Psychiatric Comorbidity and 12‐Step Participation: A Longitudinal Investigation of Treated Young Adults

摘要: Background Evidence indicates that 12-step mutual-help organizations (MHOs), such as Alcoholics Anonymous (AA) and Narcotics (NA), can play an important role in extending potentiating the recovery benefits of professionally delivered addiction treatment among young adults with substance use disorders (SUD). However, concerns have lingered regarding suitability for certain clinical subgroups, those dual diagnosis (DD). This study examined influence diagnostic status (DD vs. SUD-only) on both attendance active involvement (e.g., having a sponsor, verbal participation during meetings) in, derived from, MHOs following residential treatment. Methods Young (N = 296; 18 to 24 years old; 26% female; 95% Caucasian; 47% DD [based structured interview]), enrolled prospective naturalistic SUD effectiveness, were assessed at intake 3, 6, 12 months posttreatment attendance/active percent days abstinent (PDA). t-Tests lagged, hierarchical linear models (HLM) extent which influenced any benefits, respectively. Results For SUD-only patients, similarly high. Overall, patients had significantly lower PDA relative patients. All appeared benefit from combined 8-item index. Regarding primary effects interest, significant differences did not emerge between either (p = 0.436) or (p = 0.062). Subsidiary analyses showed, however, experienced greater abstinence-related sponsor. Conclusions Despite utility findings indicate participate much may more high levels involvement, particularly sponsor. Future work is needed clarify how might offset additional burden comorbid mental illness outcomes.