Spirituality as a Change Mechanism in 12-Step Programs: A Replication, Extension, and Refinement

REFERENCES

• Alcoholics Anonymous World Services. (2001). Alcoholics Anonymous: Big book (3rd ed.). New York, NY: Author.
   Google Scholar
• American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed.). Text Revision. Washington, DC: Author.
   Google Scholar
• Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173–1182.
   PubMed Web of Science ®Google Scholar
• Cicchetti, D. V. (1994). Guidelines, criteria, and rules of thumb for evaluating normed and standardized assessment instruments in psychology. Psychological Assessment, 6(4), 284–290. doi:10.1037/1040–3590.6.4.284
   Google Scholar
• Connors, G., Tonigan, J. S., & Miller, W. R. (1996). The religious background and behavior instrument: Psychometric and normed findings. Psychology of Addictive Behaviors, 10, 90–96.
   Web of Science ®Google Scholar
• Emrick, C. D., Tonigan, J. S., Montgomery, H. A., & Little, L. (1993). Alcoholics Anonymous: What is currently known? In B. S. McCrady & W. R. Miller (Eds.), Research on Alcoholics Anonymous: Opportunities and alternatives (pp. 41–76). Piscataway, NJ: Rutgers Center for Alcohol Studies.
   Google Scholar
• Gossop, M., Stewart, D., & Marsden, J. (2007). Readiness for change and drug use outcomes after treatment. Addiction, 102(2), 301–308.
   PubMed Web of Science ®Google Scholar
• Hunter, J. E., & Schmidt, F. L. (2004). Methods of meta-analysis: Correcting error and bias in research findings (2nd ed.). Thousand Oaks, CA: Sage.
   Google Scholar
• Kaskutas, L. A., Bond, J., & Humphreys, K. (2002). Social networks as mediators of the effect of Alcoholics Anonymous. Addiction, 97(7), 891–900.
   PubMed Web of Science ®Google Scholar
• Kaskutas, L. A., Turk, N., Bond, J., & Weisner, C. (2003). The role of religion, spirituality and Alcoholics Anonymous in sustained sobriety. Alcoholism Treatment Quarterly, 21(1), 1–16.
   Google Scholar
• Kelly, J., & Moos, R. (2003). Dropout from 12-step self-help groups: Prevalence, predictors, and counteracting treatment influences. Journal of Substance Abuse Treatment, 24(3), 241–250.
   PubMed Web of Science ®Google Scholar
• Kelly, J. F., Magill, M., & Stout, R. L. (2009). How do people recover from alcohol dependence? A systematic review of the research on mechanisms of behavior change in Alcoholics Anonymous. Addiction Research & Theory, 17(3), 236–259. doi:10.1080/16066350902770458
   Web of Science ®Google Scholar
• Kelly, J. F., Stout, R. L., Magill, M., Tonigan, J. S., & Pagano, M. E. (2011). Spirituality in recovery: A lagged mediational analysis of Alcoholics Anonymous’ principal theoretical mechanism of behavior change. Alcoholism: Clinical and Experimental Research, 35(3), 454–463.
   PubMed Web of Science ®Google Scholar
• Kelly, J. F., Stout, R. L., Tonigan, J. S., Magill, M., & Pagano, M. E. (2010). Negative affect, relapse, and Alcoholics Anonymous (AA): Does AA work by reducing anger? Journal of Studies on Alcohol and Drugs, 71(3), 434–444.
   PubMed Web of Science ®Google Scholar
• Kelly, J. F., Yeterian, J. D., & Myers, M. G. (2008). Treatment staff referrals, participation expectations, and perceived benefits and barriers to adolescent involvement in twelve-step groups Alcoholism Treatment Quarterly, 26(4), 427–449. doi:10.1080/07347320802347053
   Google Scholar
• Laffaye, C., McKeller, J. D., Ilgen, M. A., & Moos, R. H. (2008). Predictors of 4-year outcome of community residential treatment for patients with substance use disorders. Addiction, 103, 671–680.
