Multiple Dimensions of Spirituality in Recovery: A Lagged Mediational Analysis of Alcoholics Anonymous' Principal Theoretical Mechanism of Behavior Change
Multiple Dimensions of Spirituality in Recovery: A Lagged Mediational Analysis of Alcoholics Anonymous' Principal Theoretical Mechanism of Behavior Change
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DOI：
10.1080/08897077.2012.691449
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发表时间：
2013-01-01
期刊：
影响因子：
3.5
通讯作者：
Robinson, Elizabeth A. R.
中科院分区：
文献类型：
--
作者：
Krentzman, Amy R.;Cranford, James A.;Robinson, Elizabeth A. R.
匿名戒酒会（AA）指出，通过精神体验和精神觉醒可以恢复。研究精神作为AA对饮酒影响的中介，结果好坏参半。目前尚不清楚这些发现是否是由于关键结构（如AA和灵性）的操作性变化。为了回答这些问题，作者使用了一个纵向模型来测试AA的2个维度作为焦点预测因子，以及6个维度的灵性作为AA与饮酒关联的可能中介。对364名酒精依赖者进行了为期3年的纵向研究，分析了前18个月的数据。使用结构方程模型复制Kelly等人（Alcohol Clin Exp Res. 2011;35：454463）的分析，并将AA出勤率和AA参与作为焦点预测因素进行比较。多元回归分析被用来确定哪些精神层面的AA参与的结果改变。采用了一个精简的数据驱动模型来同时测试多个中介路径。Kelly等人的研究结果得到了复制。AA参与是一个更强的预测饮酒的结果比AA出席。AA参与预测私人宗教活动，日常精神体验和宽恕他人的增加。然而，只有私人的宗教习俗调解AA和饮酒之间的关系。
Alcoholics Anonymous (AA) states that recovery is possible through spiritual experiences and spiritual awakenings. Research examining spirituality as a mediator of AA's effect on drinking has been mixed. It is unknown whether such findings are due to variations in the operationalization of key constructs, such as AA and spirituality. To answer these questions, the authors used a longitudinal model to test 2 dimensions of AA as focal predictors and 6 dimensions of spirituality as possible mediators of AA's association with drinking. Data from the first 18 months of a 3-year longitudinal study of 364 alcohol-dependent individuals were analyzed. Structural equation modeling was used to replicate the analyses of Kelly et al. (Alcohol Clin Exp Res. 2011;35:454463) and to compare AA attendance and AA involvement as focal predictors. Multiple regression analyses were used to determine which spirituality dimensions changed as the result of AA participation. A trimmed, data-driven model was employed to test multiple mediation paths simultaneously. The findings of the Kelly et al. study were replicated. AA involvement was a stronger predictor of drinking outcomes than AA attendance. AA involvement predicted increases in private religious practices, daily spiritual experiences, and forgiveness of others. However, only private religious practices mediated the relationship between AA and drinking.