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首页> 外文期刊>Journal of studies on alcohol and drugs. >Influence of religiosity on 12-step participation and treatment response among substance-dependent adolescents.
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Influence of religiosity on 12-step participation and treatment response among substance-dependent adolescents.

机译：宗教信仰对物质依赖型青少年中12步参与和治疗反应的影响。

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OBJECTIVE: Religious practices among adults are associated with more 12-step participation which, in turn, is linked to better treatment outcomes. Despite recommendations for adolescents to participate in mutual-help groups, little is known about how religious practices influence youth 12-step engagement and outcomes. This study examined the relationships among lifetime religiosity, during-treatment 12-step participation, and outcomes among adolescents, and tested whether any observed beneficial relation between higher religiosity and outcome could be explained by increased 12-step participation. METHOD: Adolescents (n = 195; 52% female, ages 14-18) court-referred to a 2-month residential treatment were assessed at intake and discharge. Lifetime religiosity was assessed with the Religious Background and Behaviors Questionnaire; 12-step assessments measured meeting attendance, step work (General Alcoholics Anonymous Tools of Recovery), and Alcoholics Anonymous (AA)/Narcotics Anonymous (NA)-related helping. Substance-related outcomes and psychosocial outcomes were assessed with toxicology screens, the Adolescent-Obsessive Compulsive Drinking Scale, the Children's Global Assessment Scale, and the Narcissistic Personality Inventory. RESULTS: Greater lifetime formal religious practices at intake were associated with increased step work and AA/NA-related helping during treatment, which in turn were linked to improved substance outcomes, global functioning, and reduced narcissistic entitlement. Increased step work mediated the effect of religious practices on increased abstinence, whereas AA/NA-related helping mediated the effect of religiosity on reduced craving and entitlement. CONCLUSIONS: Findings extend the evidence for the protective effects of lifetime religious behaviors to an improved treatment response among adolescents and provide preliminary support for the 12-step proposition that helping others in recovery may lead to better outcomes. Youth with low or no lifetime religious practices may assimilate less well into 12-step-oriented treatment and may need additional 12-step facilitation, or a different approach, to enhance treatment response.
机译：目的：成年人的宗教习惯与更多的12步参与有关，而这又与更好的治疗效果相关。尽管建议青少年参加互助小组，但对于宗教活动如何影响青少年的12个步骤的参与和结果知之甚少。这项研究检查了终生宗教信仰，治疗期间12步参与和青少年结局之间的关系，并测试了是否可以通过增加12步参与来解释更高的宗教信仰和结局之间是否存在任何有益的关系。方法：在入院和出院时评估了青少年（n = 195; 52％的女性，14-18岁）在法庭上推荐的为期2个月的住院治疗。使用宗教背景和行为问卷评估了终生的宗教信仰;通过12个步骤的评估来衡量会议出席者，步骤工作（常规的戒酒匿名工具）以及与戒酒匿名（AA）/禁毒匿名（NA）相关的帮助。通过毒理学筛查，青少年强迫性饮酒量表，儿童总体评估量表和自恋型人格量表评估了与物质相关的结果和社会心理结果。结果：进食时终身终身正规宗教习俗与治疗过程中增加的脚步工作和与AA / NA相关的帮助有关，而这反过来又与改善的物质结果，整体功能和自恋权降低有关。踏踏实地工作增加了宗教习俗对节欲的影响，而与AA / NA相关的帮助则介导了宗教信仰对渴望和权利减少的影响。结论：研究结果为终身宗教行为的保护作用提供了证据，以改善青少年的治疗反应，并为支持他人康复可能导致更好结局的12个步骤主张提供了初步支持。宗教习俗较少或没有宗教信仰的青年可能不太会接受以12步为导向的治疗，并且可能需要额外的12步便利化或其他方法来增强治疗反应。

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