Dissertation
A TYPOLOGY OF DAYS EXPERIENCED IN EARLY RECOVERY AND AN EXAMINATION OF PATIENT OUTCOMES ASSOCIATED WITH INTERCLASS VARIABILITY
Washington State University
Doctor of Philosophy (PhD), Washington State University
05/2024
DOI:
https://doi.org/10.7273/000006558
Abstract
Substance use disorders (SUDs) occur across a broad range of developmental periods and demographic groups with often severe consequences. The origination of SUDs is not universally understood but is acknowledged to be equifinal. It follows then, given the diversity with which individuals arrive at addiction, that there may similarly be diversity in the manner with which individuals exit addiction and both enter and maintain recovery. The current study defines early recovery using key domains from the the Addictions Neuroclinical Assessment framework (ANA), which provides an integrated theoretical approach to conceptualizing the origins of addiction but which has been applied also to the process of recovery from addiction. Ecological momentary assessment (EMA) data were collected 4x daily for 12 days from 73 individuals voluntarily seeking treatment for opioid use disorder. Data collected measured key aspects of addiction recovery as defined by the ANA. Multilevel latent class models were employed to identify the configurations in which these aspects of addiction recovery tended to occur across the 12 day study period. The optimal solution suggested there were three different level one configurations in which recovery tended to occur on a given day. Three level two clusters were identified which suggested that individuals tended to vary minimally in the level one recovery classes they experienced across days of the study. Person-level variability in these day-level recovery classes was used to predict two distal participant outcomes: sense of daily meaningfulness at the end of the study and time-to-relapse. Mixed results were discovered when examining the relationship between person-level variability in daily recovery class and sense of daily meaningfulness at the end of the study. No significant relationship was found between person-level variability in daily recovery class and time-to-relapse. Additional research should be completed utilizing similar latent variable methods to identify potential underlying recovery-related response patterns not captured in the present investigation, as well as to validate those discovered in this study.
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Details
- Title
- A TYPOLOGY OF DAYS EXPERIENCED IN EARLY RECOVERY AND AN EXAMINATION OF PATIENT OUTCOMES ASSOCIATED WITH INTERCLASS VARIABILITY
- Creators
- Garrett J. Jenkins
- Contributors
- Michael Cleveland (Chair)Sterling McPherson (Committee Member)Michael McDonell (Committee Member)H. Harrington Cleveland (Committee Member)
- Awarding Institution
- Washington State University
- Academic Unit
- Human Development, Department of
- Theses and Dissertations
- Doctor of Philosophy (PhD), Washington State University
- Publisher
- Washington State University
- Number of pages
- 97
- Identifiers
- 99901121439801842
- Language
- English
- Resource Type
- Dissertation