Zemore Sarah E
Alcohol Research Group, 2000 Hearst Avenue, Berkeley, CA 94709, USA.
Alcohol Clin Exp Res. 2007 Oct;31(10 Suppl):76s-79s. doi: 10.1111/j.1530-0277.2007.00499.x.
Emerging evidence implies a role for spirituality in recovery from substance abuse. The current study examines the hypothesis that spiritual change helps mediate (or explain) effects for involvement in 12-step groups on recovery outcomes among substance-abusing populations.
Participants (baseline N = 733) received treatment at 1 of 5 day hospital and 7 residential substance abuse treatment programs in California. Assessments included a baseline interview and 1-year follow-up; analyses incorporated regressions informed by Baron and Kenny (1986) and Sobel's (1982) test. To assess spirituality, measures included (1) the Religious Background and Behaviors scale and (2) an item assessing whether or not participants had had a spiritual awakening through their involvement with 12-step groups.
Results confirmed the hypothesis. Increases in 12-step involvement from baseline to follow-up predicted higher odds of total abstinence at follow-up, and this relationship was partially explained by increases in spirituality. Results held in multivariate analyses and regardless of which spirituality measure was analyzed.
The present study provides further evidence that spiritual change contributes to recovery, at least within the context of 12-step involvement. The study also deepens our understanding of how 12-step involvement works.
新出现的证据表明精神性在药物滥用康复中发挥作用。本研究检验了以下假设：精神性改变有助于介导（或解释）参与12步团体对药物滥用人群康复结果的影响。
参与者（基线N = 733）在加利福尼亚州的5个日间医院和7个住院药物滥用治疗项目中的1个接受治疗。评估包括基线访谈和1年随访；分析采用了Baron和Kenny（1986年）以及Sobel（1982年）检验的回归分析。为评估精神性，测量指标包括：（1）宗教背景与行为量表，以及（2）一个评估参与者是否通过参与12步团体获得精神觉醒的项目。
结果证实了该假设。从基线到随访期间12步参与度的增加预示着随访时完全戒酒的几率更高，这种关系部分由精神性的增加所解释。多变量分析结果一致，且无论分析哪种精神性测量指标都是如此。
本研究提供了进一步的证据，表明精神性改变有助于康复，至少在参与12步团体的背景下如此。该研究还加深了我们对12步参与如何发挥作用的理解。
