Helena Kennedy Centre for International Justice, Department of Law and Criminology, Development and Society, Sheffield Hallam University, Collegiate Crescent, Sheffield, S10 2BQ, United Kingdom.
Helena Kennedy Centre for International Justice, Department of Law and Criminology, Development and Society, Sheffield Hallam University, Collegiate Crescent, Sheffield, S10 2BQ, United Kingdom.
Drug Alcohol Depend. 2017 Dec 1;181:11-19. doi: 10.1016/j.drugalcdep.2017.09.002. Epub 2017 Sep 28.
In recent years, there has been recognition that recovery is a journey that involves the growth of recovery capital. Thus, recovery capital has become a commonly used term in addiction treatment and research yet its operationalization and measurement has been limited. Due to these limitations, there is little understanding of long-term recovery pathways and their clinical application.
We used the data of 546 participants from eight different recovery residences spread across Florida, USA. We calculated internal consistency for recovery capital and wellbeing, then assessed their factor structure via confirmatory factor analysis. The relationships between time, recovery barriers and strengths, wellbeing and recovery capital, as well as the moderating effect of gender, were estimated using structural equations modelling.
The proposed model obtained an acceptable fit (χ (141, N=546)=533.642, p<0.001; CMIN/DF=3.785; CFI=0.915; TLI=0.896; RMSEA=0.071). Findings indicate a pathway to recovery capital that involves greater time in residence ('retention'), linked to an increase in meaningful activities and a reduction in barriers to recovery and unmet needs that, in turn, promote recovery capital and positive wellbeing. Gender differences were observed.
We tested the pathways to recovery for residents in the recovery housing population. Our results have implications not only for retention as a predictor of sustained recovery and wellbeing but also for the importance of meaningful activities in promoting recovery capital and wellbeing.
近年来，人们已经认识到康复是一个涉及恢复资本增长的过程。因此，恢复资本已成为成瘾治疗和研究中常用的术语，但它的操作性和测量方法一直受到限制。由于这些限制，人们对长期康复途径及其临床应用的了解甚少。
我们使用了来自美国佛罗里达州的 8 个不同康复住所的 546 名参与者的数据。我们计算了恢复资本和幸福感的内部一致性，然后通过验证性因子分析评估了它们的因子结构。使用结构方程模型评估了时间、康复障碍和优势、幸福感和恢复资本之间的关系，以及性别对这些关系的调节作用。
所提出的模型具有可接受的拟合度（χ (141, N=546)=533.642, p<0.001；CMIN/DF=3.785；CFI=0.915；TLI=0.896；RMSEA=0.071）。研究结果表明，恢复资本的途径涉及在住所中停留更长时间（“保留”），这与有意义的活动增加以及减少康复障碍和未满足的需求有关，而这反过来又促进了恢复资本和积极的幸福感。观察到了性别差异。
我们测试了康复住所居民的康复途径。我们的研究结果不仅对保留作为持续康复和幸福感的预测因素具有意义，而且对有意义的活动在促进恢复资本和幸福感方面的重要性也具有意义。
