Self‐Efficacy Among Adults in Substance Abuse Treatment: The Role of Religious Coping

In substance abuse treatment, general self‐efficacy and religiousness are factors that may support positive outcomes. The authors surveyed clients receiving substance abuse treatment (N = 121) and found that religious coping predicted general self‐efficacy scores. Clinical implications are discussed.     

Differential Determinants of Young Adult Substance Use and High‐Risk Sexual Behavior1

This investigation evaluated how personality traits, self‐efficacy, and outcome expectancies differentially relate to young adult substance use and high‐risk sex. Experiments I (N= 481) and 2 (N= 73) report the development of a new questionnaire to assess self‐efficacy for substance use and sexual behavior. Experiment 3 (N= 375) tested self‐efficacy, outcome expectancies, and trait measures of social conformity and sensation seeking as correlates of substance use and high‐risk sex. Using structural equation modeling, cross‐sectional analyses revealed that positive outcome expectancies had the largest association with substance use, whereas self‐efficacy had the largest association with sexual behavior. Further, personality traits were related to substance use and sexual behavior indirectly through outcome expectancies, with social conformity also having a direct effect on behavior. When examined longitudinally, past alcohol and drug use served as the final pathway by which expectancies and personality impacted substance use, whereas past behavior, self‐efficacy, and social conformity all contributed to high‐risk sex. Results support the utility of different models for explaining, and possibly preventing, young adult substance use and high‐risk sex.     

Perceived Multicultural Competency of Certified Substance Abuse Counselors

In this study, the authors explored the self‐perceived multicultural counseling competencies of substance abuse counselors. Overall, the results indicate that substance abuse counselors perceived themselves to be competent; however, differences existed on the basis of race and educational level. Implications for practice and future research are discussed.     

Violent offenses associated with co‐occurring substance use and mental health problems: Evidence from CJDATS

The present study examines the relationship between substance use, mental health problems, and violence in a sample of offenders released from prison and referred to substance abuse treatment programs. Data from 34 sites (n = 1,349) in a federally funded cooperative, the Criminal Justice Drug Abuse Treatment Studies (CJDATS), were analyzed. Among parolees referred to substance abuse treatment, self‐reports for the six‐month period before the arrest resulting in their incarceration revealed frequent problems with both substance use and mental health. For most offenders with substance use problems, the quantity of alcohol consumed and the frequency of drug use were associated with a greater probability of self‐reported violence. Mental health problems were not indicative of increases in violent behavior, with the exception of antisocial personality problems, which were associated with violence. The paper emphasizes the importance of providing substance abuse treatment in relation to violent behavior among offenders with mental health problems being discharged to the community. Copyright © 2009 John Wiley & Sons, Ltd.     

Emotional availability and psychosocial correlates among mothers in substance‐abuse treatment and their young infants

Emotional availability (EA) was investigated among low‐income mothers enrolled in substance‐abuse treatment and their young infants (n = 21) compared with a demographically matched group of mother–infant pairs who, by self‐report, were not at risk for substance abuse (n = 27). The mother–infant dyads in the treatment group generally demonstrated poorer EA functioning than those in the comparison group, but few differences between the groups on individual dimensions of EA were significant. This finding was notable considering that mothers in treatment reported significantly higher levels of depressive symptoms and psychological stress. Treatment effects may have buffered the negative impact of depression and psychological stress on mothers' EA scores. The clinical implications of the findings are discussed as they relate to substance‐abuse‐treatment services for pregnant and parenting women.     

A Therapeutic Model of Self‐Forgiveness With Intervention Strategies for Counselors

Self‐forgiveness is associated with psychological and relational well‐being and may be a worthwhile treatment goal for clients who have hurt others. The authors utilized theoretical and empirical literature to describe a 4‐component therapeutic model of self‐forgiveness—responsibility, remorse, restoration, and renewal—and offer suggestions for promoting each component with clients. Finally, the authors explore potential contraindications and the applicability of self‐forgiveness for military veterans, clients in substance abuse treatment, and clients convicted of a crime.     

The Roles of Risk Perception and Borderline and Antisocial Personality Characteristics in College Alcohol Use and Abuse1

This study examined the relationships among risk perceptions, alcohol use and abuse, and borderline and antisocial personality characteristics in college students. College students who perceived themselves less able to avoid negative consequences reported drinking more and having more substance abuse symptoms than those who perceived themselves as more able to avoid negative consequences. College students who scored higher on borderline or antisocial personality tended to rate personal avoidability of negative consequences lower than those who scored lower on these personality characteristics. A multiple regression model accounted for 50% of the variance in self‐reported substance abuse symptoms. Low perceived personal avoidability of negative drinking consequences and high borderline or antisocial personality characteristics are risk factors for substance abuse problems.     

