Historique
Périodique
Role of self-help processes in achieving abstinence among dually diagnosed persons
(Le rôle des processus d'entraide dans la réussite de l'abstinence chez des personnes présentant un double diagnostic)
Auteur(s) :
MAGURA, S. ;
LAUDET, A. B. ;
MAHMOOD D. ;
ROSENBLUM, A. ;
VOGEL, H. S. ;
KNIGHT, E. L.
Année
2003
Page(s) :
399-413
Langue(s) :
Anglais
Refs biblio. :
48
Domaine :
Plusieurs produits / Several products
Note générale :
Addictive Behaviors, 2003, 28, (3), 399-413
Note de contenu :
tabl.
Résumé :
ENGLISH :
The effectiveness of participation in dual-focus groups (i.e., focusing on both mental health and substance use) has not been studied empirically. The study examined whether three hypothesized active ingredients of self help (helper-therapy, reciprocal-learning, and emotional-support processes) are associated with drug/alcohol abstinence outcomes for members of a 12-step dual-focus fellowship, Double Trouble in Recovery (DTR). The study was able to control for member attitudes and behaviors at baseline, which might be related to both self help processes and outcomes, i.e., extent of participation in DTR and traditional 12-step groups, prior drug/alcohol use, severity of psychiatric symptoms, motivation for change, stressful life events, perceived coping, self efficacy for recovery, and social support. Members of 24 DTR groups in New York City were recruited, interviewed, and reinterviewed after 1 year. Drug/alcohol abstinence in the past year increased from 54% at baseline to 72% at follow-up. Helper-therapy and reciprocal-learning activities were associated with better abstinence outcomes, independent of other attitudes and behaviors of the members. However, emotional support was not related to outcome. We conclude that specific elements of self help participation contribute substantially to progress in recovery for members of dual-focus groups ; facilitating such self help processes should be encouraged by clinicians and senior fellowship members. (Editor's abstract.)
Affiliation :
Inst. Treatment and Services Res., Natl. Development Res. Inst. Inc., NDRI, 71 West 23rd St., 8th. flr., New York, NY 10010. E-mail : smaguraaol.com
Etats-Unis. United States.
Etats-Unis. United States.