Elswick Alex, Fallin-Bennett Amanda, Ashford Kristin, Werner-Wilson Ronald
Alex Elswick, MS, and Ronald Werner-Wilson, PhD, Department of Family Sciences, University of Kentucky, Lexington. Amanda Fallin-Bennett, PhD, RN, and Kristin Ashford, PhD, WHNP, FAAN, College of Nursing, University of Kentucky, Lexington.
J Addict Nurs. 2018 Apr/Jun;29(2):78-83. doi: 10.1097/JAN.0000000000000218.
Substance use disorders (SUDs) are chronic, relapsing brain disorders associated with morbidity, mortality, and high healthcare costs. Emerging adults are particularly vulnerable, with twice the risk of developing an SUD relative to their adult or adolescent counterparts. Emerging adults in addiction and recovery are understudied. Accordingly, the concept of recovery capital has been developed to account for the internal and external resources that an individual can mobilize to recover from an SUD. To better understand the barriers that contribute to relapse, we explored recovery capital among emerging adults. The aims of this phenomenological study were to explore and describe the experience of emerging adults in recovery and to identify the barriers and facilitators to their recovery.
The informants (n = 8) were 18-25 years old in recovery from SUDs. Data were collected in 2016 using semistructured interviews and subsequently analyzed in 2017 for emerging themes.
Informants in this study reported challenges that may be unique to their age and stage of development. Informants reported residential and financial instability as barriers to recovery. Alternatively, informants reported spirituality and visible role models in recovery as facilitators of recovery. Finally, informants reported that the role of their families changed temporally throughout the course of their addiction to facilitate their recovery.
The results from this study suggest that the developmental tasks facing emerging adults are exacerbated in addiction and recovery, which increases the likelihood of SUD relapse.
物质使用障碍（SUDs）是一种慢性复发性脑部疾病，与发病率、死亡率及高昂的医疗成本相关。处于成年初期的人尤其脆弱，相较于成年或青少年同龄人，他们患物质使用障碍的风险高出一倍。对处于成瘾及康复阶段的成年初期人群的研究较少。因此，人们提出了康复资本的概念，以解释个体为从物质使用障碍中康复所能调动的内部和外部资源。为了更好地理解导致复发的障碍，我们对成年初期人群的康复资本进行了探索。这项现象学研究的目的是探索和描述成年初期人群的康复经历，并确定其康复的障碍和促进因素。
研究对象（n = 8）为年龄在18至25岁之间、正在从物质使用障碍中康复的人群。2016年通过半结构化访谈收集数据，并于2017年对新出现的主题进行分析。
本研究中的研究对象报告了一些可能因其年龄和发育阶段而独特的挑战。研究对象报告称，居住和经济不稳定是康复的障碍。另外，研究对象报告称，精神信仰和康复中的榜样人物是康复的促进因素。最后，研究对象报告称，在他们成瘾过程中，家庭的作用随时间发生了变化，以促进他们的康复。
本研究结果表明，成年初期人群面临的发展任务在成瘾和康复过程中会加剧，这增加了物质使用障碍复发的可能性。
