Evolución del concepto de recuperación en el trastorno por uso de alcohol

  1. Laura Esteban Rodríguez
  2. Ana Sion
  3. Rosa Jurado Barba
Revista:
Revista española de drogodependencias

ISSN: 0213-7615

Ano de publicación: 2024

Volume: 49

Número: 2

Páxinas: 75-93

Tipo: Artigo

DOI: 10.54108/10083 DIALNET GOOGLE SCHOLAR

Outras publicacións en: Revista española de drogodependencias

Obxectivos de Desenvolvemento Sustentable

Resumo

Existen numerosas definiciones de recuperación en el ámbito de los trastornos adictivos, en particular en el trastorno por uso de alcohol (TUA). Sin embargo, los intentos por establecer el significado de la recuperación en el TUA no han logrado un consenso. A lo largo de este siglo, las propuestas han reconocido que la recuperación trasciende la abstinencia o la reducción del consumo, reflejando su naturaleza compleja y multidimensional. La recuperación del TUA se caracteriza por mejoras en diversas áreas de la vida del individuo, siendo un proceso dinámico, voluntario y autodirigido, donde el sujeto desempeña un papel activo en su camino hacia el bienestar. Las definiciones coinciden en la importancia del bienestar integral, incluyendo mejoras en la calidad de vida, el funcionamiento biopsicosocial, el bienestar eudaimónico y las relaciones interpersonales. No obstante, persisten debates sobre la inclusión del manejo de la sustancia en las definiciones de recuperación en el TUA. Además, recientemente, ha surgido una nueva controversia con la inclusión de la remisión de los criterios diagnósticos del TUA en las definiciones de recuperación. Este trabajo propone incorporar la capacidad de controlar la conducta como un elemento en la definición de recuperación para resolver estas discrepancias. Este enfoque reconoce la variabilidad individual y aboga por la implementación de terapias personalizadas dentro de un marco de tratamiento centrado en la persona.

