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The Mediating Role of Social Support and Self-Efficacy on the Relationship Between Trauma and Post-Treatment Substance Use Among Low-Income Women

Taylor, Leigh H
http://rave.ohiolink.edu/etdc/view?acc_num=case1497526979343182

Abstract Details

2017, Doctor of Philosophy, Case Western Reserve University, Social Welfare.
This dissertation investigates interrelated constructs vital to substance use disorder recovery among a population of low-income women with a history of trauma. The women in this study were viewed within the nested socioeconomic dynamics affecting their early sobriety post-treatment intake. Recognizing that this sample was exposed to multiple vulnerabilities, had a significant history of trauma and the presence of co-occurring disorders, this study focused on the influential roles of abstinence self-efficacy (ASE) and social support for recovery (SSR) on post-treatment substance use outcomes. There is a well-established connection between the experience of trauma and subsequent substance abuse among female survivors (Min, et al., 2014; Najavits, et al., 1998; Ullman, et al., 2013). Moreover, the effects of trauma are associated with lower abstinence self-efficacy, a decreased capacity to access social support for recovery and poorer treatment outcomes (Lopez-Castro, et al., 2015). Attempting to clarify these relationships, this study evaluated the mediating effects of ASE and SSR on the relationship between trauma symptomatology and post-treatment relapse. Data for this examination were collected from a NIDA funded longitudinal study. 62% of the women identified as Black; 88% of the women did not have more than a high school education; 74% were dependent on government subsidies; and 73% had a co-occurring mental health disorder. Structural equation modeling (SEM), was used to examine the direct and indirect effects of trauma symptomatology, ASE, and SSR on post-treatment intake substance use outcomes. Primary findings indicated that higher trauma symptomatology was significantly associated with lower levels of ASE. Moreover, ASE was shown to mediate the relationship between trauma and relapse. These results suggest that clinicians may want to utilize interventions aimed at increasing ASE, that may increase a woman’s ability to develop resiliency in early recovery, mitigating the influence of trauma symptomatology. Future research will want to expand on these findings, evaluating more robust measures and the influence of time on these interrelated constructs and their influence on relapse in early recovery.
Elizabeth Tracy, Dr. (Committee Chair)
Meeyoung Min, Dr. (Committee Member)
Kathleen Farkas, Dr. (Committee Member)
Darcy Freedman, Dr. (Committee Member)
110 p.
Social Work
women; addiction; trauma; self efficacy; social support; relapse; early recovery

Recommended Citations

Citations

  • Taylor, L. H. (2017). The Mediating Role of Social Support and Self-Efficacy on the Relationship Between Trauma and Post-Treatment Substance Use Among Low-Income Women [Doctoral dissertation, Case Western Reserve University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=case1497526979343182

    APA Style (7th edition)

  • Taylor, Leigh. The Mediating Role of Social Support and Self-Efficacy on the Relationship Between Trauma and Post-Treatment Substance Use Among Low-Income Women . 2017. Case Western Reserve University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=case1497526979343182.

    MLA Style (8th edition)

  • Taylor, Leigh. "The Mediating Role of Social Support and Self-Efficacy on the Relationship Between Trauma and Post-Treatment Substance Use Among Low-Income Women ." Doctoral dissertation, Case Western Reserve University, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=case1497526979343182

    Chicago Manual of Style (17th edition)

case1497526979343182
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© 2017, all rights reserved.
This open access ETD is published by Case Western Reserve University School of Graduate Studies and OhioLINK.