Heinrich Katie M, Wyker Brett, Collinson Beth, Eddie David, Best David, Hillios Jacquelyn
Department of Research and Evaluation, The Phoenix, Denver, CO, United States.
Recovery Research Institute, Center for Addiction Medicine, Massachusetts General Hospital, Boston, MA, United States.
Front Public Health. 2025 Mar 21;13:1458026. doi: 10.3389/fpubh.2025.1458026. eCollection 2025.
People in recovery from a substance use disorder often have difficulties forming pro-social relationships or accessing supportive communities. Providing psychological safety within recovery communities may be uniquely beneficial, yet psychological safety has mostly been studied among professional organizations and not among vulnerable populations. This program evaluation study examined associations between attendance, psychological safety, and retrospective recovery-related changes.
Participants included 204 members of The Phoenix (13% response rate) who completed a survey that addressed recovery status and current perceptions of psychological safety, with hope, connection, empowerment, motivation to stay sober, mental health and physical health at 3-months and thinking back to baseline (i.e., "thentest"). Demographic information and attendance data were also collected.
Structural equation modeling found a good fit for the model (χ = 187.40, = 0.23; RMSEA =0.049, GFI = 0.90, CFI = 0.98, SRMSR = 0.05.) and all path coefficients were statistically significant ( < 0.05). Participants' perceived psychological safety fully mediated the relationship between attendance and recovery-related outcomes. Attendance was also directly and positively associated with physical health.
Due to positive improvements in health and recovery-related outcomes mediated by psychological safety, results show benefits of attending events hosted by The Phoenix for those in recovery from substance use. Additional research should further validate the importance of psychological safety as a key mediator of the recovery process.
从物质使用障碍中康复的人在建立亲社会关系或融入支持性社区方面往往存在困难。在康复社区中提供心理安全感可能具有独特的益处，但心理安全感大多是在专业组织中进行研究，而非在弱势群体中。这项项目评估研究考察了参与度、心理安全感与回顾性康复相关变化之间的关联。
参与者包括204名“凤凰会”成员（回复率为13%），他们完成了一项调查，该调查涉及康复状况以及当前对心理安全感的认知，同时还涉及3个月时的希望、联系、赋权、保持清醒的动机、心理健康和身体健康情况，并回顾了基线情况（即“当时-测试”）。还收集了人口统计学信息和参与数据。
结构方程模型显示该模型拟合良好（χ = 187.40， = 0.23；RMSEA =0.049，GFI = 0.90，CFI = 0.98，SRMSR = 0.05），所有路径系数均具有统计学意义（ < 0.05）。参与者感知到的心理安全感完全中介了参与度与康复相关结果之间的关系。参与度还与身体健康直接呈正相关。
由于心理安全感介导了健康和康复相关结果的积极改善，结果表明参加“凤凰会”举办的活动对从物质使用中康复的人有益。进一步的研究应进一步验证心理安全感作为康复过程关键中介因素的重要性。