Referencias bibliográficas

  • American Society of Addiction Medicine. (2005). Public policy statement on the state of recovery. https://www.chestnut. org/resources/580f7f05-3d07-4deda150-d2a4c58e8570/ASAM-percent20Recovery-percent-20Definition-percent-202005.pdf
  • Ashford, R. D., Brown, A., Brown, T., Callis, J., Cleveland, H. H., Eisenhart, E., Groover, H., Hayes, N., Johnston, T., Kimball, T., Manteuffel, B., McDaniel, J., Montgomery, L., Phillips, S., Polacek, M., Statman, M., y Whitney, J. (2019). Defining and operationalizing the phenomena of recovery: a working definition from the recovery science research collaborative. Addiction Research and Theory, 27(3), 179–188. https://doi.org/10.1080/16 066359.2018.1515352
  • Asociación Americana de Psiquiatría. (2013). Manual diagnóstico y estadístico de los trastornos mentales (5ª ed.). https://doi.org/10.1176/appi. books.9780890425596
  • Best, D. W., y Lubman, D. I. (2012). The recovery paradigm - a model of hope and change for alcohol and drug addiction. Australian family physician, 41(8), 593–597.
  • Best, D., Beckwith, M., Haslam, C., Alexander Haslam, S., Jetten, J., Mawson, E., y Lubman, D. I. (2016). Overcoming alcohol and other drug addiction as a process of social identity transition: The social identity model of recovery (SIMOR). In Addiction Research and Theory (Vol. 24, Issue 2, pp. 111–123). Taylor and Francis Ltd. https://doi.org/10.3109/1606635 9.2015.1075980
  • Betty Ford Institute Consensus Panel. (2007). What is recovery? A working definition from the Betty Ford Institute. Journal of Substance Abuse Treatment, 33(3), 221–228. https://doi.org/https://doi. org/10.1016/j.jsat.2007.06.001
  • Center for Substance Abuse Treatment. (2005). National Summit on Recovery Conference Report. https://www.myflfamilies.com/sites/default/files/2022-11/ Working%20Definitions%20of%20Recovery.pdf
  • Davidson, L., Tondora, J., Miller, R., y O’Connell, M. J. (2015). Person-centered care. In P. W. Corrigan (Ed.), Person-centered care for mental illness: The evolution of adherence and selfdetermination (pp. 81–102). American Psychological Association. https://doi. org/10.1037/14644-005
  • De Meyer, F., Zerrouk, A., De Ruysscher, C., y Vanderplasschen, W. (2024). Exploring indicators of natural recovery from alcohol and drug use problems: findings from the life in recovery survey in Flanders. Substance abuse treatment, prevention, and policy, 19(1), 22. https:// doi.org/10.1186/s13011-024-00604-y
  • El-Guebaly, N. (2012). The meanings of recovery from addiction: Evolution and promises. Journal of Addiction Medicine, 6(1), 1–9. https://doi.org/10.1097/ ADM.0b013e31823ae540
  • Esteban Rodríguez, L., Pérez-López, M., Sion, A., Olmos-Espinosa, R., Jurado-Barba, R., Maldonado-Sánchez, D., Armada, V., Rubio, G. (en prensa). Agreement for Recovery: First Spanish Consensus on the Concept of Alcohol Addiction Recovery. Actas Españolas de Psiquiatría.
  • Grant, B. F., Goldstein, R. B., Saha, T. D., Patricia Chou, S., Jung, J., Zhang, H., Pickering, R. P., June Ruan, W., Smith, S. M., Huang, B., y Hasin, D. S. (2015). Epidemiology of DSM-5 alcohol use disorder results from the national epidemiologic survey on alcohol and related conditions III. JAMA Psychiatry. https://doi.org/10.1001/ jamapsychiatry.2015.0584
  • Griswold, M. G., Fullman, N., Hawley, C., Arian, N., Zimsen, S. R. M., Tymeson, H. D., Venkateswaran, V., Tapp, A. D., Forouzanfar, M. H., Salama, J. S., Abate, K. H., Abate, D., Abay, S. M., Abbafati, C., Abdulkader, R. S., Abebe, Z., Aboyans, V., Abrar, M. M., Acharya, P., … Gakidou, E. (2018). Alcohol use and burden for 195 countries and territories, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. The Lancet, 392(10152), 1015–1035. https://doi.org/10.1016/ S0140-6736(18)31310-2
  • Hagman, B. T., Falk, D., Litten, R., y Koob, G. F. (2022). Defining Recovery From Alcohol Use Disorder: Development of an NIAAA Research Definition. American Journal of Psychiatry, 179(11), 807–813. https://doi.org/10.1176/ appi.ajp.21090963
  • Inanlou, M., Bahmani, B., Farhoudian, A., y Rafiee, F. (2020). Addiction Recovery: A Systematized Review. LK . Iranian Journal of Psychiatry TA - TT -, 15(2), 172–181.
