双重诊断的支持、互助与康复。
Support, mutual aid and recovery from dual diagnosis.
作者信息
Laudet A B, Magura S, Vogel H S, Knight E
机构信息
Institute for Treatment and Services Research,National Development and Research Institutes, Inc., New York, NY 10048, USA.
出版信息
Community Ment Health J. 2000 Oct;36(5):457-76. doi: 10.1023/a:1001982829359.
Abstract
Recovery from substance abuse and mental health disorders (dual-diagnosis) requires time, hard work and a broad array of coping skills. Empirical evidence has demonstrated the buffering role of social support in stressful situations. This paper investigates the associations among social support (including dual-recovery mutual aid), recovery status and personal well-being in dually-diagnosed individuals (N = 310) using cross-sectional self-report data. Persons with higher levels of support and greater participation in dual-recovery mutual aid reported less substance use and mental health distress and higher levels of well-being. Participation in mutual aid was indirectly associated with recovery through perceived levels of support. The association between mutual aid and recovery held for dual-recovery groups but not for traditional, single-focus self-help groups. The important role of specialized mutual aid groups in the dual recovery process is discussed.
摘要
从药物滥用和心理健康障碍（双重诊断）中康复需要时间、努力以及一系列广泛的应对技能。实证证据表明社会支持在压力情境中具有缓冲作用。本文利用横断面自我报告数据，调查了双重诊断个体（N = 310）的社会支持（包括双重康复互助）、康复状况和个人幸福感之间的关联。获得更高水平支持且更多参与双重康复互助的人报告称药物使用和心理健康困扰较少，幸福感较高。互助参与通过感知到的支持水平与康复间接相关。互助与康复之间的关联在双重康复群体中成立，但在传统的、单一焦点的自助群体中不成立。本文讨论了专门的互助群体在双重康复过程中的重要作用。
相似文献
1
Support, mutual aid and recovery from dual diagnosis.双重诊断的支持、互助与康复。
Community Ment Health J. 2000 Oct;36(5):457-76. doi: 10.1023/a:1001982829359.
2
Effectiveness of dual focus mutual aid for co-occurring substance use and mental health disorders: a review and synthesis of the "Double Trouble" in Recovery evaluation.双重聚焦互助对并发物质使用和精神健康障碍的有效性：“康复中的双重麻烦”评估的综述与综合分析
Subst Use Misuse. 2008;43(12-13):1904-26. doi: 10.1080/10826080802297005.
3
Efficacy of dual focus mutual aid for persons with mental illness and substance misuse.针对患有精神疾病和药物滥用问题者的双重焦点互助疗法的疗效
Drug Alcohol Depend. 2014 Feb 1;135:78-87. doi: 10.1016/j.drugalcdep.2013.11.012. Epub 2013 Nov 18.
4
Social support mediates the effects of dual-focus mutual aid groups on abstinence from substance use.社会支持在双重焦点互助小组对戒除物质使用的影响中起中介作用。
Am J Community Psychol. 2004 Dec;34(3-4):175-85. doi: 10.1007/s10464-004-7413-5.
5
Role of self-help processes in achieving abstinence among dually diagnosed persons.自助过程在双相诊断患者实现戒酒中的作用。
Addict Behav. 2003 Apr;28(3):399-413. doi: 10.1016/s0306-4603(01)00278-7.
6
Dual recovery among people with serious mental illnesses and substance problems: a qualitative analysis.严重精神疾病和物质问题患者的双重康复：一项定性分析。
J Dual Diagn. 2015;11(1):33-41. doi: 10.1080/15504263.2014.975004. Epub 2014 Dec 9.
7
Psychiatric comorbidity, continuing care and mutual help as predictors of five-year remission from substance use disorders.精神疾病共病、持续护理和互助作为物质使用障碍五年缓解的预测因素。
J Stud Alcohol. 2002 Nov;63(6):709-15. doi: 10.15288/jsa.2002.63.709.
8
Intensive referral to 12-step dual-focused mutual-help groups.强化转介至 12 步双焦点互助小组。
Drug Alcohol Depend. 2011 Nov 1;118(2-3):194-201. doi: 10.1016/j.drugalcdep.2011.03.019. Epub 2011 Apr 22.
9
Social networks of people with dual diagnosis: the quantity and quality of relationships at different stages of substance use treatment.双重诊断患者的社交网络：物质使用治疗不同阶段人际关系的数量与质量
Community Ment Health J. 2004 Oct;40(5):451-64. doi: 10.1023/b:comh.0000040658.41548.b2.
10
A description of precipitants of drug use among dually diagnosed patients with chronic mental illness.对患有慢性精神疾病的双重诊断患者中药物使用诱因的描述。
Community Ment Health J. 2000 Aug;36(4):351-62. doi: 10.1023/a:1001904811379.
引用本文的文献
1
Exploring support provision for recovery from substance use disorder among members of a sober active community.探索为清醒活跃社区成员从物质使用障碍中康复提供支持的情况。
Sci Rep. 2025 Mar 13;15(1):8740. doi: 10.1038/s41598-025-92029-1.
2
Opening up the black box of recovery processes in persons with complex mental health needs: a qualitative study of place-making dynamics in a low-threshold meeting place.打开有复杂心理健康需求者康复过程的黑匣子：对一个低门槛聚会场所中场所营造动态的定性研究。
Int J Ment Health Syst. 2022 Oct 14;16(1):50. doi: 10.1186/s13033-022-00560-9.
