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一般应对方式和宗教应对方式可预测接受治疗的酒精依赖成年人的饮酒结果。

General and religious coping predict drinking outcomes for alcohol dependent adults in treatment.

作者信息

Martin Rosemarie A, Ellingsen Victor J, Tzilos Golfo K, Rohsenow Damaris J

机构信息

Center for Alcohol and Addiction Studies, Brown University, Providence, Rhode Island.

Veterans Affairs Medical Center, Providence, Rhode Island.

出版信息

Am J Addict. 2015 Apr;24(3):240-245. doi: 10.1111/ajad.12181. Epub 2015 Feb 6.

DOI:10.1111/ajad.12181
PMID:25662479
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4685938/
Abstract

BACKGROUND

Religiosity is associated with improved treatment outcomes among adults with alcohol dependence; however, it is unknown whether religious coping predicts drinking outcomes above and beyond the effects of coping in general, and whether gender differences exist.

METHODS

We assessed 116 alcohol-dependent adults (53% women; mean age = 37, SD = 8.6) for use of religious coping, general coping, and alcohol use within 2 weeks of entering outpatient treatment, and again 6 months after treatment.

RESULTS

Religious coping at 6 months predicted fewer heavy alcohol use days and fewer drinks per day. This relationship was no longer significant after controlling for general coping at 6 months.

CONCLUSIONS

The relationship between the use of religious coping strategies and drinking outcomes is not independent of general coping. Coping skills training that includes religious coping skills, as one of several coping methods, may be useful for a subset of adults early in recovery.

SCIENTIFIC SIGNIFICANCE

This novel, prospective study assessed the relationship between religious coping strategies, general coping, and treatment outcomes for alcohol-dependent adults in treatment with results suggesting that the use of religious coping as one of several coping methods may be useful for a subset of adults early in recovery.

摘要

背景

宗教虔诚与成年酒精依赖者改善的治疗效果相关;然而,宗教应对是否能在一般应对效果之外预测饮酒结果,以及是否存在性别差异尚不清楚。

方法

我们评估了116名酒精依赖成年人(53%为女性;平均年龄=37岁,标准差=8.6)在进入门诊治疗后2周内以及治疗后6个月的宗教应对、一般应对和酒精使用情况。

结果

6个月时的宗教应对预测重度饮酒天数减少且每日饮酒量减少。在控制了6个月时的一般应对后,这种关系不再显著。

结论

宗教应对策略的使用与饮酒结果之间的关系并非独立于一般应对。将宗教应对技能作为几种应对方法之一纳入的应对技能培训,可能对康复早期的一部分成年人有用。

科学意义

这项新颖的前瞻性研究评估了宗教应对策略、一般应对与酒精依赖成年人治疗结果之间的关系,结果表明将宗教应对作为几种应对方法之一使用,可能对康复早期的一部分成年人有用。

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本文引用的文献

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Investigating the interlinkages of alcohol use and misuse, spirituality and culture - Insights from a systematic review.探究酒精使用与滥用、精神性与文化之间的相互联系——来自一项系统评价的见解
Int Rev Psychiatry. 2014 Jun;26(3):352-67. doi: 10.3109/09540261.2014.899999.
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Relationship of spirituality or religion to recovery from substance abuse: a systematic review.灵性或宗教与物质滥用康复的关系:一项系统综述。
J Addict Nurs. 2013 Oct-Dec;24(4):217-26; quiz 227-8. doi: 10.1097/JAN.0000000000000001.
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Urge-specific and lifestyle coping strategies of alcoholics: relationships of specific strategies to treatment outcome.酗酒者的特定和生活方式应对策略:特定策略与治疗结果的关系。
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Spirituality, Religiousness, and Alcoholism Treatment Outcomes: A Comparison between Black and White Participants.灵性、宗教信仰与酒精成瘾治疗结果:黑人和白人参与者的比较
Alcohol Treat Q. 2010;28(2):128-150. doi: 10.1080/07347321003648661. Epub 2010 Apr 7.
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Six-month changes in spirituality and religiousness in alcoholics predict drinking outcomes at nine months.六个月内酗酒者的灵性和宗教信仰变化可预测九个月后的饮酒结果。
J Stud Alcohol Drugs. 2011 Jul;72(4):660-8. doi: 10.15288/jsad.2011.72.660.
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The alcohol relapse situation appraisal questionnaire: development and validation.酒精复饮情况评估问卷:编制与验证。
Drug Alcohol Depend. 2011 Jul 1;116(1-3):45-51. doi: 10.1016/j.drugalcdep.2010.11.022. Epub 2011 Jan 14.
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Spirituality during alcoholism treatment and continuous abstinence for one year.酗酒治疗期间的精神性及持续戒酒一年
Int J Psychiatry Med. 2008;38(4):391-406. doi: 10.2190/PM.38.4.a.
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