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从酒精和物质使用障碍中康复后的幸福感可预测戒酒及治疗依从性。

Happiness with Recovery from Alcohol and Substance Use Disorders Predicts Abstinence and Treatment Retention.

作者信息

Krentzman Amy R, Bowen Elizabeth A, Zemore Sarah E

机构信息

School of Social Work, University of Minnesota, Peters Hall, 1404 Gortner Avenue, St. Paul, MN, 55108 USA.

University at Buffalo School of Social Work, 685 Baldy Hall, University at Buffalo, North Campus, Buffalo, NY 14260-1050.

出版信息

J Posit Psychol. 2024 Nov 20. doi: 10.1080/17439760.2024.2431686.

DOI:10.1080/17439760.2024.2431686
PMID:40918746
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12413015/
Abstract

Knowledge of the association between wellbeing and substance use disorder (SUD) treatment outcomes can guide recovery definitions, measurement strategies, and intervention development. This study recruited individuals in treatment for SUD (N = 81, M=39 years old, 53% female, 26% BIPOC). Wellbeing indicators included positive affect, serenity, flourishing, satisfaction with life, gratitude, quality of life, commitment to sobriety, and confidence staying sober. Outcomes included abstinence during treatment and treatment retention. After adjusting for urges to use, recruitment site, previous treatment episodes, legal issues, and days of sobriety in logistic regression analyses, only happiness with recovery remained significantly associated with either outcome (and was significantly associated with both outcomes: OR = 1.8 and 1.5, respectively, <.05). Assessed via a single item ("In general, I am happy with my recovery"), this construct shows promise as a novel, simple indicator of wellbeing in recovery and a potential target for intervention.

摘要

了解幸福感与物质使用障碍(SUD)治疗结果之间的关联,可以指导康复定义、测量策略和干预措施的制定。本研究招募了正在接受SUD治疗的个体(N = 81,平均年龄39岁,53%为女性,26%为有色人种)。幸福感指标包括积极情绪、宁静感、蓬勃发展、生活满意度、感恩、生活质量、戒酒承诺和保持清醒的信心。结果包括治疗期间的戒断和治疗留存率。在逻辑回归分析中,对使用冲动、招募地点、既往治疗次数、法律问题和戒酒天数进行调整后,只有对康复的幸福感与任一结果仍存在显著关联(且与两个结果均显著相关:OR分别为1.8和1.5,<.05)。通过一个单项(“总体而言,我对自己的康复感到满意”)进行评估,这一构念有望成为康复中幸福感的一个新颖、简单的指标以及一个潜在的干预目标。

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本文引用的文献

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Development, Feasibility, Acceptability, and Impact of a Positive Psychology Journaling Intervention to Support Addiction Recovery.一项支持成瘾康复的积极心理学日记干预措施的开发、可行性、可接受性及影响
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A randomized feasibility study of a positive psychology journaling intervention to support recovery from substance-use disorders.一项正念减压干预对慢性肾脏病患者疲乏影响的随机可行性研究
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理解物质使用障碍康复的共同意义:“什么是康复?”研究的新发现。
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