The phenotype of recovery VII: Delay discounting mediates the relationship between time in recovery and recovery progress.
The phenotype of recovery VII: Delay discounting mediates the relationship between time in recovery and recovery progress.
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DOI：
10.1016/j.jsat.2021.108665
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发表时间：
2022-05
影响因子：
3.9
通讯作者：
Bickel WK
中科院分区：
文献类型：
--
作者：
Craft WH;Tegge AN;Athamneh LN;Tomlinson DC;Freitas-Lemos R;Bickel WK
物质使用障碍（SUD）在美国仍然是治疗具有挑战性的疾病，并造成重大的社会成本。尽管存在这些挑战，但仍有相当多的人赞同从SUD中恢复。对SUD恢复的科学理解已经发展到不仅包括物质使用的改善，还包括个人健康和心理社会功能的改善。未来奖励的贬值（延迟折扣; DD）与SUD的开始和结果广泛相关。我们试图调查DD，恢复时间和恢复进度之间的关系。我们对127名从SUD中恢复的个体进行了在线评估，这些个体是通过国际退出和恢复登记处（IQRR）招募的。研究小组通过成瘾恢复问卷（ARQ）和治疗效果评估（TEA）获得了恢复进展的指标。此外，该研究收集了DD的测量值、恢复时间和恢复期禁欲的支持（即，需要禁欲与不需要禁欲）。我们利用线性回归来测试这些变量之间的关联，并进行了中介分析，以测试DD在调解恢复时间和恢复进展措施之间的关系中的作用。恢复时间与ARQ（p<.001）和TEA（p<.001）呈正相关。此外，一个人的延迟折扣率介导的恢复时间和ARQ/TEA之间的关系。在参与者中，66%的人赞成完全戒酒和戒毒。最后，通过详尽的模型选择，该研究没有发现一个人的支持禁欲的恢复是一个主要的预测恢复进展。这项研究提供的证据表明，对于恢复中的个体，时间观点（即，专注于眼前与未来的奖励）对恢复进度有重大影响。此外，一个人的支持禁欲的恢复与恢复的进展并没有显着相关，这表明一个整体的SUD恢复的重要性。这些发现有助于理解恢复作为一个多方面的过程，并提供进一步的支持DD作为成瘾的行为标记。
Substance use disorders (SUDs) remain challenging maladies to treat in the United States and impose significant societal costs. Despite these challenges, a significant number of individuals endorse being in recovery from SUD. The scientific understanding of SUD recovery has evolved to include not only improvements in substance use but also improvements in personal wellness and psychosocial functioning. The devaluation of future rewards (delay discounting; DD) is broadly associated with SUD inception and outcomes. We sought to investigate the relationship between DD, time in recovery, and recovery progress. We conducted an online assessment of 127 individuals in recovery from SUD who the study recruited via the International Quit and Recovery Registry (IQRR). The research team obtained measures of recovery progress via the Addiction Recovery Questionnaire (ARQ) and the Treatment Effectiveness Assessment (TEA). Additionally, the study collected measures of DD, time in recovery, and endorsement of abstinence in recovery (i.e., requiring abstinence vs. not). We utilized linear regression to test for associations among these variables and performed a mediation analysis to test the role of DD in mediating the relationship between time in recovery and measures of recovery progress. Time in recovery was positively associated with the ARQ (p<.001) and TEA (p<.001). Furthermore, an individual’s delay discounting rate mediated the relationship between time in recovery and ARQ/TEA. Of the participants, 66% endorsed recovery requiring total abstinence from alcohol and drugs. Last, through an exhaustive model selection, the study did not find an individual’s endorsement of abstinence in recovery to be a primary predictor of recovery progress. This study presents evidence that, for individuals in recovery, the temporal view (i.e., focus on immediate vs. future rewards) is a significant influence on recovery progress. Additionally, an individual’s endorsement of abstinence in recovery was not significantly associated with recovery progress, suggesting the importance of a holistic view of SUD recovery. These findings contribute to the understanding of recovery as a multidimensional process and provide further support for DD as a behavioral marker of addiction.
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DOI：
10.1111/add.13535
发表时间：
2017-01
期刊：
Addiction (Abingdon, England)
影响因子：
--
作者：
Amlung M;Vedelago L;Acker J;Balodis I;MacKillop J
通讯作者：
MacKillop J
影响因子：
2.3
作者：
Athamneh LN;Stein MD;Lin EH;Stein JS;Mellis AM;Gatchalian KM;Epstein LH;Bickel WK
通讯作者：
Bickel WK
影响因子：
4.2
作者：
Mellis, Alexandra M.;Snider, Sarah E.;Bickel, Warren K.
通讯作者：
Bickel, Warren K.
影响因子：
1.8
作者：
Ling W;Farabee D;Liepa D;Wu LT
通讯作者：
Wu LT
影响因子：
2.3
作者：
Madden, GJ;Bickel, WK;Jacobs, EA
通讯作者：
Jacobs, EA