Tonigan J Scott, McCallion Elizabeth A, Frohe Tessa, Pearson Matthew R
Department of Psychology, Center on Alcoholism, Substance Abuse & Addictions, University of New Mexico.
Psychol Addict Behav. 2017 Feb;31(1):54-60. doi: 10.1037/adb0000235. Epub 2017 Jan 12.
This study investigated the association between extent of lifetime attendance in Alcoholics Anonymous (AA) and spiritual gains among treatment seeking adults for alcohol use disorder. Participants included 246 individuals from 2 of the 3 sites in the Relapse Replication and Extension Project (Lowman, Allen, Stout, & The Relapse Research Group, 1996). Baseline characteristics included 63% male, 39.9% single, and the average age was 34 years (SD = 8.2). The Alcoholics Anonymous Involvement questionnaire (Tonigan, Connors, & Miller, 1996) was used to assess lifetime AA attendance. The Religious Beliefs & Behaviors Questionnaire (Connors, Tonigan, & Miller, 1996) was used to assess spirituality. Percent days abstinent (PDA) and drinks per drinking day (DPDD) were measured using the Form 90. At baseline, adults with more extensive AA histories were more severely alcohol impaired although they were no older relative to adults with less past AA exposure. Clear patterns of AA engagement were found between the high-low AA history groups over follow-up, with adults with less AA experience reporting less AA participation across a swath of AA-specific measures. Gains in spiritual practices significantly mediated AA-related benefit as measured by PDA and DPDD. Tests for moderated-mediation indicated that the magnitude of the mediational effect of spiritual gains did not differ between high-low AA history groups. Having an extensive AA history did not advantage (or disadvantage) adults in mobilizing future spiritual practices that are prescribed in AA. Clinical assessment of client AA history is important, however, because it predicts both the nature and extent that clients may participate in AA. (PsycINFO Database Record
本研究调查了戒酒互助会(AA)终身参与程度与寻求酒精使用障碍治疗的成年人精神收获之间的关联。研究对象包括复发复制与扩展项目(洛曼、艾伦、斯托特及复发研究小组,1996年)三个地点中的两个地点的246名个体。基线特征包括63%为男性,39.9%为单身,平均年龄为34岁(标准差 = 8.2)。使用戒酒互助会参与问卷(托尼根、康纳斯和米勒,1996年)评估AA终身参与情况。使用宗教信仰与行为问卷(康纳斯、托尼根和米勒,1996年)评估精神性。使用90表测量戒酒天数百分比(PDA)和饮酒日饮酒量(DPDD)。在基线时,有更广泛AA经历的成年人酒精损害更严重,尽管与过去AA接触较少的成年人相比,他们年龄并不更大。在随访期间,高低AA经历组之间发现了明显的AA参与模式,AA经历较少的成年人在一系列AA特定测量中报告的AA参与度较低。精神实践的收获显著介导了以PDA和DPDD衡量的与AA相关的益处。调节中介检验表明,高低AA经历组之间精神收获的中介效应大小没有差异。有广泛的AA经历在促使成年人进行AA规定的未来精神实践方面并无优势(或劣势)。然而,对客户AA历史的临床评估很重要,因为它可以预测客户参与AA的性质和程度。(PsycINFO数据库记录)