Mankowski E S, Humphreys K, Moos R H
Department of Psychology, Portland State University, P.O. Box 751, Portland, Oregon 97207-0751, USA.
Am J Community Psychol. 2001 Aug;29(4):537-63. doi: 10.1023/A:1010469900892.
Drawing on ecological and narrative theories of self-help groups, this study tests a multilevel model predicting self-help group involvement among male veterans who received inpatient substance abuse treatment. Following K. Maton (1993), the study moves beyond the individual-level of analysis to encompass variables in the treatment and post-treatment social ecology. Surveys administered to patients (N = 3,018) and treatment staff (N = 329) assessed these predictor domains and self-help group involvement 1 year after discharge. A hierarchical linear model fit to the data indicates that greater involvement in 12-step groups after discharge is predicted by the compatibility between personal and treatment belief systems. The implications of these findings for efforts to facilitate transitions between inpatient professional treatment and community-based self-help groups are discussed.
本研究借鉴自助团体的生态和叙事理论，对一个多层次模型进行了检验，该模型用于预测接受住院药物滥用治疗的男性退伍军人参与自助团体的情况。遵循K. 马顿（1993年）的研究，本研究超越了个体层面的分析，纳入了治疗及治疗后社会生态中的变量。对患者（N = 3018）和治疗人员（N = 329）进行的调查评估了这些预测领域以及出院1年后参与自助团体的情况。对数据拟合的分层线性模型表明，个人信念系统与治疗信念系统之间的兼容性预示着出院后对12步团体的更多参与。文中讨论了这些发现对于促进住院专业治疗与社区自助团体之间过渡的努力的意义。
