Bischof G, Rumpf H J, Hapke U, Meyer C, John U
Ernst-Moritz-Arndt University Greifswald, Department of Epidemiology and Social Medicine, Germany.
Alcohol Clin Exp Res. 2000 Dec;24(12):1773-7.
Research on natural recovery from alcohol dependence has focused mainly on triggering mechanisms of the remission process. Only a few studies have considered maintenance factors of natural recovery.
In the present study, 93 natural remitters and 42 self-help group participants were compared. Both groups remitted from alcohol dependence according to DSM-IV criteria. Several alcohol-related variables and maintenance factors of the remission process were assessed in a personal interview by using standardized questionnaires.
Logistic regression analysis that focused on maintenance factors showed that, independent from direct self-help group context, self-help group attendees informed more individuals about their former alcohol problems and sought social support more often as a coping strategy to deal with craving. No further group differences could be identified.
Self-help group participants revealed a higher social engagement to maintain their recovery. Besides this major difference, data support the assumption that more commonalities than differences exist within successful recoveries from alcohol dependence, independent of help-seeking status.
对酒精依赖自然康复的研究主要集中在缓解过程的触发机制上。只有少数研究考虑了自然康复的维持因素。
在本研究中，对93名自然康复者和42名自助小组参与者进行了比较。两组均根据《精神疾病诊断与统计手册》第四版标准从酒精依赖中康复。通过使用标准化问卷在个人访谈中评估了几个与酒精相关的变量和缓解过程的维持因素。
关注维持因素的逻辑回归分析表明，独立于直接的自助小组环境，自助小组参与者向更多人讲述他们以前的酒精问题，并更频繁地寻求社会支持作为应对渴望的一种应对策略。未发现进一步的组间差异。
自助小组参与者为维持康复表现出更高的社会参与度。除了这一主要差异外，数据支持这样一种假设，即从酒精依赖中成功康复的过程中，共同点多于差异点，与寻求帮助的状态无关。
