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Volume 38 Issue 1

Religious Affiliation and Spiritual Practices: An Examination of the Role of Spirituality in Alcohol Use and Alcohol Use Disorder

Katie Witkiewitz, Ph.D.; Elizabeth McCallion, M.S.; and Megan Kirouac, M.S.

Katie Witkiewitz, Ph.D., is an associate professor; Elizabeth McCallion, M.S., and Megan Kirouac, M.S., are graduate students, all in the Department of Psychology, University of New Mexico, Albuquerque, New Mexico.

    Disclosures

    The authors declare that they have no competing financial interests.

    References

    Amaro, H.; Magno-Gatmaytan, C.; Meléndez, M.; et al. Addiction treatment intervention: An uncontrolled prospective pilot study of Spiritual Self-Schema therapy with Latina women. Substance Abuse 31(2):117–125, 2010. PMID: 20408063

    Bowen, S.; Chawla, N.; Collins, S.E.; et al. Mindfulness-based relapse prevention for substance use disorders: A pilot efficacy trial. Substance Abuse 30(4):295–305, 2009. PMID: 19904665

    Bowen, S.; Witkiewitz, K.; Clifasefi, S.L.; et al. Relative efficacy of mindfulness-based relapse prevention, standard relapse prevention, and treatment as usual for substance use disorders: A randomized clinical trial. JAMA Psychiatry 71(5):547–556, 2014. PMID: 24647726

    Cunningham, J.A.; Sobell, L.C.; Sobell, M.B.; and Gaskin, J. Alcohol and drug abusers’ reasons for seeking treatment. Addictive Behaviors 19(6):691–696, 1994. PMID: 7701979

    Dawson, D.A.; Goldstein, R.B.; Ruan, W.J.; and Grant, B.F. Correlates of recovery from alcohol dependence: A prospective study over a 3-year follow-up interval. Alcoholism: Clinical and Experimental Research 36(7):1268–1277, 2012. PMID: 22309217

    Drerup, M.L.; Johnson, T.J.; and Bindl, S. Mediators of the relationship between religiousness/spirituality and alcohol problems in an adult community sample. Addictive Behaviors 36(12):1317–1320, 2011. PMID: 21868169

    Elwafi, H.M.; Witkiewitz, K.; Mallik, S.; et al. Mindfulness training for smoking cessation: Moderation of the relationship between craving and cigarette use. Drug and Alcohol Dependence 130(1–3):222–229, 2013. PMID: 23265088

    Finfgeld, D.L. Self-resolution of drug and alcohol problems: A synthesis of qualitative findings. Journal of Addictions Nursing 12(2):65–72, 2000.

    Galen, L.W., and Rogers, W.M. Religiosity, alcohol expectancies, drinking motives and their interaction in the prediction of drinking among college students. Journal of Studies on Alcohol 65(4):469–476, 2004. PMID: 15376822

    Garland, E.L.; Gaylord, S.A.; Boettiger, C.A.; and Howard, M.O. Mindfulness training modifies cognitive, affective, and physiological mechanisms implicated in alcohol dependence: Results from a randomized controlled pilot trial. Journal of Psychoactive Drugs 42(2):177–192, 2010. PMID: 20648913

    Johnson, T.J.; Sheets, V.L.; and Kristeller, J.L. Identifying mediators of the relationship between religiousness/spirituality and alcohol use. Journal of Studies on Alcohol and Drugs 69(1):160–170, 2008. PMID: 18080076

    Kelly, J.F.; Stout, R. L.; Magill, M.; et al. 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, 2011. PMID: 21158876

    Kendler, K.S.; Liu, X.Q.; Gardner, C.O.; et al. Dimensions of religiosity and their relationship to lifetime psychiatric and substance use disorders. American Journal of Psychiatry 160(3):496–503, 2003. PMID: 12611831

