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Record W3205924190 · doi:10.1080/09687637.2021.1982521

Mechanisms and mediators of addiction recovery

2021· article· en· W3205924190 on OpenAlexaff
Wouter Vanderplasschen, David Best

Bibliographic record

VenueDrugs Education Prevention and Policy · 2021
Typearticle
Languageen
FieldMedicine
TopicSubstance Abuse Treatment and Outcomes
Canadian institutionsInnovation Cluster (Canada)
Fundersnot available
KeywordsAddictionPsychologyPsychotherapistPsychoanalysisNeuroscience

Abstract

Addiction recovery is a complex, dynamic and non-linear process of change on multiple life domains, and in substance\nuse patterns in particular (Dekkers et al., 2020; White, 2007). While early definitions equated recovery with ‘remission’,\n‘abstinence’ or absence of symptoms of dependence, later conceptualisations have also emphasised the importance of\nhealth, well-being, quality of life, citizenship and social participation, as illustrated in the Betty Ford Consensus Panel\ndefinition (Betty Ford Institute Consensus Panel, 2007, p. 222): ‘a voluntarily maintained lifestyle, characterized by sobriety, personal health, and citizenship’. Although abstinence may be an important feature, it is not a prerequisite for\nrecovery (Laudet & White, 2010). The addiction recovery literature has grown quickly over the last few years, including a\nvariety of recovery indicators, resources and instruments (Ashford et al., 2020; Best & Laudet, 2010; Best et al., 2021;\nCano et al., 2017; Cloud & Granfield, 2008; Groshkova et al., 2013; Neale et al., 2016). Far less is known about how recovery takes place and which mechanisms and mediators are central to addiction recovery.

Stored with the screening record, where it is evidence for the labels above.

How this classification was reachedexpand

The three-model screen

all 5,600 screened works →

All three models called this out of scope.

stratum: aff_core · design weight: 5595.24 (the sample is stratified; any rate computed without the weight is wrong)
Claude Opus 4.8OUT
genre: editorial/commentary
about Canada: no
confidence: medium

Editorial framing knowledge gaps in the addiction recovery literature; commentary on a domain's substantive knowledge rather than on research practice.

GPT-5.6 (high)OUT
genre: conceptual
about Canada: no
confidence: high

The work reviews mechanisms and mediators of addiction recovery.

Grok 4.5OUT
genre: conceptual
about Canada: no
confidence: high

Framing of mechanisms and mediators in addiction recovery; clinical recovery science, not metaresearch methods.

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.003
metaresearch head score (Gemma)0.007
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Theoretical or conceptual · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.012
Threshold uncertainty score0.000

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0030.007
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0010.001
Science and technology studies0.0010.003
Scholarly communication0.0040.003
Open science0.0010.003
Research integrity0.0020.002
Insufficient payload (model declined to judge)0.0120.001

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.010
GPT teacher head0.308
Teacher spread0.298 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designTheoretical or conceptual
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations15
Published2021
Admission routes1
Has abstractyes

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Same venueDrugs Education Prevention and PolicySame topicSubstance Abuse Treatment and OutcomesFrench-language works237,207