Abstinence versus moderation recovery pathways following resolution of a substance use problem: Prevalence, predictors, and relationship to psychosocial well-being in a U.S. national sample.
Abstinence versus moderation recovery pathways following resolution of a substance use problem: Prevalence, predictors, and relationship to psychosocial well-being in a U.S. national sample.
复制标题
DOI：
10.1111/acer.14765
复制
发表时间：
2022-03
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;Bergman BG;Hoffman LA;Kelly JF
许多报告解决酒精或其他药物（AOD）问题的人继续使用某种程度的物质。然而，关于这种解决途径的流行程度，或者在解决AOD问题后继续使用药物与禁欲如何与功能、生活质量和幸福感相关的信息很少（即，幸福）。更多地了解非禁欲性AOD问题解决的流行和相关性，可以为公共卫生信息和临床指南提供信息，同时鼓励可能最大限度地提高福祉和降低风险的物质使用目标。我们分析了来自全国代表性样本的数据，这些样本中的个人都认可已经解决了AOD问题（N = 2，002）。检查的分析：（1）各种物质使用状况的普遍程度，按风险从低到高排列：（a）自问题解决以来持续戒断所有的AOD;（B）自问题解决以来目前戒断所有的AOD，但仍有一些使用;（c）目前使用的物质被报告为次要物质;（d）目前仅使用个人的主要物质;或（e）目前使用次要和主要物质;（2）物质使用状况与人口统计学、临床和服务使用历史指标之间的关系;（3）物质使用状况与幸福感之间的关系。加权，控制，回归分析研究了独立变量对物质使用状况的影响。(1)流行率：在该样本中，20.3%的参与者支持持续禁欲; 33.7%支持当前禁欲; 21.0%支持当前使用次要物质; 16.2%支持当前使用主要物质; 8.8%支持当前使用次要和主要物质。(2)相关性：较低风险的物质使用状态与开始定期使用物质在较老的年龄，更多的年，因为问题的解决，更少的终身精神病诊断。(3)健康：控制相关的混乱，低风险的物质使用状态与更大的自尊，幸福，生活质量和功能，恢复资本，以及更少的心理困扰独立相关。大约有一半的美国人认为自己已经解决了AOD问题，他们继续以某种形式使用AOD。看来，虽然禁欲对许多人来说不是克服AOD问题的必要条件，但它可能会导致更好的功能和更大的福祉。此外，人们似乎倾向于禁欲/低风险物质的使用，因为问题解决的时间更长。
Many people who report resolving an alcohol or other drug (AOD) problem continue some level of substance use. Little information exists, however, regarding the prevalence of this resolution pathway, or how continued substance use after resolving an AOD problem, relative to abstinence, relates to functioning, quality of life, and happiness (i.e., well-being). Greater knowledge of the prevalence and correlates of non-abstinent AOD problem resolution could inform public health messaging and clinical guidelines, while encouraging substance use goals likely to maximize well-being and reduce risks. We analyzed data from a nationally representative sample of individuals who endorsed having resolved an AOD problem (N = 2,002). Analyses examined: (1) The prevalence of various substance use statuses coded from lowest to highest risk: (a) continuous abstinence from all AOD since problem resolution; (b) current abstinence from all AOD with some use since problem resolution; (c) current use of a substance reported as a secondary substance; (d) current use of the individual’s primary substance only; or, (e) current use of a secondary and primary substance; (2) relationships between substance use status and demographic, clinical, and service use history measures; and (3) the relationship between substance use status and well-being. Weighted, controlled, regression analyses examined the influence of independent variables on substance use status. (1) Prevalence: In this sample, 20.3% of participants endorsed continuous abstinence; 33.7% endorsed current abstinence; 21.0% endorsed current use of a secondary substance; 16.2% endorsed current use of a primary substance; and 8.8% endorsed current use of both a secondary and a primary substance. (2) Correlates: Lower-risk substance use status was associated with the initiation of regular substance use at an older age, more years since problem resolution, and fewer lifetime psychiatric diagnoses. (3) Well-Being: Controlling for pertinent confounds, lower-risk substance use status was independently associated with greater self-esteem, happiness, quality of life and functioning, and recovery capital, as well as less psychological distress. About half of Americans who self-identify as having resolved an AOD problem continue to use AOD in some form. It appears that although abstinence is, for many, not a requisite for overcoming an AOD problem, it is likely to lead to better functioning and greater well-being. Further, people appear to gravitate toward abstinence/lower risk substance use with greater time since problem resolution.
登录
查看更多内容
影响因子：
5.5
作者：
Eddie, David;Greene, M. Claire;Kelly, John F.
通讯作者：
Kelly, John F.
影响因子：
2
作者：
Laudet, Alexandre B.;White, William L.
通讯作者：
White, William L.
DOI：
10.1037/adb0000689
发表时间：
2021-06
期刊：
Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors
影响因子：
--
作者：
Eddie D;White WL;Vilsaint CL;Bergman BG;Kelly JF
通讯作者：
Kelly JF
影响因子：
25.8
作者：
Grant BF;Goldstein RB;Saha TD;Chou SP;Jung J;Zhang H;Pickering RP;Ruan WJ;Smith SM;Huang B;Hasin DS
通讯作者：
Hasin DS
影响因子：
2.8
作者：
Frischknecht, Ulrich;Sabo, Thomas;Mann, Karl
通讯作者：
Mann, Karl