UNDERSTANDING THE CONNECTION BETWEEN ATTACHMENT TRAUMA AND MATERNAL SELF‐EFFICACY IN DEPRESSED MOTHERS

Maternal self‐efficacy predicts sensitive and responsive caregiving. Low maternal self‐efficacy is associated with a higher incidence of postpartum depression. Maternal self‐efficacy and postpartum depression can both be buffered by social support. Maternal self‐efficacy and postpartum depression have both been linked independently, albeit in separate studies, to the experience of violent trauma, childhood maltreatment, and spousal abuse. This study proposed a model in which postpartum depression mediates the relation between attachment trauma and maternal self‐efficacy, with emotional support as a moderator. Participants were 278 first‐time mothers of infants under 14 months. Cross‐sectional data were collected online. Mothers completed questionnaires on attachment trauma, maternal self‐efficacy, postpartum depression, and emotional support. A moderated mediation model was tested in a structural equation modeling framework using Mplus’ estimate of indirect effects. Postpartum depression fully mediated the relation between trauma and maternal self‐efficacy. Emotional support moderated only the pathway between postpartum depression and maternal self‐efficacy. Attachment trauma's implications for maternal self‐efficacy should be understood in the context of overall mental health. Mothers at the greatest risk for low maternal self‐efficacy related to attachment trauma also are those suffering from postpartum depression. Emotional support buffered mothers from postpartum depression, though, which has implications for intervention and future research.     

Effects of drugs and alcohol on behavior,job performance,and workplace safety

A study of records for 1 large U.S. company revealed that employees with positive drug screens were fired, whereas workers who self‐disclosed drug/alcohol problems remained employed. Both groups were offered substance abuse intervention, and some previously fired workers were rehired after they received treatment. Accident results showed that drug‐test positive employees, as compared with self‐referred workers, had a significantly higher accident rate in all categories. Treatment data revealed that drug‐test positive workers had significantly higher accident rates before and after treatment than self‐referred employees. Posttreatment results showed that drug‐test positive employees had a significant decrease in accidents after services, whereas the self‐referred group showed no change.     

Conceptions of criminal and delinquent acts

We estimate a series of multivariate logistic regression models specifying the effects of gender and other variables on the initiation and escalation of alcohol and other substance use/abuse in a sample of young adults from a general population. After controlling for race, ethnicity, father's education, and a tendency to over‐ or underendorse statements, effects of gender on circumstances surrounding initiation/escalation of binge drinking, marijuana use, and use of other illicit drugs were observed to be congruent with the literature on gender‐related sociodevelopmental processes and empirical studies of the circumstances surrounding substance use. Among substance users/abusers, gender was implicated in self‐reports of the relevance of peer influence, needs to enhance self‐importance and a sense of power, conflictive consequences, sensation‐seeking, and reduction of distress in the processes surrounding initiation and escalation of use.     

Refusal Self‐Efficacy Among SMART Recovery Members by Affiliation Length and Meeting Frequency

Using the Brief Situational Confidence Questionnaire, the authors examined the refusal self‐efficacy of 105 Self‐Management and Recovery Training (SMART Recovery) members according to their affiliation length and meeting frequency. Results demonstrated that longer affiliation with SMART Recovery and higher meeting frequency significantly enhanced substance refusal self‐efficacy.     

Self‐Efficacy to Avoid Suicidal Action: Factor Structure and Convergent Validity among Adults in Substance Use Disorder Treatment

Individuals with substance use disorders (SUDs) are at high risk of suicidal behaviors, highlighting the need for an improved understanding of potentially influential factors. One such domain is self‐efficacy to manage suicidal thoughts and impulses. Psychometric data about the Self‐Efficacy to Avoid Suicidal Action (SEASA) Scale within a sample of adults seeking SUD treatment (N = 464) is provided. Exploratory factor analysis supported a single self‐efficacy construct. Lower SEASA scores, or lower self‐efficacy, were reported in those with more severe suicidal ideation and those with more suicide attempts, providing evidence for convergent validity. Implications of measuring self‐efficacy in the context of suicide risk assessment are discussed.     

