Substitute Behaviors and Quality of Life in Persons with Substance Use Disorders: Evidence from South Africa

While recognized as central to recovery in persons with substance use disorders (SUDs), quality of life (QoL) remains an understudied area concerning substitute behaviors and behavioral addictions. Substitution is here defined as the acquisition of potentially addictive compensatory behaviors while abstaining from an SUD. To aid researchers and practitioners in better understanding the nature and dynamics of substitute behaviors and their interplay with QoL, the field requires further study, particularly in low- and middle-income countries, and regarding behavioral substitutes for SUDs. In this chapter, we offer insights informed by a prospective quantitative study of (substance and behavioral) substitute behaviors undertaken with service users (n = 137) from residential substance use treatment facilities in South Africa. We conclude with a discussion of implications for QoL-related service and recovery, support needs to promote an enduring recovery, and avenues for further research.