Gorvine Margaret M, Haynes Tiffany F, Marshall S Alexandra, Clark Cari J, Lovelady Nakita N, Zaller Nickolas D
Integr Med (Encinitas). 2021 Jun;20(3):20-29.
This study sought to explore constructs of the Whole Health resilience model to identify potential intervention and local research opportunities as a precursor to intervention development, as well as to describe women's resilience in Substance Use Disorder (SUD) recovery including current strengths, coping, self-care, needs and priorities in the context of their everyday lives.
Qualitative data were collected from December 2018 to January 2020 in the Mid-South United States. In-depth interviews of 17 women age 25 to 65 years in SUD recovery for 2 weeks or longer were conducted in 9 different settings including a Medication Assisted Treatment (MAT) hospital setting, a MAT pilot program in a community corrections setting, an incarceration re-entry residential program, community-based peer support organizations (eg, Narcotics Anonymous, Alcoholics Anonymous), a residential SUD treatment facility and a yoga teachers' online group. These data were analyzed with a hybrid approach (inductive and deductive coding).
The major themes that emerged from the analysis included social support, individual-level cognitive and spiritual strategies; self-care; stressors, priorities, needs, and self-care barriers and trauma. In this context, women needed a wide range of support including treatment of severe physical injuries, professional psychological support, help with restoring relationships, SUD treatment and recovery services, job training and coaching, health insurance advice, transportation, intimate partner violence (IPV) counseling and housing. Peer-support groups and faith communities were instrumental in many (but not all) of these women's lives in recovery-a gap was identified for women who did not have social support from these groups.
These data highlight the need for developing interventions for women in SUD recovery that take a holistic view of resilience life areas, as well as integrate professional services, family support, community support and approach care as wrap-around support that includes integration of social services to meet women's basic needs.
本研究旨在探索全健康复原力模型的构成要素，以确定潜在的干预措施和本地研究机会，作为干预措施开发的前奏，并描述女性在物质使用障碍（SUD）康复过程中的复原力，包括她们在日常生活背景下的当前优势、应对方式、自我护理、需求和优先事项。
2018年12月至2020年1月在美国中南部收集定性数据。对17名年龄在25至65岁、处于SUD康复状态达2周或更长时间的女性进行了深入访谈，访谈在9个不同场所进行，包括药物辅助治疗（MAT）医院环境、社区矫正环境中的MAT试点项目、监禁重新融入居住项目、社区同伴支持组织（如匿名戒毒会、匿名戒酒会）、住院SUD治疗设施以及瑜伽教师在线群组。这些数据采用混合方法（归纳和演绎编码）进行分析。
分析得出的主要主题包括社会支持、个人层面的认知和精神策略；自我护理；压力源、优先事项、需求、自我护理障碍和创伤。在此背景下，女性需要广泛的支持，包括严重身体损伤的治疗、专业心理支持、恢复关系的帮助、SUD治疗和康复服务、职业培训和指导、健康保险建议、交通、亲密伴侣暴力（IPV）咨询和住房。同伴支持团体和信仰社区在许多（但并非所有）这些女性的康复生活中发挥了重要作用——对于那些没有从这些团体获得社会支持的女性，发现了一个缺口。
这些数据凸显了为处于SUD康复中的女性制定干预措施的必要性，这些干预措施应全面看待复原力生活领域，并整合专业服务、家庭支持、社区支持以及将护理作为综合支持，包括整合社会服务以满足女性的基本需求。
