Ambivalent attendees: Transitions in group affiliation among those who choose a 12-step alternative for addiction.
Ambivalent attendees: Transitions in group affiliation among those who choose a 12-step alternative for addiction.
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矛盾的与会者：选择 12 步替代成瘾方法的人的群体归属感转变。
DOI：
10.1016/j.addbeh.2019.106143
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发表时间：
2020
影响因子：
4.4
通讯作者：
Zemore,SarahE
中科院分区：
文献类型：
--
作者：
Tsutsumi,Shiori;Timko,Christine;Zemore,SarahE
背景：治疗上瘾的互助替代方案有很多种，研究证明参与这种替代方案的好处。然而，在12个步骤的选择中，几乎对随时间推移的从属模式一无所知。我们调查了酒精问题替代方案中从属关系转变(包括改变群体和退出)的模式、相关性和结果。方法我们分析了来自同行成瘾替代方案(PAL)研究的数据，这是一项纵向研究，比较了12步小组、WF、LifeRing和SMART(N = 647)的性质和有效性。首先，使用所有数据，我们比较了基线上12步和12步替代成员随时间的从属模式。第二，只分析基线的12步替代成员，我们比较了那些在6个月时改变和退出(与保留)主要组的人的基线特征和6个月的结果。结果虽然组内的辍学率很低，而且相似，但替代组的成员在6个月时更有可能(而不是12步)改变组，并主要过渡到12步。此外，在12个步骤的选择中，更换团队和退出都与较低的团队凝聚力和满意度相关。同时，在对6个月结果的多变量分析中，改变组(与保留组相比)有力地预测了较低的凝聚力、更高的负面情绪和较低的生活质量，而辍学与戒酒的几率较低相关。结论虽然众所周知，退出是有风险的，但在12步选择中，改变组更常见，这暗示着未来出现问题的风险，这可能部分是因为对新组(通常是12步)的不满意。
BackgroundMutual-help alternatives for addiction are numerous, and research attests to the benefits of involvement in such alternatives. Yet, virtually nothing is known about affiliation patterns over time among 12-step alternatives. We investigated the patterns, correlates, and outcomes of transitions in affiliation (including changing groups and dropping out) within alternatives for alcohol problems.MethodsWe analyzed data from the Peer ALternatives for Addiction (PAL) Study, a longitudinal study comparing the nature and effectiveness of 12-step groups, WFS, LifeRing, and SMART (N = 647). First, using all data, we compared affiliation patterns over time across 12-step and 12-step alternative members at baseline. Second, analyzing exclusively 12-step alternative members at baseline, we compared baseline characteristics and 6-month outcomes of those who changed and dropped out of (vs. retained) their primary groups at 6 months.ResultsWhile drop-out rates were low, and similar, across groups, members of the alternatives were more likely (vs. 12-step) to change groups at 6 months, and transitioned predominantly to 12-step. Further, among the 12-step alternatives, both changing groups and dropping out was associated with lower group cohesion and satisfaction. Meanwhile, in multivariate analyses of 6-month outcomes, changing (vs. retaining) groups robustly predicted lower cohesion, higher negative affect, and lower quality of life, whereas dropping out was associated with lower odds of alcohol abstinence.ConclusionsWhile dropping out is known to be risky, changing groups is more common among the 12-step alternatives, and connotes risk of future problems that may be partially explained by dissatisfaction with the new group (usually 12-step).
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酗酒者匿名的结果和好处。
DOI：
--
发表时间：
2008
期刊：
Recent developments in alcoholism : an official publication of the American Medical Society on Alcoholism, the Research Society on Alcoholism, and the National Council on Alcoholism
影响因子：
--
作者：
J. Tonigan
通讯作者：
J. Tonigan
自助小组出席率与康复过程之间的纵向关系
影响因子：
1.6
作者：
Wendy B. Kissin;C. Mcleod;J. McKay
通讯作者：
J. McKay
对戒酒互诫协会文献的荟萃分析：样本和研究特征调节研究结果。
DOI：
10.15288/jsa.1996.57.65
发表时间：
1996
期刊：
Journal of studies on alcohol
影响因子：
--
作者：
J. Tonigan;R. Toscova;W. Miller
通讯作者：
W. Miller
在评估戒酒互诫协会在观察性研究中的有效性时，使用倾向得分来调整选择偏差。
影响因子：
4.2
作者：
Ye,Yu;Kaskutas,LeeAnn
通讯作者：
Kaskutas,LeeAnn
DOI：
10.1177/104649648601700204
发表时间：
1986-05-01
期刊：
SMALL GROUP BEHAVIOR
影响因子：
--
作者：
FUHRIMAN, A;DRESCHER, S;RYBICKI, W
通讯作者：
RYBICKI, W