Uniform TitleThe relationship between interpersonal factors and drinking outcomes of women recovering from alcohol use disorders: testing the potential mediational role of intra-individual factors
NameReel, Dorian Hunter (author), McCrady, Barbara (chair), Epstein, Elizabeth (internal member), McCarthy, Danielle (internal member), Rutgers University, Graduate School - New Brunswick,
DescriptionAim: To test the validity of four proposed mediators of the impact of alcohol-specific
social support on drinking outcomes: coping, motivation, negative affect and self-efficacy.
Method: Participants included 158 women participating in two Cognitive Behavior Therapy
clinical trials. All participants completed an extensive battery of assessments prior to treatment entry, just post-treatment (three-months) and six months post-treatment. The measures used for this study included the Beck Anxiety Inventory and the Beck Depression Inventory to assess negative affect, the Coping Behaviours Inventory to assess coping, the Important People and Activities Interview to assess social support for drinking and for not drinking, the Situational Confidence Questionnaire to assess self-efficacy, the Stages of Change Readiness and Treatment
Eagerness Scale to assess motivation, and the Timeline Follow-back Interview to assess drinking frequency and intensity. Exploratory and confirmatory factor analyses were conducted to
construct latent models of each of the proposed mediators. Structural equation models were then
constructed and estimated to evaluate the hypothesized mediational models. Results: Coping and self-efficacy at the end of treatment were predictive of drinking frequency and intensity at six month post-treatment follow-up, and negative affect and motivation at the end of treatment were predictive of drinking frequency at six month post-treatment follow-up. However, neither coping, negative affect, nor self-efficacy was predicted significantly by abstinence-specific social support. Motivation was negatively predicted by support for drinking, but not by support for not drinking. The relationship between support for drinking and drinking frequency was found to be partially mediated by motivation. Conclusion: Motivation may be a mechanism by which social support exerts its effect on drinking outcomes. More work is needed to further probe the potential roles of each of these variables in mediational models and to understand the mechanisms by which general social support impacts drinking outcomes.
NoteIncludes bibliographical references (p. 71-77).
CollectionGraduate School - New Brunswick Electronic Theses and Dissertations
Organization NameRutgers, The State University of New Jersey
RightsThe author owns the copyright to this work.