动态恢复认同对失效风险的影响及日常恢复会议的作用。

IF 4.4 2区医学 Q1 SUBSTANCE ABUSE

International Journal of Drug Policy Pub Date : 2025-08-05 DOI:10.1016/j.drugpo.2025.104941

Joseph H. Lancaster , Timothy R. Brick , H. Harrington Cleveland

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引用次数: 0

摘要

目的：康复的社会认同模型（SIMOR）假设采用与康复相关的认同（康复认同）可以改善物质使用障碍（SUD）的预后。虽然恢复身份被研究为一种静态或缓慢变化的结构，但有证据表明，它可以每天都发生变化。本研究使用来自康复社区中心（RCCs）的每日日记研究数据来检验康复认同与药物渴望之间的个人关系，药物渴望是失效风险的一个关键指标。鉴于与康复团体的社会接触会增加康复认同的显著性，我们调查了参加康复会议对当天康复认同与渴望之间的关联的作用。方法：对宾夕法尼亚州rcc的94名访客进行了为期10晚的每日日记调查。利用两部分随机效应模型分析了夜间报告的恢复身份、渴望和每天参加恢复会议的情况，以检查恢复身份和药物渴望之间的个人关系，恢复会议是一个调节因素。结果：恢复认同与渴望发生在个人层面的几率无关（b = 0.01, SE = 0.01, n.s）。然而，在参与者报告渴望的日子里，渴望的程度与报告的恢复认同水平显著相关。此外，当天的康复认同和渴望之间的这种关联被当天的康复会议的出席所缓和（加强），尽管只有在报告了渴望的日子（b = -0.04, SE = 0.02, p = 0.046）。在个体水平上，恢复认同能预测渴望程度（b = -0.06, SE = 0.015, p < 0.001）和存在程度（b = 0.05, SE = 0.007, p < 0.001）。与假设相反，那些恢复意识更强的人经历渴望的几率实际上更高。结论：基于这些结果，更强的康复认同似乎不仅与个人层面的渴望减少有关，而且这种联系可能取决于当天与其他康复个体的社会接触，如参加康复支持会议。这些发现不仅强调了将康复身份作为动态研究的价值，而且强调了与康复相关的个人内部状态之间的个人动态对日常行为的依赖性。在个人层面上，这一违反直觉的发现可能表明，经历过毒瘾的康复个体倾向于投资于他们的康复身份，作为一种防止复发的保护机制，尽管需要进一步的研究来得出明确的结论。

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The effects of dynamic recovery identity on lapse risk and the role of daily recovery meetings

Aims

The social identity model of recovery (SIMOR) posits that adopting an identity affiliated with recovery (recovery identity) improves substance use disorder (SUD) outcomes. Although recovery identity has been investigated as a construct that is either static or slowly changing, evidence exists that it can change from one day to the next. The present study uses data drawn from a daily diary study on recovery community centers (RCCs) to examine the within-person association between recovery identity and drug craving, a key indicator of lapse risk. Seeing that social contact with recovery groups should increase the salience of recovery identity, we investigated the role of attending recovery meetings on the same-day association between recovery identity and craving.

Methods

Daily diary surveys were administered for 10 nights to 94 visitors of Pennsylvania RCCs. Nightly reports of recovery identity, craving, and daily recovery meeting attendance were analyzed using two-part random effects modeling to examine within-person associations between recovery identity and drug craving with recovery meetings as a moderator.

Results

Recovery identity was unrelated to the odds of craving occurring at the within-person level (b = 0.01, SE = 0.01, n.s.). On days when participants reported a craving, however, the extent of craving was significantly related to the level of recovery identity reported. Moreover, this same-day association between recovery identity and craving was moderated (strengthened) by same-day recovery meeting attendance, although only among days craving was reported (b = -0.04, SE = 0.02, p = .046). At the person level, recovery identity predicted both the extent (b = -0.06, SE = 0.015, p < .001) and existence (b = 0.05, SE = 0.007, p < .001) of craving. Contrary to hypotheses, the odds of experiencing craving were actually higher for those with a stronger recovery identity.

Conclusions

Based on these results, not only does stronger recovery identity appear to be associated with a reduction in craving at the within-person level, but the association may depend on same-day social contact with other recovering individuals as indicated by attending recovery support meetings. These findings not only underscore the value in examining recovery identity as dynamic but also highlight the dependence of the within-person dynamics between recovery-related intrapersonal states on daily behaviors. The counterintuitive finding at the person level may indicate a tendency for recovering individuals who experience cravings to invest in their recovery identity as a protective mechanism against relapse, although further research is needed to draw firm conclusions.

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来源期刊

International Journal of Drug Policy SUBSTANCE ABUSE-

CiteScore

7.80

自引率

11.40%

发文量

307

审稿时长

62 days

期刊介绍： The International Journal of Drug Policy provides a forum for the dissemination of current research, reviews, debate, and critical analysis on drug use and drug policy in a global context. It seeks to publish material on the social, political, legal, and health contexts of psychoactive substance use, both licit and illicit. The journal is particularly concerned to explore the effects of drug policy and practice on drug-using behaviour and its health and social consequences. It is the policy of the journal to represent a wide range of material on drug-related matters from around the world.