Involvement in 12-step activities and treatment outcomes.
Involvement in 12-step activities and treatment outcomes.
复制标题
DOI：
10.1080/08897077.2012.691452
复制
发表时间：
2013
期刊：
影响因子：
3.5
通讯作者：
Tonigan JS
中科院分区：
文献类型：
--
作者：
Zemore SE;Subbaraman M;Tonigan JS
这项研究讨论了特定的12步活动对恢复的相对重要性，以及治疗如何影响这些活动的参与。数据来自一项名为MAAEZ的12步促进干预的临床试验。参与者（N=508）在治疗入组时招募。分析检查了基线、7周、6个月和12个月时测量的8项活动。在联立方程中，会议出席率和有赞助商是跨时间点禁欲的唯一强有力和一致的预测因素，尽管其他活动（即，使用家庭小组、与成员交朋友、服务工作和阅读文献）在一些分析中具有显著性。随着时间的推移，治疗参与对活动参与的影响好坏参半。相反的研究表明，除了其他12步活动外，参加会议的贡献很小，结果突出了持续参加会议和赞助恢复的重要性。结果表明，即使在典型的12步导向治疗中，也需要增强关键活动的便利化。
This study addresses the relative importance of specific 12-step activities to recovery, and how treatment affects participation in those activities. Data were from a clinical trial testing a 12-step facilitation intervention called MAAEZ. Participants (N=508) were recruited at treatment entry. Analyses examined 8 activities measured at baseline, 7 weeks, 6 months, and 12 months. In simultaneous equations, meeting attendance and having a sponsor were the only strong and consistent predictors of abstinence across time points, though other activities (i.e., use of a home group, befriending members, service work, and reading the literature) were significant in some analyses. Treatment involvement had mixed effects on activity participation over time. Contradicting research suggesting that meeting attendance contributes little beyond other 12-step activities, results highlight the importance of consistent meeting attendance and sponsorship in recovery. Results suggest a need for enhanced facilitation of key activities even in typical 12-step-oriented treatment.