Robinson Elizabeth A R, Cranford James A, Webb Jon R, Brower Kirk J
Addiction Research Center, University of Michigan, 4250 Plymouth Road, Ann Arbor, Michigan 48109-5740, USA.
J Stud Alcohol Drugs. 2007 Mar;68(2):282-90. doi: 10.15288/jsad.2007.68.282.
This descriptive and exploratory study investigated change in alcoholics' spirituality and/or religiousness (S/R) from treatment entry to 6 months later and whether those changes were associated with drinking outcomes.
Longitudinal survey data were collected from 123 outpatients with alcohol use disorders (66% male; mean age = 39; 83% white) on 10 measures of S/R, covering behaviors, beliefs, and experiences, including the Daily Spiritual Experiences and Purpose in Life scales. Drinking behaviors were assessed with the Timeline Followback interview. Alcoholics Anonymous (AA) participation and attendance were also measured.
Over 6 months, there were statistically significant increases in half of the S/R measures, specifically the Daily Spiritual Experiences scale, the Purpose in Life scale, S/R practices scale, Forgiveness scale, and the Positive Religious Coping scale. There were also clinically and statistically significant decreases in alcohol use. Multiple logistic regression analyses showed that increases in Daily Spiritual Experiences and in Purpose in Life scores were associated with increased odds of no heavy drinking at 6 months, even after controlling for AA involvement and gender.
In the first 6 months of recovery, many dimensions of S/R increased, particularly those associated with behaviors and experiences. Values, beliefs, self-assessed religiousness, perceptions of God, and the use of negative religious coping did not change. Increases in day-to-day experiences of spirituality and sense of purpose/meaning in life were associated with absence of heavy drinking at 6 months, regardless of gender and AA involvement. The results of this descriptive study support the perspective of many clinicians and recovering individuals that changes in alcoholics' S/R occur in recovery and that such changes are important to sobriety.
本描述性探索性研究调查了酗酒者从进入治疗到6个月后的精神性和/或宗教性（S/R）变化，以及这些变化是否与饮酒结果相关。
收集了123名酒精使用障碍门诊患者（66%为男性；平均年龄 = 39岁；83%为白人）的纵向调查数据，涉及10项S/R测量指标，涵盖行为、信仰和经历，包括每日精神体验量表和生活目的量表。通过时间线追溯访谈评估饮酒行为。还测量了匿名戒酒会（AA）的参与情况和出席率。
在6个月的时间里，一半的S/R测量指标有统计学上的显著增加，特别是每日精神体验量表、生活目的量表、S/R实践量表、宽恕量表和积极宗教应对量表。酒精使用也有临床和统计学上的显著下降。多项逻辑回归分析表明，即使在控制了AA参与情况和性别之后，每日精神体验和生活目的得分的增加与6个月时无重度饮酒几率的增加相关。
在康复的前6个月，S/R的许多维度有所增加，特别是那些与行为和经历相关的维度。价值观、信仰、自我评估的宗教性、对上帝的认知以及消极宗教应对的使用没有变化。无论性别和是否参与AA，日常精神体验的增加和生活目的/意义感的增强与6个月时无重度饮酒相关。这项描述性研究的结果支持了许多临床医生和康复者的观点，即酗酒者的S/R变化发生在康复过程中，且这些变化对戒酒很重要。
