Substitute behaviors following residential substance use treatment in the Western Cape, South Africa

dc.contributor.authorSinclair, Deborah Louise
dc.contributor.authorSussman, Steve
dc.contributor.authorDe Schryver, Maarten
dc.date.accessioned2022-01-13T10:28:58Z
dc.date.available2022-01-13T10:28:58Z
dc.date.issued2021
dc.description.abstractThe dynamics of substitute behaviors and associated factors remain poorly understood globally, and particularly in low- and middle-income contexts. This prospective study describes the prevalence and types of substitute behaviors as well as predictors, correlates, and motivations associated with substitution in persons (n = 137) admitted to residential substance use treatment in the Western Cape province of South Africa. The brief assessment of recovery capital, overall life satisfaction scale, and an adapted version of the addiction matrix self-report measure were completed during and post-treatment. Results indicate that substitutes were employed consciously for anticipated appetitive effects, for time-spending, (re)connecting with others, and enjoyment. At follow-up, 36% of service users had substituted their primary substance(s) with another substance or behavior; 23% had relapsed and 40% had maintained abstinence. While some service users may be especially vulnerable to developing substitute behaviors, targeted prevention and intervention efforts can reduce this risk.en_US
dc.identifier.citationSinclair, D. L. et al. (2021). Substitute behaviors following residential substance use treatment in the Western Cape, South Africa. International Journal of Environmental Research and Public Health, 18(23), 12815. 10.3390/ijerph182312815en_US
dc.identifier.issn1660-4601
dc.identifier.uri10.3390/ijerph182312815
dc.identifier.urihttp://hdl.handle.net/10566/7089
dc.language.isoenen_US
dc.publisherMPDIen_US
dc.subjectSubstitute behaviorsen_US
dc.subjectSubstance useen_US
dc.subjectBehavioral addictionsen_US
dc.subjectSubstance use treatmenten_US
dc.subjectWestern Capeen_US
dc.subjectDrugsen_US
dc.titleSubstitute behaviors following residential substance use treatment in the Western Cape, South Africaen_US
dc.typeArticleen_US

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