   PubMed Web of Science ®Google Scholar
• MacKinnon, D. P., Lockwood, C. M., Hoffman, J. M., West, S. G., & Sheets, V. (2002). A comparison of methods to test mediation and other intervening variable effects. Psychological Methods, 7(1), 83–104.
   PubMed Web of Science ®Google Scholar
• Miller, W. R. (1996). Form 90: A structured assessment interview for drinking and related behaviors. NIAAA Project MATCH Monograph Series (Vol. 5). Rockville, MD: National Institute on Alcohol Abuse and Alcoholism.
   Google Scholar
• Morgenstern, J., Labouvie, E., McCrady, B. S., Kahler, C. W., & Frey, R. M. (1997). Affiliation with Alcoholics Anonymous after treatment: A study of its therapeutic effects and mechanisms of action. Journal of Consulting and Clinical Psychology, 65(5), 768–777. doi:10.1037/0022-006X.65.5.768
   PubMed Web of Science ®Google Scholar
• Oakes, K. E. (2008). Purpose in life: A mediating variable between involvement in Alcoholics Anonymous and long-term recovery. Alcoholism Treatment Quarterly, 26(4), 450–463.
   Google Scholar
• Pagano, M., Friend, K., Tonigan, J., & Stout, R. (2004). Helping other alcoholics in Alcoholics Anonymous and drinking outcomes: Findings from project MATCH. Journal of Studies on Alcohol, 65(6), 766–773.
   PubMed Web of Science ®Google Scholar
• Preacher, K. J., & Hayes, A. F. (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods, Instruments, & Computers, 36(4) 717–731.
   PubMedGoogle Scholar
• Project MATCH Research Group. (1997). Matching alcoholism treatments to client heterogeneity: Project MATCH posttreatment drinking outcomes. Journal of Studies on Alcohol, 58(1), 7–29.
   PubMed Web of Science ®Google Scholar
• Project MATCH Research Group. (1998). Matching alcoholism treatment to client heterogeneity: Treatment main effects and matching effects on within-treatment drinking. Journal of Studies on Alcohol, 59, 631–639.
   PubMed Web of Science ®Google Scholar
• Raudenbush, S. W., & Bryk, A. S. (2002). Hierarchical linear models: Applications and data analysis methods (2nd ed.). Newbury Park, CA: Sage.
   Google Scholar
• Rice, S. L., & Tonigan, J. S. (2012). Impressions of Alcoholics Anonymous (AA) group cohesion: A case for a non-specific factor predicting later AA attendance. Alcoholism Treatment Quarterly, 30(1), 40–51.
   PubMedGoogle Scholar
• Robinson, E., Cranford, J., Webb, J., & Brower, K. (2007). Six-month changes in spirituality, religiousness and heavy drinking in a treatment-seeking sample. Journal of Studies on Alcohol and Drugs, 68(2), 282–290.
   PubMed Web of Science ®Google Scholar
• Ross, H. E. (1993). Benzodiazepine use and anxiolytic abuse and dependence in treated alcoholics. Addiction, 88(2), 209–218. doi:10.1111/j.1360-0443.1993.tb00804.x.
   PubMed Web of Science ®Google Scholar
• Shrout, P. E., & Fleiss, J. L. (1979). Intraclass correlations: Uses in assessing rater reliability. Psychological Bulletin, 86(2), 420–428. doi:10.1037/0033-2909.86.2.420.
   PubMed Web of Science ®Google Scholar
• Terry, D. J., Hog, M. A., & White, K. M. (2000). Attitude-behavior relations: Social identity and group membership. In D. J. Terry & M. A. Hogg (Eds.), Attitudes, behavior, and social context: The role of norms and group membership (pp. 67–94). Mahwah, NJ: Lawrence Erlbaum Associates.
   Google Scholar
• Timko, C., Billow, R., & DeBenedetti, A. (2006). Determinants of 12-step group affiliation and moderators of the affiliation-abstinence relationship. Drug and Alcohol Dependence, 83(2), 111–121.
