Eddie David, White William L, Vilsaint Corrie L, Bergman Brandon G, Kelly John F
Recovery Research Institute.
Chestnut Health Systems.
Psychol Addict Behav. 2021 Jun;35(4):402-414. doi: 10.1037/adb0000689. Epub 2021 Mar 25.
Alcohol and other drug (AOD) use disorders impose a prodigious personal and societal burden. While most remit, little is known about the achievements accrued as people accomplish and sustain addiction recovery. Greater knowledge regarding the nature and prevalence of such achievements, when such achievements occur, what factors influence accrual of achievements, and how such achievements relate to other indices of functioning would support treatment and policy planning, and may instill hope for individuals and families seeking AOD problem resolution.
Nationally representative, cross-sectional survey of United States (US) population of persons who have overcome an AOD problem ( = 2,002), assessing individual factors and achievements in 4 domains: self-improvement; family engagement; civic, and economic participation. Logistic and linear regression models tested theorized associations among variables.
Most (80.1%) achieved at least one achievement associated with the 4 domains. A linear monotonic relationship was observed with greater achievements accruing with greater time in recovery. Accrual of achievements after AOD problem resolution was related to racial minority status, more education, earlier age of substance use initiation, illicit drugs as primary substance used, more years since resolving AOD problem, more psychiatric diagnoses, lower psychological distress, and regular 12-step program attendance. Multiple regression analyses found greater total achievements were independently associated with greater self-esteem, happiness, quality of life, and recovery capital.
Most individuals achieve an increasing number of achievements with time since AOD problem resolution, and these are associated with gains in measures of well-being that may support ongoing AOD problem remission, and recovery. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
酒精及其他药物（AOD）使用障碍给个人和社会带来了巨大负担。虽然大多数人会康复，但对于人们实现并维持成瘾康复过程中所取得的成就，我们了解甚少。更多地了解这些成就的性质和普遍性、这些成就何时出现、哪些因素影响成就的积累，以及这些成就与其他功能指标的关系，将有助于治疗和政策规划，并可能为寻求解决AOD问题的个人和家庭带来希望。
对美国已克服AOD问题的人群（n = 2002）进行具有全国代表性的横断面调查，评估自我提升、家庭参与、公民参与和经济参与这4个领域的个人因素和成就。逻辑回归和线性回归模型检验了变量之间的理论关联。
大多数人（80.1%）在这4个领域中至少取得了一项成就。观察到一种线性单调关系，即康复时间越长，取得的成就越多。解决AOD问题后的成就积累与少数族裔身份、受教育程度更高、物质使用开始年龄更早、以非法药物作为主要使用物质、解决AOD问题后的时间更长、更多的精神疾病诊断、更低的心理困扰以及定期参加12步康复计划有关。多元回归分析发现，总的成就越高，与自尊、幸福、生活质量和康复资本的增加独立相关。
自解决AOD问题以来，大多数人随着时间的推移取得了越来越多的成就，这些成就与幸福感的提升相关，这可能有助于持续缓解AOD问题并实现康复。（PsycInfo数据库记录（c）2021美国心理学会，保留所有权利）
