Because addiction is a socially isolating disease, social support for recovery is an important element of treatment planning. This study examines the relationship between social isolation, giving and receiving social support in Alcoholics Anonymous during treatment, and post-treatment outcomes among juvenile offenders court-referred to addiction treatment. Adolescents (N = 195) aged 14 to 18 years were prospectively assessed at treatment admission, treatment discharge, 6 months, and 12 months after treatment discharge. The influence of social isolation variables on relapse and severe criminal activity in the 12-months post-treatment was examined using negative binomial logistic regressions and event history methods. Juveniles entering treatment with social estrangement were significantly more likely to relapse, be incarcerated, and commit a violent crime in the 12-months post-treatment. Giving help to others in Alcoholics Anonymous during treatment significantly reduced the risk of relapse, incarceration, and violent crime in the 12-months post-treatment whereas receiving help did not.

中文翻译：

---

内心孤独：社交隔离和帮助他人对 AOD 使用和犯罪活动的影响


由于成瘾是一种社会孤立性疾病，因此对康复的社会支持是治疗计划的重要组成部分。本研究探讨了青少年罪犯在法庭上接受成瘾治疗时的社会孤立、戒酒互诫协会在治疗期间给予和接受的社会支持以及治疗后结果之间的关系。对 14 至 18 岁的青少年 (N = 195) 在治疗入院、治疗出院、治疗出院后 6 个月和 12 个月时进行前瞻性评估。使用负二项逻辑回归和事件历史方法检查了社会隔离变量对治疗后 12 个月内复发和严重犯罪活动的影响。因社会疏远而接受治疗的青少年在治疗后 12 个月内，旧病复发、入狱和实施暴力犯罪的可能性显着增加。在治疗期间向戒酒互诫协会的其他人提供帮助可显着降低治疗后 12 个月内复发、监禁和暴力犯罪的风险，而接受帮助则不然。