An Exploratory Study of Spiritual Orientation and Adaptation to Therapeutic Community Treatment

Dermatis, Helen; James, Tina; Galanter, Marc; Bunt, Gregory

doi:10.1080/10550887.2010.489443

Cited by 5 publications

(8 citation statements)

References 25 publications

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“…Lastly, because the study did not take into account other confounds that may have affected retention rates, the findings are limited in scope and warrant further investigation of specific factors that may influence treatment completion. For example, some studies have noted the importance of treatment readiness and motivation to change in retention outcomes; because level of spirituality has been positively associated with treatment readiness, 60, 61 findings from this study may have pointed to treatment readiness, not spirituality, as the stronger predictor of retention.…”

Section: Discussionmentioning

confidence: 59%

A Preliminary 6-Month Prospective Study Examining Self-reported Religious Preference, Religiosity/Spirituality, and Retention at a Jewish Residential Treatment Center for Substance-Related Disorders

Parhami

Davtian

Collard

et al. 2012

J Behav Health Serv Res

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Although there is a substantial amount of research suggesting that higher levels of religiosity/spirituality (R/S) are associated with better treatment outcomes of substance-related disorders, no studies have explored this relationship at a faith-based residential treatment center. The objective of this prospective study is to explore the relationship between R/S, self-reported religious preference, and retention at a Jewish residential treatment center for substance-related disorders. Using the Daily Spiritual Experience Scale, R/S levels were assessed for 33 subjects at baseline, 1 month, 3 months, and 6 months. Results demonstrated a significant relationship between baseline R/S level and retention at 6 months, while R/S levels were unchanged during the course of treatment. Notably, no relationship was found between self-reported religious affiliation and retention. This study demonstrates that patients’ R/S level, rather than religious affiliation, is a possible predictor for better outcome at faith-based residential centers for substance-related disorders.

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Section: Discussionmentioning

confidence: 59%

A Preliminary 6-Month Prospective Study Examining Self-reported Religious Preference, Religiosity/Spirituality, and Retention at a Jewish Residential Treatment Center for Substance-Related Disorders

Parhami

Davtian

Collard

et al. 2012

J Behav Health Serv Res

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“…The majority of participants self-identified as Caucasian or White, ranging from 48.8% (Lucchetti, Koenig, Pinsky, Laranjeira, & Vallada, 2014) to 94.9% (Schaler, 1996(Schaler, , 1997. Nevertheless, seven studies (Dermatis, Guschwan, Galanter, & Bunt, 2004;Dermatis, James, Galanter, & Bunt, 2010;Flórez et al, 2015;Goldfarb, Galanter, McDowell, Lifshutz, & Dermatis, 1996;Lucchetti et al, 2014) reported that the majority of participants were not White. One study from Israel (Edelstein et al, 2020) reported participant identification as Jewish or Arab and another study from Kuwait (Bilal et al, 1990) reported participant identification as Arab or Kuwaiti.…”

Section: Section 32: Demographicsmentioning

confidence: 99%

“…Two studies, focused on understanding feedback from patients in an inpatient treatment centre which was founded by an Episcopalian pastor (Daytop), found that preference for and acceptance of spiritually-based therapeutic community treatment was related to a higher frequency of prayer/meditation and stronger self-identification as spiritual (Dermatis et al, 2004(Dermatis et al, , 2010. Higher spirituality, assessed by Adapted Intrinsic/Extrinsic Scale for Spiritual Orientation, also predicted more acceptance of, but not preference for, the therapeutic community principles (Dermatis et al, 2010). Results from the 2004 paper also showed that those who reported a higher belief in God more strongly preferred spiritually based interventions than those who did not, but no such difference was found in preference for the inclusion of 12step groups.…”

Section: Attitudes Of Those In Treatmentmentioning

confidence: 99%

Religious and Spiritual Beliefs and Attitudes Towards Addiction Treatment: A Scoping Review

Grant¹,

Grubbs²

2021

Preprint

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Introduction: Throughout history, ideas about addiction have been informed and influenced by religious belief and practice. Even continuing into the present, religion and spirituality are often thought to impact attitudes towards addiction and its treatment, particularly given the use of religion and spirituality in various well-known treatments such as Alcoholics Anonymous. Although research has flourished with regards to the role that addiction and spirituality might play in vulnerability to addiction or the treatment of addiction, there has been comparatively less research examining how religion might impact attitudes toward addiction more broadly. Method: The present work sought to examine the current state of empirical literature evaluating the relationships between religion and attitudes toward addiction and addiction treatment. In service of the above aim, a systematic review was conducted. Results: This summary of peer-reviewed, quantitative studies (n=36) found that higher religiosity is related to more belief in the disease model of addiction in providers, negative attitudes towards addiction, and a stronger support for spiritually based treatments. However, results varied based on the measures used and many relationships tested were not significant. There also appeared to be differences in the interaction between religion and spirituality and other variables, such as the respondent’s sex or whether the individual was a student or provider, in terms of attitudes. Conclusions: Further research is needed to fully understand the nuances in the relationship between these variables, including more clear operationalization and standardized measurement. Until such research is conducted, no cohesive conclusions can be drawn, and clinical implications remain unclear.

