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How recovery definitions vary by service use pathway: Findings from a national survey of adults.
Gilbert, Paul A; Soweid, Loulwa; Evans, Sydney; Brown, Grant D; Skinstad, Anne Helene; Zemore, Sarah E.
Afiliação
  • Gilbert PA; Department of Community and Behavioral Health, College of Public Health, University of Iowa.
  • Soweid L; Department of Community and Behavioral Health, College of Public Health, University of Iowa.
  • Evans S; Department of Community and Behavioral Health, College of Public Health, University of Iowa.
  • Brown GD; Department of Biostatistics, College of Public Health, University of Iowa.
  • Skinstad AH; Department of Community and Behavioral Health, College of Public Health, University of Iowa.
  • Zemore SE; Alcohol Research Group, Public Health Institute.
Psychol Addict Behav ; 2024 Aug 12.
Article em En | MEDLINE | ID: mdl-39133610
ABSTRACT

OBJECTIVE:

How people define recovery may affect their recovery goals, service use, and ultimately their outcomes. We examined recovery definitions among adults in recovery from an alcohol use disorder (AUD) who had different service use histories.

METHOD:

We analyzed online survey data from 1,492 adults with resolved lifetime AUD in "treated recovery" (any use of specialty services, such as inpatient or outpatient rehabilitation; n = 375), "assisted recovery" (any use of lay services, such as mutual-help groups, and no use of specialty services; n = 174), or "independent recovery" (no use of specialty or lay services; n = 943). Surveys assessed recovery definitions using the 39-item What Is Recovery? (WIR) scale. We compared endorsement of WIR domains and individual recovery elements across groups using survey-weighted chi-square tests and logistic regression.

RESULTS:

Endorsement of WIR scale domains was significantly lower among the independent than treated and assisted groups, but few differences emerged between the treated and assisted groups. Two recovery elements were endorsed by approximately equivalent majorities of all groups "being honest with myself" (92.7%-94.8%) and "taking care of my physical health" (87.4%-90.9%). Five additional elements were similarly endorsed by large majorities (≥ 85%) in each group, albeit at lower levels in the independent group.

CONCLUSIONS:

People who have experienced AUD and have not obtained alcohol services may have a narrower definition of recovery compared to those accessing treatment or attending mutual-help groups. This suggests a need to broaden alcohol services to better match varied recovery definitions; however, some highly endorsed elements suggest commonalities across recovery pathways. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Ano de publicação: 2024 Tipo de documento: Article