A within-person investigation of recovery identity following substance use disorder: examining the impact of recovery-focused social contexts

BackgroundThe social identity model of recovery (SIMOR) posits that adopting a recovery identity is vital for achieving favorable recovery outcomes. Until now, no studies have investigated recovery identity as a dynamic construct, although recent findings suggest it fluctuates from one day to the ne...

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Main Authors: Joseph H. Lancaster, Hannah B. Apsley, Timothy R. Brick, H. Harrington Cleveland
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Public Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2025.1534432/full
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author Joseph H. Lancaster
Hannah B. Apsley
Timothy R. Brick
Timothy R. Brick
H. Harrington Cleveland
author_facet Joseph H. Lancaster
Hannah B. Apsley
Timothy R. Brick
Timothy R. Brick
H. Harrington Cleveland
author_sort Joseph H. Lancaster
collection DOAJ
description BackgroundThe social identity model of recovery (SIMOR) posits that adopting a recovery identity is vital for achieving favorable recovery outcomes. Until now, no studies have investigated recovery identity as a dynamic construct, although recent findings suggest it fluctuates from one day to the next. The present study examines the within-person association between recovery identity and sense of meaningfulness—an aspect of holistic recovery wellbeing. Because recovery-focused social contexts exist to support individuals’ recovery wellbeing, we assessed the moderating impact of two such contexts (recovery community centers [RCCs] and recovery meetings) as same-day moderators.Methods and materials91 RCC visitors across Pennsylvania completed daily diary surveys for 10 evenings. Daily measures of recovery identity, meaningfulness, recovery meeting and RCC attendance were analyzed in a multilevel Tobit model (to address right-censoring in the outcome data).ResultsResults indicated both day-level recovery identity (b = 0.79, SE = 0.04, p < 0.001) and person-level recovery identity (b = 0.94, SE = 0.11, p < 0.001) were positively associated with daily meaningfulness. Although the day-level interaction with RCC attendance was not significant (b = −0.11, SE = 0.14, p = n.s.), the interaction with recovery meeting attendance was (b = −0.27, SE = 0.13, p = 0.039), suggesting that meeting attendance buffered the effect of recovery identity on meaningfulness. A simple slopes analysis indicated that the relationship of recovery identity with meaningfulness was still statistically significant and positive in both cases (attended: b = 0.56, SE = 0.08, p < 0.001; not attended: b = 0.87, SE = 0.06, p < 0.001).ConclusionThese results suggest that people reporting stronger recovery identity also reported greater day-to-day meaningfulness. Further, on any given day for an individual, meaningfulness was higher on days recovery identity was stronger than usual for that individual, and lower on days when recovery identity was weaker. Meeting attendance reduced this effect, suggesting that meeting attendance may be especially helpful to recovery on days when recovery identity is low.
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spelling doaj-art-80c1aff9c39047b4a16c653f2daaae342025-02-12T07:25:33ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-02-011310.3389/fpubh.2025.15344321534432A within-person investigation of recovery identity following substance use disorder: examining the impact of recovery-focused social contextsJoseph H. Lancaster0Hannah B. Apsley1Timothy R. Brick2Timothy R. Brick3H. Harrington Cleveland4Department of Human Development and Family Studies, The Pennsylvania State University, University Park, PA, United StatesDepartment of Human Development and Family Studies, The Pennsylvania State University, University Park, PA, United StatesDepartment of Human Development and Family Studies, The Pennsylvania State University, University Park, PA, United StatesInstitute for Computational and Data Sciences, The Pennsylvania State University, University Park, PA, United StatesDepartment of Human Development and Family Studies, The Pennsylvania State University, University Park, PA, United StatesBackgroundThe social identity model of recovery (SIMOR) posits that adopting a recovery identity is vital for achieving favorable recovery outcomes. Until now, no studies have investigated recovery identity as a dynamic construct, although recent findings suggest it fluctuates from one day to the next. The present study examines the within-person association between recovery identity and sense of meaningfulness—an aspect of holistic recovery wellbeing. Because recovery-focused social contexts exist to support individuals’ recovery wellbeing, we assessed the moderating impact of two such contexts (recovery community centers [RCCs] and recovery meetings) as same-day moderators.Methods and materials91 RCC visitors across Pennsylvania completed daily diary surveys for 10 evenings. Daily measures of recovery identity, meaningfulness, recovery meeting and RCC attendance were analyzed in a multilevel Tobit model (to address right-censoring in the outcome data).ResultsResults indicated both day-level recovery identity (b = 0.79, SE = 0.04, p < 0.001) and person-level recovery identity (b = 0.94, SE = 0.11, p < 0.001) were positively associated with daily meaningfulness. Although the day-level interaction with RCC attendance was not significant (b = −0.11, SE = 0.14, p = n.s.), the interaction with recovery meeting attendance was (b = −0.27, SE = 0.13, p = 0.039), suggesting that meeting attendance buffered the effect of recovery identity on meaningfulness. A simple slopes analysis indicated that the relationship of recovery identity with meaningfulness was still statistically significant and positive in both cases (attended: b = 0.56, SE = 0.08, p < 0.001; not attended: b = 0.87, SE = 0.06, p < 0.001).ConclusionThese results suggest that people reporting stronger recovery identity also reported greater day-to-day meaningfulness. Further, on any given day for an individual, meaningfulness was higher on days recovery identity was stronger than usual for that individual, and lower on days when recovery identity was weaker. Meeting attendance reduced this effect, suggesting that meeting attendance may be especially helpful to recovery on days when recovery identity is low.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1534432/fullrecovery identitydynamicmeaningfulnesssubstance use disorderrecovery meetingsocial context
spellingShingle Joseph H. Lancaster
Hannah B. Apsley
Timothy R. Brick
Timothy R. Brick
H. Harrington Cleveland
A within-person investigation of recovery identity following substance use disorder: examining the impact of recovery-focused social contexts
Frontiers in Public Health
recovery identity
dynamic
meaningfulness
substance use disorder
recovery meeting
social context
title A within-person investigation of recovery identity following substance use disorder: examining the impact of recovery-focused social contexts
title_full A within-person investigation of recovery identity following substance use disorder: examining the impact of recovery-focused social contexts
title_fullStr A within-person investigation of recovery identity following substance use disorder: examining the impact of recovery-focused social contexts
title_full_unstemmed A within-person investigation of recovery identity following substance use disorder: examining the impact of recovery-focused social contexts
title_short A within-person investigation of recovery identity following substance use disorder: examining the impact of recovery-focused social contexts
title_sort within person investigation of recovery identity following substance use disorder examining the impact of recovery focused social contexts
topic recovery identity
dynamic
meaningfulness
substance use disorder
recovery meeting
social context
url https://www.frontiersin.org/articles/10.3389/fpubh.2025.1534432/full
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