Reasons to be cheerful: Personal, civic, and economic achievements after resolving an alcohol or drug problem in the United States population.
Reasons to be cheerful: Personal, civic, and economic achievements after resolving an alcohol or drug problem in the United States population.
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DOI：
10.1037/adb0000689
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发表时间：
2021-06
期刊：
影响因子：
--
通讯作者：
Kelly JF
中科院分区：
文献类型：
--
作者：
Eddie D;White WL;Vilsaint CL;Bergman BG;Kelly JF
酒精和其他药物（AOD）使用障碍对个人和社会造成巨大负担。虽然大多数人都知道，但人们在完成和维持成瘾康复过程中所取得的成就却鲜为人知。更多地了解这些成就的性质和普遍程度、何时取得这些成就、哪些因素影响成就的累积、以及这些成就与其他功能指标的关系，将有助于治疗和政策规划，并可能为寻求解决不良生活习惯障碍问题的个人和家庭注入希望。对美国（US）克服AOD问题的人口（N= 2002）进行具有全国代表性的横断面调查，评估个人因素和四个领域的成就：自我完善；家庭参与;公民和经济参与。逻辑回归和线性回归模型检验了变量之间的理论关联。大多数（80.1%）至少取得了与这四个领域相关的一项成就。恢复时间越长，取得的成绩越高，呈线性单调关系。解决AOD问题后的累积成就与少数种族身份、受教育程度、开始使用药物的年龄、使用非法药物作为主要物质、解决AOD问题的时间更长、更多的精神诊断、更低的心理困扰和定期参加12步治疗计划有关。多元回归分析发现，更大的总成就与更强的自尊、幸福感、生活质量和恢复资本独立相关。大多数人在解决AOD问题后，随着时间的推移取得了越来越多的成就，这些成就与幸福感的增加有关，这可能会支持持续的AOD问题缓解和恢复。
Alcohol and other drug (AOD) use disorders impose a prodigious personal and societal burden. While most remit, little is known about the achievements accrued as people accomplish and sustain addiction recovery. Greater knowledge regarding the nature and prevalence of such achievements, when such achievements occur, what factors influence accrual of achievements, and how such achievements relate to other indices of functioning would support treatment and policy planning, and may instill hope for individuals and families seeking AOD problem resolution. Nationally representative, cross-sectional survey of United States (US) population of persons who have overcome an AOD problem (N=2,002), assessing individual factors and achievements in four domains: self-improvement; family engagement; civic, and economic participation. Logistic and linear regression models tested theorized associations among variables. Most (80.1%) achieved at least one achievement associated with the four domains. A linear monotonic relationship was observed with greater achievements accruing with greater time in recovery. Accrual of achievements after AOD problem resolution was related to racial minority status, more education, earlier age of substance use initiation, illicit drugs as primary substance used, more years since resolving AOD problem, more psychiatric diagnoses, lower psychological distress, and regular 12-step program attendance. Multiple regression analyses found greater total achievements was independently associated with greater self-esteem, happiness, quality of life, and recovery capital. Most individuals achieve an increasing number of achievements with time since AOD problem resolution, and these are associated with gains in measures of well-being that may support ongoing AOD problem remission, and recovery.
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影响因子：
3.4
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