Center for Health Care Evaluation (152), Veterans Affairs Palo Alto Health Care System, 795 Willow Rd., Menlo Park, CA 94025, USA.
J Subst Abuse Treat. 2011 Jul;41(1):78-87. doi: 10.1016/j.jsat.2011.02.001. Epub 2011 Mar 10.
Although abuse victimization and dual diagnosis are associated with poor functioning across numerous domains, their impact on attendance and involvement in mutual-help groups (MHGs) is not well understood. This study examined the impact of physical or sexual abuse victimization on MHG attendance and involvement and the influence of abuse on the association between MHG involvement and outcomes of abstinence and psychiatric health. Participants were 217 dually diagnosed men assessed at intake into mental health treatment and 6 months later. Compared with nonabused patients, sexually abused patients exhibited more substance use, psychiatric, and social problems at baseline and attended and were involved with MHGs more than nonabused patients at follow-up. Moreover, MHG involvement was most predictive of abstinence for sexually abused patients, as compared with nonabused and physically abused patients. Although dually diagnosed patients with abuse histories demonstrate more severe initial problems, they are likely to utilize MHGs, which may benefit efforts to achieve abstinence.
尽管虐待受害者和双重诊断与众多领域的功能不良有关，但它们对互助小组（MHG）的出勤率和参与度的影响尚未得到充分理解。本研究考察了身体或性虐待受害者对 MHG 出勤率和参与度的影响，以及虐待对 MHG 参与度与戒断和精神健康结果之间关联的影响。参与者为 217 名在心理健康治疗开始时和 6 个月后接受评估的双重诊断男性。与未受虐待的患者相比，性虐待患者在基线时表现出更多的物质使用、精神和社会问题，并且在随访时比未受虐待的患者更多地参加和参与 MHG。此外，与未受虐待和身体虐待的患者相比，MHG 的参与对性虐待患者的戒酒最具预测性。尽管有虐待史的双重诊断患者表现出更严重的初始问题，但他们可能会利用 MHG，这可能有助于实现戒酒的努力。
