Skip to main content

Advertisement

SpringerLink
Log in

Changes in Religious Coping and Relapse to Drug Use Among Opioid-Dependent Patients Following Inpatient Detoxification

  • Original Paper
  • Published:
Journal of Religion and Health Aims and scope Submit manuscript

Abstract

Relapse rates remain high among people with opioid dependence. Identifying psychosocial factors associated with outcomes is important for informing behavioral treatments. This study examined religious coping, opioid use, and 12-step participation among 45 participants receiving inpatient opioid detoxification at baseline and follow-up. At baseline, higher positive coping was related to less frequent opioid use pre-admission (β = −.44, p < .001) and history of 12-step participation (OR = 2.33, p < .05). Decreases in negative coping after discharge predicted less opioid use (β = .55, p < .001), and increases in positive coping predicted more frequent 12-step program participation (β = .42, p < .05). Positive religious coping may be protective, while negative religious coping may be a barrier to treatment.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  • Alcoholics Anonymous. (2001). Alcoholics anonymous: The story of how many thousands of men and women have recovered from alcoholism (4th ed.). New York: Alcoholics Anonymous World Series.

    Google Scholar 

  • APA. (2000). Diagnostic and statistical manual of mental disorders, text revision (4th ed.). Washington, DC: American Psychiatric Association.

    Google Scholar 

  • Bazargan, S., Sherkat, D., & Bazargan, M. (2004). Religion and alcohol use among african-american and hispanic inner-city emergency care patients. Journal for the Scientific Study of Religion, 43(3), 419–428.

    Article  Google Scholar 

  • Bearon, L. B., & Koenig, H. B. (1990). Religious cognitions and use of prayer in health and illness. The Gerontologist, 30(2), 249–253.

    Article  PubMed  CAS  Google Scholar 

  • Bjork, J. P., & Cohen, L. H. (1993). Coping with threats, losses, and challenges. Journal of Social & Clinical Psychology, 12(1), 56–72.

    Article  Google Scholar 

  • Breitbart, W. (2002). Spirituality and meaning in supportive care: Spirituality- and meaning-centered group psychotherapy interventions in advanced cancer. Supportive Care in Cancer, 10(4), 272–280.

    Article  PubMed  Google Scholar 

  • Brown, A. E., Pavlik, V. N., Shegog, R., Whitney, S. N., Friedman, L. C., Romero, C., et al. (2007). Association of spirituality and sobriety during a behavioral spirituality intervention for twelve step (TS) recovery. American Journal of Drug and Alcohol Abuse, 33(4), 611–617.

    Article  PubMed  Google Scholar 

  • Cecero, J. J., & Fried, A. L. (2005). Parental rejection and religiosity: Differential predictors of mood and substance use. In R. L. Piedmont (Ed.), Research in the social scientific study of religion (Vol. 16, pp. 185–206). Boston, MA: Brill Academic Publishers.

    Google Scholar 

  • Exline, J. J. (2002). Stumbling blocks on the religious road: Fractured relationships, nagging vices, and the inner struggle to believe. Psychological Inquiry, 13(3), 182–189.

    Article  Google Scholar 

  • Fiellin, D. A., Pantalon, M. V., Chawarski, M. C., Moore, B. A., Sullivan, L. E., O’Connor, P. G., et al. (2006). Counseling plus buprenorphine-naloxone maintenance therapy for opioid dependence. New England Journal of Medicine, 355(4), 365–374.

    Article  PubMed  CAS  Google Scholar 

  • Galanter, M., Dermatis, H., Talbot, N., McMahon, C., & Alexander, M. (2009). Introducing spirituality into psychiatric care. Journal of Religion and Health.

  • George, L. K., Ellison, C. G., & Larson, D. B. (2002). Explaining the relationships between religious involvement and health. Psychological Inquiry, 13(3), 190–200.

    Article  Google Scholar 

  • Gossop, M., Stewart, D., Browne, N., & Marsden, J. (2002). Factors associated with abstinence, lapse, and relapse to heroin use after residential treatment: Protective effect of coping responses. Addiction, 97, 1259–1267.

    Article  PubMed  Google Scholar 

  • Hall, D. E., Meador, K. G., & Koenig, H. G. (2008). Measuring religiousness in health research: Review and critique. Journal Religion and Health, 47(2), 134–163.

    Article  Google Scholar 

  • Hser, Y. I., Hoffman, V., Grella, C. E., & Anglin, M. D. (2001). A 33 year follow-up of narcotic addicts. Archives of General Psychiatry, 58(5), 503–508.

    Article  PubMed  CAS  Google Scholar 

  • Jacobsen, L. K., Southwick, S. M., & Kosten, T. R. (2001). Substance use disorders in patients with posttraumatic stress disorder: A review of the literature. American Journal of Psychiatry, 158(8), 1184–1190.

    Article  PubMed  CAS  Google Scholar 

  • Jones, H. E. (2004). Practical considerations for the clinical use of buprenorphine. Science & Practice Perspectives, 2(2), 4–20.

    Article  Google Scholar 

  • Koenig, H. G., Cohen, H. J., Blazer, D. G., Pieper, C., Meador, K. G., Shelp, F., et al. (1992). Religious coping and depression among elderly, hospitalized medically ill men. American Journal of Psychiatry, 149(12), 1693–1700.

    PubMed  CAS  Google Scholar 

  • Ling, W., Amass, L., Shoptaw, S., Annon, J. J., Hillhouse, M., Babcock, D., et al. (2005). A multi-center randomized trial of buprenorphine-naloxone versus clonidine for opioid detoxification: Findings from the national institute on drug abuse clinical trials network. Addiction, 100(8), 1090–1100.

