The impact of COVID, lockdown and subsequent easing on recovery in an ongoing international study of people in recovery from drug addiction

一项正在进行的针对毒瘾康复者的国际研究中，新冠疫情、封锁和随后的放松政策对康复的影响

• 批准号: ES/V015834/1
• 负责人: David Best
• 金额: $ 17.54万
• 依托单位: University of Derby
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2020
• 资助国家: 英国
• 起止时间: 2020 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=ES%2FV015834%2F1
• 关键词: impact; COVID; lockdown; subsequent; easing

Evidence suggests that addiction recovery is a complex and long-term journey generally estimated to last approximately five years after completing a detoxification from the addictive substance. In the first year, the likelihood that the person will relapse is around 50-70% and that gradually diminishes so that, after five years of continuous sobriety, the likelihood of relapsing to substance use drops to around 14%. The recognition that there is a 'recovery pathway' beyond specialist addiction treatment has resulted in the emergence of a science and practice of supporting recovery by assessing what factors support people to achieve this goal and the barriers they are likely to encounter. For instance, we know that access to recovery housing, to peer support and to twelve-step mutual aid groups (Narcotics Anonymous and Alcoholics Anonymous) have a positive impact, but that other things, like ongoing mental health problems or involvement with the criminal justice system, are likely to have the opposite effect and increase the likelihood of relapse. This study builds on an ongoing research study that has assessed pathways to addiction recovery in one country with established recovery models (the UK) and two countries who have only recently developed recovery pathways and models (Belgium and the Netherlands). This original study assessed pathways to recovery and what support systems and services participants had used to support their recovery journeys, with a particular focus on how these varied between men and women. In the original study, there was an initial screening questionnaire followed by two waves of in-depth questionnaires that allowed us to chart changes over time in wellbeing and functioning, with a subset of people in each of the three countries also completing in-depth interviews about their experiences during their recovery journeys. That study has allowed two important things to emerge - the first is an international team who have worked closely together to develop a knowledge and expertise and, secondly, a strong and trusting relationship with many of the people in recovery who participated in the earlier waves of the study. The current proposal aims to build on that research and in particular to assess what impact the fear of COVID (or actually contracting COVID) has had on this vulnerable population and how it has affected their recovery journeys and wellbeing. Again, there will be an emphasis on the differences between men and women but this time there will also be a focus on ongoing recovery support and social support. The current study will allow us to assess the impact that COVID has on the wellbeing of a vulnerable and complex group and to assess what the risk factors are for people to relapse or in other ways suffer the adverse effects of COVID.

有证据表明，成瘾康复是一个复杂而漫长的过程，一般估计在戒除成瘾物质后大约需要五年时间。在第一年，这个人复发的可能性约为50%-70%，然后逐渐降低，因此，在连续戒酒五年后，复发的可能性下降到14%左右。人们认识到，除了专门的成瘾治疗之外，还有一条“康复途径”，这导致了一种科学和实践的出现，即通过评估哪些因素支持人们实现这一目标以及他们可能遇到的障碍来支持康复。例如，我们知道，获得康复住房、同伴支持和十二步互助团体(戒毒互助会和戒酒互助会)具有积极影响，但其他事情，如持续存在的精神健康问题或参与刑事司法系统，可能会产生相反的效果，增加复发的可能性。这项研究建立在一项正在进行的研究的基础上，该研究评估了一个已建立康复模式的国家(英国)和两个最近才制定康复路径和模式的国家(比利时和荷兰)的成瘾康复途径。这项最初的研究评估了恢复的途径以及参与者使用了哪些支持系统和服务来支持他们的恢复过程，特别侧重于这些在男性和女性之间的差异。在最初的研究中，有一份最初的筛查问卷，然后是两波深入的问卷，让我们能够绘制出随着时间的推移，幸福感和功能方面的变化，这三个国家的一部分人也完成了关于他们在康复过程中的经历的深入采访。这项研究使两件重要的事情浮出水面--第一，是一个国际团队，他们密切合作，发展知识和专长；第二，与参与研究早期浪潮的许多康复者建立牢固和相互信任的关系。目前的提案旨在以这项研究为基础，特别是评估对COVID(或实际上感染COVID)的恐惧对这一弱势群体产生了什么影响，以及它如何影响他们的康复旅程和福祉。将再次强调男女之间的差异，但这一次还将重点放在持续的恢复支持和社会支持上。目前的研究将使我们能够评估COVID对脆弱和复杂群体的福祉的影响，并评估人们复发或以其他方式遭受COVID不利影响的风险因素是什么。

项目成果

Motivations for Change in Drug Addiction Recovery: Turning Points as the Antidotes to the Pains of Recovery

戒毒康复改变的动机：作为康复痛苦解毒剂的转折点

• DOI: 10.1177/00220426221140887
• 发表时间: 2022
• 期刊: Journal of Drug Issues
• 影响因子: 1.7
• 作者: Patton D

The Strengths and Barriers Recovery Scale (SABRS): Relationships Matter in Building Strengths and Overcoming Barriers.

• DOI: 10.3389/fpsyg.2021.663447
• 发表时间: 2021
• 期刊: Frontiers in psychology
• 影响因子: 3.8
• 作者: Best D;Sondhi A;Brown L;Nisic M;Nagelhout GE;Martinelli T;van de Mheen D;Vanderplasschen W
• 通讯作者: Vanderplasschen W