  • Kaskutas, L. A., Borkman, T. J., Laudet, A., Ritter, L. A., Witbrodt, J., Subbaraman, M. S., Stunz, A., y Bond, J. (2014). Elements that define recovery: the experiential perspective. Journal of Studies on Alcohol and Drugs, 75(6), 999–1010. https://doi. org/10.15288/jsad.2014.75.999
  • Kelly, J. F., y Hoeppner, B. (2015). A biaxial formulation of the recovery construct. Addiction Research & Theory, 23, 5 - 9. https://doi.org/10.3109/160663 59.2014.930132
  • Laudet, A. B. (2008). The road to recovery: where are we going and how do we get there? Empirically driven conclusions and future directions for service development and research. Substance use & misuse, 43(12-13), 2001–2020. https:// doi.org/10.1080/10826080802293459
  • Laudet, A. B., y White, W, L. (2008). Recovery capital as prospective predictor of sustained recovery, life satisfaction, and stress among former poly-substance users. Substance Use and Misuse. https:// doi.org/10.1080/10826080701681473
  • Manwell, L. A., Barbic, S. P., Roberts, K., Durisko, Z., Lee, C., Ware, E., y McKenzie, K. (2015). What is mental health? Evidence towards a new definition from a mixed methods multidisciplinary international survey. BMJ open, 5(6), e007079. https://doi.org/10.1136/ bmjopen-2014-007079
  • Marín, M., Prieto, R., y Rubio, G. (2021). ¿Qué se entiende por recuperación de la dependencia del alcohol? En Rubio Valladolid R (ed.) Del tratamiento del alcoholismo y de su recuperación. Una Guía para profesionales de la sanidad (, pp. 69–104). Círculo Rojo
  • Naciones Unidas. (2015). Objetivos y metas de desarrollo sostenible. https://www. un.org/sustainabledevelopment/es/ health/
  • Neale, J., Panebianco, D., Finch, E., Marsden, J., Mitcheson, L., Rose, D., Strang, J., y Wykes, T. (2015). Emerging consensus on measuring addiction recovery: Findings from a multi-stakeholder consultation exercise. Drugs: Education, Prevention and Policy TA - TT -, 23(1), 31–40. https:// doi.org/10.3109/09687637.2015.110 0587
  • Neale, J., Vitoratou, S., Finch, E., Lennon, P., Mitcheson, L., Panebianco, D., Rose, D., Strang, J., Wykes, T., y Marsden, J. (2016). Development and validation of ‘sure’: a patient reported outcome measure (PROM) for recovery from drug and alcohol dependence. Drug and Alcohol Dependence, 165, 159–167. https://doi. org/10.1016/j.drugalcdep.2016.06.006
  • Organización Mundial de la Salud. (1948). Constitution of the World Health Organization. https://www.who.int/es/about/ accountability/governance/constitution Organización Mundial de la Salud. (2018). Informe sobre la situación mundial del alcohol y la salud 2018. https://iris.paho. org/handle/10665.2/51352
  • Organización Mundial de la Salud. (2019). Clasificación estadística internacional de enfermedades y problemas de salud relacionados (11ª ed.). https://icd.who.int/ Pattison, E. M. (1968). A critique of alcoholism treatment concepts; with special reference to abstinence. International Journal of Social Psychiatry, 14(4):268-276. https://doi.org/10.1177/002076406801400404
  • Peele S. (2016). People Control Their Addictions: No matter how much the “chronic” brain disease model of addiction indicates otherwise, we know that people can quit addictions - with special reference to harm reduction and mindfulness. Addictive behaviors reports, 4, 97–101. https://doi.org/10.1016/j. abrep.2016.05.003
  • Rubio, G., Esteban Rodríguez, L., Sion, A., Ramis Vidal, L., Blanco, M. J., ZamoraBayon, A., Caba-Moreno, M., MaciasMolina, A. I., Pérez-Sánchez, D., y Rubio-Escobar, E., Ruiz-Diez, J., Marín, M., Arias, F., Lora, D., Jurado-Barba, R. (2023). How, when, and to what degree do people with alcohol dependence recover their psychological wellbeing and quality of life? The Madrid Recovery Project. Frontiers in Psychiatry, 14, 1130078. https://doi.org/10.3389/ fpsyt.2023.1130078
  • Slade, M., Leamy, M., Bacon, F., Janosik, M., Le Boutillier, C., Williams, J., y Bird, V. (2012). International differences in understanding recovery: systematic review. Epidemiology and Psychiatric Sciences, 21(4), 353–364. https://doi. org/10.1017/S2045796012000133
