Therapeutic Mechanisms in AA

AA 的治疗机制

• 批准号: 7342001
• 负责人: J. SCOTT TONIGAN
• 金额: $ 17.95万
• 依托单位: UNIVERSITY OF NEW MEXICO
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-08-01 至 2009-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7342001
• 关键词: Abstinence; Address; Alcohol abuse; Alcohol consumption; Alcohol or Other Drugs use; Alcoholics Anonymous; Alcohols; Attention; Behavior; Belief; Books; Characteristics; Clinical; Clinical Trials; Communities; Evidence based intervention; Exclusion Criteria; Exposure to; Follow-Up Studies; Goals; Individual; Influentials; Investigation; Kindling (Neurology); Lead; Light; Link; Literature; Longitudinal Studies; Manuals; Maps; Measurement; Mediating; Modeling; Narcissism; Nature; Outcome; Outpatients; Participant; Pathway interactions; Process; Reading; Recording of previous events; Recruitment Activity; Religion and Spirituality; Reporting; Research Personnel; Research Support; Sampling; Services; Severities; Social Network; Social support; Specificity; Spirituality; Staging; Structure; Therapeutic; Therapeutic Agents; United States; Work; alcohol abuse therapy; alcohol related problem; base; coping; design; desire; drinking; experience; interest; member; prescription document; prescription procedure; problem drinker; programs; self help; social attachment; success; treatment center

DESCRIPTION (provided by applicant): A basic premise of this application is that AA is a manual guided self-help program, a fact that is overlooked in nearly all investigations of AA. For example, AA literature provides clear prescriptions about desired AA behaviors, e.g., 12-steps, therapeutic mechanisms of change, and intended outcomes. This study aims to investigate how, if at all, prescribed AA practices mobilize three therapeutic mechanisms identified in the manual of AA, the Big Book: (1) selfish-narcissism, (2) social attachment, and (3) spirituality (religious behavior and spiritual coping). The four study aims are to: (1) determine the measurement structure and trajectory of these three AA-specific therapeutic mechanisms, (2) determine whether these three AA mechanisms mediate AA benefit, and identify the AA prescribed behaviors that kindle these mechanisms, (3) determine if AA therapeutic mechanisms are correlated with, or are consequences of, rival explanations for AA benefit (specifically, social support for abstinence); and (4) determine if alcohol problem severity moderates the processes under investigation. A single-group (N = 128) longitudinal design will be used and recruitment will occur in AA clubs and an outpatient treatment center. Little is known about how, if at all, history of prior alcohol quit efforts may influence processes of interest. Therefore, study inclusion-exclusion criteria are intended to recruit individuals in early stages of changing alcohol use who have had, at most, limited success in changing past alcohol use and who have had minimal exposure to AA and treatment. Constructs of interest will be defined in multidimensional terms, including substance use and consequences. Findings will shed light on the validity of long-held AA prescriptions, and will lead to an enlarging and/or sharpening of 12-step therapeutic practices to more effectively facilitate long-term AA participation.

描述（由申请人提供）：本申请的基本前提是AA是一个手动指导的自助程序，几乎所有对AA的调查都被忽略了。例如，AA文献提供了有关所需的AA行为的明确处方，例如12步，变化的治疗机制以及预期的结果。这项研究旨在调查如何在AA手册中确定的三种治疗机制规定的AA规定，这是一本大书：（1）自私的纳里西斯主义，（2）社会依恋，以及（3）精神（宗教行为和精神上的反应）。这四个研究的目的是：（1）确定这三种AA特异性治疗机制的测量结构和轨迹，（2）确定这三种AA机制是否介导了AA的益处，并确定AA处方的行为，以确定这些机制，（3）（3）（3）确定AA治疗机制是否与AA治疗机制相关，或者是否与AA相关，或者是aa fors a a a and for a a a a a respinions a a a a a resportion a a a a a resportion a a a a a resportion a a a a a resportion a a a a aa益处是否相关。禁欲）； （4）确定酒精问题的严重程度是否缓和了正在调查的过程。将使用单组（n = 128）纵向设计，并将在AA俱乐部和门诊治疗中心发生招募。关于先前饮酒的历史如何影响感兴趣的过程，几乎没有什么了解。因此，研究包容性排斥标准旨在在改变饮酒的早期阶段招募个人，这些人最多在改变过去的酒精饮酒方面的成功率有限，并且对AA和治疗的暴露量最小。感兴趣的结构将以多维术语定义，包括使用物质和后果。调查结果将阐明长期以来的AA处方的有效性，并导致12步治疗实践的扩大和/或锐化，以更有效地促进长期的AA参与。