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Integrating Computerized Linguistic and Social Network Analyses to Capture Addiction Recovery Capital in an Online Community
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Elements that define recovery: the experiential perspective.

Lee Ann Kaskutas1, Thomasina J Borkman2, Alexandre Laudet3

  • 1Alcohol Research Group, Public Health Institute, Emeryville, California, School of Public Health, University of California Berkeley, Berkeley, California.

Journal of Studies on Alcohol and Drugs
|October 25, 2014
PubMed
Summary

This study identified four key domains of recovery from substance use disorders: abstinence, essentials, enrichment, and spirituality. These findings provide specific measures for evaluating recovery-oriented services and research beyond just substance use.

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Area of Science:

  • Addiction research
  • Psychology
  • Public health

Background:

  • Current definitions of recovery from substance use disorders lack specificity, impeding measurement and research.
  • Recovery-oriented services and policies are increasingly important in addiction treatment.

Purpose of the Study:

  • To empirically identify the domains and specific elements of recovery from diverse pathways.
  • To move beyond broad definitions of recovery in substance use disorders.

Main Methods:

  • An internet-based survey of 9,341 individuals self-identifying in recovery.
  • Exploratory and confirmatory factor analyses of 47 recovery elements.
  • Recruitment through extensive outreach with treatment, recovery organizations, and electronic media.

Main Results:

  • Four domains of recovery emerged: abstinence, essentials, enriched recovery, and spirituality, comprising 35 elements.
  • The four-factor structure was robust across different recovery lengths, treatment exposures, and substance use statuses.
  • Four uncommon elements did not load onto any factor, highlighting the diversity of recovery experiences.

Conclusions:

  • Empirical findings provide specific items for evaluating recovery-oriented systems of care.
  • Research on recovery should incorporate measures beyond substance use, including self-care, personal growth, and sustained change.