Long-Term Spiritual Canges in Recovery from Alcoholism

说明(申请人提供)：虽然有一些关于戒酒康复者的灵性和宗教信仰的经验数据，但在康复过程中哪些精神和宗教领域发生了变化，何时发生变化，或它们对康复的关键程度尚不清楚。这项研究的长期目标是更好地描述酒精依赖治疗后三年内可能发生的灵性变化的维度和相关性。这项研究的具体目的是调查(1)酗酒者在治疗时的精神和宗教信仰、实践、经历和应对策略是否在随后的三年内发生变化，(2)参与戒酒互助会增强了这些变化，(3)精神和宗教措施的摄入和干预价值观预测了随着时间的推移戒酒，(4)吸食和干预期间的这些变量与个人特征(例如，负面的宗教史、人口统计学、社会支持和临床特征)有关，以及(5)关于酗酒者对精神和宗教的感知和体验的定性数据验证和丰富了研究结果。这个 对健康的重要意义是更好地理解灵性和宗教信仰在康复中可能发挥的作用，这可能会指导临床工作，因此将在尊重个体差异的情况下更直接和具体地解决这些问题。这项工作将指导未来的研究，包括灵性在康复中的作用，可能发生的精神和宗教变化的类型，变化速度的变化，以及确定哪些人的精神变化可能是重要的。研究设计为为期三年的纵向定量和定性调查，共对3个地点的320名酗酒者进行治疗。访谈数据将每六个月收集一次，将包括关于酒精使用、康复努力以及精神和宗教体验的定性问题。将使用精神和宗教经历、宽恕、信仰、实践和应对的标准化测量，以及饮酒行为、酒精中毒严重程度、精神严重程度、心理社会功能、个性、接受治疗、参与戒酒和人口统计变量的测量。精神领域变化的定量分析将使用随时间和地点变化的重复测量方差分析作为协变量，并与其他相关因素重复，包括饮酒和AA参与。内容和叙事分析将确定定性数据中的主题和叙事。

DESCRIPTION (provided by applicant): Although there are some empirical data about the spirituality and religiousness of persons recovering from alcohol dependence, which spiritual and religious domains change during recovery, when they change, or how critical they are to recovery are unknown. The long-term objectives of this research are to better characterize the dimensions and relevance of changes in spirituality that may occur over the three years following treatment entry for alcohol dependence. The specific aims of this research are to investigate if (1) alcoholics' spiritual and religious beliefs, practices, experiences, and coping strategies at treatment intake change during the subsequent three years, (2) involvement in Alcoholics Anonymous enhances these changes, (3) intake and intervening values on spiritual and religious measures predict sobriety over time, (4) these variables at intake and intervening periods are associated with individual characteristics (e.g., negative religious history, demographics, social support, and clinical characteristics), and (5) qualitative data on alcoholics' perceptions and experiences of spirituality and religion validate and enrich findings. The significance to health is a greater understanding of the role spirituality and religiousness may play in recovery, which may guide clinical efforts so these issues will be addressed more directly and specifically, with respect for individual differences. The work will guide future research on spirituality's role in recovery, the types of spiritual and religious change that may occur, variations in rates of change, and identifying those for whom spiritual change may be important. The research design is a three-year longitudinal quantitative and qualitative survey of 320 alcoholics entering treatment at 3 sites. Interview data will be collected every six months and will include qualitative questions on alcohol use, recovery efforts, and experiences of spirituality and religion. Standardized measures of spiritual and religious experiences, forgiveness, beliefs, practices, and coping will be used, with measures of drinking behaviors, alcoholism severity, psychiatric severity, psychosocial functioning, personality, treatment exposure, AA involvement, and demographic variables. Quantitative analysis of change in spiritual domains will use repeated measures analysis of variance with time and site as covariates, duplicated with other correlates, including alcohol use and AA involvement. Content and narrative analysis will identify themes and narratives in the qualitative data.