Note
Includes bibliography.
Member of
Contributors
Publisher
Florida Atlantic University
Date Issued
2018
EDTF Date Created
2018
Description
The purpose of this research study was to determine the effects of Fostering
Resilience™ (FR), a new integrative relapse prevention group protocol for improving
relapse risk, internalized shame, and psychological well-being in adults with substance
use disorders (SUD). This study also sought to identify any relationship among relapse
risk, internalized shame, and psychological well-being. It is the first study to investigate
the new FR manualized program model compared to treatment as usual (TAU). The FR
model was created based upon direct client experience, the supposition of the intrinsic
role shame plays in SUD, and the corresponding belief in the essential value of
implementing shame reduction techniques for improving treatment outcomes.
Participants were 43 adults with SUD (19 FR and 24 TAU) seeking outpatient treatment.
All participants received the 8-week intensive outpatient (IOP) treatment, with the FR
group receiving 16 sessions of the manualized FR relapse prevention group protocol in lieu of other TAU group options. Assessments were administered pre and postintervention.
Results indicated that the FR treatment group produced a significant reduction in
relapse risk (p = .002, ES = .825), shame (p = .004, ES = .763), and psychological wellbeing
(p = .008, ES = .679) from baseline to post-intervention, while the TAU
comparison group produced a non-significant improvement in relapse risk (p = .209, ES =
.264), shame (p = 055, ES = .409) and psychological well-being (p = .088, ES = .456).
Correlation results indicated highly significant correlations between all the dependent
variables. All correlations dropped post-intervention, although remained significant. The
strongest relationship was found between shame and relapse risk at baseline: ALL (n =
43, r = .880), FR (n = 19, r = .869), TAU (n = 24, r = .908). This preliminary study
establishes support for the new FR model as a beneficial treatment for significantly
improving relapse risk, internalized shame, and psychological well-being in adults with
SUD. It also provides important knowledge and insight regarding the critical nature of
shame and its role relative to relapse risk and psychological well-being in those with
SUD.
Resilience™ (FR), a new integrative relapse prevention group protocol for improving
relapse risk, internalized shame, and psychological well-being in adults with substance
use disorders (SUD). This study also sought to identify any relationship among relapse
risk, internalized shame, and psychological well-being. It is the first study to investigate
the new FR manualized program model compared to treatment as usual (TAU). The FR
model was created based upon direct client experience, the supposition of the intrinsic
role shame plays in SUD, and the corresponding belief in the essential value of
implementing shame reduction techniques for improving treatment outcomes.
Participants were 43 adults with SUD (19 FR and 24 TAU) seeking outpatient treatment.
All participants received the 8-week intensive outpatient (IOP) treatment, with the FR
group receiving 16 sessions of the manualized FR relapse prevention group protocol in lieu of other TAU group options. Assessments were administered pre and postintervention.
Results indicated that the FR treatment group produced a significant reduction in
relapse risk (p = .002, ES = .825), shame (p = .004, ES = .763), and psychological wellbeing
(p = .008, ES = .679) from baseline to post-intervention, while the TAU
comparison group produced a non-significant improvement in relapse risk (p = .209, ES =
.264), shame (p = 055, ES = .409) and psychological well-being (p = .088, ES = .456).
Correlation results indicated highly significant correlations between all the dependent
variables. All correlations dropped post-intervention, although remained significant. The
strongest relationship was found between shame and relapse risk at baseline: ALL (n =
43, r = .880), FR (n = 19, r = .869), TAU (n = 24, r = .908). This preliminary study
establishes support for the new FR model as a beneficial treatment for significantly
improving relapse risk, internalized shame, and psychological well-being in adults with
SUD. It also provides important knowledge and insight regarding the critical nature of
shame and its role relative to relapse risk and psychological well-being in those with
SUD.
Language
Type
Form
Extent
219 p.
Subject (Topical)
Identifier
FA00013109
Additional Information
Includes bibliography.
Dissertation (Ph.D.)--Florida Atlantic University, 2018.
FAU Electronic Theses and Dissertations Collection
Date Backup
2018
Date Created Backup
2018
Date Text
2018
Date Created (EDTF)
2018
Date Issued (EDTF)
2018
Extension
FAU
IID
FA00013109
Organizations
Attributed name: Florida Atlantic University
Attributed name: College of Education
Attributed name: Department of Counselor Education
Person Preferred Name
Foster, Karrol-Jo Lee
author
Graduate College
Physical Description
application/pdf
219 p.
Title Plain
Fostering Resilience for Adults with Substance Use Disorder: A Clinical Study of an Integrative Group Model
Use and Reproduction
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http://rightsstatements.org/vocab/InC/1.0/
Origin Information
2018
2018
Florida Atlantic University
Boca Raton, Fla.
Physical Location
Florida Atlantic University Libraries
Place
Boca Raton, Fla.
Sub Location
Digital Library
Title
Fostering Resilience for Adults with Substance Use Disorder: A Clinical Study of an Integrative Group Model
Other Title Info
Fostering Resilience for Adults with Substance Use Disorder: A Clinical Study of an Integrative Group Model