Supplementary Material for: Exploring Recovery Priorities in Inpatient Addiction Treatment: A Q-Methodological Study

Introduction: Recovery from Substance Use Disorder (SUD) is increasingly recognized as a personal journey, necessitating an approach that considers individual goals and priorities. Research on recovery priorities in inpatient settings is limited. Our study employs Q-methodology to explore recovery priorities among clients with multimorbid SUD, aiming to guide targeted, recovery-oriented care.
Methods: This cross-sectional study employed Q-methodology to explore recovery priorities among 129 individuals entering inpatient addiction treatment. A collaboratively developed Q-set of 42 statements covered clinical, functional, and personal recovery goals. Participants ranked statements by importance, and rotated factor analysis was used to identify clusters of recovery priorities. Qualitative interview data were then analyzed for further interpretation.
Results: We found 12 consensus statements and two distinct factors. Factor 1 (n=60) emphasized personal growth and coping, while Factor 2 (n=51) highlighted practical aspects such as securing income and housing. Qualitative data supported these findings.
Conclusions: Despite the individual nature of recovery and the diversity within the addiction treatment population, our study identified shared goals and two distinct factors. This insight can inform tailored interventions, with Factor 1 individuals potentially favoring psychological approaches and Factor 2 individuals focusing on practical goals.

引言：物质使用障碍（Substance Use Disorder, SUD）的康复过程日益被视为个体化的旅程，因此需要兼顾个体目标与优先级的干预方案。目前针对住院康复环境下康复优先级的研究仍较为有限。本研究采用Q方法学（Q-methodology），对共病物质使用障碍的患者群体的康复优先级展开探索，旨在为靶向性、以康复为导向的诊疗服务提供指导。
方法：本项横断面研究采用Q方法学，对129名入院接受成瘾住院治疗的个体的康复优先级进行探索。研究团队协作开发了包含42条表述的Q样本集（Q-set），涵盖临床、功能及个人层面的康复目标。参与者需按重要性对各表述进行排序，随后通过旋转因子分析识别康复优先级的聚类类型，并借助质性访谈数据开展进一步解读。
结果：本研究共识别出12条共识性表述，以及两个截然不同的因子维度。因子1（n=60）侧重个人成长与应对能力培养，因子2（n=51）则强调获取收入、住房等现实层面的需求。质性访谈数据验证了上述研究结果。
结论：尽管康复过程具有个体化特征，且成瘾治疗人群内部存在异质性，本研究仍识别出了共享的康复目标以及两个明确的因子维度。该发现可为个性化干预方案的制定提供参考：因子1对应的群体更倾向于心理干预手段，而因子2对应的群体则更关注现实层面的康复目标。