Inanlou Mehrnoosh, Bahmani Bahman, Farhoudian Ali, Rafiee Forough
Department of Counseling, University of Social Welfare and Rehabilitation Sciences. Tehran, Iran.
Substance Abuse and Dependence Research Center, University of Social Welfare and Rehabilitation Sciences,Tehran, Iran; Department of Psychiatry, Roozbeh Hospital, Tehran University of Medical Sciences,Tehran, Iran.
Iran J Psychiatry. 2020 Apr;15(2):172-181.
Despite the fact that a practical definition of addiction recovery is necessary to conduct an appropriate intervention and research, this concept is still vague and there is no consensus over its meaning and how to measure it. Thus, this study aimed to define and clarify this concept based on the available literature. The theoretical part of Schwartz_Barcott and Kim's Hybrid Model of concept analysis was used to analyze the concept of "Addiction Recovery." To find the relevant literature, an electronic search on valid databases was conducted using keywords related to the concept of addiction recovery. Medlib, IranMedex, Magiran, SID, Irandoc, Google Scholar, PubMed, Web of Science, Medline, Scopus, Pro Quest, CINAHL, Science Direct, Ovid, and Wiley databases were searched up to December 2018 without a time limitation using the following keywords: "Substance use disorders", "Drug use", "Recovery", "Opioids", "Addiction treatment", "Dependency", "Rehabilitation", Remission", "Concept analysis", "Restore", "Definition", "Meaning", and "Conceptualization". The Conventional content analysis was used on selected research articles. From a total of 9520 articles, 39 were reviewed and analyzed. Five attributes were selected, including the process of change, being holistic, being client-centric, learning healthy coping, and being multistage. Antecedents are organized into 2 interacting categories: personal and social resources. Personal resources refer to the person, his/her addiction, and the treatment characteristics, while social resources refer to the family, the community, and the context resources. Addiction recovery leads to sustained abstinence, improved physical and psychological health, improved quality of life and satisfaction, meaningful living, and citizenship. These findings may form a basis for the theories, scales, and criteria for the assessment of addiction recovery and will be useful in clinical practices and research. Also, these findings could help health care professionals to understand the concept of addiction recovery, which is important in improving the recovering person in all aspects of rehabilitation. We will report the implementation and analytical phase of this research project, namely, "the addiction recovery concept analysis" in Iran.
尽管为了进行适当的干预和研究，成瘾康复的实用定义是必要的，但这个概念仍然模糊，对于其含义以及如何衡量并没有达成共识。因此，本研究旨在根据现有文献来定义和阐明这个概念。施瓦茨 - 巴科特和金的混合概念分析模型的理论部分被用于分析“成瘾康复”这一概念。为了找到相关文献，使用与成瘾康复概念相关的关键词在有效的数据库中进行了电子搜索。截至2018年12月，对Medlib、IranMedex、Magiran、SID、Irandoc、谷歌学术、PubMed、科学网、Medline、Scopus、ProQuest、CINAHL、科学直投、Ovid和Wiley数据库进行了不限时间的搜索，使用了以下关键词：“物质使用障碍”、“药物使用”、“康复”、“阿片类药物”、“成瘾治疗”、“依赖”、“康复”、“缓解”、“概念分析”、“恢复”、“定义”、“含义”和“概念化”。对选定的研究文章采用了传统内容分析法。在总共9520篇文章中，39篇被审查和分析。选择了五个属性，包括改变过程、整体性、以客户为中心、学习健康应对方式和多阶段。前提因素被组织成两个相互作用的类别：个人资源和社会资源。个人资源指的是个人、他/她的成瘾情况以及治疗特征，而社会资源指的是家庭、社区和背景资源。成瘾康复会带来持续戒断、身心健康改善、生活质量和满意度提高、有意义的生活以及公民身份。这些发现可能为成瘾康复评估的理论、量表和标准奠定基础，并将在临床实践和研究中发挥作用。此外，这些发现可以帮助医疗保健专业人员理解成瘾康复的概念，这对于在康复的各个方面改善康复者的状况很重要。我们将报告这个研究项目在伊朗的实施和分析阶段，即“成瘾康复概念分析”。
