Alcoholism Treatment Quarterly最新文献

{"title":"The Importance of Social Support in Recovery Populations: Toward a Multilevel Understanding.","authors":"Mohammed F Islam, Mayra Guerrero, Rebecca L Nguyen, Alexandra Porcaro, Camilla Cummings, Ed Stevens, Ann Kang, Leonard A Jason","doi":"10.1080/07347324.2023.2181119","DOIUrl":"10.1080/07347324.2023.2181119","url":null,"abstract":"<p><p>Although social support is commonly investigated in the context of substance recovery, researchers have widely neglected its multilevel nature, thus limiting what we know about its measurement across levels of observation. The current study used multilevel confirmatory factor analyses (MCFA) on 229 individuals living in 42 recovery homes to investigate the structure of single factor of social support at the individual and house-levels. Multilevel structural equation model (MSEM) was then conducted to examine whether the social support factor was associated with stress at the individual and house-levels. MCFA results showed that within individuals, all social support measures were significant and positive while at the house-level, there were a few discrepancies (e.g., IP was negative). Stress was significantly negatively related to the social support factor at the individual-level, but this association was positive at the house-level. These findings suggest that on an individual-level, a person's perception and source of social support is particularly important -even if the source of support comes from someone who is not abstinent. On a house-level, social support is more sensitive to outside influences than within individuals. Implications for future research and substance use interventions targeting social support are discussed.</p>","PeriodicalId":45949,"journal":{"name":"Alcoholism Treatment Quarterly","volume":"41 2","pages":"222-236"},"PeriodicalIF":0.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10259869/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9636561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient Perspective on the Role of Substance-Free Activities During Alcohol Use Disorder Treatment: A Mixed-Method Study.","authors":"Lidia Z Meshesha, Tatiana D Magri, Tosca D Braun, Marie A Sillice, Minh D Nguyen, Vaishnavi Suren, Ana M Abrantes","doi":"10.1080/07347324.2023.2204815","DOIUrl":"10.1080/07347324.2023.2204815","url":null,"abstract":"<p><p>Behavioral economic theory of addiction proposes that substance use often takes place in environments with limited substance-free reinforcement. While increasing substance-free reinforcement is known to reduce substance use, systematic efforts to boost substance-free reinforcement is not often a focus of most alcohol treatment programs. Participants (N=21) with alcohol use disorder participated in virtual focus group sessions. Qualitative content analysis was conducted on participants' verbatim responses. Substance-free activities were also assessed with a 66-item modified pleasant activity list specifying activity engagement frequency and enjoyment. All participants reported introduction to substance-free activity engagement as part of their treatment, although those in group therapy (relative to individual) reported less consistent support. While motives for initial activity engagement were reported as stemming from external sources (i.e., therapist), activity maintenance was linked to intrinsic motives (i.e., personal interest). All participants identified substance-free activities as a key aid to successful recovery. Types of most helpful activities were ones related to self-care, social connections, acts of service, and creative outlets. Findings are consistent with theories of behavior change and suggest participants believe substance-free activity engagement is an important component of their recovery, however they are not receiving consistent support during the pivotal early recovery period.</p>","PeriodicalId":45949,"journal":{"name":"Alcoholism Treatment Quarterly","volume":"41 3","pages":"309-321"},"PeriodicalIF":0.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10373861/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10300339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Moving Social Model Recovery Forward: Recent Research on Sober Living Houses.","authors":"Douglas L Polcin, Amy A Mericle, George S Braucht, Friedner D Wittman","doi":"10.1080/07347324.2023.2167528","DOIUrl":"10.1080/07347324.2023.2167528","url":null,"abstract":"<p><p>Social model recovery is a peer centered approach to alcohol and drug problems that is gaining increased attention. This approach is well-suited to services in residential settings and typically includes living in a shared alcohol- and drug-free living environment where residents give and receive personal and recovery support. Sober Living Houses (SLHs) are recovery residences that explicitly use a social model approach. This paper describes recent research on SLHs, including new measures designed to assess their social and physical environments. We conclude that our understanding of social model is rapidly evolving to include broader, more complex factors associated with outcomes.