Came to Believe: Spirituality as a Mechanism of Change in Alcoholics Anonymous A Review of the Literature From 1992 to 2012

  title={Came to Believe: Spirituality as a Mechanism of Change in Alcoholics Anonymous A Review of the Literature From 1992 to 2012},
  author={Ana Tuşa and Jill A Burgholzer},
  journal={Journal of Addictions Nursing},
AbstractOver the last 20 years, there has been an increase in substance abuse research focusing on the efficacy of 12-step programs like Alcoholics Anonymous. Results indicate that AA reduces relapse risk and works as well as cognitive behavioral therapy and motivational interviewing in reducing the quantity and frequency of alcohol use. More recent studies have focused on identifying the mechanisms of behavior change at work in AA, especially the use of spiritual practices in the maintenance… 
Investigating the interlinkages of alcohol use and misuse, spirituality and culture – Insights from a systematic review
The present systematic review aims to summarize the knowledge on the relationship between alcohol use and misuse, religiousness/spirituality and culture drawn from medical studies, and whether both types of intervention may work in individuals.
Analysis of the emotional experiences of Japanese Alcoholics Anonymous members striving for sobriety
The present study indicated that Japanese nursing and health care workers should be willing to learn from AA members, such as by understanding the 12-step culture, and suggest the need to create environments conducive to AA activities, from which many alcoholics derive emotional support.
The Twelve Steps and Adolescent Recovery: A Concise Review
The 12-step philosophy and practices are summarized and a concise review of research on adolescents’ involvement in 12- step groups is provided, including qualitative work that illuminates teenagers’ reasons for resisting or engaging in12-step practices.
Emergency Department Patients are Receptive to Prayer-Based Interventions to Reduce Alcohol Use
Given the promising data on ED patients’ perceptions of the significance and acceptability of spiritual practices in reducing alcohol use, prayer may emerge as a useful adjunctive tool in future ED interventions for alcohol use disorders.
The role of spirituality and self-determination in recovery fro drug and alcohol addiction among Indigenous people
This book aims to provide a history of web exceptionalism from 1989 to 2002, a period chosen in order to explore its roots as well as specific cases up to and including the year in which descriptions of “Web 2.0” began to circulate.
Study of Genetic Mutations in, DRD2, GABRG3ADH1B3, ALDH, ADH1B2, CHRNA5, CHRNA3, CHRNA6, Genes to Induce Alcoholism Syndrome
Alcoholism, also known as alcohol use disorder (AUD), is a broad term for any drinking of alcohol that results in problems, which can affect all parts of the body but particularly affects the brain, heart, liver, pancreas, and immune system.
Young People’s Perceptions of the 12-Steps’ Role in Supporting Their Recovery (or Not)
Abstract Although 12-step participation is related to improved outcomes, young people’s 12-step involvement is rare. There is limited research on the role of 12-step philosophy and practices for
Prevalence of mental distress and associated factors among university students in Ethiopia: a meta-analysis.
The finding that more than one third of university students in Ethiopia have suffered with mental distress provides evidence that university students are at risk population for mental health problems and suggests the need for early intervention to prevent severe mental illness.


The effects of spiritual practices on recovery from substance abuse.
  • T. Carter
  • Medicine
    Journal of psychiatric and mental health nursing
  • 1998
Compared two groups of recovering addicts, those with one year of recovery and those with less than one year and a history of relapse, a relationship between spiritual practices and long-term recovery from substance abuse is indicated.
Faith Development in Alcoholics Anonymous (AA)
Abstract This study offers a theoretical perspective to view spiritual faith development of AA members. Survey data from two AA groups (N = 47) were used to test the hypothesis that completion of
Stories of spiritual awakening. The nature of spirituality in recovery.
Spirituality and purpose in life in alcoholism recovery.
  • S. Carroll
  • Medicine
    Journal of studies on alcohol
  • 1993
It is suggested that a sense of purpose in life increases with continuing sobriety and practice of the spiritual principles of Alcoholics Anonymous.
Six-month changes in spirituality, religiousness, and heavy drinking in a treatment-seeking sample.
The results of this descriptive study support the perspective of many clinicians and recovering individuals that changes in alcoholics' S/R occur in recovery and that such changes are important to sobriety.
Affiliation with Alcoholics Anonymous after treatment: a study of its therapeutic effects and mechanisms of action.
Results indicated that increased affiliation with AA predicted better outcomes, and the effects of AA affiliation was related to maintenance of self-efficacy and motivation, as well as to increased active coping efforts.
The Role of Religion, Spirituality and Alcoholics Anonymous in Sustained Sobriety
Abstract Spirituality or belief in a higher being is an integral part of Alcoholics Anonymous (AA). This study examines the role of religiosity in AA involvement and long-term sobriety in a
Helping, spirituality and Alcoholics Anonymous in recovery.
As their sobriety accumulates, recovering alcoholics seem to devote less time to informal helping and more time to organized community projects--perhaps indicating evolving needs and abilities.
Atheists, agnostics and Alcoholics Anonymous.
God belief appears to be relatively unimportant in deriving AA-related benefit, but atheist and agnostic clients are less likely to initiate and sustain AA attendance relative to spiritual and religious clients.
Mediators Of Effectiveness In Dual-focus Self-help Groups
Understanding that the therapeutic factors inherent in 12-step are not mysterious, but appear to capitalize on well-documented social learning principles, may increase the acceptance of 12- step programs among addiction and mental health professionals.