Although there are some empirical data about the spirituality and religiousness of persons recovering from alcohol dependence, which spiritual and religious domains change during recovery, when they change, or how critical they are to recovery are unknown. The long-term objectives of this research are to better characterize the dimensions and relevance of changes in spirituality that may occur over the three years following treatment entry for alcohol dependence.
The specific aims of this research are to investigate if (1) alcoholics' spiritual and religious beliefs, practices, experiences, and coping strategies at treatment intake change during the subsequent three years, (2) involvement in Alcoholics Anonymous enhances these changes, (3) intake and intervening values on spiritual and religious measures predict sobriety over time, (4) these variables at intake and intervening periods are associated with individual characteristics (e.g., negative religious history, demographics, social support, and clinical characteristics), and (5) qualitative data on alcoholics' perceptions and experiences of spirituality and religion validate and enrich findings. The significance to health is a greater understanding of the role spirituality and religiousness may play in recovery, which may guide clinical efforts so these issues will be addressed more directly and specifically, with respect for individual differences. The work will guide future research on spirituality's role in recovery, the types of spiritual and religious change that may occur, variations in rates of change, and identifying those for whom spiritual change may be important. The research design is a three-year longitudinal quantitative and qualitative survey of 320 alcoholics entering treatment at 3 sites. Interview data will be collected every six months and will include qualitative questions on alcohol use, recovery efforts, and experiences of spirituality and religion. Standardized measures of spiritual and religious experiences, forgiveness, beliefs, practices, and coping will be used, with measures of drinking behaviors, alcoholism severity, psychiatric severity, psychosocial functioning, personality, treatment exposure, AA involvement, and demographic variables. Quantitative analysis of change in spiritual domains will use repeated measures analysis of variance with time and site as covariates, duplicated with other correlates, including alcohol use and AA involvement. Content and narrative analysis will identify themes and narratives in the qualitative data.

Agency
National Institute of Health (NIH)
Institute
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Type
Research Project (R01)
Project #
5R01AA014442-04
Application #
7234835
Study Section
Community-Level Health Promotion Study Section (CLHP)
Program Officer
Roach, Deidra
Project Start
2004-06-01
Project End
2009-05-31
Budget Start
2007-06-01
Budget End
2008-05-31
Support Year
4
Fiscal Year
2007
Total Cost
$288,247
Indirect Cost
Name
University of Michigan Ann Arbor
Department
Psychiatry
Type
Schools of Medicine
DUNS #
073133571
City
Ann Arbor
State
MI
Country
United States
Zip Code
48109
Krentzman, Amy R; Webb, Jon R; Jester, Jennifer M et al. (2018) Longitudinal Relationship between Forgiveness of Self and Forgiveness of Others among Individuals with Alcohol Use Disorders. Psycholog Relig Spiritual 10:128-137
Krentzman, Amy R (2017) Longitudinal Differences in Spirituality and Religiousness between Men and Women in Treatment for Alcohol Use Disorders. Psycholog Relig Spiritual 9:S11-S21
Krentzman, Amy R (2017) Gratitude, abstinence, and alcohol use disorders: Report of a preliminary finding. J Subst Abuse Treat 78:30-36
Krentzman, Amy R; Strobbe, Stephen; Harris, J Irene et al. (2017) Decreased Drinking and Alcoholics Anonymous are Associated with Different Dimensions of Spirituality. Psycholog Relig Spiritual 9:S40-S48
Cranford, James A; Krentzman, Amy R; Mowbray, Orion et al. (2014) Trajectories of alcohol use over time among adults with alcohol dependence. Addict Behav 39:1006-11
Mowbray, Orion; Krentzman, Amy R; Bradley, Jaclyn C et al. (2013) The effect of drinking goals at treatment entry on longitudinal alcohol use patterns among adults with alcohol dependence. Drug Alcohol Depend 132:182-8
Zhabenko, Olena; Krentzman, Amy R; Robinson, Elizabeth A R et al. (2013) A longitudinal study of drinking and depression as predictors of insomnia in alcohol-dependent individuals. Subst Use Misuse 48:495-505
Krentzman, Amy R; Brower, Kirk J; Cranford, James A et al. (2012) Gender and extroversion as moderators of the association between Alcoholics Anonymous and sobriety. J Stud Alcohol Drugs 73:44-52
Krentzman, Amy R; Robinson, Elizabeth A R; Perron, Brian E et al. (2011) Predictors of membership in Alcoholics Anonymous in a sample of Successfully remitted alcoholics. J Psychoactive Drugs 43:20-6
Robinson, Elizabeth A R; Krentzman, Amy R; Webb, Jon R et al. (2011) Six-month changes in spirituality and religiousness in alcoholics predict drinking outcomes at nine months. J Stud Alcohol Drugs 72:660-8

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