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“…Individuals who dropped out were significantly more likely to have a criminal history (consistent with the findings of Darke et al, 2012 (Cardoso, Chan, Berven, & Thomas, 2003), spirituality (Dermatis et al, 2010), and engagement and motivation (Klag, Creed, & O'Callaghan, 2010). Five studies included two time points with the gap between measured points varying in length from 4 -15 months post program completion, and were in pre and post format (Bankston et al, 2009;Dekel et al, 2004;López-Goñi et al, 2010;Messina et al, 2000;Zoccali et al, 2007).…”

Section: Retention and Dropout As Well As Mean Length Of Stay In Treamentioning

confidence: 49%

“…The aggregate mean age of participants was 30.52 years (range of means: 26.4 -37.2 years). Of those that reported age ranges, the minimum age was 18 years (Darke, Campbell, & Popple, 2012;Lopez-Goni et al, 2010;Miles, Wenzel, & Mandell, 2008), and the maximum age was 72 years (Dermatis, James, Galanter, & Bunt, 2010) Gender. The majority of study participants were male, and studies reported either the direct number of males or a percentage.…”

Section: Population Characteristicsmentioning

confidence: 99%

Posttraumatic stress disorder in a therapeutic community for substance use disorders: an evaluation of the influence

Perryman¹

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The purpose of this body of research is twofold. First, to investigate posttraumatic stress disorder (PTSD) in a sample of adults undergoing substance use disorder (SUD) treatment in a therapeutic community (TC) and, second, to apply major psychological theories to help understand the nature of this comorbidity in ways that inform treatment. The focal theories of this research are: emotion dysregulation (Gratz & Roemer, 2004), and revised Reinforcement Sensitivity Theory (rRST; Corr, 2008;Gray & McNaughton, 2000). Rash Impulsiveness will be included as an important dimension of rRST that has been consistently linked to substance misuse. Chapter 1 presents an overview of research related to the thesis as a whole. In Chapter .72, p < .00). Furthermore, the correlations between PTSS and two of the facets of rRST, BAS and fight-flight-freeze sensitivity (FFFS), were significantly correlated (r = -.23 and .49, p < .01, respectively). BAS sensitivity was shown to negatively correlate with PTSS, indicating that lower BAS sensitivity related to higher PTS severity. No relationship was found between the Behavioural Inhibition System (BIS) and PTSS. Finally, Rash Impulsivity significantly correlated with PTSS at intake, r = .50, p < .00. Contrary to hypotheses, and previous research, Rash Impulsivity did not significantly correlate with retention. Theoretical mechanisms linking PTSS and substance misuse were investigated further, with tests of theoretical models in which individual difference factors (facets of the rRST) were related to retention and outcomes from treatment, and facets of emotional dysregulation were tested as mediators of this relationship. Upon investigation through linear regression, no suitable variable was found the mediate the relationship between PTSS and retention.iii The final moderated mediated model, therefore, was not suitable for this population. Limited moderation, though, occurred between the two facets of rRST and retention. Specifically, investigation of the simple slopes showed that FFFS and Rash Impulsivity both moderate the relationship between PTSD and retention at high (+1 SD) and mean scores. These findings indicate that high levels of both facets do interact with PTSD to negatively influence treatment retention.The null findings for both mediation and the moderated mediation model contradict previous research, and may be due to homogeneity in scores across the population. Overall, some implications for treatment can be extrapolated. First, PTSD is highly prevalent in the TC population, and should be assessed using psychometrically valid measures, such as the PCL-C, and addressed in treatment. Second, treatment for SUD does not exacerbate PTSD; on the contrary, PTSS significantly decreased during TC treatment. Finally, as there is solid theoretical support to suggest an influence of emotion dysregulation and Rash Impulsiveness on retention and outcomes, more research needs to be conducted on the role of these two constructs with the intent of creating a better suited rehabi...

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An Exploratory Study of Spiritual Orientation and Adaptation to Therapeutic Community Treatment

Cited by 5 publications

References 25 publications

A Preliminary 6-Month Prospective Study Examining Self-reported Religious Preference, Religiosity/Spirituality, and Retention at a Jewish Residential Treatment Center for Substance-Related Disorders

A Preliminary 6-Month Prospective Study Examining Self-reported Religious Preference, Religiosity/Spirituality, and Retention at a Jewish Residential Treatment Center for Substance-Related Disorders

Religious and Spiritual Beliefs and Attitudes Towards Addiction Treatment: A Scoping Review

Posttraumatic stress disorder in a therapeutic community for substance use disorders: an evaluation of the influence

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