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Spirituality/religiosity promotes acceptance-based responding and 12-step involvement
Adam W Carrico1, Elizabeth V Gifford, Rudolf H Moos
1University of California, San Francisco Department of Psychiatry, San Francisco, CA 94143, USA.
Spirituality/religiosity (S/R) enhances self-regulation skills, specifically acceptance-based responding (ABR). This improved ABR then directly increases involvement in 12-step self-help groups over time.
Area of Science:
- Psychology
- Addiction Research
- Behavioral Science
Background:
- Spirituality/religiosity (S/R) is linked to greater 12-step program engagement.
- Mechanisms underlying this association require further investigation.
- This study explored acceptance-based responding (ABR) as a potential mediator.
Purpose of the Study:
- To investigate if acceptance-based responding (ABR) mediates the relationship between spirituality/religiosity (S/R) and 12-step self-help group involvement.
- To examine this relationship over a 2-year period following a treatment episode.
Main Methods:
- Longitudinal study with 3698 substance-dependent male veterans.
- Data collected at baseline, discharge, 1-year, and 2-year follow-ups.
- Structural equation modeling used to analyze latent variables of S/R, ABR, and 12-step involvement.
Main Results:
- S/R did not directly predict 12-step involvement at 2 years.
- S/R positively predicted ABR at 1 year.
- ABR at 1 year predicted increased 12-step involvement at 2 years.
Conclusions:
- Spirituality/religiosity fosters post-treatment self-regulation skills (ABR).
- These enhanced self-regulation skills are a direct pathway to sustained 12-step group participation.
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