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Fam Process ; 49(2): 204-19, 2010 Jun.
Article in English | MEDLINE | ID: mdl-20594207

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


Subject(s)
Black or African American/psychology , Ecosystem , Family Therapy/methods , HIV Infections/psychology , Stress, Psychological/prevention & control , Substance-Related Disorders/rehabilitation , Adult , Female , Humans , Mothers/psychology , Randomized Controlled Trials as Topic , Recurrence , United States
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