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绘制和概念化康复赌徒的恢复资本。

Mapping and conceptualizing recovery capital of recovered gamblers.

机构信息

Bob Shapell School of Social Work.

出版信息

Am J Orthopsychiatry. 2020;90(1):22-36. doi: 10.1037/ort0000382. Epub 2018 Dec 27.

Abstract

Recovery capital (RC) is an emerging conceptual framework in the addiction field that pinpoints the internal and external (i.e., human, community, cultural, social, financial) resources individuals can draw on throughout the recovery process. The concept of RC was developed and applied primarily to individuals who have recovered from substance addiction. The aim of this study was to extend the RC conceptual framework to gambling disorder (GD)-which is classified in the (5th ed.; American Psychiatric Association, 2013) as a behavioral addiction-and to identify and conceptualize RC resources implemented by individuals who have recovered from GD. Ninety-one individuals who reported a lifetime history of GD but who had not exceeded the GD threshold criteria in the previous year, were interviewed about the factors that helped them throughout their recovery. Directed content analyses identified 12 main RC resources that were classified under 4 RC domains: human capital (subjective well-being, self-efficacy, self-control skills, proactive coping skills, socioemotional skills, reconstruction skills), community capital (prorecovery environment, professional therapeutic milieu), social capital (recovering gamblers' peer group, friends without a GD, family), and financial capital (prorecovery financial state). These findings are the first step toward formulating a comprehensive conceptual model of RC applicable to GD. This study extends the RC and the gambling literature by presenting a holistic view of recovery from GD in many facets of life, and underscores the importance of observing strengths and resources in treating people with GD. (PsycINFO Database Record (c) 2020 APA, all rights reserved).

摘要

恢复资本(RC)是成瘾领域中一个新兴的概念框架,它指出了个体在整个恢复过程中可以利用的内部和外部(即人类、社区、文化、社会、财务)资源。RC 的概念最初是为那些已经从物质成瘾中恢复过来的人开发和应用的。本研究的目的是将 RC 概念框架扩展到赌博障碍(GD),即《精神障碍诊断与统计手册》(第五版;美国精神病学协会,2013)中被归类为行为成瘾的一种,并确定和概念化那些已经从 GD 中恢复过来的个体所利用的 RC 资源。91 名报告有终身 GD 病史但在前一年未超过 GD 阈值标准的个体接受了采访,了解帮助他们在康复过程中恢复的因素。有针对性的内容分析确定了 12 个主要的 RC 资源,这些资源被归类为 4 个 RC 领域:人力资本(主观幸福感、自我效能、自我控制技能、积极应对技能、社会情感技能、重建技能)、社区资本(康复环境、专业治疗环境)、社会资本(康复赌徒的同伴群体、没有 GD 的朋友、家庭)和金融资本(康复财务状况)。这些发现是制定适用于 GD 的全面 RC 概念模型的第一步。本研究通过从生活的许多方面呈现 GD 康复的整体视角,扩展了 RC 和赌博文献,强调了在治疗 GD 患者时观察优势和资源的重要性。(美国心理协会,2020 年)。

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