DePaul University, Chicago, IL, USA.
Oregon Research Institute, Eugene, OR, USA.
Am J Community Psychol. 2021 Jun;67(3-4):392-404. doi: 10.1002/ajcp.12481. Epub 2020 Dec 9.
The purpose of this study is to contribute to the literature on the prediction of substance use relapse, using sophisticated systems' approaches to individuals and their contexts. In the current study of 42 recovery homes, we investigated the construct of social capital from the perspective of both recovery home residents and the house level. A confirmatory factor analysis found a latent recovery factor (including elements of recovery capital, comprising resources such as wages, self-efficacy, stress, self-esteem, quality of life, hope, sense of community, and social support) at both the individual and the recovery house level. Next, using longitudinal data from homes, an individual's probability of relapse was found to be related to house rather than individual-level latent recovery scores. In other words, an individual's probability of relapse was primarily related to the average of the "recoveries" of his or her recovery home peers, and not of his or her own personal "recovery" status. The finding that resident relapse is based primarily upon the total recovery capital available in the homes highlights the importance of the social environment for recovery.
本研究旨在为物质使用复发预测的文献做出贡献，使用复杂的系统方法来研究个体及其所处环境。在对 42 家康复院的研究中，我们从康复院居民和住房层面两个角度调查了社会资本的结构。验证性因素分析在个体和康复院层面都发现了一个潜在的康复因素（包括康复资本的要素，如工资、自我效能、压力、自尊、生活质量、希望、社区意识和社会支持）。接下来，使用来自住房的纵向数据，发现个体复发的概率与住房而不是个体层面的潜在康复评分有关。换句话说，个体复发的概率主要与他或她的康复院同伴的“康复”平均值有关，而不是与他或她自己的个人“康复”状况有关。居民复发主要基于住房中可用的总康复资本的发现强调了社会环境对康复的重要性。