    Article  PubMed  Google Scholar 

  • Meade, C., Lukas, S. E., McDonald, L. J., Fitzmaurice, G. M., Eldridge, J. A., Merrill, N., et al. (2010). A randomized trial of transcutaneous electric acupoint stimulation as adjunctive treatment for opioid detoxification. Journal of Substance Abuse Treatment, 38(1), 12–21.

    Article  PubMed  Google Scholar 

  • Medicine, I. O. (1997). Dispelling the myths about addiction: strategies to increase understanding and strengthen research. Washington, DC: National Academies Press.

    Google Scholar 

  • Miller, W. R., & Baca, J. C. D. (2001). Quantum change: When epiphanies and sudden insights transform ordinary lives. New York: Guilford Press.

    Google Scholar 

  • Miller, W. R., & Thoresen, C. E. (1999). Spirituality and health. In W. R. Miller (Ed.), Integrating spirituality into treatment: Resources for practitioners (pp. 3–18). Washington, DC: American Psychological Association.

    Chapter  Google Scholar 

  • Moos, R. H., & Moos, B. S. (2006). Participation in treatment and alcoholics anonymous: A 16 year follow-up of initially untreated individuals. Journal of Clinical Psychology, 62(6), 735–750.

    Article  PubMed  Google Scholar 

  • Morgenstern, J., Labouvie, E., McCrady, B. S., Kahler, C. W., & Frey, R. M. (1997). Affiliation with alcoholics anonymous after treatment: A study of its therapeutic effects and mechanisms of action. Journal of Consulting and Clinical Psychology, 65(5), 768–777.

    Article  PubMed  CAS  Google Scholar 

  • Oxman, T. E., Freeman, D. H., Jr., & Manheimer, E. D. (1995). Lack of social participation or religious strength and comfort as risk factors for death after cardiac surgery in the elderly. Psychosomatic Medicine, 57(1), 5–15.

    PubMed  CAS  Google Scholar 

  • Pargament, K. I. (1997). The psychology of religion and coping: Theory, research, and practice. New York: Guilford Press.

    Google Scholar 

  • Pargament, K. I., & Hahn, J. (1986). God and the just world: causal and coping attributions to god in health situations. Journal for the Scientific Study of Religion, 25(2), 193–207.

    Article  Google Scholar 

  • Pargament, K. I., Koenig, H., & Perez, L. M. (2000). The many methods of religious coping: Development and initial validation of the RCOPE. Journal of Clinical Psychology, 56, 519–543.

    Article  PubMed  CAS  Google Scholar 

  • Piderman, K. M., Schneekloth, T. D., Pankratz, V. S., Maloney, S. D., & Altchuler, S. I. (2007). Spirituality in alcoholics during treatment. American Journal on Addictions, 16(3), 232–237.

    Article  PubMed  Google Scholar 

  • Robinson, E. A., Cranford, J. A., Webb, J. R., & Brower, K. J. (2007). Six-month changes in spirituality, religiousness, and heavy drinking in a treatment-seeking sample. Journal of Studies on Alcohol and Drugs, 68(2), 282–290.

    PubMed  Google Scholar 

  • Russell, S. R., & Yarhouse, M. A. (2006). Training in religion/spirituality within APA-accredited psychology predoctoral internships. Professional psychology: Research and practice, 37(4), 430–436.

    Article  Google Scholar 

  • SAMSHA. (2008). Results from the 2007 national survey on drug use and health: national findings. Rockville, MD: Substance Abuse and Mental Health Services Administration, Office of Applied Studies.

    Google Scholar 

  • Shafranske, E. P., & Malony, H. N. (1990). Clinical psychologists’ religious and spiritual orientations and their practice of psychotherapy. Psychotherapy: Theory, Research, Practice, Training, 27(1), 72–78.

    Article  Google Scholar 

  • Sobell, L. C., & Sobell, M. B. (1996). Timeline follow back: A calendar method for assessing alcohol and drug use. Toronto: Addiction Research Foundation.

    Google Scholar 

  • Spiegel, D., Kraemer, H., Bloom, J., & Gottheil, E. (1989). Effect of psychosocial treatment on survival of patients with metastatic breast cancer. The Lancet, 334(8668), 888–891.

    Article  Google Scholar 

  • Tonigan, J. S., Connors, G. J., & Miller, W. R. (1996). Alcoholics anonymous involvement (AAI) scale: Reliability and norms. Psychology of Addictive Behaviors, 10(2), 75–80.

    Article  Google Scholar 

  • Woody, G. E., Poole, S. A., Subramaniam, G., Dugosh, K., Bogenschutz, M., Abbott, P., et al. (2008). Extended vs short-term buprenorphine-naloxone for treatment of opioid-addicted youth: A randomized trial. JAMA, 300(17), 2003–2011.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USA

    Eve S. Puffer & Christina S. Meade

  2. Duke Global Health Institute, 310 Trent Drive, Room 239, Trent Hall, Durham, NC, 27710, USA

    Eve S. Puffer, Linda M. Skalski & Christina S. Meade

  3. Department of Psychology and Neuroscience, Duke University, 249 Soc/Psych, Box 90086, Durham, NC, 27708, USA

    Linda M. Skalski

Authors
  1. Eve S. Puffer
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Linda M. Skalski
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Christina S. Meade
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Eve S. Puffer.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Puffer, E.S., Skalski, L.M. & Meade, C.S. Changes in Religious Coping and Relapse to Drug Use Among Opioid-Dependent Patients Following Inpatient Detoxification. J Relig Health 51, 1226–1238 (2012). https://doi.org/10.1007/s10943-010-9418-8

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10943-010-9418-8

Keywords

Search

Navigation