Association Between Drinking Goal and Alcohol Use One Year After Residential Treatment: A Multicenter Study

Abstract

This study examined whether patients' drinking goals at admission to and discharge from 12 residential alcohol use disorder treatment programmes were associated with alcohol-related outcomes at 1-year follow-up. Detoxified patients (N=289) completed assessments at admission, after treatment, and at 1-year follow-up. Drinking goals of abstinence, conditional abstinence (in principle abstinence but potential occurrence of lapses or drinking, when urges are strong), and controlled drinking changed during treatment and predicted the 1-year follow-up outcomes (abstinence, number of standard drinks, and number of days to the first alcohol use). Goals at discharge had a better predictive value. The goal of abstinence at discharge had better outcomes than conditional abstinence; the poorest had controlled drinking.Drinking goal and alcohol use outcome 3

Drinking Goals and Their Association With Treatment Retention and Treatment Outcomes Among Clients in Outpatient Alcohol Treatment

“…Consistent with previous studies (e.g., Adamson et al, 2010;Hodgins, Leigh, Milne, & Gerrish, 1997;Meyer, Wapp, Strik, & Moggi, 2014), clients with at-risk alcohol consumption choosing abstinence showed higher rates of successful treatment outcomes at both follow-up assessments. This difference also remained significant, when controlling for baseline differences between the two goal groups.…”

Drinking Goal Trajectories and Their Association with Client Characteristics and Outcomes among Clients in Outpatient Alcohol Treatment

“…On the other hand, several studies have shown that drinking goal preference is a dynamic variable that could change over time in either direction: from abstinence to non-abstinence or vice versa (Enggasser et al, 2015;Hodgins, Leigh, Milne, & Gerrish, 1997;Meyer, Wapp, Strik, & Moggi, 2014;Ojehagen & Berglund, 1989). In a Swiss study involving patients in residential alcohol treatment programs, 46% changed their drinking goal (abstinence, conditional abstinence, or controlled drinking) from treatment admission to discharge (Meyer et al, 2014). The predictive value of drinking goals for drinking outcomes at one-year follow up was notably higher at discharge than admission, with goal abstainers at discharge experiencing the best outcomes.…”

Muutoksen polku alkoholin käytössä alkoholihaimatulehduksen jälkeen – yhdeksän vuoden seurantatutkimus

“…Raittiustavoitteeseen päätyneiden on todettu py syvän raittiina tai ainakin kohtuudessa paremmin kuin muunlaisen tavoitteen valinneet (19)(20)(21)(22). Tässä tutkimuksessa enemmistö tutkittavista valitsi alussa raittiustavoitteen.…”

“…Tässä tutkimuksessa enemmistö tutkittavista valitsi alussa raittiustavoitteen. Vaikka vain kol mannes heistä säilytti raittiustavoitteen koko seurannan ajan, niin heillä oli aikaisempien tutki musten (19)(20)(21)(22) tavoin vähemmän runsasta alko holin käyttöä ja enemmän raittiutta kuin vähen tämisen tavoitteekseen valinneilla.. Terveys on tärkeä koettu syy alkoholin käytön lopettamiselle (1)(2)(3)(4)(5)(6). Tässä tutkimuksessa monet riippumatta alun tavoitteesta olivat raittiina useita kuukausia sairastumisen jälkeen ja uudelleen sairastumisen pelko näytti useilla hillitsevän alkoholin käyttöä myös pitkällä aikavälillä.…”