance Use Disorder Recovery. Substance Abuse, 36(4), 396–399. https://doi.org/10.1080/08897077.2014.965870
Subbaraman, Meenakshi Sabina, & Witbrodt, Jane. (2014). Differences between abstinent and non-abstinent individuals in recovery from alcohol use disorders. Addictive Behaviors, 39(12), 1730-1735.
Trocchio, S., Chassler, D., Storbjork, J., Delucchi, K., Witbrodt, J., & Lundgren, L. (2013). The association between self-reported mental health status and alcohol and drug abstinence 5 years post-assessment for an addiction disorder in U.S. and Swedish samples. Journal of Addictive Diseases, 32(2), 180–193. https://doi.org/10.1080/10550887.2013.795468
Van Boekel, L. C., Brouwers, E. P. M., Van Weeghel, J., & Garretsen, H. F. L. (2013). Stigma among health professionals towards patients with substance use disorders and its consequences for healthcare delivery: Systematic review. Drug and Alcohol Dependence. https://doi.org/10.1016/j.drugalcdep.2013.02.018
Van Boekel, L. C., Brouwers, E. P. M., van Weeghel, J., & Garretsen, H. F. L. (2016). Experienced and anticipated discrimination reported by individuals in treatment for substance use disorders within the Netherlands. Health and Social Care in the Community, 24(5), e23–e33. https://doi.org/10.1111/hsc.12279
Zywiak W.H., Longabaugh R., Wirtz P.W. Decomposing the relationships between pretreatment social network characteristics and alcohol treatment outcome. Journal of Studies on Alcohol. 2002;63(1):114–121.