J Subst Abuse Treat. 2008 Dec;35(4):434-42. Epub 2008 Jul 26.

Spiritual direction in addiction treatment: two clinical trials.

Miller WR, Forcehimes A, O'Leary MJ, LaNoue MD.

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University of New Mexico Center on Alcoholism, Substance Abuse and Addictions, Albuquerque, New Mexico, USA. wrmiller@unm.edu

Abstract

Spirituality has long been regarded as an important component of recovery from addiction. This article reports the findings of two controlled trials of spiritual direction as an adjunct in addiction treatment. In Study 1, 60 participants were randomly assigned to receive or not receive a 12-session manual-guided spiritual guidance (SG) intervention during and after inpatient treatment, in addition to treatment as usual (TAU). In Study 2, two cohorts of 40 each received TAU without or with SG during their inpatient stay. In both trials, contrary to prediction, SG had no effect on spiritual practices or substance use outcomes at any follow-up point. At the first follow-up in Study 1 only, those randomly assigned to spiritual direction unexpectedly showed significantly less improvement on depression and anxiety, relative to TAU controls. Limitations and implications for treatment are discussed.

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J Subst Abuse Treat. 2008 Dec;35(4):443-4.

PMID:: 18657945; [PubMed - indexed for MEDLINE]
PMCID: PMC2600849

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Spiritual direction in addiction treatment: two clinical trials.
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