From the University of Kansas School of Medicine, Kansas City, KS.
J Addict Med. 2023;17(4):e211-e216. doi: 10.1097/ADM.0000000000001127. Epub 2023 Jan 6.
This study aimed to discover how the COVID-19 pandemic altered the implementation of the social model of recovery in sober living homes (SLHs). Researchers analyzed associations between residents' feelings of interconnectedness, social service utilization, and relapse predictors throughout the pandemic. This study provides an understanding of how the COVID-19 pandemic impacted treatment of substance use disorder (SUD).
This study used retrospective surveyed data from 105 SLH residents. Correlational analysis was used to determine the relationship between social service use, social connectivity, and relapse predictors at three different time points: February 2020, December 2020, and June 2021. Three residents underwent additional interviews.
There was a decline in social service utilization from February 2020 to December 2020 with an associated decline in feelings of social connectivity. From December 2020 to June 2021, there was an increase in residents' use of social services with an associated increase in connectivity. There was a significant negative correlation between relapse predictors and number of supportive services used in February 2020 ( r = -0.217, P < 0.05) and in December 2020 ( r = -0.352, P < 0.001). In June 2020, there was a significant negative correlation between interconnectedness and relapse predictors ( r = -0.297, P < 0.05). The number of interviews was not sufficient for formal qualitative analysis.
The results suggest the COVID-19 pandemic possibly interrupted the course of recovery in SLHs. These findings offer insight to how the pandemic impacted individuals recovering from SUD and suggest that SUD treatment professionals should develop interventions to enhance social connectivity to deploy in response to global stressors.
本研究旨在探讨 COVID-19 大流行如何改变戒酒互助会(SLH)中康复社会模式的实施。研究人员分析了大流行期间居民相互联系感、社会服务利用和复发预测因素之间的关联。本研究提供了对 COVID-19 大流行如何影响物质使用障碍(SUD)治疗的理解。
本研究使用了来自 105 名 SLH 居民的回顾性调查数据。相关性分析用于确定 2020 年 2 月、2020 年 12 月和 2021 年 6 月三个不同时间点社会服务利用、社会联系和复发预测因素之间的关系。对三名居民进行了额外的访谈。
从 2020 年 2 月到 2020 年 12 月,社会服务利用减少,社会联系感下降。从 2020 年 12 月到 2021 年 6 月,居民使用社会服务的数量增加,联系感增强。2020 年 2 月( r = -0.217,P < 0.05)和 2020 年 12 月( r = -0.352,P < 0.001),复发预测因素与支持性服务使用次数之间存在显著负相关。2021 年 6 月,相互联系与复发预测因素之间存在显著负相关( r = -0.297,P < 0.05)。访谈次数不足以为正式的定性分析提供足够的数据。
结果表明,COVID-19 大流行可能中断了 SLH 中的康复过程。这些发现提供了关于大流行如何影响从 SUD 中恢复的个人的见解,并表明 SUD 治疗专业人员应制定干预措施,以增强社会联系,以应对全球压力源。