Graber Rebecca, Duara Raginie, Goswami Sangeeta, Hugh-Jones Siobhan, Chowdhury Diptarup, Madill Anna
Psychology and Counselling University of Chichester Chichester UK.
School of Psychology University of Leeds Leeds UK.
J Community Appl Soc Psychol. 2025 Jan-Feb;35(1):e70022. doi: 10.1002/casp.70022. Epub 2024 Nov 28.
Substance addiction can be considered a form of social injustice grounded in interactions between individual, family and community-level risk factors. Although prevention and treatment of substance use disorder is a key target of the United Nations sustainable development goal Good Health and Well-Being, many low-and-middle-income countries lack a culturally validated approach for its management. We contend that a resilience approach may provide a sound basis from which to develop such an approach in non-western, low-resource settings. Hence, the aim of this study is to identify factors supporting resilience for recovery from substance addiction in the lived experience of young adults in Assam, India. We used photo-led interviews to centre the lived experience of young adult addicts-in-recovery (11 men, 5 women; 19-24 years) recruited through two rehabilitation services and their networks. Reflexive thematic analysis of the data produced three clusters of themes: (i) precursors to recovery; (ii) repairing relationships; and, (iii) structuring a life of recovery. Findings are discussed and potential areas for intervention are identified to support a multi-level, culturally informed, community-driven approach to recovery from substance addiction.
物质成瘾可被视为一种社会不公正形式，其根源在于个人、家庭和社区层面的风险因素之间的相互作用。尽管物质使用障碍的预防和治疗是联合国可持续发展目标“良好健康与福祉”的关键目标，但许多低收入和中等收入国家缺乏经文化验证的管理方法。我们认为，复原力方法可能为在非西方、资源匮乏的环境中制定这样一种方法提供坚实基础。因此，本研究的目的是在印度阿萨姆邦年轻成年人的生活经历中，确定支持从物质成瘾中恢复的复原力因素。我们通过照片引导访谈，以通过两项康复服务及其网络招募的年轻成年康复成瘾者（11名男性，5名女性；19 - 24岁）的生活经历为中心。对数据进行反思性主题分析产生了三类主题：（i）康复的先兆；（ii）修复关系；以及（iii）构建康复生活。对研究结果进行了讨论，并确定了潜在的干预领域，以支持采用多层次、文化上有依据、社区驱动的方法从物质成瘾中恢复。
