Substitute Behaviors following Residential Substance Use Treatment in the Western Cape, South Africa

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dc.contributor.authorSinclair, Deborah Louise
dc.contributor.authorSussman, Steve
dc.contributor.authorDe Schryver, Maarten
dc.contributor.authorSamyn, Cedric
dc.contributor.authorAdams, Sabirah
dc.contributor.authorFlorence, Maria
dc.contributor.authorSavahl, Shazly
dc.contributor.authorVanderplasschen, Wouter
dc.date.accessioned2021-12-10T10:02:20Z
dc.date.available2021-12-10T10:02:20Z
dc.date.issued2021-12-05
dc.date.updated2021-12-09T14:32:02Z
dc.description.abstractThe dynamics of substitute behaviors and associated factors remain poorly understood globally, and particularly in low- and middle-income contexts. This prospective study describes the prevalence and types of substitute behaviors as well as predictors, correlates, and motivations associated with substitution in persons (n = 137) admitted to residential substance use treatment in the Western Cape province of South Africa. The brief assessment of recovery capital, overall life satisfaction scale, and an adapted version of the addiction matrix self-report measure were completed during and post-treatment. Results indicate that substitutes were employed consciously for anticipated appetitive effects, for time-spending, (re)connecting with others, and enjoyment. At follow-up, 36% of service users had substituted their primary substance(s) with another substance or behavior; 23% had relapsed and 40% had maintained abstinence. While some service users may be especially vulnerable to developing substitute behaviors, targeted prevention and intervention efforts can reduce this risk.en_US
dc.identifierdoi: 10.3390/ijerph182312815
dc.identifier.apacitationSinclair, D. L., Sussman, S., De Schryver, M., Samyn, C., Adams, S., Florence, M., ... Vanderplasschen, W. (2021). Substitute Behaviors following Residential Substance Use Treatment in the Western Cape, South Africa. <i>International Journal of Environmental Research and Public Health</i>, 18(23), 12815. http://hdl.handle.net/11427/35452en_ZA
dc.identifier.chicagocitationSinclair, Deborah Louise, Steve Sussman, Maarten De Schryver, Cedric Samyn, Sabirah Adams, Maria Florence, Shazly Savahl, and Wouter Vanderplasschen "Substitute Behaviors following Residential Substance Use Treatment in the Western Cape, South Africa." <i>International Journal of Environmental Research and Public Health</i> 18, 23. (2021): 12815. http://hdl.handle.net/11427/35452en_ZA
dc.identifier.citationSinclair, D.L., Sussman, S., De Schryver, M., Samyn, C., Adams, S., Florence, M., Savahl, S. & Vanderplasschen, W. et al. 2021. Substitute Behaviors following Residential Substance Use Treatment in the Western Cape, South Africa. <i>International Journal of Environmental Research and Public Health.</i> 18(23):12815. http://hdl.handle.net/11427/35452en_ZA
dc.identifier.ris TY - Journal Article AU - Sinclair, Deborah Louise AU - Sussman, Steve AU - De Schryver, Maarten AU - Samyn, Cedric AU - Adams, Sabirah AU - Florence, Maria AU - Savahl, Shazly AU - Vanderplasschen, Wouter AB - The dynamics of substitute behaviors and associated factors remain poorly understood globally, and particularly in low- and middle-income contexts. This prospective study describes the prevalence and types of substitute behaviors as well as predictors, correlates, and motivations associated with substitution in persons (n = 137) admitted to residential substance use treatment in the Western Cape province of South Africa. The brief assessment of recovery capital, overall life satisfaction scale, and an adapted version of the addiction matrix self-report measure were completed during and post-treatment. Results indicate that substitutes were employed consciously for anticipated appetitive effects, for time-spending, (re)connecting with others, and enjoyment. At follow-up, 36% of service users had substituted their primary substance(s) with another substance or behavior; 23% had relapsed and 40% had maintained abstinence. While some service users may be especially vulnerable to developing substitute behaviors, targeted prevention and intervention efforts can reduce this risk. DA - 2021-12-05 DB - OpenUCT DP - University of Cape Town IS - 23 J1 - International Journal of Environmental Research and Public Health LK - https://open.uct.ac.za PY - 2021 T1 - Substitute Behaviors following Residential Substance Use Treatment in the Western Cape, South Africa TI - Substitute Behaviors following Residential Substance Use Treatment in the Western Cape, South Africa UR - http://hdl.handle.net/11427/35452 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/35452
dc.identifier.vancouvercitationSinclair DL, Sussman S, De Schryver M, Samyn C, Adams S, Florence M, et al. Substitute Behaviors following Residential Substance Use Treatment in the Western Cape, South Africa. International Journal of Environmental Research and Public Health. 2021;18(23):12815. http://hdl.handle.net/11427/35452.en_ZA
dc.language.isoenen_US
dc.publisher.departmentADP: Language Development Groupen_US
dc.publisher.facultyCentre for Higher Education Developmenten_US
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en_US
dc.sourceInternational Journal of Environmental Research and Public Healthen_US
dc.source.journalissue23en_US
dc.source.journalvolume18en_US
dc.source.pagination12815en_US
dc.source.urihttps://www.mdpi.com/journal/ijerph
dc.titleSubstitute Behaviors following Residential Substance Use Treatment in the Western Cape, South Africaen_US
dc.typeJournal Articleen_US
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