Conflict of Interest: The author states no conflict of interest.
A Role for Spiritual Change in the Benefits of 12-Step Involvement
Article first published online: 17 SEP 2007
Alcoholism: Clinical and Experimental Research
Volume 31, Issue Supplement s3, pages 76s–79s, October 2007
How to Cite
Zemore, S. E. (2007), A Role for Spiritual Change in the Benefits of 12-Step Involvement. Alcoholism: Clinical and Experimental Research, 31: 76s–79s. doi: 10.1111/j.1530-0277.2007.00499.x
- Issue published online: 17 SEP 2007
- Article first published online: 17 SEP 2007
- 12-Step Involvement;
- Treatment Outcomes
Background: Emerging evidence implies a role for spirituality in recovery from substance abuse. The current study examines the hypothesis that spiritual change helps mediate (or explain) effects for involvement in 12-step groups on recovery outcomes among substance-abusing populations.
Methods: Participants (baseline N = 733) received treatment at 1 of 5 day hospital and 7 residential substance abuse treatment programs in California. Assessments included a baseline interview and 1-year follow-up; analyses incorporated regressions informed by Baron and Kenny (1986) and Sobel’s (1982) test. To assess spirituality, measures included (1) the Religious Background and Behaviors scale and (2) an item assessing whether or not participants had had a spiritual awakening through their involvement with 12-step groups.
Results: Results confirmed the hypothesis. Increases in 12-step involvement from baseline to follow-up predicted higher odds of total abstinence at follow-up, and this relationship was partially explained by increases in spirituality. Results held in multivariate analyses and regardless of which spirituality measure was analyzed.
Conclusions: The present study provides further evidence that spiritual change contributes to recovery, at least within the context of 12-step involvement. The study also deepens our understanding of how 12-step involvement works.