Miller William R, Forcehimes Alyssa, O'Leary Mary J, LaNoue Marnie D
University of New Mexico Center on Alcoholism, Substance Abuse and Addictions, Albuquerque, New Mexico, USA.
J Subst Abuse Treat. 2008 Dec;35(4):434-42. doi: 10.1016/j.jsat.2008.02.004. Epub 2008 Jul 26.
Spirituality has long been regarded as an important component of recovery from addiction. This article reports the findings of two controlled trials of spiritual direction as an adjunct in addiction treatment. In Study 1, 60 participants were randomly assigned to receive or not receive a 12-session manual-guided spiritual guidance (SG) intervention during and after inpatient treatment, in addition to treatment as usual (TAU). In Study 2, two cohorts of 40 each received TAU without or with SG during their inpatient stay. In both trials, contrary to prediction, SG had no effect on spiritual practices or substance use outcomes at any follow-up point. At the first follow-up in Study 1 only, those randomly assigned to spiritual direction unexpectedly showed significantly less improvement on depression and anxiety, relative to TAU controls. Limitations and implications for treatment are discussed.
长期以来，精神性一直被视为成瘾康复的一个重要组成部分。本文报告了两项将灵性指导作为成瘾治疗辅助手段的对照试验结果。在研究1中，60名参与者被随机分配，除接受常规治疗（TAU）外，在住院治疗期间及之后接受或不接受为期12节的手册指导灵性引导（SG）干预。在研究2中，两个队列各有40名参与者，在住院期间分别接受无SG或有SG的TAU。在两项试验中，与预测相反，SG在任何随访点对精神实践或物质使用结果均无影响。仅在研究1的首次随访中，相对于TAU对照组，那些被随机分配接受灵性指导的人在抑郁和焦虑方面的改善出人意料地显著较少。文中讨论了研究的局限性及对治疗的启示。
