A prospective study of successful long-term adjustment in alcohol dependence: social drinking versus abstinence.

Nordström, G; Berglund, Mats

doi:10.15288/jsa.1987.48.95

Cited by 62 publications

(45 citation statements)

References 28 publications

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“…Treatment for AUD has traditionally focused on abstinence from alcohol as the most acceptable outcome. Yet, pioneering work in the latter half of the 20th century examined "resumed normal drinking" (Davies, 1962), "controlled drinking" (Sobell & Sobell, 1976, 1978Vaillant et al, 1983), "non-problem drinking" (Polich et al, 1980), and "social drinking" (Nordström & Berglund, 1987;Öjehagen et al, 1994) outcomes among individuals in alcohol treatment programs. Early research also considered a variety of drinking goals (Pattison, 1976), including social drinking goals, as potential outcomes (Öjehagen & Berglund, 1989).…”

mentioning

confidence: 99%

How Much Is Too Much? Patterns of Drinking During Alcohol Treatment and Associations With Post-Treatment Outcomes Across Three Alcohol Clinical Trials

Witkiewitz

Roos

Pearson

et al. 2017

J. Stud. Alcohol Drugs

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ABSTRACT. Objective:This secondary data analysis examined patterns of drinking during alcohol treatment and associated drinking outcomes during the first year following treatment. The goal was to provide clinicians with guidance on which patients may be most at risk for negative long-term outcomes based on drinking patterns during treatment. Method: This study was an analysis of existing data (N = 3,851) from three randomized clinical trials for alcohol use disorder: the COMBINE Study (n = 1,383), Project MATCH (n = 1,726), and the United Kingdom Alcohol Treatment Trial (n = 742). Indicators of abstinence, non-heavy drinking, and heavy drinking (defined as 4/5 or more drinks per day for women/men) were examined during each week of treatment using repeated-measures latent class analysis. Associations between drinking patterns during treatment and drinking intensity, drinking consequences, and physical and mental health 12 months following intake were examined. Results: Seven drinking patterns were identified. Patients who engaged in persistent heavy drinking throughout treatment and those who returned to persistent heavy drinking during treatment had the worst long-term outcomes. Patients who engaged in some heavy drinking during treatment had better long-term outcomes than persistent heavy drinkers. Patients who reported low-risk drinking or abstinence had the best long-term outcomes. There were no differences in outcomes between low-risk drinkers and abstainers. Conclusions: Abstinence, low-risk drinking, or even some heavy drinking during treatment are associated with the best long-term outcomes. Patients who are engaging in persistent heavy drinking are likely to have the worst outcomes and may require a higher level of care. (J. Stud. Alcohol Drugs, 78, 59-69, 2017)

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mentioning

confidence: 99%

How Much Is Too Much? Patterns of Drinking During Alcohol Treatment and Associations With Post-Treatment Outcomes Across Three Alcohol Clinical Trials

Witkiewitz

Roos

Pearson

et al. 2017

J. Stud. Alcohol Drugs

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“…Among socially well-adjusted subjects, social drinking was more frequent than abstinence (38 vs. 20%) at follow-up about two decades after first admission for alcohol problems [14]. Another 18% showed a pattern of atypical abuse [15].…”

Section: Results Of the First Follow-upmentioning

confidence: 95%

“…The results of the first follow-up have been reported in a series of papers by Nordström and Berglund [12][13][14][15][16][17]. Among socially well-adjusted subjects, social drinking was more frequent than abstinence (38 vs. 20%) at follow-up about two decades after first admission for alcohol problems [14].…”

Section: Results Of the First Follow-upmentioning

confidence: 99%

“…Today, much of the controversy has abated, and most researchers regard non-abstinent as well as abstinent adjustment as possible, but the actual rates are still discussed. While Nordström and Berglund [12][13][14][15][16][17] in their follow-up of hospital-treated alcoholics with good social adjustment after 20 years reported a rate of about two thirds with return to social drinking and one third with abstinence, Vaillant [1] reported more cases with abstinence than return to social drinking; in the core city sample 37% with abstinence and 14% with controlled drinking and in the college sample 19 and 10%, respectively. Öjesjö et al [4] reported that a majority of surviving former alcoholics were non-hazardous drinkers at follow-up four decades after development of an alcohol-related disorder.…”

Section: Introductionmentioning

confidence: 99%

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Stability of Successful Long-Term Adjustment in Alcohol Dependence: A Follow-Up Study 15 Years after the First Long-Term Follow-Up

2004

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From a large consecutive sample (n = 1,312) of hospital-treated alcoholics with multiaxial ratings, 105 were chosen for personal examination two decades after the subjects’ first admission (1949–1969) for alcohol problems. To study patterns of successful adjustment, 70 were chosen on the basis of a good social adjustment (health insurance data) at follow-up, whereas the control subjects had been granted a disability pension. The first follow-up was carried through in 1982–1983. In 1998–1999, the same 105 subjects were studied concerning mortality rate and adjustment patterns. In the good social adjustment group, 33% had deceased as compared with 63% in the control group (p < 0.01). Twenty-three out of 44 surviving subjects accepted a personal interview. Favourable adjustment was generally reported as being stable over the follow-up period. Several subjects reported stable non-problem drinking and others a change between abstinent and non-abstinent adjustment patterns.

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“…I en svensk uppföljning av patienter vårda-de på sjukhus för alkoholism (Nordström & Berglund 1987) blev svarspersonerna utvalda på basen av registeruppgifter, så att undersök-ningsgruppen förmodades ha en förmånlig utveckling och kontrollgruppen ett oförmån-ligt långtidsförlopp. Det är således totalt utan informationsvärde att med exakta siffror påvi-sa att en större andel av undersökningsgrup-pen hade slutat missbruka under uppföljning-en.…”

Section: Urvalsprinciper Och Slutsatserunclassified

Article

Mäkelä¹

2001

Nordic Studies on Alcohol and Drugs

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A prospective study of successful long-term adjustment in alcohol dependence: social drinking versus abstinence.

Cited by 62 publications

References 28 publications

How Much Is Too Much? Patterns of Drinking During Alcohol Treatment and Associations With Post-Treatment Outcomes Across Three Alcohol Clinical Trials

How Much Is Too Much? Patterns of Drinking During Alcohol Treatment and Associations With Post-Treatment Outcomes Across Three Alcohol Clinical Trials

Stability of Successful Long-Term Adjustment in Alcohol Dependence: A Follow-Up Study 15 Years after the First Long-Term Follow-Up

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