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从酒精问题康复的异质个体样本中分析康复资本特征。

Recovery capital profiles among a heterogeneous sample of individuals in recovery from alcohol problems.

机构信息

School of Social Work, University at Buffalo.

Department of Community Health and Health Behavior, School of Public Health and Health Professions, University at Buffalo.

出版信息

Psychol Addict Behav. 2024 Dec;38(8):901-910. doi: 10.1037/adb0001031. Epub 2024 Aug 29.

DOI:10.1037/adb0001031
PMID:39207364
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11563897/
Abstract

OBJECTIVE

Recovery capital (RC) is a framework for conceptualizing the resources individuals use to support alcohol and other drug recovery across social, physical, human, and cultural domains. The goal of this study was to identify subgroups of individuals in recovery with distinct combinations of RC across domains and characteristics of individuals with unique RC patterns.

METHOD

Latent profile analyses investigated patterns in both within-domain amount and variability of RC across each of the four domains using the Multidimensional Inventory of Recovery Capital, a theoretically and psychometrically sound RC measure. The sample included U.S. participants closely reflecting 2020 Census demographics ( = 482, 49% female, 38% racial/ethnic minority, = 42.57) identifying as having resolved a prior problem with alcohol (alone or with other drugs).

RESULTS

Latent profile analyses distinguished four RC profiles: Low/Inconsistent (23%), Moderate/Consistent (43%), Moderate/Inconsistent (12%), and High/Consistent (22%). Females and individuals who were unemployed, nonabstinent, and had greater alcohol problem severity were more likely to belong to the Low/Inconsistent profile. Individuals in unassisted recovery were more likely to belong to the Moderate/Inconsistent profile. Older age and more time in recovery were associated with High/Consistent profile membership. Race/ethnicity was not associated with profile membership.

CONCLUSIONS

These person-oriented analyses elucidate complex patterns of resources that individuals utilize during recovery and individual characteristics underpinning differences across RC patterns. The empirically derived subgroups in this heterogeneous sample highlight multiple combinations of resources that individuals leverage to achieve recovery and indicate characteristics of individuals who may need greater amounts and/or consistency of RC to continue sustaining recovery. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

摘要

目的

恢复资本(RC)是一个概念框架,用于构想个人在社会、身体、人文和文化领域中用于支持酒精和其他药物康复的资源。本研究的目的是确定具有不同 RC 组合的个体在康复中的亚组,以及具有独特 RC 模式的个体的特征。

方法

使用多维恢复资本量表(一种具有理论和心理测量学意义的 RC 测量工具)对每个四个领域内 RC 的域内数量和变化进行潜在剖面分析。该样本包括与 2020 年人口普查人口统计学数据非常相似的美国参与者(n = 482,49%为女性,38%为种族/少数民族,平均年龄为 42.57),他们自认为解决了之前的酒精问题(单独或与其他药物一起)。

结果

潜在剖面分析区分了四个 RC 模式:低/不一致(23%)、中等/一致(43%)、中等/不一致(12%)和高/一致(22%)。女性和失业、非禁欲以及酒精问题严重程度较高的个体更有可能属于低/不一致模式。未接受帮助的康复者更有可能属于中等/不一致模式。年龄较大和康复时间较长与高/一致模式的成员身份相关。种族/民族与模式成员身份无关。

结论

这些面向个体的分析阐明了个体在康复期间利用的资源的复杂模式以及构成 RC 模式差异的个体特征。在这个异质样本中,经验得出的亚组突出了个体利用多种资源来实现康复的情况,并表明了可能需要更多数量和/或一致性的 RC 来继续维持康复的个体特征。

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本文引用的文献

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Improving Social Recovery Capital Research To Enhance Clinical Utility: A Proposed Agenda.改进社会恢复资本研究以提高临床效用:一项拟议议程。
Addict Res Theory. 2024;32(3):153-159. doi: 10.1080/16066359.2023.2224964. Epub 2023 Jun 20.
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Associations between day-level affect profiles and same-day substance use among young adults.青年成年人日间情绪状态与当日物质使用之间的关联。
Psychol Addict Behav. 2024 May;38(3):323-333. doi: 10.1037/adb0000979. Epub 2024 Jan 8.
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