Evidence map›Paper›PMID 24945357›Full record

ArticlePloS one2014

Young adults, social networks, and addiction recovery: post treatment changes in social ties and their role as a mediator of 12-step participation.

John F Kelly, Robert L Stout, M Claire Greene, Valerie Slaymaker

Abstract read
In one paragraph

Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

40 citing papers in PubMed.

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  4. Day-level shifts in social contexts during youth cannabis use treatment.Journal of consulting and clinical psychology · 2021
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  12. Do posttreatment increases in social recovery capital mediate the relationship between lower internalizing symptoms and less substance use?Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

John F KellyCenter for Addiction Medicine Departments of Psychiatry Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, United States of America.
Robert L StoutPacific Institute for Research and Evaluation, Providence, Rhode Island, United States of America.
M Claire GreeneCenter for Addiction Medicine Departments of Psychiatry Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, United States of America.
Valerie SlaymakerHazelden Foundation, Center City, Minnesota, United States of America.

Funding

MECHANISMS AND MODERATORS OF CHANGE AMONG YOUTH TREATED FOR ALCOHOL USE DISORDERSR21AA018185 · NIAAA · MASSACHUSETTS GENERAL HOSPITAL · PI KELLY, JOHN F. · 2010 to 2011
$481k
NIAAA NIH HHS 1R21AA018185-01A2NIAAA NIH HHS R21 AA018185
6 · The paper itself

Abstract

backgroundSocial factors play a key role in addiction recovery. Research with adults indicates individuals with substance use disorder (SUD) benefit from mutual-help organizations (MHOs), such as Alcoholics Anonymous, via their ability to facilitate adaptive network changes. Given the lower prevalence of sobriety-conducive, and sobriety-supportive, social contexts in the general population during the life-stage of young adulthood, however, 12-step MHOs may play an even more crucial recovery-supportive social role for young adults, but have not been investigated. Greater knowledge could enhance understanding of recovery-related change and inform young adults' continuing care recommendations.

methodsEmerging adults (N = 302; 18-24 yrs; 26% female; 95% White) enrolled in a study of residential treatment effectiveness were assessed at intake, 1, 3, 6, and 12 months on 12-step attendance, peer network variables ("high [relapse] risk" and "low [relapse] risk" friends), and treatment outcomes (Percent Days Abstinent; Percent Days Heavy Drinking). Hierarchical linear models tested for change in social risk over time and lagged mediational analyses tested whether 12-step attendance conferred recovery benefits via change in social risk.

resultsHigh-risk friends were common at treatment entry, but decreased during follow-up; low-risk friends increased. Contrary to predictions, while substantial recovery-supportive friend network changes were observed, this was unrelated to 12-step participation and, thus, not found to mediate its positive influence on outcome.

conclusionsYoung adult 12-step participation confers recovery benefit; yet, while encouraging social network change, 12-step MHOs may be less able to provide social network change directly for young adults, perhaps because similar-aged peers are less common in MHOs. Findings highlight the importance of both social networks and 12-step MHOs and raise further questions as to how young adults benefit from 12-step MHOs.

Indexed as

NegotiatingSocial NetworkingSocial SupportAdolescentFemaleFollow-Up StudiesHumansMaleRisk FactorsSubstance-Related DisordersTime FactorsTreatment OutcomeYoung Adult

Identifiers

PMID24945357
PMCPMC4063778

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.