Religiosity as a Predictor of Adolescents' Substance Use Disorder Treatment Outcomes.
Religiosity as a Predictor of Adolescents' Substance Use Disorder Treatment Outcomes.
复制标题
宗教信仰作为青少年药物使用障碍治疗结果的预测因素。
DOI：
10.1080/08897077.2014.960550
复制
发表时间：
2015
期刊：
影响因子：
3.5
通讯作者：
Kelly,JohnF
中科院分区：
文献类型：
--
作者：
Yeterian,JulieD;Bursik,Krisanne;Kelly,JohnF
背景越来越多的关于成年物质使用障碍（SUD）的研究表明，更高水平的宗教信仰和/或灵性与更好的治疗结果相关。然而，调查的作用，宗教信仰和精神在青少年SUD治疗反应仍然很少。本研究探讨宗教作为一个青少年样本的治疗结果的预测因子，酒精/其他药物问题的认识作为这种关系的假设主持人。问题识别被选为一个主持人，试图确定一个子集的青少年谁将更有可能使用宗教资源时，试图改变他们的substance use.Methods127门诊青少年年龄在14至19（法师= 16.7，SD = 1.2，24%的女性）进行了为期1年的治疗摄入后。增长曲线分析被用来评估基线宗教信仰和问题识别对随后的禁欲率，药物相关的后果，和心理distress.ResultsOn平均，禁欲没有显着变化，在随访期间，而药物相关的后果和心理困扰显着下降。随着时间的推移，酗酒并不能预测禁欲或心理痛苦的变化。随着时间的推移，酗酒确实预测了药物相关后果的减少（B=-0.20，t =-2.18，P = 0.03）。然而，当问题识别被添加到模型中，宗教信仰的影响的后果变得不显着，并有宗教信仰和问题识别之间没有相互作用的consequence.ConclusionsThe主要假设是在很大程度上不支持。可能的解释包括，样本的宗教信仰较低，很少有参与者在接受治疗时积极寻求清醒。研究结果表明，青少年SUD门诊患者可能不同于他们的成年同行的宗教信仰在恢复中发挥的作用。
BackgroundA growing body of research on adults with substance use disorders (SUDs) suggests that higher levels of religiosity and/or spirituality are associated with better treatment outcomes. However, investigation into the role of religiosity and spirituality in adolescent SUD treatment response remains scarce. The present study examines religiosity as a predictor of treatment outcomes in an adolescent sample, with alcohol/other drug problem recognition as a hypothesized moderator of this relationship. Problem recognition was selected as a moderator in an attempt to identify a subset of adolescents who would be more likely to use religious resources when attempting to change their substance use.MethodsOne hundred twenty-seven outpatient adolescents aged 14 to 19 (Mage= 16.7, SD = 1.2, 24% female) were followed for 1 year after treatment intake. Growth curve analyses were used to assess the impact of baseline religiosity and problem recognition on subsequent abstinence rates, drug-related consequences, and psychological distress.ResultsOn average, abstinence did not change significantly during the follow-up period, whereas drug-related consequences and psychological distress decreased significantly. Religiosity did not predict changes in abstinence or psychological distress over time. Religiosity did predict reductions in drug-related consequences over time (b= −0.20,t= −2.18,P= .03). However, when problem recognition was added to the model, the impact of religiosity on consequences became nonsignificant, and there was no interaction between religiosity and problem recognition on consequences.ConclusionsThe main hypothesis was largely unsupported. Possible explanations include that the sample was low in religiosity and few participants were actively seeking sobriety at treatment intake. Findings suggest adolescent outpatients with SUD may differ from their adult counterparts in the role that religiosity plays in recovery.