A role for spiritual change in the benefits of 12-step involvement
A role for spiritual change in the benefits of 12-step involvement
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DOI：
10.1111/j.1530-0277.2007.00499.x
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发表时间：
2007-10-01
影响因子：
3.2
通讯作者：
Zemore, Sarah E.
中科院分区：
文献类型：
--
作者：
Zemore, Sarah E.
背景：新出现的证据表明，精神在药物滥用的恢复中发挥着作用。目前的研究探讨的假设，精神上的变化有助于调解（或解释）的影响，参与12个步骤组之间的物质滥用population.Methods的恢复结果：参与者（基线N = 733）接受治疗，在加州的5日间医院和7个住宅药物滥用治疗方案之一。评估包括基线访谈和1年随访;分析包括Baron和Kenny（1986）和Sobel（1982）检验的回归分析。为了评估灵性，措施包括（1）宗教背景和行为规模和（2）一个项目评估是否有一个精神觉醒，通过他们参与12步groups.Results：结果证实了假设。从基线到随访的12步参与的增加预测了随访时完全禁欲的几率更高，这种关系部分可以通过灵性的增加来解释。结果举行的多元分析，无论哪个灵性措施analyzed.Conclusions：本研究提供了进一步的证据表明，精神的变化有助于恢复，至少在12步参与的背景下。该研究还加深了我们对12步参与如何运作的理解。
Background: Emerging evidence implies a role for spirituality in recovery from substance abuse. The current study examines the hypothesis that spiritual change helps mediate (or explain) effects for involvement in 12-step groups on recovery outcomes among substance-abusing populations.Methods: Participants (baseline N = 733) received treatment at 1 of 5 day hospital and 7 residential substance abuse treatment programs in California. Assessments included a baseline interview and 1-year follow-up; analyses incorporated regressions informed by Baron and Kenny (1986) and Sobel's (1982) test. To assess spirituality, measures included (1) the Religious Background and Behaviors scale and (2) an item assessing whether or not participants had had a spiritual awakening through their involvement with 12-step groups.Results: Results confirmed the hypothesis. Increases in 12-step involvement from baseline to follow-up predicted higher odds of total abstinence at follow-up, and this relationship was partially explained by increases in spirituality. Results held in multivariate analyses and regardless of which spirituality measure was analyzed.Conclusions: The present study provides further evidence that spiritual change contributes to recovery, at least within the context of 12-step involvement. The study also deepens our understanding of how 12-step involvement works.