  • Smith D. E. (2012). The process addictions and the new ASAM definition of addiction. Journal of psychoactive drugs, 44(1), 1–4. https://doi.org/10.1080/0279107 2.2012.662105
  • Sobell, L. C., Ellingstad, T. P., y Sobell, M. B. (2000). Natural recovery from alcohol and drug problems: methodological review of the research with suggestions for future directions. Addiction (Abingdon, England), 95(5), 749–764. https://doi.org/10.1046/j.1360- 0443.2000.95574911.x
  • Stewart M. (2001). Towards a global definition of patient centred care. BMJ (Clinical research ed.), 322(7284), 444–445. https://doi.org/10.1136/ bmj.322.7284.444
  • Stokes, M., Schultz, P., y Alpaslan, A. (2018). Narrating the journey of sustained recovery from substance use disorder. Substance Abuse Treatment, Prevention, and Policy, 13(1), 35. https://doi. org/10.1186/s13011-018-0167-0
  • Substance Abuse Mental Health Services Administration (2011). Results from the 2010 National Survey on Drug Use and Health: Summary of National Findings. https://www.samhsa.gov/data/sites/ default/files/NSDUHNationalFindingsResults2010-web/2k10ResultsRev/ NSDUHresultsRev2010.pdf
  • Swan, J. E., Aldridge, A., Joseph, V., Tucker, J. A., y Witkiewitz, K. (2021). Individual and Community Social Determinants of Health and Recovery from Alcohol Use Disorder Three Years following Treatment. Journal of psychoactive drugs, 53(5), 394–403. https://doi.org/ 10.1080/02791072.2021.1986243
  • Tucker, J. A., Chandler, S. D., y Witkiewitz, K. (2020). Epidemiology of Recovery From Alcohol Use Disorder. Alcohol Research: Current Reviews, 40(3), 2. https://doi.org/10.35946/arcr. v40.3.02
  • UK Drug Policy Comission Group (2008). A vision of recovery: UKDPC recovery consensus group. https://www.ukdpc. org.uk/wp-content/uploads/Policy%20 report%20-%20A%20vision%20of%20 recovery_%20UKDPC%20recovery%20 consensus%20group.pdf
  • Verdejo, A. y Tirapu, J. Modelos neuropsicológicos de adicción. En Pedrero E.J. (coord.), Neurociencia y Adicción (pp. 47-66). Madrid: Sociedad Española de Toxicomanías SET.
  • White, W. (2008). Recovery: Old Wine, Flavor of the Month or New Organizing Paradigm? Substance Use & Misuse, 43(12/13), 1987–2000. https://doi. org/10.1080/10826080802297518
  • White, W., y Kurtz, E. (2006). The varieties of recovery experience. International Journal of Self Help and Self Care, 3(1–2), 21–61.
  • Witkiewitz, K., Montes, K. S., Schwebel, F. J., y Tucker, J. A. (2020a). What Is Recovery? Alcohol Research : Current Reviews, 40(3), 1. https://doi.org/10.35946/ arcr.v40.3.01
  • Witkiewitz, K., Pearson, M., Wilson, A. D., Stein, E. R., Votaw, V. R., Hallgren, K. A., Maisto, S. A., Swan, J. E., Schwebel, F. J., y Aldridge, A. (2020b). Can alcohol use disorder recovery include some heavy drinking? A replication and extension up to 9 years following treatment. Alcoholism: Clinical and Experimental Research, 44(9), 1862–1874. https://doi. org/10.1111%2Facer.14413
  • Witkiewitz, K., Stein, E. R., Votaw, V. R., Hallgren, K. A., Gibson, B. C., Boness, C. L., Pearson, M. R., & Maisto, S. A. (2023). Constructs derived from the addiction cycle predict alcohol use disorder treatment outcomes and recovery 3 years following treatment. Psychology of addictive behaviors: journal of the Society of Psychologists in Addictive Behaviors, 37(3), 376–389. https://doi. org/10.1037/adb0000871
  • Witkiewitz, K., Wilson, A. D., Pearson, M. R., Montes, K. S., Kirouac, M., Roos, C. R., Hallgren, K. A., y Maisto, S. A. (2019). Profiles of recovery from alcohol use disorder at three years following treatment: can the definition of recovery be extended to include high functioning heavy drinkers? Addiction, 114(1), 69–80. https://doi.org/10.1111/add.14403
  • Witkiewitz, K., Wilson, A. D., Roos, C. R., Swan, J. E., Votaw, V. R., Stein, E. R., Pearson, M. R., Edwards, K. A., Tonigan, J. S., Hallgren, K. A., Montes, K. S., Maisto, S. A., y Tucker, J. A. (2021). Can Individuals With Alcohol Use Disorder Sustain Non-abstinent Recovery? Non-abstinent Outcomes 10 Years After Alcohol Use Disorder Treatment. Journal of addiction medicine, 15(4), 303–310. https://doi. org/10.1097/ADM.0000000000000760
Fonte de datos: Dialnet