Centre for Criminal Justice and Policing, University of the West of Scotland, Lanarkshire, UK.
Drug Alcohol Rev. 2012 May;31(3):334-41. doi: 10.1111/j.1465-3362.2011.00321.x. Epub 2011 May 27.
The study investigates what 'recovery' means for those who describe themselves as in alcohol or drug recovery.
The project used multiple methods-snowballing, recruitment through recovery groups and advertisements in local press-to recruit 205 people (107 in alcohol and 98 in heroin recovery) who reported a lifetime dependence on alcohol and/or heroin; had not used their primary substance in the last year and perceived themselves to be either recovered or in recovery. They were interviewed by researchers using a structured questionnaire reported in the current paper and a semi-structured interview reported elsewhere.
The average time dependent for heroin users was 10.8 years and for drinkers 15.7years, but onset and desistance were earlier for heroin. Longer time since last use of alcohol or heroin was associated with better quality of life. Greater engagement in meaningful activities was associated with better functioning, and was associated with quality of life, followed by number of peers in recovery in the social network. Heroin users in abstinent recovery generally reported better functioning than those in maintained recovery.
Recovery experiences vary widely, but better functioning is typically reported after longer periods and is associated with supportive peer groups and more engagement in meaningful activities, and supports models promoting the development of peer networks immersed in local communities.
本研究调查了那些自称处于酒精或药物康复中的人对“康复”的理解。
该项目采用了多种方法,包括滚雪球、通过康复团体招募以及在当地报纸上刊登广告,招募了 205 名(酒精康复 107 名,海洛因康复 98 名)报告有终身酒精和/或海洛因依赖史、过去一年未使用过主要物质且自认为已经康复或正在康复的人。他们接受了研究人员的采访,使用了目前论文中报告的结构化问卷和其他地方报告的半结构化访谈。
海洛因使用者的平均依赖时间为 10.8 年,而酒精使用者的平均依赖时间为 15.7 年,但海洛因的发病和戒断时间更早。过去使用酒精或海洛因的时间越长,生活质量越好。更多地参与有意义的活动与更好的功能相关,并且与生活质量相关,其次是社交网络中康复同伴的数量。处于戒断康复状态的海洛因使用者的功能一般比维持康复的海洛因使用者更好。
康复经历差异很大,但较长时间的康复后通常会报告更好的功能,并且与支持性的同伴群体和更多参与有意义的活动相关,支持了促进发展沉浸在当地社区中的同伴网络的模型。