| Summary: | <p> The purpose of this research study was to determine the effects of Fostering Resilience™ (FR), a new integrative relapse prevention group protocol for improving relapse risk, internalized shame, and psychological well-being in adults with substance use disorders (SUD). This study also sought to identify any relationship among relapse risk, internalized shame, and psychological well-being. It is the first study to investigate the new FR manualized program model compared to treatment as usual (TAU). The FR model was created based upon direct client experience, the supposition of the intrinsic role shame plays in SUD, and the corresponding belief in the essential value of implementing shame reduction techniques for improving treatment outcomes. Participants were 43 adults with SUD (19 FR and 24 TAU) seeking outpatient treatment. All participants received the 8-week intensive outpatient (IOP) treatment, with the FR group receiving 16 sessions of the manualized FR relapse prevention group protocol in lieu of other TAU group options. Assessments were administered pre and post-intervention. </p><p> Results indicated that the FR treatment group produced a significant reduction in relapse risk (<i>p</i> = .002, <i>ES</i> = .825), shame (<i>p</i> = .004, <i>ES</i> = .763), and psychological well-being (<i>p</i> = .008, <i>ES</i> = .679) from baseline to post-intervention, while the TAU comparison group produced a non-significant improvement in relapse risk (<i>p</i> = .209, <i> ES</i> = .264), shame (<i>p</i> = 055, <i>ES</i> = .409) and psychological well-being (<i>p</i> = .088, <i> ES</i> = .456). Correlation results indicated highly significant correlations between all the dependent variables. All correlations dropped post-intervention, although remained significant. The strongest relationship was found between shame and relapse risk at baseline: ALL (<i>n</i> = 43, <i> r</i> = .880), FR <i>n</i> = 19, <i>r</i> = .869), TAU <i>n</i> = 24, <i>r</i> = .908). This preliminary study establishes support for the new FR model as a beneficial treatment for significantly improving relapse risk, internalized shame, and psychological well-being in adults with SUD. It also provides important knowledge and insight regarding the critical nature of shame and its role relative to relapse risk and psychological well-being in those with SUD.</p><p>
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