Fox, Patrick

Substance use disorder (SUD) is a pervasive psychological disorder detrimentally impacting both individuals and society on a psychological, economic, and social level. The best protocol for treating SUD as well as what defines success in treatment is often debated in the research. However, researchers agree that different psychosocial factors can influence outcomes. The literature suggests that mood, dark personality traits (narcissism and psychopathy), social supports, and state of change may be associated with treatment for SUD. The current study explored whether these factors predicted the type of treatment (abstinence-based or harm reduction) individuals with SUD were in. The sample consisted of 37 participants in a 12-step abstinence-based program and 65 in a harm reduction program at a local hospital. Results indicated that those in abstinence-based groups reported significantly fewer symptoms of anxiety and depression, lower levels of narcissism and psychopathy, more social supports, and advanced stage of change in comparison to those attending a harm reduction program. In addition, depression, narcissism, and perceived social support were significant predictors of treatment group membership. These findings suggest that those involved in abstinence-based groups appear to experience overall more wellness than those in harm reduction. Although further research is needed to specify the relations among factors, this study is a step towards understanding the difference between people who utilize one program versus another.

Author Keywords: Abstinence, Addiction, Harm Reduction, Personality, Treatment