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Britton EM, Taisir R, Cooper A, Remers S, Chorny Y, LaBelle O, Rush B, MacKillop J, Costello MJ. Psychometric Evaluation of an Adapted Short-Form Spirituality Scale in a Sample of Predominantly White Adults in an Inpatient Substance Use Disorder Treatment Program. Assessment 2024; 31:1309-1323. [PMID: 38160429 DOI: 10.1177/10731911231217478] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2024]
Abstract
Spirituality is an important aspect of treatment and recovery for substance use disorders (SUDs), but ambiguities in measurement can make it difficult to incorporate as part of routine care. We evaluated the psychometric properties of an adapted short-form version of the Spirituality Scale (the Spirituality Scale-Short-Form; SS-SF) for use in SUD treatment settings. Participants were adult patients (N = 1,388; Mage = 41.23 years, SDage = 11.55; 68% male; 86% White) who entered a large, clinically mixed inpatient SUD treatment program. Factor analysis supported the two-dimensional structure, with factors representing Self-Discovery and Transcendent Connection. Tests of measurement invariance demonstrated that the scale was invariant across age and gender subgroups. The SS-SF exhibited convergent and concurrent validity via associations with participation in spiritual activities, hopefulness, life satisfaction, 12-step participation, and depressive symptoms. Finally, scores on the SS-SF were significantly higher at discharge compared to admission, demonstrating short-term sensitivity to change. These findings support use of the SS-SF as a concise, psychometrically sound measure of spirituality in the context of substance use treatment.
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Affiliation(s)
| | - Radia Taisir
- Homewood Research Institute, Guelph, Ontario, Canada
| | - Alysha Cooper
- Homewood Research Institute, Guelph, Ontario, Canada
| | | | - Yelena Chorny
- Homewood Health Centre, Guelph, Ontario, Canada
- McMaster University, Hamilton, Ontario, Canada
| | - Onawa LaBelle
- Homewood Research Institute, Guelph, Ontario, Canada
- University of Windsor, Ontario, Canada
| | - Brian Rush
- Homewood Research Institute, Guelph, Ontario, Canada
- Centre for Addiction and Mental Health, Toronto, Ontario, Canada
- University of Toronto, Ontario, Canada
| | - James MacKillop
- Homewood Research Institute, Guelph, Ontario, Canada
- McMaster University, Hamilton, Ontario, Canada
- St. Joseph's Healthcare Hamilton, Ontario, Canada
| | - Mary Jean Costello
- Homewood Research Institute, Guelph, Ontario, Canada
- University of Waterloo, Ontario, Canada
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Wendt DC, Gone JP. Group Psychotherapy in Specialty Clinics for Substance Use Disorder Treatment:The Challenge of Ethnoracially Diverse Clients. Int J Group Psychother 2018; 68:608-628. [PMID: 31527925 DOI: 10.1080/00207284.2018.1442225] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
Minimal research has explored how clinicians address race and ethnicity considerations in the context of group psychotherapy within substance use disorder (SUD) specialty treatment settings. This article is an exploratory qualitative study in an effort to narrow this gap, using data from semi-structured interviews with 13 group clinicians at three outpatient SUD specialty clinics in the United States. Results are drawn from the portion of coded material pertaining to ethnoracial considerations. A predominant theme from the interviews was the importance of individualized care in terms of "meeting clients where they are at." However, minimal attention appears to have been given to addressing clients' demographic diversity. Overall, ethnoracial considerations were minimally addressed in groups, with clinicians framing such primarily in terms of "cultural" factors relevant to clinics' treatment philosophies. Moreover, limited attention was reportedly given to acknowledgment of social inequities faced by ethnoracial minority clients (e.g., racial discrimination), even though a few clinicians reported concern that minority clients were less engaged in treatment. Clinical implications of these findings and recommendations for future research are discussed.
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Unterrainer HF, Huber HP, Stelzer K, Fink A. “Spiritus contra Spiritum?”: Spiritual Well-Being and Depression Among Male Alcohol Dependents in Treatment. ALCOHOLISM TREATMENT QUARTERLY 2012. [DOI: 10.1080/07347324.2012.635551] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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Gomes K, Hart KE. Adherence to Recovery Practices Prescribed by Alcoholics Anonymous: Benefits to Sustained Abstinence and Subjective Quality of Life. ALCOHOLISM TREATMENT QUARTERLY 2009. [DOI: 10.1080/07347320902784874] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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