The persistent influence of social networks and alcoholics anonymous on abstinence
The persistent influence of social networks and alcoholics anonymous on abstinence
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DOI：
10.15288/jsa.2003.64.579
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发表时间：
2003-07-01
期刊：
影响因子：
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通讯作者：
Weisner, C
中科院分区：
文献类型：
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作者：
Bond, J;Kaskutas, LA;Weisner, C
目的：本文研究了匿名戒酒会（AA）参与和社交网络与物质滥用治疗后戒酒的关系。具体而言，AA和网络支持禁欲的作用进行了检查，其影响禁欲状态的变化之间的后续行动。方法：研究地点是北方加州一个县的10个有代表性的公共和私人酒精治疗项目。招募367名男性和288名女性寻求治疗接受了采访，在摄入量和重新采访I和3年后，收集有关酒精消费，依赖症状，社会支持，减少饮酒，酗酒者的数量在社会网络和AA参与的信息。结果如下：在1年和3年的随访访谈中，90天戒酒的重要预测因素包括AA在过去一年的参与，社交网络中重度或问题饮酒者的百分比，鼓励减少饮酒的百分比和AA为基础的支持减少饮酒。小组模型估计，在治疗后12至36个月之间AA参与的增加使3年时的禁欲几率比12个月时增加35%。AA对戒酒影响的唯一重要中介是AA接触支持减少饮酒的数量，这使关系的程度降低了16%。结论：AA参与和AA成员的支持类型是治疗事件后3年禁欲的一致贡献者。从支持性网络中观察到的持久影响表明，有助于禁欲生活方式的持续行动机制的重要性。
Objective: The role of changes in Alcoholics Anonymous (AA) involvement and social networks in relation to abstinence following substance abuse treatment is studied. Specifically, the role of AA and network support for abstinence are examined in relation to their effect on changes in abstinence states between follow-ups. Method: Study sites were 10 representative public and private alcohol treatment programs in a northern California county. A recruitment of 367 men and 288 women seeking treatment were interviewed at intake and re-interviewed I and 3 years later to collect information about alcohol consumption, dependence symptoms, social support for reducing drinking, number of heavy drinkers in the social network and AA involvement. Results: Significant predictors of 90-day abstinence at both the 1- and 3-year follow-up interviews included AA involvement in the last year, percentage of heavy or problem drinkers in the social network, percentage encouraging alcohol reduction and AA-based support for reducing drinking. Panel models estimated an increase in AA participation between 12 and 36 months posttreatment increased the odds of abstinence at 3 years by 35% above those at 12 months. The only significant mediator of AA's effect on abstinence was the number of AA-based contacts supporting reduced drinking, which reduced the magnitude of the relationship by 16%. Conclusions: AA involvement and the type of support received from AA members were consistent contributors to abstinence 3 years following a treatment episode. The enduring effects observed from supportive networks demonstrate the importance of ongoing mechanisms of action that contribute to an abstinent lifestyle.