Correlates of Recovery from Substance Use Disorders

Gilbert, William C.

doi:10.1080/1533256x.2018.1485573

Cited by 6 publications

(5 citation statements)

References 45 publications

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“…The mean for intrinsic spirituality in our sample was 5.92. A study of 263 individuals from two recovery communities in the United States reported a mean intrinsic spirituality score of 7.44 (Gilbert & Kurz, 2018), which is higher in our sample, probably because most attended 12-step programs. Interestingly, in a sample of 289 undergraduate students at a large southeastern university in the United States (Kolodinsky, Madden, Zisk, & Henkel, 2010), the mean of intrinsic spirituality score was 3.02, with a relatively low score possibly being in part attributable to their young age, given findings suggesting that spirituality tends to increase over the years (Moberg, 2005).…”

Section: Discussioncontrasting

confidence: 66%

Associations between recovery capital, spirituality, and DSM–5 symptom improvement in gambling disorder.

Gavriel‐Fried¹,

Moretta²,

Potenza³

2020

Psychology of Addictive Behaviors

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Understanding how factors promoting recovery from gambling disorder operate is important in gambling studies and treatment programs. The recovery experience may involve multiple positive resources and may be hindered by negative experiences or states. Most prior studies have focused on the latter, generating a gap in understanding the role for positive psychology measures in recovery from gambling disorder. This study investigated the associations between symptom improvement in gambling disorder and positive resources operationalized as recovery capital (internal and external resources that individuals may draw upon during the recovery process) and intrinsic spirituality. Negative experiences and states, including stressful life events, depression, and anxiety, were also considered. One hundred and 40 individuals (101 men) with a lifetime gambling disorder treated in 5 treatment centers in Israel were assessed on DSM-5 diagnostic criteria for gambling disorder (lifetime and past-year), Brief Assessment of Recovery Capital Scale adapted to gambling disorder, Intrinsic Spirituality Scale, Generalized Anxiety Disorder Scale, Patient Health Questionnaire 9 for depression, and Stressful Life Events Scale. Improvement in gambling disorder was calculated by subtracting the criteria count for the previous year from the lifetime count. Although anxiety, stressful life events, and depression were found to be negatively associated with gambling disorder symptom improvement, only recovery capital and spirituality re-Editor's Note. John M. Roll served as the action editor for this article.-TC This article was published Online First July 25, 2019.

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Section: Discussioncontrasting

confidence: 66%

Associations between recovery capital, spirituality, and DSM–5 symptom improvement in gambling disorder.

Gavriel‐Fried¹,

Moretta²,

Potenza³

2020

Psychology of Addictive Behaviors

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“…Residents with higher overall RC were almost 3 times more likely to have greater situational confidence than those with low-moderate RC. Research 19 suggests that greater RC was associated with higher alcohol or drug abstinence self-efficacy. We also found that residents with higher social and personal capital were twice as likely to have greater situational confidence to resist substance use than those with low-moderate social and personal capital.…”

Section: Discussionmentioning

confidence: 99%

“…To our knowledge, only 1 study has retrospectively examined the association between perceived self-efficacy to abstain from substance use and RC among participants recruited from local and national community recovery organizations in the US. 19 However, the authors defined self-efficacy as one's confidence to abstain from alcohol and drug use and used measures of social support, affiliation with 12-step groups, spirituality, and overall financial situation as proxies for social and physical RC, thereby limiting the sensitivity of the instruments to capture RC. This is the first analysis to assess the association between situational confidence (confidence to resist substance use in 8 high-risk situations and contexts) and RC (total, social, and personal) among recovery residents taking MOUD and living in levels II and III housing in Texas using reliable and valid scales.…”

Section: Rc and Self-efficacymentioning

confidence: 99%

“…Thus, situational confidence and RC are crucial constructs to assess and understand the prognosis of OUD among recovery residents. To our knowledge, only 1 study has retrospectively examined the association between perceived self-efficacy to abstain from substance use and RC among participants recruited from local and national community recovery organizations in the US 19 . However, the authors defined self-efficacy as one's confidence to abstain from alcohol and drug use and used measures of social support, affiliation with 12-step groups, spirituality, and overall financial situation as proxies for social and physical RC, thereby limiting the sensitivity of the instruments to capture RC.…”

Section: Rc and Self-efficacymentioning

confidence: 99%

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Situational Confidence and Recovery Capital Among Recovery Residents Taking Medications for Opioid Use Disorder in Texas

