Psychological And Methodological Issues In Substance Abuse Treatment/research

治疗科继续调查可能有助于患者与治疗配对的预测因素，以改进向个别患者提供适当治疗的情况。从毒瘾中恢复过来的人经常提到灵性是一种有益的影响。然而，关于灵性是否或如何以一种对个体差异敏感的方式被纳入正式治疗中，人们知之甚少。为了解决这些问题，我们对25名接受美沙酮治疗的门诊患者(主要是受过高中教育的非裔美国男性)进行了一项焦点小组研究，要求他们讨论他们对灵性在康复中的作用以及它在正式治疗中的适当性的看法。研究小组还讨论了活跃成瘾期间灵性与行为之间的关系。专题分析表明，在积极上瘾期间，灵性和宗教习俗以复杂的方式受到影响，但与康复齐头并进。几乎所有与会者都同意，将一个自愿的精神讨论小组纳入正式治疗将比现有的替代办法更可取。一个限制是所有参与者都被认为是强烈的灵性。对更多不同样本的研究将有助于指导正规治疗环境中以精神为基础的干预措施的开发和评估。

The Treatment Section continues to investigate predictors that might be useful for patient-treatment matching to improve the delivery of appropriate treatments to individual patients. Individuals recovering from addictions frequently cite spirituality as a helpful influence. However, little is known about whether or how spirituality could be incorporated into formal treatment in a manner that is sensitive to individual differences. To address these questions, we conducted a focus-group study with 25 methadone-maintained outpatients (primarily high-school educated, African-American males) in which we asked them to discuss their beliefs about the role of spirituality in recovery and its appropriateness in formal treatment. Groups also discussed the relationship between spirituality and behavior during active addiction. Thematic analyses suggested that spirituality and religious practices suffered in complex ways during active addiction, but went hand in hand with recovery. Nearly all participants agreed that integration of a voluntary spiritual discussion group into formal treatment would be preferable to currently available alternatives. One limitation was that all participants identified as strongly spiritual. Studies of more diverse samples will help guide the development and evaluation of spiritually based interventions in formal treatment settings.