Arévalo Sandra, Prado Guillermo, Amaro Hortensia
Institute on Urban Health Research, Bouvé College of Health Sciences, Northeastern University, 360 Huntington Avenue, Stearns Suite 503, Boston, MA 02115, USA.
Eval Program Plann. 2008 Feb;31(1):113-23. doi: 10.1016/j.evalprogplan.2007.05.009. Epub 2007 Jul 3.
To examine the role of spirituality, sense of coherence, and coping responses in relation to stress and trauma symptoms among women in substance abuse treatment.
DATA SOURCES/STUDY SETTING: Data for the present analyses were obtained from baseline interviews of 393 women in an urban area of Massachusetts. Interviews were conducted from April 2003 to September 2006. Participants came from four substance abuse treatment programs (three residential and one outpatient) participating in the Mother's Hope, Mind and Spirit Study, an evaluation of an intervention funded by the Substance Abuse and Mental Health Services Administration (SAMSHA).
Stress was significantly associated with drug addiction severity and trauma symptoms were significantly related to alcohol addiction severity. Spirituality, sense of coherence, and coping responses did not mediate the relationship between perceived stress, and posttraumatic stress, and alcohol and drug addiction severity. However, negative and significant associations were found between perceived stress and spirituality, sense of coherence and coping responses, and between posttraumatic stress symptomatology and sense of coherence.
Enhanced substance abuse treatments that increase spirituality, sense of coherence, and coping responses may be beneficial in helping women in substance abuse treatment to manage stress and posttraumatic stress symptoms. However, further research is needed to identify the pathways through which spirituality, sense of coherence and coping responses may mediate the effects of stress and posttraumatic stress symptoms on alcohol and drug addiction severity.
探讨灵性、连贯感和应对反应在药物滥用治疗女性中与压力及创伤症状之间的关系。
数据来源/研究背景：本分析的数据来自对马萨诸塞州一个市区393名女性的基线访谈。访谈于2003年4月至2006年9月进行。参与者来自四个参与“母亲的希望、心灵与精神研究”的药物滥用治疗项目（三个住院项目和一个门诊项目），该研究是对一项由药物滥用和精神健康服务管理局（SAMSHA）资助的干预措施的评估。
压力与药物成瘾严重程度显著相关，创伤症状与酒精成瘾严重程度显著相关。灵性、连贯感和应对反应并未介导感知到的压力与创伤后应激之间以及酒精和药物成瘾严重程度之间的关系。然而，在感知到的压力与灵性、连贯感和应对反应之间，以及创伤后应激症状与连贯感之间发现了负向且显著的关联。
增强灵性、连贯感和应对反应的强化药物滥用治疗可能有助于药物滥用治疗中的女性管理压力和创伤后应激症状。然而，需要进一步研究以确定灵性、连贯感和应对反应可能介导压力和创伤后应激症状对酒精和药物成瘾严重程度影响的途径。
