第二波互助小组:在美国国家PAL研究的纵向队列中检查酒精使用障碍患者的有效性
Sarah E Zemore1, Camillia K Lui1, Amy A Mericle1
1Alcohol Research Group, Emeryville, CA, United States.
The International journal on drug policy
|August 1, 2025
概括
更多地参与互助小组 (MHGs) 显著改善了酒精使用障碍的康复结果. 所有第二波的MHG都显示出与12步计划相比较的有效性.
科学领域:
- 成研究研究成研究
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 像SMART Recovery这样的第二波互助小组 (MHGs) 显示了成恢复的前景.
- 关于这些MHG的比较有效性的研究有限.
研究的目的:
- 为了比较第二波MHG在支持酒精使用障碍 (AUD) 恢复方面的有效性.
- 确定与参与MHG相关的因素.
主要方法:
- 从成的同行替代方案 (PAL) 研究 (N=1152) 收集的数据与满足AUD标准的成年人.
- 在基线,6个月和12个月评估了MHG选择,参与和酒精结果.
- 使用滞后的,多变量通用估计方程进行分析.
主要成果:
- 较高的MHG参与强烈预测了增加的酒精戒断几率 (OR=2.62) 和减少的酒精问题 (OR=0.39).
- 观察到饮酒日数较少,MHG参与度较高 (IRR=0.12).
- 选择MHG并没有影响结果,这表明第二波群体与12步计划之间的有效性相似.
结论:
- 第二波MHG的有效性与AUD恢复的12步计划相美.
- 医疗保健提供者,法院和政策制定者应该考虑参考和支持这些替代的MHG.
- 智能恢复程序的变化需要对其特定结果进行谨慎的解释.
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