Obekpa,

McCurdy,

Schick

et al. 2023

J Addict Med

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Objectives Situational confidence, that is, confidence to resist substance use in high-risk situations, and recovery capital (RC) are resources that individuals can draw upon to initiate and sustain their recovery from opioid use disorder. We assessed the associations between total, social, and personal RC and situational confidence among recovery residents taking medications for opioid use disorder. Methods Cross-sectional associations between the Brief Situational Confidence Questionnaire and Assessment of Recovery Capital scores were assessed among participants (N = 267) enrolled in a longitudinal study in 13 recovery homes for persons taking medications for opioid use disorder in Texas using χ2 tests and multivariable logistic regression. Results Most participants were 35 years or older (51.7%), male (59.4%), non-Hispanic White (71.5%), and unemployed (66.0%); used more than one substance (77.9%); and had higher educational levels (53.8%). The majority had high situational confidence (66.7%), social (63.7%), physical (67.0%), and total (64.8%) RC. Education (model 1: adjusted odds ratio [aOR], 1.96; confidence interval [CI], 1.13–3.40; model 2: aOR, 2.03; CI, 1.17–3.51) and social (aOR, 2.08; CI, 1.11–3.92), personal (aOR, 2.06; CI, 1.08–3.93), and total (aOR, 2.98; CI, 1.71–5.20) RC were associated with situational confidence. Conclusions Our findings highlight the need for recovery housing operators to be trained on the relevance of RC and situational confidence to practice to improve recovery outcomes among residents with opioid use disorder. Health planners, recovery housing administrators, and policymakers should strengthen recovery residence-based services and systems to improve individual RC and situational confidence.

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“… 7 , 8 Employment and family and social relationships are highly prioritized areas by those in recovery 9 and employment itself has consistently been identified as a top recovery goal. 10 Notably, family/social support 6 , 7 , 11 and emotional regulation 12 , 13 are both recognized as dominant recovery resources but their relationship to employment has been under-studied. Given these top recovery priorities, domains of RC that correlate with and are predictive of successful employment are important to map out to inform the effective structuring of treatment and recovery programs.…”

mentioning

confidence: 99%

Changes in Work Status, Couple Adjustment, and Recovery Capital: Secondary Analysis of Data From a Congruence Couple Therapy Randomized Controlled Trial

Lee

Dei

2022

Subst�Abuse

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Purpose: Employment and family/social relationships are 2 of the highest priorities among those in substance use recovery. This study examined the relationship of work status with couple adjustment and other recovery capital treatment outcomes among symptomatic alcohol, substance use, and gambling participants ( N = 38) using data collected in a randomized trial comparing a systemic Congruence Couple Therapy (CCT) and individual-based Treatment-as-Usual (TAU). Method: Change scores and associations between work status and couple adjustment together with 8 other recovery outcome variables at post-treatment (5 months from baseline) and follow-up (8 months from baseline) in TAU ( n = 17) and CCT ( n = 21) were analyzed. Results: Number of those working increased with both CCT and TAU but without reaching significance in either CCT (Cochran’s Q = 5.429, P = .066) or TAU (Cochran’s Q = 2.800, P = .247). Relative to those not working in the combined sample, those working showed significantly improved scores in post-treatment and follow-up in addictive symptoms, couple adjustment, psychiatric symptoms, depression, and life stress. Separating the CCT and TAU groups, similar trend was found in the CCT group but was inconsistent in the TAU group. Conclusion: Significantly greater improvement in addictive symptoms and recovery capital of couple adjustment, mental health, and life stress was found in the working vs not-working group. Compared to individual-based TAU, exploratory findings indicate that the systemic treatment of CCT showed a clearer and more consistent difference in improved working days, addictive symptoms and recovery capital. Replication with larger samples is needed to generalize these results.

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Correlates of Recovery from Substance Use Disorders

Cited by 6 publications

References 45 publications

Associations between recovery capital, spirituality, and DSM–5 symptom improvement in gambling disorder.

Associations between recovery capital, spirituality, and DSM–5 symptom improvement in gambling disorder.

Situational Confidence and Recovery Capital Among Recovery Residents Taking Medications for Opioid Use Disorder in Texas

Changes in Work Status, Couple Adjustment, and Recovery Capital: Secondary Analysis of Data From a Congruence Couple Therapy Randomized Controlled Trial

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