Recovery capital as prospective predictor of sustained recovery, life satisfaction, and stress among former poly-substance users

Recovery capital as prospective predictor of sustained recovery, life satisfaction, and stress among former poly-substance users
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DOI:
10.1080/10826080701681473
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发表时间:
2008-01-01
影响因子:
2
通讯作者:
White, William L.
White, William L.
中科院分区:
医学4区
文献类型:
--
作者:
Laudet, Alexandre B.;White, William L.

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许多正在康复的人报告说,他们戒断了吸毒,因为他们对吸毒生活感到“厌倦和厌倦”。康复是通往更好生活的道路,但这条道路往往充满挑战和压力。对美国数百万康复者的研究很少,大多数研究都集中在物质使用的结果上,而不是更广泛的功能领域。这项研究建立在我们以前的横截面研究结果的基础上,即恢复资本(社会支持,精神,宗教,生活意义和12步联系)增强了科普压力的能力,提高了生活满意度。本研究(a)检验了假设,即较高水平的恢复资本前瞻性地预测了一年后的持续恢复、较高的生活质量和较低的压力,(B)检验了恢复资本对恢复阶段结果的不同影响。恢复的人(N = 312),主要是市中心的少数民族成员的主要物质是快克或海洛因,在一年的时间间隔在纽约市2003年4月至2005年4月进行了两次采访。参与者被分为四个基线恢复阶段之一:6个月以下,6-18个月,18-36个月和3年以上。多元回归结果普遍支持中心假设,并建议不同领域的恢复资本是显着的在不同的恢复阶段。该研究的局限性和临床实践和未来的研究结果的影响进行了讨论,包括需要一个理论框架来阐明恢复过程。
Many recovering persons report quitting their drug use because they are "sick and tired" of the drug life. Recovery is the path to a better life, but that path is often challenging and stressful. There has been little research on the millions of recovering persons in the United States, and most research has focused on substance use outcomes rather than on broader functioning domains. This study builds on our previous cross-sectional findings that recovery capital (social supports, spirituality, religiousness, life meaning, and 12-step affiliation) enhances the ability to cope with stress and enhances life satisfaction. This study (a) tests the hypothesis that higher levels of recovery capital prospectively predict sustained recovery, higher quality of life, and lower stress one year later, and (b) examines the differential effects of recovery capital on outcomes across the stages of recovery. Recovering persons (N = 312), mostly inner-city ethnic minority members whose primary substance had been crack or heroin, were interviewed twice at a one-year interval in New York City between April 2003 and April 2005. Participants were classified into one of four baseline recovery stages: under 6 months, 6-18 months, 18-36 months, and over 3 years. Multiple regression findings generally supported the central hypothesis and suggested that different domains of recovery capital were salient at different recovery stages. The study's limitations are noted and implications of findings for clinical practice and for future research are discussed, including the need for a theoretical framework to elucidate the recovery process.