Social support and comfort in AA as mediators of "Making AA easier" (MAAEZ), a 12-step facilitation intervention.
Social support and comfort in AA as mediators of "Making AA easier" (MAAEZ), a 12-step facilitation intervention.
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AA 中的社会支持和舒适度作为“让 AA 更容易”(MAAEZ) 的中介，这是一项 12 步促进干预措施。
DOI：
10.1037/a0028544
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发表时间：
2012
期刊：
影响因子：
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通讯作者：
Kaskutas,LeeAnn
中科院分区：
文献类型：
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作者：
Subbaraman,MeenakshiSabina;Kaskutas,LeeAnn
一项名为“让酗酒者匿名戒酒”（MAAEZ）的试验，一项小组形式的12步促进计划，显示与常规护理相比，接受MAAEZ治疗的患者在12个月后过去30天戒酒的几率显着更高，特别是对于之前AA/NA/CA会议出席率高的客户（> 90次会议; OR= 2.94，p=. 02）。我们研究了MAAEZ对这一群体的影响是否是由12步友谊的清醒和舒适的社会支持介导的。在那些之前AA/NA/CA出席率高的人中，我们进行了多重中介测试，以估计MAAEZ效应归因于社交网络对清醒的支持，在AA/NA/CA会议上的舒适度以及在AA/NA/CA会议上的舒适度。为了对维持这些行为有一些了解，我们还检查了在12个月结果之前和同时测量的每个潜在中介变量。在6个月时，当控制舒适度并在6个月时在AA/NA/CA会议上发言时，6个月时对清醒的支持成为12个月MAAEZ效应的中介。当控制12个月时的介质值时，该效应仍然存在，并解释了44%的MAAEZ效应。结果强调了研究特定的、可修改的12步活动的价值，并证明了探索亚组以确定最佳治疗目标的行为和态度的重要性。例如，在那些先前AA/NA/CA出席率高的人中，增加对清醒的支持可能特别相关。（PsycINFO数据库记录（c）2016阿帕，保留所有权利）
A trial of “Making Alcoholics Anonymous Easier”(MAAEZ), a group-format 12-step facilitation program, showed significantly higher odds of past 30-day abstinence after 12 months among those who had been treated in MAAEZ compared to usual care, especially for clients with high prior AA/NA/CA meeting attendance (> 90 prior meetings; OR= 2.94, p=. 02). We examined whether MAAEZ effects for this group were mediated by social support for sobriety and comfort with the 12-step fellowship. Among those with high prior AA/NA/CA attendance, we performed tests of multiple mediation to estimate MAAEZ effects attributable to the combined effect of social network support for sobriety, comfort being at AA/NA/CA meetings, and comfort speaking at AA/NA/CA meetings. To gain some understanding of sustaining these behaviors, we also examined each potential mediating variable measured both prior to, and concurrent with, 12-month outcomes. Having support for sobriety at 6 months emerged as a mediator of 12-month MAAEZ effects, when controlling for comfort being and speaking at AA/NA/CA meetings at 6 months. The effect remained when controlling for mediator values at 12 months, and explained 44% of the MAAEZ effect. Results highlight the value of studying specific, modifiable 12-step activities, and demonstrate the importance of exploring subgroups to determine behaviors and attitudes to target for optimal treatment. For example, increasing support for sobriety among those with high prior AA/NA/CA attendance may be especially pertinent.(PsycINFO Database Record (c) 2016 APA, all rights reserved)