Meshesha Lidia Z, Magri Tatiana D, Braun Tosca D, Sillice Marie A, Nguyen Minh D, Suren Vaishnavi, Abrantes Ana M
Department of Psychology, University of Central Florida, Orlando, FL, 32816.
Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, RI 02906.
Alcohol Treat Q. 2023;41(3):309-321. doi: 10.1080/07347324.2023.2204815. Epub 2023 Apr 21.
Behavioral economic theory of addiction proposes that substance use often takes place in environments with limited substance-free reinforcement. While increasing substance-free reinforcement is known to reduce substance use, systematic efforts to boost substance-free reinforcement is not often a focus of most alcohol treatment programs. Participants (N=21) with alcohol use disorder participated in virtual focus group sessions. Qualitative content analysis was conducted on participants' verbatim responses. Substance-free activities were also assessed with a 66-item modified pleasant activity list specifying activity engagement frequency and enjoyment. All participants reported introduction to substance-free activity engagement as part of their treatment, although those in group therapy (relative to individual) reported less consistent support. While motives for initial activity engagement were reported as stemming from external sources (i.e., therapist), activity maintenance was linked to intrinsic motives (i.e., personal interest). All participants identified substance-free activities as a key aid to successful recovery. Types of most helpful activities were ones related to self-care, social connections, acts of service, and creative outlets. Findings are consistent with theories of behavior change and suggest participants believe substance-free activity engagement is an important component of their recovery, however they are not receiving consistent support during the pivotal early recovery period.
成瘾的行为经济学理论提出，物质使用往往发生在无物质强化有限的环境中。虽然增加无物质强化已知可减少物质使用，但大多数酒精治疗项目通常并不将系统地增加无物质强化作为重点。患有酒精使用障碍的参与者（N = 21）参加了虚拟焦点小组会议。对参与者的逐字记录回复进行了定性内容分析。还使用一份66项的修改后的愉快活动清单评估了无物质活动，该清单明确了活动参与频率和愉悦程度。所有参与者都报告称，无物质活动参与是他们治疗的一部分，尽管团体治疗中的参与者（相对于个体治疗）报告得到的支持不太一致。虽然最初参与活动的动机据报告源于外部来源（即治疗师），但活动的维持与内在动机（即个人兴趣）有关。所有参与者都认为无物质活动是成功康复的关键辅助因素。最有帮助的活动类型是与自我护理、社交联系、服务行为和创意表达相关的活动。研究结果与行为改变理论一致，并表明参与者认为无物质活动参与是他们康复的重要组成部分，然而在关键的早期康复阶段，他们并未得到持续的支持。
