Journal of Religion and Health

, Volume 51, Issue 4, pp 1226–1238

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

  • Eve S. Puffer
  • Linda M. Skalski
  • Christina S. Meade
Original Paper


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.


Religious coping Opioid dependence Opioid detoxification Spirituality 12-step program 


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Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Eve S. Puffer
    • 1
    • 2
  • Linda M. Skalski
    • 2
    • 3
  • Christina S. Meade
    • 1
    • 2
  1. 1.Department of Psychiatry and Behavioral SciencesDuke University Medical CenterDurhamUSA
  2. 2.Duke Global Health InstituteDurhamUSA
  3. 3.Department of Psychology and NeuroscienceDuke UniversityDurhamUSA

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