College of Psychology: Faculty Articles

Title

Structural Ecosystems Therapy for HIV+ African American Women and Drug Abuse Relapse

Document Type

Article

Publication Date

1-1-2010

Keywords

Ecosystems, Family, Drug Abuse, Relapse, HIV/AIDS

Publication Title

Family Process

ISSN

0014-7370

Volume

49

Issue/No.

2

Abstract

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 two comparison groups. In new analyses, SET and CC had a significant protective effect against relapse as compared to 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.

DOI

10.1111/j.1545-5300.2010.01318.x

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