</p>","PeriodicalId":45949,"journal":{"name":"Alcoholism Treatment Quarterly","volume":"41 2","pages":"173-186"},"PeriodicalIF":0.6,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10139742/pdf/nihms-1865736.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9394734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Substance Use Outcomes Among Sexual and Gender Minority Individuals Living with HIV Following Residential Substance Use Treatment in Washington, DC.","authors":"Jennifer M Belus, Hannah Tralka, Emily N Satinsky, C J Seitz-Brown, Stacey B Daughters, Jessica F Magidson","doi":"10.1080/07347324.2023.2241419","DOIUrl":"10.1080/07347324.2023.2241419","url":null,"abstract":"<p><p>This study explored how sexual or gender minority (SGM) status influenced substance use (SU) treatment outcomes in a predominantly African American and unemployed sample of people with HIV. <i>N</i> = 60 participants were enrolled in an abstinence-focused inpatient SU treatment center, followed by outpatient treatment sessions. At 12-months follow-up, the survival rate (i.e. those who did not reuse substances) was 37.6% (non-SGM group) vs. 4.8% (SGM group). The impact of SGM status on reuse was .54 log odds, <i>p</i> = .11, which translates to a 71.8% increase in the hazard of reusing substances for SGM vs. non-SGM individuals. For both groups, frequency of reuse remained stable and problems associated with SU decreased over time. Results suggest a potentially clinically relevant finding that SGM individuals have possible heigh-tened risk of SU after a mixed inpatient-outpatient program. ClinicalTrials.gov trial registration number: NCT01351454.</p>","PeriodicalId":45949,"journal":{"name":"Alcoholism Treatment Quarterly","volume":"41 1","pages":"373-385"},"PeriodicalIF":0.6,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10601688/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43281404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Capacity for Meaningful Relationship in Severe Substance Use Recovery: A Qualitative Study","authors":"T. Kimball, Sterling T. Shumway, Nikki Hune, Spencer D. Bradshaw","doi":"10.1080/07347324.2022.2149372","DOIUrl":"https://doi.org/10.1080/07347324.2022.2149372","url":null,"abstract":"ABSTRACT The purpose of this study was to qualitatively explore the lived experiences of meaningful relationships among persons in 12-step recovery. The distinction of recovery is important as our study focused less on relational patterns during active substance use and more on their perception within their recovery. This phenomenological study followed Van Manen’s six step approach of qualitative research. Data were collected from 7 participants through semi-structured one-on-one participant interviews. Participants were asked open-ended questions regarding their SUD recovery (e.g., “What is your experience of your capacity to be in meaningful relationships?”). Resulting from the analysis, four themes were extracted from the overarching theme of the Capacity for Meaningful Relationships in Recovery. The four emergent themes included Building the Foundation in Recovery, Sharing a Common Ground of Support, Giving Back – Helping Others, and Bridging Recovery to Family – The Biggest Accomplishment. Limitations and future research are discussed as well as the potential impact and application of these findings as they relate to recovery research and practice.","PeriodicalId":45949,"journal":{"name":"Alcoholism Treatment Quarterly","volume":"41 1","pages":"187 - 199"},"PeriodicalIF":0.9,"publicationDate":"2022-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48090010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Alcohol and Substance Use Initiation, Escalation and Recovery","authors":"Zachery Sneed, Regina B. Baronia, S. Bergeson","doi":"10.1080/07347324.2022.2149916","DOIUrl":"https://doi.org/10.1080/07347324.2022.2149916","url":null,"abstract":"Welcome to the first issue of the 41st volume of the Alcoholism Treatment Quarterly (ATQ). Of particular note is that this volume and issue mark the ATQ’s 13th year of publication with Taylor & Francis. Over the years, we have found our partnership with the publishing house to be effective and helpful in presenting high quality research related to alcohol use disorders (AUD) and other substances use disorders (SUD). Our thanks are extended to all involved. In the next section, we provide a brief overview of the articles included in this issue. Each article contains thoughtful and beneficial information across alcohol and substance use disorder science within several themes. This issue includes several articles with insights about