3
Cumulative barriers to retention in methadone treatment among adults from rural and small urban communities.农村和小城市社区成年人在美沙酮治疗中持续存在的保留障碍。
Addict Sci Clin Pract. 2022 Jul 15;17(1):35. doi: 10.1186/s13722-022-00316-3.
4
Lifetime Dual Disorder Screening and Treatment Retention: A Pilot Cohort Study.终生双相情感障碍筛查与治疗留存率：一项前瞻性队列研究
J Clin Med. 2022 Jun 28;11(13):3760. doi: 10.3390/jcm11133760.
5
Maternal and Paternal Warmth Impact Recovery Support and Social Network Composition for Substance Dependent African American and Non-African American Women.母亲和父亲的温暖对依赖药物的非裔美国女性和非非裔美国女性的康复支持及社交网络构成产生影响。
Addict Res Theory. 2019;27(4):294-304. doi: 10.1080/16066359.2018.1515350. Epub 2019 Jan 7.
6
Enabling or Engaging? The Role of Recovery Support Services in Addiction Recovery.助力还是参与？康复支持服务在成瘾康复中的作用。
Alcohol Treat Q. 2010;28(4):391-416. doi: 10.1080/07347324.2010.511057. Epub 2010 Oct 6.
7
Social Support and Resilience as Mediators Between Stress and Life Satisfaction Among People With Substance Use Disorder in China.社会支持与心理韧性作为中国物质使用障碍者压力与生活满意度之间的中介因素
Front Psychiatry. 2018 Oct 16;9:436. doi: 10.3389/fpsyt.2018.00436. eCollection 2018.
8
Recovery support mediates the relationship between parental warmth and quality of life among women with substance use disorders.康复支持在患有物质使用障碍的女性中调节着父母温暖与生活质量之间的关系。
Qual Life Res. 2017 May;26(5):1327-1335. doi: 10.1007/s11136-016-1453-9. Epub 2016 Nov 10.
9
Stigma and Family Relationships of Middle-Aged Gay Men in Recovery.康复中的中年男同性恋者的污名与家庭关系
J Gay Lesbian Soc Serv. 2016;28(1):1-19. doi: 10.1080/10538720.2016.1124350. Epub 2016 Jan 29.
10
Usefulness of Gamma Glutamyl Transferase as Reliable Biological Marker in Objective Corroboration of Relapse in Alcohol Dependent Patients.γ-谷氨酰转移酶作为酒精依赖患者复发客观确证中可靠生物标志物的效用
J Clin Diagn Res. 2015 Dec;9(12):VC01-VC04. doi: 10.7860/JCDR/2015/14752.6895. Epub 2015 Dec 1.
本文引用的文献
1
DOUBLE TROUBLE IN RECOVERY: SELF-HELP FOR PEOPLE WITH DUAL DIAGNOSES.康复中的双重困境：双诊断患者的自助指南
Psychiatr Rehabil J. 1998 Mar;21(4):356-364. doi: 10.1037/h0095288.
2
Recovery challenges among dually diagnosed individuals.双重诊断个体的康复挑战。
J Subst Abuse Treat. 2000 Jun;18(4):321-9. doi: 10.1016/s0740-5472(99)00077-x.
3
A comparative evaluation of substance abuse treatment: V. Substance abuse treatment can enhance the effectiveness of self-help groups.药物滥用治疗的比较评估：V. 药物滥用治疗可提高自助团体的效果。
Alcohol Clin Exp Res. 1999 Mar;23(3):558-63.
4
A comparative evaluation of substance abuse treatment: I. Treatment orientation, amount of care, and 1-year outcomes.药物滥用治疗的比较评估：I. 治疗方向、护理量及1年的治疗效果。
Alcohol Clin Exp Res. 1999 Mar;23(3):529-36.
5
Outcomes of the treatment climate in psychiatric and substance abuse programs.精神科及药物滥用治疗项目中的治疗环境成效。
J Clin Psychol. 1998 Dec;54(8):1137-50. doi: 10.1002/(sici)1097-4679(199812)54:8<1137::aid-jclp12>3.0.co;2-0.
6
Validity of substance use self-reports in dually diagnosed outpatients.双重诊断门诊患者物质使用自我报告的有效性
Am J Psychiatry. 1998 Jan;155(1):127-8. doi: 10.1176/ajp.155.1.127.
7
Predicting the short-term outcome of first episodes and recurrences of clinical depression: a prospective study of life events, difficulties, and social support networks.预测临床抑郁症首次发作及复发的短期转归：一项关于生活事件、困难及社会支持网络的前瞻性研究
J Clin Psychiatry. 1997 Jul;58(7):298-306. doi: 10.4088/jcp.v58n0703.
8
Factors predicting psychosocial recovery in psychiatric patients.预测精神科患者心理社会康复的因素。
Acta Psychiatr Scand. 1996 Nov;94(5):365-71. doi: 10.1111/j.1600-0447.1996.tb09874.x.
9
Medical student and patient attitudes toward religion and spirituality in the recovery process.医学生和患者在康复过程中对宗教与灵性的态度。
Am J Drug Alcohol Abuse. 1996 Nov;22(4):549-61. doi: 10.3109/00952999609001680.
10
Reduced substance-abuse-related health care costs among voluntary participants in Alcoholics Anonymous.戒酒互助会自愿参与者中与药物滥用相关的医疗保健成本降低。
Psychiatr Serv. 1996 Jul;47(7):709-13. doi: 10.1176/ps.47.7.709.
Zotero 插件