Self-efficacy and spirituality in the recovery process from alcohol dependence [electronic resource] : a paradox /
Self-efficacy and Spirituality in the Recovery Process from Alcohol Dependence:
Julie Ann States
Literature in the field of addiction supports the importance of self-efficacy and
spirituality in the process of recovery from addictive disorders. However, the research on
self-efficacy and spirituality among alcohol dependent individuals has not addressed the
specific relationship of these constructs throughout the recovery process. The current
study provides an exploration of self-efficacy and spirituality as they relate to the
recovery process from alcohol dependence.
Data were collected from 81 adult (over age 18) clients who sought treatment at
an outpatient drug and alcohol agency. Each client met the criteria for alcohol
dependence based on DSM IV criteria, and was placed in one of four groups based on
self-reported level of recovery (no treatment – assumed to be actively using alcohol,
recent relapse, 3 months sobriety, and 6 months sobriety). The clients completed a
demographic data sheet, the Situational Confidence Questionnaire – 39 (SCQ-39), the
Spiritual Well-Being Scale (SWBS), and the Spiritual Involvement and Beliefs Scale
The results of this study suggest that self-efficacy and spirituality are related in
the recovery process from alcoholism. The seemingly paradoxical relationship between
these constructs can be explained through an understanding of the multidimensionality of
spirituality. Self-efficacy was correlated with spirituality as it relates to one's
connectedness with others and the world (Existential Well-Being), as well as one's
involvement in spiritual actions/beliefs. In contrast, self-efficacy was not related to
spirituality as it relates to one's connectedness with God (Religious Well-Being).
Religious Well-Being may account for the seemingly paradoxical relationship between
self-efficacy and spirituality because it is the only aspect of spirituality related to
surrender of control. The results also offer explanations for changes in self-efficacy and
spirituality with regard to length of recovery.
These findings have important implications for providers of drug and alcohol
treatment. By recognizing the relationship between self-efficacy and spirituality,
counselors can work to incorporate these constructs into treatment. Counselors could
enhance a person’s self-efficacy through the use of spiritually oriented interventions.
Counselors can expand on the traditional realm of spirituality in addiction treatment
(Higher Power) through the inclusion of existential forms of spirituality (e.g.
connectedness to self, others, and the world).
School:West Virginia University
School Location:USA - West Virginia
Source Type:Master's Thesis
Keywords:alcoholism alcoholics self efficacy
Date of Publication: