Department of Community and Behavioral Health, College of Public Health, University of Iowa.
Department of Biostatistics, College of Public Health, University of Iowa.
Psychol Addict Behav. 2024 Dec;38(8):891-900. doi: 10.1037/adb0001026. Epub 2024 Aug 12.
How people define recovery may affect their recovery goals, service use, and ultimately their outcomes. We examined recovery definitions among adults in recovery from an alcohol use disorder (AUD) who had different service use histories.
We analyzed online survey data from 1,492 adults with resolved lifetime AUD in "treated recovery" (any use of specialty services, such as inpatient or outpatient rehabilitation; = 375), "assisted recovery" (any use of lay services, such as mutual-help groups, and no use of specialty services; = 174), or "independent recovery" (no use of specialty or lay services; = 943). Surveys assessed recovery definitions using the 39-item ? (WIR) scale. We compared endorsement of WIR domains and individual recovery elements across groups using survey-weighted chi-square tests and logistic regression.
Endorsement of WIR scale domains was significantly lower among the independent than treated and assisted groups, but few differences emerged between the treated and assisted groups. Two recovery elements were endorsed by approximately equivalent majorities of all groups: "being honest with myself" (92.7%-94.8%) and "taking care of my physical health" (87.4%-90.9%). Five additional elements were similarly endorsed by large majorities (≥ 85%) in each group, albeit at lower levels in the independent group.
People who have experienced AUD and have not obtained alcohol services may have a narrower definition of recovery compared to those accessing treatment or attending mutual-help groups. This suggests a need to broaden alcohol services to better match varied recovery definitions; however, some highly endorsed elements suggest commonalities across recovery pathways. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
人们对康复的定义可能会影响他们的康复目标、服务使用，最终影响他们的康复结果。我们研究了具有不同服务使用史的酒精使用障碍（AUD）康复者对康复的定义。
我们分析了来自 1492 名有过 AUD 病史且已康复的成年人的在线调查数据，这些成年人在“治疗性康复”（使用过专科服务，如住院或门诊康复；n=375）、“辅助性康复”（使用过互助小组等非专科服务，未使用专科服务；n=174）或“独立性康复”（未使用专科或非专科服务；n=943）中有所不同。调查使用 39 项“恢复综合评定量表”（WIR）评估参与者对康复的定义。我们使用加权 χ2 检验和逻辑回归比较了三组在 WIR 各领域和个别康复要素上的认可情况。
独立组对 WIR 量表各领域的认可显著低于治疗组和辅助组，但治疗组和辅助组之间几乎没有差异。有两个康复要素得到了所有组的大致相同的多数认可：“对自己诚实”（92.7%-94.8%）和“照顾好自己的身体健康”（87.4%-90.9%）。其他五个要素也得到了每个组的大多数人的类似认可（≥85%），尽管在独立组中的认可程度较低。
与接受治疗或参加互助小组的人相比，没有获得酒精服务的 AUD 患者可能对康复的定义更狭隘。这表明需要扩大酒精服务，以更好地匹配不同的康复定义；然而，一些高度认可的要素表明了康复途径之间的共同性。（PsycInfo 数据库记录（c）2024 APA，保留所有权利）。
