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

Author

Listed:
  • Deborah Louise Sinclair

    (Department of Psychology, University of the Western Cape, Cape Town 7535, South Africa
    Department of Special Needs Education, Ghent University, 9000 Ghent, Belgium)

  • Steve Sussman

    (Department of Population and Public Health Sciences, University of Southern California, Los Angeles, CA 90032, USA)

  • Maarten De Schryver

    (Faculty of Psychology and Educational Sciences, Faculty Research Support Office, Ghent University, 9000 Ghent, Belgium)

  • Cedric Samyn

    (Department of Special Needs Education, Ghent University, 9000 Ghent, Belgium)

  • Sabirah Adams

    (Centre for Higher Education Development, Language Development Group, University of Cape Town, Cape Town 7701, South Africa)

  • Maria Florence

    (Department of Psychology, University of the Western Cape, Cape Town 7535, South Africa)

  • Shazly Savahl

    (Centre for Interdisciplinary Studies of Children, Families and Society, University of the Western Cape, Cape Town 7535, South Africa)

  • Wouter Vanderplasschen

    (Department of Special Needs Education, Ghent University, 9000 Ghent, Belgium)

Abstract

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.

Suggested Citation

  • Deborah Louise Sinclair & Steve Sussman & Maarten De Schryver & Cedric Samyn & Sabirah Adams & Maria Florence & Shazly Savahl & Wouter Vanderplasschen, 2021. "Substitute Behaviors following Residential Substance Use Treatment in the Western Cape, South Africa," IJERPH, MDPI, vol. 18(23), pages 1-16, December.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:23:p:12815-:d:695521
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    References listed on IDEAS

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    Cited by:

    1. Steve Sussman & Deborah Louise Sinclair, 2022. "Substance and Behavioral Addictions, and Their Consequences among Vulnerable Populations," IJERPH, MDPI, vol. 19(10), pages 1-5, May.

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