Giving and receiving social support in online substance use disorder forums: How self-efficacy moderates effects on relapse |
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| Affiliation: | 1. School of Journalism & Communication, Shanghai University, Shanghai, 200072, China;2. Department of Communication Studies, Northwestern University, Evanston, IL, 60208, USA;3. Department of Life Sciences Communication, University of Wisconsin-Madison, Madison, WI, 53706, USA;4. School of Journalism & Mass Communication, University of Wisconsin-Madison, Madison, WI, 53706, USA;5. Center for Health Enhancement System Studies, University of Wisconsin-Madison, Madison, WI, 53706, USA;1. Geneva University Hospitals, Gabriel-Perret-Gentil 4, 1205 Geneva, Switzerland;2. Geneva University, Général-Dufour 24, 1211 Geneva, Switzerland;3. Research Centre, University Institute of Mental Health at Montreal, Canada;1. Department of Psychology, Syracuse University, 430 Huntington Hall, Syracuse, NY, United States;2. Department of Psychiatry and Behavioral Sciences, University of Washington, 1959 NE Pacific St., Seattle, WA, United States;3. Department of Psychology, University of New Mexico, Logan Hall MSC03-2220, 1 University of New Mexico, Albuquerque, NM, United States;1. Department of Research, Cizik School of Nursing at the University of Texas Health Science Center Houston, SON 592, 6901 Bertner Ave., Houston, TX 77030 USA;2. The SHARP Research Lab, University of Connecticut, Storrs, CT 06268 USA;3. The Hope and Healing Center and Institute, Behavioural Health Research, 717 Sage Rd., Houston, TX 77056, USA;1. University of the Sciences, Substance Use Disorders Institute, United States;2. Syracuse University, Lerner Center for Public Health Promotion, United States;3. Alano Club of Portland, United States;4. Unity Recovery, United States;5. University of Texas Health Science Center San Antonio, Department of Psychiatry and Behavioral Sciences, United States;6. Harvard Medical School, Recovery Research Institute, Massachusetts General Hospital, United States;1. School of Psychology, Faculty of Arts, Social Sciences and Humanities, University of Wollongong, Australia;2. Illawarra Health and Medical Research Institute, University of Wollongong, Australia;3. School of Medicine and Public Health, University of Newcastle, Australia;4. Monash Addiction Research Centre (MARC), Eastern Health Clinical School, Monash University, Australia;5. Turning Point, Eastern Health, Australia;6. Centre for Youth Substance Abuse Research, Lives Lived Well Group, School of Psychology, University of Queensland, Australia;7. National Drug and Alcohol Research Centre, University of New South Wales, Australia;8. SMART Recovery Australia, Sydney, Australia |
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| Abstract: | ObjectiveIndividuals in recovery for substance use disorders (SUDs) increasingly use online social support forums, necessitating research on how communicating through these forums can affect recovery. This study examines how giving and receiving support within an SUDs recovery forum predict substance use, and considers whether effects vary according to participants’ self-efficacy.MethodsWe applied content analysis to 3440 messages that were posted by 231 participants in an online SUDs forum. Surveys assessed social support reception and substance use at three timepoints. We assessed relationships between giving and receiving support and substance use (risky drinking days, illicit drug use days), and the interactions between self-efficacy and social support in predicting substance use outcomes.ResultsReceiving more emotional support was associated with reduced illicit drug use at 6 and 12 months. For those with low self-efficacy, giving more emotional support predicted less risky drinking at month 12, whereas giving more informational support predicted more risky drinking at month 12.ConclusionThese results suggest conditional benefits of exchanging support in an online SUDs forum, depending upon type of support (informational versus emotional), the participants’ role (giver or receiver), and their self-efficacy.Practice implicationsWe discuss implications for designing and using peer-to-peer support platforms. |
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| Keywords: | Substance use disorders Emotional support reception Social support expression Online support groups Self-efficacy |
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