Social identity differentiation predicts commitment to sobriety and wellbeing in residents of therapeutic communities
Social identity differentiation predicts commitment to sobriety and wellbeing in residents of therapeutic communities
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DOI：
10.1016/j.socscimed.2019.112459
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发表时间：
2019-09-01
影响因子：
5.4
通讯作者：
Lubman, Dan I.
中科院分区：
文献类型：
--
作者：
Dingle, Genevieve A.;Haslam, Catherine;Lubman, Dan I.
基本原理：酒精和其他药物治疗的治疗社区（TC）强烈依赖于社会因素作为恢复的代理人;一种被称为“社区方法”的方法。本研究采用社会认同的方法，在TC中检查参与者在入院时（T1）和六个月后（T2）的恢复组认同和物质使用组认同的相对强度。调查身份差异-受访者认为自己属于康复群体而不是属于药物使用群体的程度-是否与个人的主要关注内容有关（即，安非他明类兴奋剂;酒精;方法：进入澳大利亚五个治疗社区（TC）之一的成年人（N = 307）完成了识别措施，（用户，恢复），对清醒的承诺，心理困扰，和个人福祉。结果：在T1和T2，参与者对用户和恢复身份的认可在主要关注物质方面没有差异。用户身份在六个月内减少，而恢复身份仍然很高，无论主要药物类别如何。在T2测量身份分化占20-25%的方差在清醒和幸福的承诺，占参与者的人口统计学，成瘾的严重程度，和T1身份variables.Conclusions：这些研究结果突出了恢复的相对强度的重要性，超过物质使用相关的身份在支持恢复指标和TC在支持这一轨迹的核心作用。
Rationale: Therapeutic communities (TC) for alcohol and other drug treatment rely strongly on social factors as agents of recovery; an approach known as 'community-as-method'. This study adopted a social identity approach in examining the relative strength of participants' recovery group identity and substance using group identity at admission (T1) and after six months (T2) in a TC.Objectives: Were to investigate whether identity differentiation - the extent to which respondents see themselves more as belonging to recovery groups than belonging to substance using groups - (a) is related to individuals' primary substance of concern (i.e., amphetamine type stimulants; alcohol; other drugs), and (b) predicts positive indicators of recovery six months after entering a therapeutic community.Method: Adults (N = 307) entering one of five Australian therapeutic communities (TC) completed measures of identification (user, recovery), commitment to sobriety, psychological distress, and personal wellbeing.Results: Participants' endorsement of the user and recovery identity at T1 and T2 did not differ as a function of primary substance of concern. User identity diminished over the six months while recovery identity remained high, regardless of primary drug category. Identity differentiation measured at T2 accounted for 20-25% variance in commitment to sobriety and wellbeing, after accounting for participant demographics, addiction severity, and T1 identity variables.Conclusions: These findings highlight the importance of the relative strength of recovery over substance use related identities in supporting recovery indicators and the central role of the TC in supporting this trajectory.