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Updated: Mar 29, 2026

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Rethinking Recovery: Psychological Flexibility and Growth Across Diverse Recovery Approaches.

Nicole M Pyke1, David R Perkins2, Emily K Sandoz3

  • 1Department of Psychology, Tulane University, New Orleans, LA 70118, USA.

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|March 28, 2026
PubMed
Summary

Recovery capital significantly enhances posttraumatic growth and psychological flexibility in adults recovering from substance use disorder. Psychological flexibility acts as a key mediator, highlighting its importance beyond abstinence alone.

Keywords:
abstinenceposttraumatic growthpsychological flexibilityrecovery capitalsubstance use recoverytrauma

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Area of Science:

  • Addiction research
  • Psychology
  • Mental health

Background:

  • Recovery capital and psychological flexibility are linked to substance use recovery.
  • Their combined impact on posttraumatic growth is not well understood.

Purpose of the Study:

  • To investigate if recovery capital or abstinence predicts posttraumatic growth.
  • To determine if recovery capital or abstinence predicts psychological flexibility.
  • To test if psychological flexibility mediates the link between recovery and posttraumatic growth.

Main Methods:

  • A national sample of 244 adults in recovery from substance use disorder.
  • Utilized the Assessment of Recovery Capital, Personalized Psychological Flexibility Index, and Posttraumatic Growth Inventory-Expanded.
  • Employed multiple linear regressions and mediation analysis using SPSS PROCESS macro.

Main Results:

  • Recovery capital significantly predicted both posttraumatic growth and psychological flexibility.
  • Abstinence status did not predict posttraumatic growth or psychological flexibility.
  • Psychological flexibility partially mediated the relationship between recovery capital and posttraumatic growth.

Conclusions:

  • Recovery capital is a significant predictor of posttraumatic growth and psychological flexibility.
  • Psychological flexibility may be a crucial mechanism linking recovery capital to posttraumatic growth.
  • Interventions should consider enhancing recovery capital and psychological flexibility, not solely focusing on abstinence.