ArticlePsychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors2025
Substance use negatively impacts change in reinforcement during the year following substance use treatment.
Article in Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveAlthough research supports an association between increased alternative reinforcement and decreased substance use, the impact of substance use on changes in reinforcement during posttreatment recovery remains untested. This study tested the effect of abstinence duration and substance use frequency on the trajectories of four reinforcement mechanisms, behavioral activation, reward probability, reward barriers, and valued living, from pre- to 12-month posttreatment.
methodAdults in intensive outpatient substance use disorder treatment (
resultsLower substance use frequency was associated with significantly improved behavioral activation, reward probability, and reward barriers across the posttreatment period (
conclusionsSubstance-free reinforcement improves during treatment and is negatively impacted by substance use frequency during posttreatment. Abstinence duration is positively associated with substance-free reinforcement at 12-month posttreatment. These findings support the conceptualization of reinforcement as a malleable treatment target that is negatively impacted by substance use. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
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