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Spirituality, Religiosity, and Alcoholism Treatment Outcomes: A Comparison between Black and White Participants

Krentzman, Amy R.

Abstract Details

2008, Doctor of Philosophy, Case Western Reserve University, Social Welfare.
This study examines race as a moderating variable for the relationship between spirituality/religiosity and favorable drinking outcomes in an alcoholism treatment trial. A subset of the Project MATCH Public Use Data Set was used to explore this question (N=414). Three hundred twenty-four participants were white and 90 were black. Graphic depiction of data and binary logistic regression were used to test the moderation hypotheses. Graphic depiction of the data revealed purpose in life (the measure of spirituality) increased and religiosity decreased for both blacks and whites over time. Blacks had higher scores in purpose in life and religiosity than whites at all time points. Those whose purpose in life and religiosity increased over time achieved better drinking outcomes. The outcome variable for the binary logistic regression was a dichotomous variable indicating whether participants had achieved six months continuous sobriety or not. The binary logistic regression was first run with a set of covariates including education, race, site, baseline religiosity, baseline purpose in life, religiosity at month 15, purpose in life at month 15, and baseline drinking. This model showed that for every one-unit increase in 15 month religiosity, black and white participants were 1.067 times (6.7%) more likely to get sober. For every one-unit increase in 15 month purpose in life, black and white participants were 1.039 times (3.9%) more likely to get sober. In a second model, the interaction effect for race by purpose in life at month 15 was entered to test the moderation hypothesis. The interaction term was statistically significant at p=.049 (odds ratio 1.044) indicating that for every one-unit increase in 15 month purpose in life, blacks were 4.4% more likely to get sober than whites. The second model was then run to test the interaction between race and religiosity. This interaction term was not significant indicating race does not moderate the relationship between 15 month religiosity and sobriety. Implications for policy, practice, and future research are discussed.
Kathleen Farkas, PhD (Committee Chair)
Aloen Townsend, PhD (Committee Member)
David Miller, PhD (Committee Member)
Alice Bach, PhD (Committee Member)
239 p.

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Citations

  • Krentzman, A. R. (2008). Spirituality, Religiosity, and Alcoholism Treatment Outcomes: A Comparison between Black and White Participants [Doctoral dissertation, Case Western Reserve University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=case1207226235

    APA Style (7th edition)

  • Krentzman, Amy. Spirituality, Religiosity, and Alcoholism Treatment Outcomes: A Comparison between Black and White Participants. 2008. Case Western Reserve University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=case1207226235.

    MLA Style (8th edition)

  • Krentzman, Amy. "Spirituality, Religiosity, and Alcoholism Treatment Outcomes: A Comparison between Black and White Participants." Doctoral dissertation, Case Western Reserve University, 2008. http://rave.ohiolink.edu/etdc/view?acc_num=case1207226235

    Chicago Manual of Style (17th edition)