Quality of life as a predictor of social relationships in Oxford House
Quality of life as a predictor of social relationships in Oxford House
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DOI：
10.1016/j.jsat.2019.03.006
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发表时间：
2019-06-01
影响因子：
3.9
通讯作者：
Jason, Leonard A.
中科院分区：
文献类型：
--
作者：
Doogan, Nathan J.;Light, John M.;Jason, Leonard A.
改善获得住房和康复支助的机会是一个低成本、高潜力的机会，可以帮助戒除酒精和药物使用的人维持他们的康复。牛津之家康复之家代表着至少对一些人来说有利于康复的社会环境，但目前仍不清楚哪些居民特征和关系动态影响了居民的社会融合。在目前的研究中，三个地理位置的俄亥俄州居民完成了一项社交网络工具，并对他们的生活质量(QOL)进行了自我评估。在一年的时间里，在三个时间点对42名OHS的现任居民(每波)进行了这些仪器的测试。研究结果表明，与生活质量相近的同龄人相比，生活质量较高的人更有可能与生活质量较低的人建立友谊，反之亦然。这一发现不会基于更广泛的社会背景下的典型关系机制来预测，在更广泛的社会背景下，同质性(基于相似性的分类)很常见。以OH型住宅为特征的自治模式，在这种模式下，居民之间的成功必然被视为相互依赖，因此互惠互利，这似乎是我们结果的一个可能解释。具体地说，与目前关于什么在同伴导向型康复中起作用的知识相一致，我们的结果表明，OH的治理机制倾向于那些在康复中更稳定的人和那些辍学或复发风险更高的人之间的关系。这项研究揭示了一条潜在的研究途径，检验了OH有效性的一个重要因素。
Improved access to housing and recovery support is a low-cost, high-potential opportunity to help people recovering from alcohol and substance use sustain their recoveries. Oxford House (OH) recovery homes represent a recovery-favorable social environment for at least some people, but it is still unclear which resident characteristics and relational dynamics affect the social integration of residents. In the current study, OH residents in three geographic locations completed a social network instrument and self-rated their quality of life (QOL). The instruments were administered to the current (per wave) residents of 42 OHs at three time points over a period of a year. Findings indicated that those with a higher QOL were more likely to form friendships with those with a lower QOL than with their similar QOL peers, and vice versa. This finding would not have been predicted based on relationship mechanisms typical of broader social contexts, where homophily (similarity-based assortativity) is common. The self-governance model that characterizes OH residences, in which success among residents is necessarily viewed as mutually dependent and therefore mutually beneficial, seems a likely explanation for our result. Specifically, and aligned with current knowledge about what works in peer oriented recovery, our results suggest the governance mechanisms of OH favor relationships between those more stable in their recovery and those who are at a higher risk of dropout or relapse. This study reveals a potential research avenue examining an important ingredient for the effectiveness of OH.