Carrico Adam W, Gifford Elizabeth V, Moos Rudolf H
University of California, San Francisco Department of Psychiatry, San Francisco, CA 94143, USA.
Drug Alcohol Depend. 2007 Jun 15;89(1):66-73. doi: 10.1016/j.drugalcdep.2006.12.004. Epub 2007 Jan 16.
Previous investigations have observed that spirituality/religiosity (S/R) is associated with enhanced 12-step involvement. However, relatively few studies have attempted to examine the mechanisms for this effect. For the present investigation, we examined whether acceptance-based responding (ABR) - awareness or acknowledgement of internal experiences that allows one to consider and perform potentially adaptive responses - accounted for the effect of S/R on 12-step self-help group involvement 2 years after a treatment episode.
Data were collected as part of a multi-site treatment outcome study with 3698 substance-dependent male veterans recruited at baseline. Assessments were conducted at baseline, discharge, 1-year follow-up, and 2-year follow-up. We utilized structural equation modeling to examine the relationships among latent variables of S/R, ABR, and 12-step involvement over time.
In the final model, S/R was not directly related to 12-step involvement at 2-year follow-up. However, S/R predicted enhanced ABR at 1-year follow-up after accounting for discharge levels of ABR. In turn, ABR at 1-year follow-up predicted increased 12-step involvement at 2-year follow-up after accounting for discharge levels of 12-step involvement.
S/R promotes the use of post-treatment self-regulation skills that, in turn, directly contribute to ongoing 12-step self-help group involvement.
先前的调查发现，精神性/宗教信仰（S/R）与更高的12步参与度相关。然而，相对较少的研究试图探究这种效应的机制。在本次调查中，我们检验了基于接纳的反应（ABR）——即对内部体验的觉察或认可，这种觉察或认可使个体能够考虑并做出潜在的适应性反应——是否能解释治疗结束2年后S/R对12步自助小组参与度的影响。
数据收集于一项多地点治疗结果研究，基线时招募了3698名依赖物质的男性退伍军人。在基线、出院时、1年随访和2年随访时进行评估。我们运用结构方程模型来检验S/R、ABR和12步参与度的潜在变量随时间的关系。
在最终模型中，2年随访时S/R与12步参与度无直接关联。然而，在考虑出院时的ABR水平后，S/R预测了1年随访时ABR的增强。相应地，在考虑出院时的12步参与度水平后，1年随访时的ABR预测了2年随访时12步参与度的增加。
S/R促进了治疗后自我调节技能的使用，而这些技能反过来又直接有助于持续参与12步自助小组。
