Therapeutic Change in a Christian SUD Program: Mental Health, Attachment, and Attachment to God

Reporting and Interpreting Effect Sizes in Applied Health-Related Settings: The Case of Spirituality and Substance Abuse

Inferential analysis using null hypothesis significance testing (NHST) allows accepting or rejecting a null hypothesis. Nevertheless, rejecting a null hypothesis and concluding there is a statistical effect does not provide a clue as to its practical relevance or magnitude. This process is key to assessing the effect size (ES) of significant results, be it using context (comparing the magnitude of the effect to similar studies or day-to-day effects) or statistical estimators, which also should be sufficiently interpreted. This is especially true in clinical settings, where decision-making affects patients' lives. We carried out a systematic review for the years 2015 to 2020 utilizing Scopus, PubMed, and various ProQuest databases, searching for empirical research articles with inferential results linking spirituality to substance abuse outcomes. Out of the 19 studies selected, 11 (57.9%) reported no ES index, and 9 (47.4%) reported no interpretation of the magnitude or relevance of their findings. The results of this review, although limited to the area of substance abuse and spiritual interventions, are a cautionary tale for other research topics. Gauging and interpreting effect sizes contributes to a better understanding of the subject under scrutiny in any discipline.

Validating the Experiences in Close Relationships-Relationship Structures Scale among Chinese Children and Adolescents

The Experiences in Close Relationships-Relationship Structures (ECR-RS) scale is designed to capture attachment among diverse relational contexts (e.g., parents, friends). Although the ECR-RS has begun to be applied to children and adolescents, its psychometric properties among children and adolescents are not well-known, especially concerning second-order structural validity, measurement invariance, and longitudinal predictive validity. To fill this gap, the current research examined the ECR-RS among 3,184 Chinese students (9- to 18-year old) using cross-sectional and longitudinal (6 months) data. The results demonstrated generally acceptable composite and test-retest reliabilities, and acceptable second-order structural validity. In addition, the measurement invariance of the ECR-RS held across time, relational contexts, and school levels to varying degrees. Furthermore, using a partial invariance model, we depicted the cross-sectional trajectory of attachment scores across relational contexts and school levels. Finally, attachment was associated concurrently with the Big-Five personality traits in theoretically meaningful ways and longitudinally predicted depression, anxiety, stress, and self-esteem after controlling for age, gender, and pretest scores. In conclusion, the Chinese ECR-RS has proven to be a valuable instrument for future research among children and adolescents.

Women in Christian Substance Abuse Treatment; Forgiveness, Attachment Styles, and Improvements in Co-occurring Mental Health Symptoms

The purpose of this study was to explore the efficacy of The Recovery Center at Shalom House Ministries and examine the relationship(s) between forgiveness, attachment styles, drug and alcohol abuse, self-reported mental health symptoms, and cognitive functioning. Participants (N = 118 women) attended Shalom Recovery (2016-2018). Statistically significant improvement was found between entrance and the 3-month mark on all measures, with 67.9% completing the program. Findings indicated that the revenge motivations correlated with depression, self-esteem, anxiety, and avoidance of intimacy with God, but only this latter scale contributed to a multiple regression model on revenge motivations at program entry.