    Krentzman, A.R.; Cranford, J.A.; and Robinson, E.A. Multiple dimensions of spirituality in recovery: A lagged mediational analysis of Alcoholics Anonymous’ principal theoretical mechanism of behavior change. Substance Abuse 34(1):20–32, 2013. PMID: 23327501

    Lambert, N.M.; Fincham, F.D.; Marks, L.D.; and Stillman, T.F. Invocations and intoxication: Does prayer decrease alcohol consumption? Psychology of Addictive Behaviors 24(2):209–219, 2010. PMID: 20565147

    Ludwig, A.M. Cognitive processes associated with “spontaneous” recovery from alcoholism. Journal of Studies on Alcohol 46(1):53–58, 1985. PMID: 3974236

    Matzger, H.; Kaskutas, L.A.; and Weisner, C. Reasons for drinking less and their relationship to sustained remission from problem drinking. Addiction 100(11): 1637–1646, 2005. PMID: 16277625

    Neighbors, C.; Brown, G.A.; Dibello, A.M.; et al. Reliance on God, prayer, and religion reduces influence of perceived norms on drinking. Journal of Studies on Alcohol and Drugs 74(3):361–368, 2013. PMID: 23490564

    Rice, O.R. Religion and the church in relation to alcohol addiction: I. Religious resources in the treatment of alcohol addiction. Quarterly Journal of Studies on Alcohol 3:393–399, 1941.

    Robinson, E.A.; Krentzman, A.R; Webb, J.R.; and Brower, K.J. Six-month changes in spirituality and religiousness in alcoholics predict drinking outcomes at nine months. Journal of Studies on Alcohol and Drugs 72(4):660–668, 2011. PMID: 21683048

    Seliger, R.V. Religious and similar experiences and revelations in patients with alcohol problems. Journal of Clinical and Experimental Psychopathology 8(4):727–731, 1947. PMID: 18898379

    Shalloo, J.P. Some cultural factors in the etiology of alcoholism. Quarterly Journal of Studies on Alcohol 2:464–478, 1941.

    Sobell, L.C.; Sobell, M.B.; Toneatto, T., and Leo, G.I. What triggers the resolution of alcohol problems without treatment? Alcoholism: Clinical and Experimental Research 17(2):217–224, 1993. PMID: 8488958

    Tonigan, J.S.; Rynes, K.N.; and McCrady, B.S. Spirituality as a change mechanism in 12-step programs: A replication, extension, and refinement. Substance Use & Misuse 48(12):1161–1173, 2013. PMID: 24041178

    Tuchfeld, B.S. Spontaneous remission in alcoholics: Empirical observations and theoretical implications. Journal of Studies on Alcohol 42(7):626–641, 1981. PMID: 7289605

    Vaughan, E.L.; de Dios, M.A.; Steinfeldt, J.A.; and Kratz, L.M. Religiosity, alcohol use attitudes, and alcohol use in a national sample of adolescents. Psychology of Addictive Behaviors 25(3):547–553, 2011. PMID: 21766976

    Walters, O.S. The religious background of fifty alcoholics. Quarterly Journal of Studies on Alcohol 18:121–125, 1957.

    Witkiewitz, K., and Bowen, S. Depression, craving, and substance use following a randomized trial of mindfulness-based relapse prevention. Journal of Consulting and Clinical Psychology 78(3):362–374, 2010. PMID: 20515211

    Witkiewitz, K.; Bowen, S.; Douglas, H.; and Hsu, S.H. Mindfulness-based relapse prevention for substance craving. Addictive Behaviors 38(2):1563–1571, 2013. PMID: 22534451

    Witkiewitz, K.; Warner, K.; Sully, B.; et al. Randomized trial comparing mindfulness-based relapse prevention with relapse prevention for women offenders at a residential addiction treatment center. Substance Use & Misuse 49(5):536–546, 2014. PMID: 24611849

    Zgierska, A.; Rabago, D.; Chawla, N.; et al. Mindfulness meditation for substance use disorders: A systematic review. Substance Abuse 30(4):266–294, 2009. PMID: 19904664