Authors:

Spenser Pham

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Although spirituality is considered to play an important role in substance use disorder (SUD) treatment & recovery, it remains understudied. Spirituality generally reflects connection wit h others, with nature, or with other 'higher' powers. Spirituality is commonly involved in copi ng responses to stressful situations or periods of difficulty (such as recovery from addiction). Howev er, the extent of spiritual coping in treatment, degree to which spiritual coping may change from initiation to discharge, and associations between spiritual coping and treatment outcomes r emain uninvestigated. The current study addresses these issues. Additionally, we examined the pot ential role that religiosity may play as a moderator of spiritual coping. M:Patients receiving tr eatment for SUD completed assessments of spiritual coping, abstinence self-efficacy, and cr aving at admission, after 30 days of treatment, and at discharge. Within the spiritual coping asses sment, we scored responses based on positive and negative coping with each side participating in h alf of the total score. R:Over the course of treatment, positive spiritual coping improved si gnificantly (ps<.001) and negative spiritual coping decreased significantly (ps<.001). Howev er, negative spiritual coping was sufficiently rare that it was not explored in further analyses. Posit ive spiritual coping was associated with greater abstinence self-efficacy (p=.001) and dec reased craving (p=.005). Importantly, although these associations were stronger among patients with religious affiliations, they persisted regardless of religiosity. D:Findings support t he importance of spirituality to recovery. While associations between high spiritual coping and t reatment outcomes are consistent with current literature, these data add to that literature by identifying their persistence regardless of religious affiliation. Interestingly, although positiv e associations were noted for both religious and non-religious groups, a moderated relationship was observed, such that religiosity appeared to enhance the strength of these relationships.

Source:

University of Florida / Spenser Pham, Apollonia E. Lysandrou, Nabiha Iqbal, and Ben Lewis / 2024

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Co-authors:

Spenser Pham