Evidence map›Paper›PMID 34601276›Full record

ArticleDrug and alcohol dependence2021

Disclosure processes as predictors of relationship outcomes among people in recovery from opioid use disorder: A longitudinal analysis.

Valerie A Earnshaw, Karen R Sepucha, Jean-Philippe Laurenceau, S V Subramanian, Natalie M Brousseau, Stephenie R Chaudoir, E Carly Hill, Lynn M Morrison, John F Kelly

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Drug and alcohol dependence, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.5field-weighted citation impact, top 17% of its field
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

6 citing papers in PubMed, 11 citations in OpenAlex.

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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

9 authors at 4 institutions in 1 country.

Valerie A EarnshawDepartment of Human Development and Family Sciences, University of Delaware, 111 Alison Hall West, Newark, DE 19716, USA. Electronic address: earnshaw@udel.edu.
Karen R SepuchaHealth Decision Sciences Center, Massachusetts General Hospital and Harvard Medical School, 100 Cambridge St, Suite 1600, Boston, MA 02114, USA. Electronic address: KSEPUCHA@mgh.harvard.edu.
Jean-Philippe LaurenceauDepartment of Psychological and Brain Sciences, University of Delaware, 231 Wolf Hall, Newark, DE, 19716, USA. Electronic address: jlaurenc@udel.edu.
S V SubramanianHarvard Center for Population and Development Studies, Cambridge, MA, USA; Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston MA, 02115, USA. Electronic address: svsubram@hsph.harvard.edu.
Natalie M BrousseauDepartment of Human Development and Family Sciences, University of Delaware, 111 Alison Hall West, Newark, DE 19716, USA; Institute for Collaboration on Health, Intervention, and Policy, Univeristy of Connecticut, 626 Gilbert Road, Storrs, CT 06268, USA. Electronic address: Nbrousseau@uconn.edu.
Stephenie R ChaudoirPsychology Department, College of the Holy Cross, 1 College Street, Worcester, MA 01610, USA. Electronic address: schaudoi@holycross.edu.
E Carly HillDepartment of Human Development and Family Sciences, University of Delaware, 111 Alison Hall West, Newark, DE 19716, USA. Electronic address: ehill@udel.edu.
Lynn M MorrisonBrandywine Counseling and Community Services, 2713 Lancaster Avenue, Wilmington, DE, USA. Electronic address: lmorrison@brandywinecounseling.org.
John F KellyRecovery Research Institute, Massachusetts General Hospital, Boston, USA; Harvard Medical School, 151 Merrimac St, 6th Floor, Boston, MA 02114, USA. Electronic address: JKELLY11@mgh.harvard.edu.
University of Delaware · USHarvard University · USCollege of the Holy Cross · USMassachusetts General Hospital · US

Funding

Training in Social Processes of HIV/AIDST32MH074387 · NIMH · UNIVERSITY OF CONNECTICUT STORRS · PI KALICHMAN, SETH C · 2006 to 2020
$3.9M
Mentoring in Patient-Oriented Addiction ResearchK24AA022136 · NIAAA · MASSACHUSETTS GENERAL HOSPITAL · PI KELLY, JOHN F. · 2014 to 2023
$1.8M
Understanding and Addressing Disclosure to Members of Social Networks among People Recovering from Substance Use DisordersK01DA042881 · NIDA · UNIVERSITY OF DELAWARE · PI EARNSHAW, VALERIE ANN · 2017 to 2020
$756k
NIAAA NIH HHS K24 AA022136NIDA NIH HHS K01 DA042881NIMH NIH HHS T32 MH074387
6 · The paper itself

Abstract

backgroundPersonal disclosure of opioid use disorder (OUD) recovery can lead to relationship outcomes such as social support, which is associated with greater treatment retention, or stigma, which is associated with risk of treatment dropout. Although disclosure may have important impacts on the relationships and ensuing recovery trajectories of people with OUD, disclosure processes remain understudied in the context of OUD.

methodsGuided by the Disclosure Process Model, this longitudinal study explored the disclosure goals of people in treatment for OUD and examined associations between disclosure goals and relationship outcomes. Data were collected at baseline (N = 146) and three months later (n = 124) from participants who were in treatment for OUD and planning to disclose their OUD history and/or treatment to someone new.

resultsQualitative baseline data were analyzed to identify disclosure goals. Approach goals (i.e., reasons for disclosure) included support, honesty, amends, set an example, and logistics; avoidance goals (i.e., reasons against disclosure) included judgment, worry, and privacy. Quantitative data suggested that approach goals at baseline were associated with greater likelihood of disclosure within three months (OR=2.16, 95% CI=1.04-4.49) as well as with greater social support [B(SE)= 0.35(0.16), p = 0.03] and relationship closeness [B(SE)= 0.29(0.17), p = 0.01] following disclosures. In contrast, avoidance goals at baseline were associated with greater enacted stigma following disclosures [B(SE)= 0.30(0.14), p = 0.04].

conclusionsFindings draw attention to the potentially important role of disclosures in relationship outcomes among people in recovery from OUD. Disclosure may represent a promising intervention target to improve relationship outcomes and recovery trajectories of people in recovery from OUD.

Indexed as

DisclosureOpioid-Related DisordersHumansLongitudinal StudiesSocial StigmaDisclosureOpioid use disorderSocial supportStigma

Identifiers

PMID34601276
PMCPMC12159682
OpenAlexW3202162373

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.