Exploring indicators of natural recovery from alcohol and drug use problems: findings from the life in recovery survey in Flanders

Abstract Introduction Research has established natural recovery (NR) as an important pathway to substance use recovery. Studies investigating correlates of NR have mainly focused on demographic and substance use variables rather than life circumstances. This study seeks to better understand the phen...

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Main Authors: Florian De Meyer, Amine Zerrouk, Clara De Ruysscher, Wouter Vanderplasschen
Format: Article
Language:English
Published: BMC 2024-04-01
Series:Substance Abuse Treatment, Prevention, and Policy
Subjects:
Online Access:https://doi.org/10.1186/s13011-024-00604-y
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author Florian De Meyer
Amine Zerrouk
Clara De Ruysscher
Wouter Vanderplasschen
author_facet Florian De Meyer
Amine Zerrouk
Clara De Ruysscher
Wouter Vanderplasschen
author_sort Florian De Meyer
collection DOAJ
description Abstract Introduction Research has established natural recovery (NR) as an important pathway to substance use recovery. Studies investigating correlates of NR have mainly focused on demographic and substance use variables rather than life circumstances. This study seeks to better understand the phenomenon of natural recovery by (i) validating the international scientific literature concerning demographic and substance use indicators of NR in Flanders and (ii) assessing the additional explanatory power of recovery strengths and barriers during active addiction, controlling for demographic and substance use covariates. Methods A total of 343 persons in recovery from alcohol or drug use problems (≥ 3 months) completed an online cross-sectional survey in Flanders. Participants in NR and in recovery after following treatment were compared using multivariate linear regression models. Reasons for not following treatment were analyzed using inductive thematic analysis. Results Higher education level, lower severity of dependence, and cannabis use as the main problem substance (vs. alcohol) were statistically significant (p < 0.05) correlates of NR. When scores for the number of barriers and strengths associated with active addiction were added, barriers (but not strengths) were significantly associated with NR. When barrier items were individually tested, having untreated emotional or mental health problems, having a driver’s license revoked and damaging property were statistically significant correlates. The most reported reason for not entering treatment was not experiencing any need to do so. Conclusion The results highlight the importance of a holistic approach to recovery support across multiple life domains. Limitations and opportunities for further research are discussed.
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spelling doaj.art-1f7bf1b96d1e4064b4fe3d8c77a528822024-04-14T11:08:05ZengBMCSubstance Abuse Treatment, Prevention, and Policy1747-597X2024-04-0119111010.1186/s13011-024-00604-yExploring indicators of natural recovery from alcohol and drug use problems: findings from the life in recovery survey in FlandersFlorian De Meyer0Amine Zerrouk1Clara De Ruysscher2Wouter Vanderplasschen3Department of Special Needs Education, Ghent UniversityDepartment of Special Needs Education, Ghent UniversityDepartment of Special Needs Education, Ghent UniversityDepartment of Special Needs Education, Ghent UniversityAbstract Introduction Research has established natural recovery (NR) as an important pathway to substance use recovery. Studies investigating correlates of NR have mainly focused on demographic and substance use variables rather than life circumstances. This study seeks to better understand the phenomenon of natural recovery by (i) validating the international scientific literature concerning demographic and substance use indicators of NR in Flanders and (ii) assessing the additional explanatory power of recovery strengths and barriers during active addiction, controlling for demographic and substance use covariates. Methods A total of 343 persons in recovery from alcohol or drug use problems (≥ 3 months) completed an online cross-sectional survey in Flanders. Participants in NR and in recovery after following treatment were compared using multivariate linear regression models. Reasons for not following treatment were analyzed using inductive thematic analysis. Results Higher education level, lower severity of dependence, and cannabis use as the main problem substance (vs. alcohol) were statistically significant (p < 0.05) correlates of NR. When scores for the number of barriers and strengths associated with active addiction were added, barriers (but not strengths) were significantly associated with NR. When barrier items were individually tested, having untreated emotional or mental health problems, having a driver’s license revoked and damaging property were statistically significant correlates. The most reported reason for not entering treatment was not experiencing any need to do so. Conclusion The results highlight the importance of a holistic approach to recovery support across multiple life domains. Limitations and opportunities for further research are discussed.https://doi.org/10.1186/s13011-024-00604-ySubstance use disorderSelf-changeSpontaneous recoveryTreatmentRecovery capital
spellingShingle Florian De Meyer
Amine Zerrouk
Clara De Ruysscher
Wouter Vanderplasschen
Exploring indicators of natural recovery from alcohol and drug use problems: findings from the life in recovery survey in Flanders
Substance Abuse Treatment, Prevention, and Policy
Substance use disorder
Self-change
Spontaneous recovery
Treatment
Recovery capital
title Exploring indicators of natural recovery from alcohol and drug use problems: findings from the life in recovery survey in Flanders
title_full Exploring indicators of natural recovery from alcohol and drug use problems: findings from the life in recovery survey in Flanders
title_fullStr Exploring indicators of natural recovery from alcohol and drug use problems: findings from the life in recovery survey in Flanders
title_full_unstemmed Exploring indicators of natural recovery from alcohol and drug use problems: findings from the life in recovery survey in Flanders
title_short Exploring indicators of natural recovery from alcohol and drug use problems: findings from the life in recovery survey in Flanders
title_sort exploring indicators of natural recovery from alcohol and drug use problems findings from the life in recovery survey in flanders
topic Substance use disorder
Self-change
Spontaneous recovery
Treatment
Recovery capital
url https://doi.org/10.1186/s13011-024-00604-y
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