Department of Psychology, Illinois Institute of Technology, Chicago, Illinois, USA.
Department of Psychiatry, Yale University, New Haven, Connecticut, USA.
J Dual Diagn. 2019 Oct-Dec;15(4):226-232. doi: 10.1080/15504263.2019.1635292. Epub 2019 Jul 16.
Peer services have been identified as a key agent in promoting recovery (both as an outcome and as a process) for people with co-occurring disorders. We attempt to make sense of this connection here by examining public perceptions of recovery and peer services separately for serious mental illness (SMI) and substance use disorder. Two different styles may guide peers in providing SMI or substance use disorder services: support or confrontation. The goal of this preliminary study is to examine how styles differ across SMI and substance use disorder conditions and how perceptions of peer style are associated with recovery. One hundred ninety-five people representing the general public were recruited online via the Amazon MTurk platform. They were asked to complete measures of their endorsement of peer styles and recovery (overall, as-an-outcome, and as-a-process). Peers-as-supportive was endorsed more than confrontational for both SMI and substance use disorder groups. Confrontation was endorsed more for substance use disorder compared to SMI. Overall recovery and recovery-as-process were positively associated with peers-as-supportive for both SMI and substance use disorder. No recovery indices were significantly associated with peers-as-confrontational. Recovery-as-outcome was also associated with peers-as-supportive for substance use disorder. These findings have potential implications for peers and their style in SMI and substance use disorder services as well as in the unique interventions for people with dual disorders.
同伴服务已被确定为促进共病患者（既是结果也是过程）康复的关键因素。我们试图通过分别检查公众对严重精神疾病（SMI）和物质使用障碍的康复和同伴服务的看法来理解这种联系。两种不同的风格可能会指导同伴提供 SMI 或物质使用障碍服务：支持或对抗。本初步研究的目的是检验在 SMI 和物质使用障碍两种情况下，风格如何不同，以及同伴风格的看法如何与康复相关。195 名代表公众的人通过亚马逊 MTurk 平台在线招募。他们被要求完成对同伴风格和康复（整体、作为结果和作为过程）的认可的衡量。对于 SMI 和物质使用障碍组，同伴支持性比对抗性更受认可。与 SMI 相比，物质使用障碍更认可对抗。整体康复和康复过程与 SMI 和物质使用障碍的同伴支持性呈正相关。没有任何康复指标与同伴对抗性显著相关。物质使用障碍的康复结果也与同伴支持性相关。这些发现可能对 SMI 和物质使用障碍服务中的同伴及其风格以及双相障碍患者的独特干预措施有潜在影响。
