Laudet A B, Magura S, Vogel H S, Knight E
Institute for Treatment and Services Research,National Development and Research Institutes, Inc., New York, NY 10048, USA.
Community Ment Health J. 2000 Oct;36(5):457-76. doi: 10.1023/a:1001982829359.
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.
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。