   PubMed Web of Science ®Google Scholar
• Timko, C., Finney, J. W., & Moos, R. H. (2005). The 8-year course of alcohol abuse: Gender differences in social context and coping. Alcoholism: Clinical and Experimental Research, 29, 612–621.
   PubMed Web of Science ®Google Scholar
• Timko, C., & Sempel, J. M. (2004). Intensity of acute services, self-help attendance and one-year outcomes among dual diagnosis patients. Journal of Studies on Alcohol, 65(2), 274–282.
   PubMed Web of Science ®Google Scholar
• Tonigan, J. S. (2003). Changing AA practices and outcomes: Project MATCH three-year follow-up. Alcoholism: Clinical and Experimental Research, 27(3), 526–528.
   Google Scholar
• Tonigan, J. S., & Beatty, G. (2011). Twelve-step program attendance and polysubstance use: Interplay of alcohol and illicit drug use. Journal of Studies on Alcohol and Drugs, 72(5), 864–871.
   PubMed Web of Science ®Google Scholar
• Tonigan, J. S., Connors, G. J., & Miller, W. R. (2003). Participation and involvement in Alcoholics Anonymous. In F. K. Del Boca (Ed.), Treatment matching in alcoholism (pp. 184–204). New York, NY: Cambridge University Press.
   Google Scholar
• Tonigan, J. S., & Rice, S. L. (2010). Is it beneficial to have an Alcoholics Anonymous sponsor? Psychology of Addictive Behaviors, 24(3), 397–403.
   PubMed Web of Science ®Google Scholar
• Tonigan, J. S., Miller, W. R., & Brown, J. M. (1997). The reliability of form 90: An instrument for assessing alcohol treatment outcome. Journal of Studies on Alcohol, 58(4), 358–364.
   PubMed Web of Science ®Google Scholar
• Tonigan, J. S., Toscova, R., & Miller, W. R. (1996). Meta-analysis of the literature on alcoholics anonymous: Sample and study characteristics moderate findings. Journal of Studies on Alcohol, 57(1), 65–72.
   PubMed Web of Science ®Google Scholar
• Tsuang, J. W., Shapiro, E., Smith, T. L., & Schuckit, M. A. (1994). Drug use among primary alcoholic veterans. The American Journal of Drug and Alcohol Abuse, 20(4), 483–493. doi:10.3109/00952999409109185.
   PubMed Web of Science ®Google Scholar
• Weiss, R. D., Griffin, M. L., Gallop, R. J., Najavits, L. M., Frank, A., Crits-Christoph, P., (2005). The effect of 12-step self-help group attendance and participation on drug use outcomes among cocaine-dependent patients. Drug and Alcohol Dependence, 77(2), 177–184.
   PubMed Web of Science ®Google Scholar
• Westerberg, V. S., Miller, W. R., & Tonigan, J. S. (1998). Reliability of form 90D: An instrument for quantifying drug use. Substance Abuse, 19(4), 179–189.
   PubMedGoogle Scholar
• Witbrodt, J., & Kaskutas, L. A. (2005). Does diagnosis matter? Differential effects of 12-step participation and social networks on abstinence. American Journal of Drug and Alcohol Abuse, 31(4), 685–707.
   PubMed Web of Science ®Google Scholar
• Witkiewitz, K., Marlatt, G. A., & Walker, D. (2005). Mindfulness-based relapse prevention for alcohol and substance use disorders. Journal of Cognitive Psychotherapy: An International Quarterly, 19(3), 211–225.
   Google Scholar
• Worley, M., Gallop, R., Gibbons, M. B. C., Ring-Kurtz, S., Present, J., Weiss, R. D., (2008). Additional treatment services in a cocaine treatment study: Level of services obtained and impact on outcome. American Journal on Addictions, 17(3), 209–217.
   PubMed Web of Science ®Google Scholar
• Zemore, S. E. (2007). A role for spiritual change in the benefits of 12-step involvement. Alcoholism: Clinical and Experimental Research, 31(3) 76–79.
   PubMed Web of Science ®Google Scholar