How and why twelve-step self-help groups are effective.
How and why twelve-step self-help groups are effective.
复制标题
十二步自助小组如何以及为何有效。
DOI：
10.1007/978-0-387-77725-2_22
复制
发表时间：
2008
期刊：
影响因子：
--
通讯作者：
Moos,RudolfH
中科院分区：
文献类型：
--
作者：
Moos,RudolfH
自助和互助小组是对吸毒者和精神病患者的非正式护理系统的一个关键组成部分。事实上，几乎80%的寻求酒精依赖帮助的成年人参加了匿名戒酒会（AA）（Dawson，Grant，Stinson，& Chou，2006）;这种参与似乎提高了实现和维持缓解的可能性，并减少了对进一步专业护理的需求。此外，许多物质使用障碍（SUD）服务提供者在治疗中采用了十二步技术，其中大多数将患者转介给自助团体（SHG）（Magura，2007）。因此，需要更多关于参与十二步SHG与SUD结果之间的关联以及可能解释十二步SHG效果的活性成分或社会过程的信息。这些问题的解决在这里通过审查一些证据的有效性的十二步SHGs，描述四个理论，指定社会过程中参与的发展和缓解SUD，并在这些理论的指导下，考虑研究，确定可能的活性成分SHGs。这些理论，然后集中在可能的活性成分参与选定的社会心理治疗的SUD，并提出了想法，
Self-help and mutual support groups are a key component of the system of informal care for individuals with substance use and psychiatric disorders. In fact, almost 80% of adults who seek help for alcohol dependence participate in Alcoholics Anonymous (AA)(Dawson, Grant, Stinson, & Chou, 2006); such participation appears to improve the likelihood of achieving and maintaining remission and reduce the need for further professional care. Moreover, many providers of substance use disorder (SUD) services have adopted twelve-step techniques in treatment, and most of them refer patients to self-help groups (SHGs)(Magura, 2007).Accordingly, more information is needed about the association between participation in twelve-step SHGs and SUD outcomes and the active ingredients or social processes that may account for the effects of twelve-step SHGs. These issues are addressed here by reviewing some evidence for the effectiveness of twelve-step SHGs, describing four theories that specify social processes involved in the development of and remission from SUDs, and, guided by these theories, considering research that identifies likely active ingredients of SHGs. These theories are then employed to focus on the probable active ingredients involved in selected psychosocial treatments for SUDs and to propose the idea