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首页> 外文期刊>Substance abuse: official publication of the Association for Medical Education and Research in Substance Abuse >Multiple Dimensions of Spirituality in Recovery: A Lagged Mediational Analysis of Alcoholics Anonymous' Principal Theoretical Mechanism of Behavior Change
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Multiple Dimensions of Spirituality in Recovery: A Lagged Mediational Analysis of Alcoholics Anonymous' Principal Theoretical Mechanism of Behavior Change

机译：恢复中灵性的多个维度：酒精中毒匿名者行为改变的主要理论机制的滞后中介分析

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Alcoholics Anonymous (AA) states that recovery is possible through spiritual experiences and spiritual awakenings. Research examining spirituality as a mediator of AA's effect on drinking has been mixed. It is unknown whether such findings are due to variations in the operationalization of key constructs, such as AA and spirituality. To answer these questions, the authors used a longitudinal model to test 2 dimensions of AA as focal predictors and 6 dimensions of spirituality as possible mediators of AA's association with drinking. Data from the first 18 months of a 3-year longitudinal study of 364 alcohol-dependent individuals were analyzed. Structural equation modeling was used to replicate the analyses of Kelly et al. (Alcohol Clin Exp Res. 2011;35:454463) and to compare AA attendance and AA involvement as focal predictors. Multiple regression analyses were used to determine which spirituality dimensions changed as the result of AA participation. A trimmed, data-driven model was employed to test multiple mediation paths simultaneously. The findings of the Kelly et al. study were replicated. AA involvement was a stronger predictor of drinking outcomes than AA attendance. AA involvement predicted increases in private religious practices, daily spiritual experiences, and forgiveness of others. However, only private religious practices mediated the relationship between AA and drinking.
机译：戒酒者匿名协会（AA）指出，通过精神经历和精神觉醒可以康复。研究灵性作为AA对饮酒影响的调解人的研究好坏参半。尚不清楚此类发现是否归因于关键构架（如AA和灵性）的可操作性的变化。为了回答这些问题，作者使用纵向模型来测试2个维度的AA作为焦点预测因素，并测试6个维度的灵性作为可能的AA与饮酒关联的中介。对来自364个酒精依赖者的3年纵向研究的前18个月的数据进行了分析。结构方程模型被用来复制凯利等人的分析。 （Alcohol Clin Exp Res。2011; 35：454463），并比较AA的出勤率和AA的参与度作为重点预测指标。多元回归分析用于确定哪些灵性维度因AA参与而改变。修剪后的数据驱动模型用于同时测试多个中介路径。凯利等人的发现。复制研究。与AA参加相比，AA参与是饮酒结果的更强预测指标。机管局的参与预示着私人宗教活动，日常精神经历和他人宽恕的增加。但是，只有私人宗教活动才能介导AA和饮酒之间的关系。

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