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International Journal of Drug Policy最新文献

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IF 4.4 2区 医学 Q1 SUBSTANCE ABUSE
International Journal of Drug Policy
Pub Date : 2026-01-01
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引用次数: 0
IF 4.4 2区 医学 Q1 SUBSTANCE ABUSE
International Journal of Drug Policy
Pub Date : 2026-01-01
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引用次数: 0
IF 4.4 2区 医学 Q1 SUBSTANCE ABUSE
International Journal of Drug Policy
Pub Date : 2026-01-01
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引用次数: 0
IF 4.4 2区 医学 Q1 SUBSTANCE ABUSE
International Journal of Drug Policy
Pub Date : 2026-01-01
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引用次数: 0
IF 4.4 2区 医学 Q1 SUBSTANCE ABUSE
International Journal of Drug Policy
Pub Date : 2026-01-01
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引用次数: 0
IF 4.4 2区 医学 Q1 SUBSTANCE ABUSE
International Journal of Drug Policy
Pub Date : 2026-01-01
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引用次数: 0
IF 4.4 2区 医学 Q1 SUBSTANCE ABUSE
International Journal of Drug Policy
Pub Date : 2026-01-01
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引用次数: 0
IF 4.4 2区 医学 Q1 SUBSTANCE ABUSE
International Journal of Drug Policy
Pub Date : 2026-01-01
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引用次数: 0
Second-wave mutual-help groups: Examining effectiveness for individuals with alcohol use disorders in the longitudinal, U.S. national PAL Study cohorts 第二波互助小组：在美国国家PAL纵向研究队列中检查酒精使用障碍个体的有效性。
IF 4.4 2区 医学 Q1 SUBSTANCE ABUSE
International Journal of Drug Policy
Pub Date : 2026-01-01 DOI: 10.1016/j.drugpo.2025.104921
Sarah E. Zemore , Camillia K. Lui , Amy A. Mericle , Libo Li , Priscilla Martinez , Christine Timko

Background

Second-wave mutual-help groups (MHGs) for addiction (e.g., SMART Recovery) are prevalent and promising, but limited studies have examined their effectiveness. We examined 1) the comparative effectiveness of second-wave MHGs for supporting alcohol use disorder recovery and 2) correlates of MHG involvement.

Methods

Data were pooled from the Peer ALternatives for Addiction (PAL) Study 2015 and 2021 Cohorts (N = 1152), which recruited adults via collaboration with MHG directors and recovery-related organizations. Eligibility criteria included U.S. residence, lifetime alcohol use disorder, and past-30-day in-person/online attendance at Women for Sobriety, LifeRing, SMART, and/or a 12-step group. Surveys were administered at baseline, 6 months, and 12 months (response rates=81–88 %), and assessed MHG choice (defined using attendance), MHG involvement (5-item scale; e.g., regular/home group, volunteering/service) and alcohol outcomes (below).

Results

In lagged, multivariate generalized estimating equations, greater MHG involvement strongly predicted higher odds of alcohol abstinence (OR=2.62, p<.001), lower odds of alcohol problems (OR=0.39, p<.01), and fewer drinking days (IRR=0.12, p<.001) at follow-ups. MHG choice was unrelated to outcomes either alone or in interaction with MHG involvement, suggesting comparable effectiveness for all second-wave MHGs (vs. 12-step). Predictors of greater MHG involvement included older age, a total abstinence (vs. other) goal, and 2015 (vs. 2021) Cohort.

Conclusions

Findings suggest comparable effectiveness for the targeted second-wave alternatives (vs. 12-step) among community members attending MHGs, indicating that alcohol service providers, courts, and policymakers should consider referring to and supporting these alternatives. Still, variation in SMART’s program across time and geography suggests caution in interpreting the results for SMART.
背景：针对成瘾的第二波互助小组（MHGs）（例如SMART Recovery）很普遍，也很有前景，但对其有效性的研究有限。我们检验了1)第二波MHG在支持酒精使用障碍康复方面的相对有效性和2)MHG参与的相关关系。方法：数据汇集自2015年和2021年同伴替代成瘾研究（PAL）队列（N = 1152），该队列通过与MHG主管和康复相关组织合作招募成年人。入选标准包括居住在美国，终生酒精使用障碍，过去30天亲自或在线参加妇女戒酒、生活、SMART和/或12步小组。调查在基线、6个月和12个月进行（应答率=81- 88%），并评估MHG选择（使用出勤率定义）、MHG参与(5项量表；例如，常规/家庭小组，志愿服务/服务)和酒精结果（见下文）。结果：在滞后的多变量广义估计方程中，更大的MHG参与强烈预测了更高的戒酒几率（OR=2.62）。结论：研究结果表明，在参加MHG的社区成员中，有针对性的第二波替代方案（与12步替代方案相比）具有相当的有效性，这表明酒精服务提供者、法院和政策制定者应考虑参考和支持这些替代方案。尽管如此，SMART项目在时间和地域上的差异表明，在解释SMART的结果时要谨慎。
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引用次数: 0
IF 4.4 2区 医学 Q1 SUBSTANCE ABUSE
International Journal of Drug Policy
Pub Date : 2026-01-01
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引用次数: 0
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