perceptions and decision-making as they relate to alcohol and substance use initiation, escalation and/or recovery. Each work has something for relevant for healthcare professionals, educators and researchers. In the first section of this issue, a study regarding the internalized stigma and self-esteem within individuals with alcohol and risky substance use disorder is presented. Akhan and Gezgin Yazici present research from a study with 233 participants undergoing treatment for AUD or SUD at a training hospital. They sought to determine the internalized stigma and self-esteem levels of patients and identify related influential factors, and then explored correlations alcohol and substance use disorder progression. The results indicate that selfesteem and internalized stigma can be important concepts to explore in clinical settings as both may be related to progression. Nichols and colleagues explored the association between problem drinking, depressive symptoms and suicidal ideation. Their goal was to expound on the literature and provide more precision for examining links between AUD, major depression, and suicidal ideation. These authors drew from the Interpersonal Theory of Suicide (ITOS) and utilized structural equation modeling to explore a complex phenomenon. The next articles present relevant and useful information specific to women and recovery. First, Nowakowski-Sims and Ferrante present their findings from a qualitative study centered around Integrative Body-Mind-Spirit (IBMS) practice among women in a residential recovery program. In this research article the authors detail the need for a gender-responsive approaches to the treatment process. The authors reported that IBMS may be useful as an alternative coping mechanism to alcohol and substance use. Next, Antunes de Campos and colleagues share ethnographic research detailing how women in Brazil conceive and experience their recovery from AUD. This article presents information that contributes to the understanding of gender inequalities in peer self-help group settings. Owens, Banta-Green and Newman provide a thought-provoking piece on a recovery community center model. The authors utilized a grounded theory qualitative approach to explore the perceptions of s","PeriodicalId":45949,"journal":{"name":"Alcoholism Treatment Quarterly","volume":"41 1","pages":"1 - 2"},"PeriodicalIF":0.9,"publicationDate":"2022-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42059111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Problem Drinking, Perceived Burden, Depression, and Suicide Ideation: A Conceptual Model","authors":"Zachary Nichols, Uibin Lee, Devin J. Mills, G. Comiskey","doi":"10.1080/07347324.2022.2149373","DOIUrl":"https://doi.org/10.1080/07347324.2022.2149373","url":null,"abstract":"ABSTRACT Previous studies have attempted to identify factors that explain the effect of problem drinking onto both depression and suicidal ideation. Problem drinking, depression, and suicide ideation are associated, but the mechanism(s) explaining this association is underdefined in the current research landscape. For this reason, the present study is vital in expanding the understanding of these associations. The proposed study explored the interplay between problem drinking and depressive symptoms including suicide ideation. Drawing on the Interpersonal Theory of Suicide (ITOS), two interpersonal constructs (i.e., thwarted belongingness [TB] and perceived burdensomeness [PB]) were considered as mediators. It was hypothesized that problem drinking would contribute to greater depressive symptoms and suicide ideation as well through TB and PB. Participants with a history of drinking (N = 539; 43% female; M = 39.47 years, SD = 12.49) were recruited via Amazon’s Mechanical Turk and completed an online survey that included Problem Drinking, TB and PB, Depression and Suicide Ideation. Depression and suicide ideation were measured using the PHQ, which contains a single item assessing suicide ideation. Results from structural equation modeling partially supported the hypotheses in that problem drinking is significantly associated with depression and suicide ideation through PB. However, problem drinking was not associated with TB indicating that TB does not account for the effect of problem drinking onto either depression or suicide ideation. This preliminary study extends prior findings with specific interpersonal constructs and has implications that provide groundwork for future research and clinical application for social aspects of drinking.","PeriodicalId":45949,"journal":{"name":"Alcoholism Treatment Quarterly","volume":"41 1","pages":"15 - 30"},"PeriodicalIF":0.9,"publicationDate":"2022-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46171934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perspectives of Integrative Body-Mind-Spirit Interventions Among Women with Substance Use Disorder: A Qualitative Study","authors":"Eva Nowakowski-Sims, Stephen Ferrante","doi":"10.1080/07347324.2022.2145924","DOIUrl":"https://doi.org/10.1080/07347324.2022.2145924","url":null,"abstract":"ABSTRACT The growing interest and acceptance of Integrative Body-Mind-Spirit (IBMS) practice in recovery has created opportunities to explore new adjunct interventions for substance use disorder (SUD). Additionally, more and more people are seeking out the services of IBMS alongside conventional treatments, thereby engaging in dual interventions. This qualitative study aimed to gather perspectives about the experience of IBMS interventions (acupuncture, meditation, and Himalayan salt treatment) in combination with traditional SUD treatment. Twelve adult females in a residential recovery program completed weekly IBMS interventions and offered their experiences through survey responses. Themes identified that reduced stress led to greater body awareness and relaxation among participants. This contributed toward using IBMS as an alternative coping mechanism to substances and greater clarity with their life’s purpose. The results of this study underscore the importance for expanded research on the effects of IBMS interventions used in the treatment of SUD","PeriodicalId":45949,"journal":{"name":"Alcoholism Treatment Quarterly","volume":"41 1","pages":"31 - 44"},"PeriodicalIF":0.9,"publicationDate":"2022-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45400507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Face of Addiction in Cinematic Art: A Review","authors":"A. L. Rodriguez, K. Caswell, G. Comiskey, T. McGovern","doi":"10.1080/07347324.2022.2140619","DOIUrl":"https://doi.org/10.1080/07347324.2022.2140619","url":null,"abstract":"ABSTRACT Substance use disorders (SUDs) have long been misinterpreted as character flaws rather than ailments. With the evolving body of medical research, a dichotomy has been formed between drunkenness and the disease we now know. Art has served a special role in the reflection of the human condition. It serves as both a third-party storyteller and an influencer of our perception of the world around us. For a modern analysis of SUD streaming technology was used to study film and the depiction of addiction through the last 70 years. This paper will explore the topic of film’s ability to reliably report on this issue. Beautiful Boy is the most modern and the central film to the analysis. Research questions include: Can film accurately portray SUD? Specifically, the human suffering associated with addiction on the individual level and the family unit. Can it help people, who might not otherwise be exposed to its effects, understand the intricacies of addiction and reform? Now that we understand SUD to be a disease, art’s role in portraying it to the public is crucial to recovery for all.","PeriodicalId":45949,"journal":{"name":"Alcoholism Treatment Quarterly","volume":"41 1","pages":"136 - 145"},"PeriodicalIF":0.9,"publicationDate":"2022-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46432737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gender and Female Recovery in Alcoholics Anonymous in the City of São Paulo-Brazil","authors":"Edemilson Antunes de Campos, Nádia Zanon Narchi, Francine Even Sousa Cavalieri","doi":"10.1080/07347324.2022.2145251","DOIUrl":"https://doi.org/10.1080/07347324.2022.2145251","url":null,"abstract":"ABSTRACT Alcohol use disorder (AUD) is considered a public health problem and Alcoholics Anonymous (AA) is considered effective, but it is predominantly frequented by men in Brazil. The purpose of this article is to understand how women conceive and experience their recovery in AA women’s meetings. For this, an ethnographic research was carried out with women from AA groups located in the city of São Paulo, Brazil, from March 2020 to February 2021. Data collection was carried out through participant observation in female AA meetings and semi-structured interviews with thirty women who participated in the meetings. The results showed that for women, AUD is a disease linked to gender asymmetries in Brazilian society, so that they do not feel comfortable discussing details of their intimacy in the presence of men, since in mixed meetings they were often target of sexist harassment and discrimination. Despite AA’s patriarchal culture, women help each other in a gender-only space where they find the mutual support necessary for their recovery. This research is considered to contribute to the understanding of how gender inequalities affect the treatment of women in AA and the importance of having only women’s meetings to strengthen them.","PeriodicalId":45949,"journal":{"name":"Alcoholism Treatment Quarterly","volume":"41 1","pages":"45 - 61"},"PeriodicalIF":0.9,"publicationDate":"2022-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44631275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}