The Relationship Among Substance Abuse Counselors' Spiritual Well‐Being,Values, and Self‐Actualizing Characteristics and the Impact on Clients' Spiritual Well‐Being

This study explored the relationship between scores on the Spiritual Well‐Being Scale and subscales from the Rokeach Value Survey and the Personal Orientation Inventory of substance abuse counselors in the Commonwealth of Virginia. This study also examined the impact of counselors' spiritual well‐being on the spiritual well‐being of patients in their clinical care. The results indicated that the values of wisdom and loving from the Rokeach Value Survey and self‐acceptance from the Personal Orientation Inventory accounted for approximately half of the spiritual well‐being variance. These variables could be used as indicators in the supervisory process, could help promote substance abuse counselors' spiritual well‐being, and could educate counselors on burnout prevention. Follow‐up findings indicated a statistically significant change score on patients' pretest and posttest scores on the Spiritual Well‐Being Scale, indicating an increase in patients' spiritual wellbeing while in inpatient addiction treatment.     

Identification des facteurs liés à la consommation de cigarettes,d'alcool et de drogues à l'adolescence

The goal of this study was to identify protective and risk factors linked to substance use during adolescence. A sample of 1000 subjects participated in a four‐wave data collection. Results showed that precocious substance use is likely to be persistent. Moreover, school inadaptation, lack of parental supervision and positive self‐perception in relationships with peers have been identified as risk factors predictive of cigarette, alcohol and drug use. Protective factors were associated with high moral qualities and negative reaction to mother's use of cigarettes and alcohol. Findings are discussed in terms of developmental trajectories which might lead to substance use and abuse through adult life.     

Evaluation of a Parent‐Based Intervention for At‐Risk Adolescents

This study evaluated the effectiveness of a parent‐based intervention, the Parent Project, among 84 parents of at‐risk youth. Results indicated improvements in child management, family involvement, parent–child affective quality, substance use rules communication, and parental self‐efficacy at a 10‐week follow‐up.     

job stress,coping strategies,and burnout among abuse‐specific counselors

The purpose of this study is to investigate whether effective coping strategies play an important role to reduce burnout levels among sexual or substance abuse counselors. The authors examined whether coping strategies mediated or moderated relations between job stress and burnout in a sample of 232 abuse‐specific counselors. Results indicated that self‐distraction and behavior disengagement coping strategies mediated the relationships between 3 job stress variables (workload, role conflict, and job ambiguity) and burnout. Although venting and humor coping strategies positively moderated the relationship between role ambiguity and burnout, active coping strategies negatively moderated the relationship between workload and burnout.     

Inclusion of Substance Abuse Training in CACREP‐Accredited Programs

Professional counselors and counselors‐in‐training continue to serve clients who have substance abuse issues, yet systematic training in substance abuse counseling is not available to many counselors. The authors investigated the extent to which students in programs accredited by the Council for Accreditation of Counseling and Related Educational Programs (CACREP; 2001) are exposed to clients presenting with substance abuse issues and the relationship between state licensure or certification in substance abuse and the resulting perception of the need for the inclusion of substance abuse training in these programs. Three methods are presented for possibly including substance abuse training in CACREP standards.     

Contrasting Social Climates of Small Peer-Run Versus a Larger Staff-Run Substance Abuse Recovery Setting

This study compared the social climate of peer‐run homes for recovering substance abusers called Oxford House (OH) to that of a staffed residential therapeutic community (TC). Residents of OHs (N = 70) and the TC (N = 62) completed the Community Oriented Programs Environment Scales. OHs structurally differ on two primary dimensions from TCs in that they tend to be smaller and are self‐run rather than professionally run. Findings indicated significantly higher Involvement, Support, Practical Orientation, Spontaneity, Autonomy, Order and Organization, and Program Clarity scores among the OH compared to TC residents. Additional analyses found the OH condition was higher Support, Personal Problem Orientation, and Order and Organization scores among women compared to men residents. These results suggested that these smaller OH self‐run environments created a more involving and supportive social milieu than a larger staff‐run TC. These findings are interpreted within Moos' ( 2007 ) four theoretical ingredients (i.e., social control, social learning, behavioral economics, and stress and coping), which help account for effective substance abuse treatment environments.     

A Sociocognitive Analysis of Substance Abuse: An Agentic Perspective

This article presents a social-cognitive theory of substance abuse. The exercise of self-regulatory agency plays a central role in this approach. Perceived self-efficacy is the foundation of human agency. Unless people believe they can produce desired effects by their actions, they have little incentive to act. Self-efficacy beliefs promote desired changes through cognitive, motivational, affective, and choice processes. Perceived self-efficacy exerts its effects on every phase of personal change—the initiation of efforts to overcome substance abuse, achievement of desired changes, recovery from relapses, and long-term maintenance of a drug-free life. Assessments of perceived efficacy identify areas of vulnerability and provide guides for treatment. Substance abuse is a social problem, not just a personal one. Reducing substance abuse also requires policy initiatives and social remedies achieved through the exercise of collective efficacy.