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Structural Ecosystems Therapy for HIV+ African American Women and Drug Abuse Relapse
Family Process
  • D.J. Feaster
  • V.B. Mitrani
  • Myron J. Burns, Nova Southeastern University
  • A.M. Brincks
  • G. Prado
  • M.H. Mauer
  • J. Szapocznik
Document Type
Publication Date
  • Ecosystems,
  • Family,
  • Drug Abuse,
  • Relapse,
This report examines the effect of Structural Ecosystems Therapy (SET) for (n=143) HIV+ African American women on rate of relapse to substance use relative to both a person-centered approach (PCA) to therapy and a community control (CC) group. A prior report has shown SET to decrease psychological distress and family hassles relative to these two comparison groups. In new analyses, SET and CC had a significant protective effect against relapse as compared to PCA. There is evidence that SET’s protective effect on relapse was related to reductions in family hassles, whereas there was not a direct impact of change in psychological distress on rates of relapse. Lower retention in PCA, perhaps caused by the lack of a directive component to PCA may have put these women at greater risk for relapse. Whereas SET did not specifically address substance abuse, SET indirectly protected at-risk women from relapse through reductions in family hassles.
Citation Information
D.J. Feaster, V.B. Mitrani, Myron J. Burns, A.M. Brincks, et al.. "Structural Ecosystems Therapy for HIV+ African American Women and Drug Abuse Relapse" Family Process Vol. 49 Iss. 2 (2010) p. 204 - 219 ISSN: 0014-7370
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