title: Resilience Associated with Self-Disclosure and Relapse Risks in Patients with Alcohol Use Disorders.
abstract: BACKGROUND
  The aim of this study was to clarify the self-disclosure and risks of relapse associated with promoting resilience of patients with alcohol use disorders (AUD) and participating in self-help groups.
  
  
  METHODS
  An anonymous, self-administered questionnaire survey was administered to 48 patients with AUD and participating in self-help groups; this questionnaire consisted of basic attributes, a bidimensional resilience scale to assess both innate and acquired resilience factors, a scale to assess depth of self-disclosure, and a scale assessing relapse risks. We conducted an evaluation by dividing the respondents into a high group and low group based on their median values for both innate and acquired resilience.
  
  
  RESULTS
  Innate/acquired resilience had a mutually reinforcing relationship, and, compared with the low resilience group, the high resilience group had significantly reduced risks for relapses and resulted in deeper self-disclosure.
  
  
  CONCLUSIONS
  Patients with high resilience had lower risk of alcohol relapse and deeper self-disclosure. The results suggest that one way of supporting patients with AUD in recovery is assisting them in building personal relationships with others and in deepening self-disclosure in a setting where they can relax, thus promoting their natural ability to recover.
authors.affiliation: Graduate School of Medical Sciences, Tottori University, Yonago 683-8503, Japan; †Department of Nursing, Niimi College, Niimi 718-8585, Japan.
authors.forename: Ayako
authors.initials: A
authors.lastname: Yamashita
authors.affiliation: ‡Department of Nursing Care Environment and Mental Health, School of Health Science, Tottori University Faculty of Medicine, Yonago 683-8503, Japan.
authors.forename: Shin-Ichi
authors.initials: SI
authors.lastname: Yoshioka
keywords: alcohol-related disorders; recurrence; rehabilitation; self-disclosure; self-help groups