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谁参与了“庆祝康复”互助组织?美国一项全国性调查的结果。

Who participates in the 'Celebrate Recovery' mutual-help organization? Results from a National US Investigation.

作者信息

Dankwah Akosua B, Hoeppner Bettina B, Bergman Brandon G, Kelly John F

机构信息

Recovery Research Institute, Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, 151 Merrimac Street, 4th Floor, Boston, MA 02114, United States.

Health through Flourishing Research Program, Department of Psychiatry, Massachusetts General Hospital, 125 Nashua Street, Boston, MA 02114, United States.

出版信息

Drug Alcohol Depend. 2025 Feb 1;267:112532. doi: 10.1016/j.drugalcdep.2024.112532. Epub 2025 Jan 3.

Abstract

INTRODUCTION

Celebrate Recovery (CR) is a new, rapidly growing mutual-help organization (MHO) based on Christian principles and is the largest religious MHO in the US. However, very little is known about CR empirically.

METHODS

Secondary data analysis of the National Recovery Study (NRS) (Kelly et al., 2017) compared CR attendees to lifetime MHO attendees with non-CR attendance on survey-weighted estimates of 1) demographic and substance use characteristics, 2) treatment and recovery support service histories, and 3) current recovery-related functioning.

RESULTS

Compared to non-CR MHO participants (49 years), the mean age for CR participants (43 years) was younger (d = -0.32; p = 0.008). Relative to participants with alcohol as their primary substance, participants identifying methamphetamines as their primary substance had 5.12 times greater odds of being in CR versus non-CR MHO (p = 0.002). Participants reporting 15 +  years (vs. 0-5 years) since alcohol/drug problem resolution had 60 % lower odds of being in CR versus non-CR MHO (p = 0.029). Participants attending other faith-based recovery meetings had 11 times greater odds of being in CR than non-CR MHOs (p < 0.001). CR and non-CR MHO participants did not differ in current quality of life, happiness, self-esteem, psychological distress, and recovery capital.

CONCLUSION

Compared to non-CR MHO attendees, CR attendees may be slightly younger and earlier in their recovery, have primary stimulant drug problems, and are more likely to have tried other faith-based services. CR's widespread and growing availability suggests it may offer an alternative recovery support resource, particularly for Christians.

摘要

引言

“庆祝康复”(CR)是一个基于基督教原则的新兴且迅速发展的互助组织(MHO),是美国最大的宗教互助组织。然而,从实证角度对“庆祝康复”的了解却非常少。

方法

对“全国康复研究”(NRS)(凯利等人,2017年)的二次数据分析,将参加“庆祝康复”的人与终生参加互助组织但未参加“庆祝康复”的人进行比较,比较内容包括:1)人口统计学和物质使用特征、2)治疗和康复支持服务历史、3)当前与康复相关的功能的调查加权估计值。

结果

与未参加“庆祝康复”的互助组织参与者(49岁)相比,参加“庆祝康复”的参与者的平均年龄(43岁)更年轻(d = -0.32;p = 0.008)。相对于以酒精为主要物质的参与者,将甲基苯丙胺作为主要物质的参与者参加“庆祝康复”而非其他互助组织的几率高出5.12倍(p = 0.002)。报告自酒精/药物问题解决以来已有15年以上(与0至5年相比)的参与者参加“庆祝康复”而非其他互助组织的几率低60%(p = 0.029)。参加其他基于信仰的康复会议的参与者参加“庆祝康复”的几率比未参加“庆祝康复”的互助组织高出11倍(p < 0.001)。参加“庆祝康复”和未参加“庆祝康复”的互助组织参与者在当前生活质量、幸福感、自尊、心理困扰和康复资本方面没有差异。

结论

与未参加“庆祝康复”的互助组织参与者相比,参加“庆祝康复”的参与者可能年龄稍小且处于康复早期,有主要的兴奋剂药物问题,并且更有可能尝试过其他基于信仰的服务。“庆祝康复”的广泛且不断增加的可及性表明它可能提供一种替代的康复支持资源,特别是对基督徒而言。

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