Correlates of Recovery from Alcohol Dependence: a Prospective Study over a 3-year Follow-up Interval

Overview

Journal Alcohol Clin Exp Res

Specialty Psychiatry

Date 2012 Feb 8

PMID 22309217

Citations 31

Authors

Deborah A Dawson

Rise B Goldstein

Wenjun J Ruan

Bridget F Grant

Affiliations

Soon will be listed here.

Abstract

Background: Correlates of recovery from alcohol dependence have been identified through a variety of study designs characterized by different strengths and limitations. The goal of this study was to compare correlates of recovery based on a 3-year prospective design with those based on cross-sectional analyses of data from the same source.

Methods: Data from the 2001 to 2002 Wave 1 and 2004 to 2005 Wave 2 National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) were used to examine baseline characteristics associated with Wave 2 recovery from alcohol dependence, among those who classified with past-year DSM-IV alcohol dependence at Wave 1 (n = 1,172).

Results: Abstinent recovery was significantly associated with Black/Asian/Hispanic race/ethnicity, children <1 year of age in the household at baseline, attending religious services greater than or equal to weekly at follow-up, and having initiated help-seeking that comprised/included 12-step participation within <3 years prior to baseline. Nonabstinent recovery was positively associated with being never married at baseline, having job problems or being unemployed in the year preceding baseline, attending religious services less than weekly at follow-up, baseline smoking and volume of ethanol intake, and having terminated a first marriage within <3 years prior to baseline. Findings, including others of marginal significance (0.05 < p < 0.10), generally supported results from prior pseudo-prospective survival analyses with time-dependent covariates but differed in many ways from cross-sectional analyses of Wave 1 NESARC data.

Conclusions: Various aspects of study design must be considered when interpreting correlates of recovery. Cross-sectional analyses of lifetime correlates of recovery are highly subject to misinterpretation, but pseudo-prospective survival analyses with time-dependent covariates may yield results as valid as those from prospective studies.

Citing Articles

Associations between mental health & substance use treatment and alcohol use progression and recovery among US women drinkers.

Young A, Reboussin B, Riehm K, Mojtabai R, Green K, OGorman E PLoS One. 2024; 19(7):e0306820.

PMID: 38976705 PMC: 11230554. DOI: 10.1371/journal.pone.0306820.

Evaluating the Sick Quitting Hypothesis for Frailty Status and Reducing Alcohol Use Among People With HIV in a Longitudinal Clinical Cohort Study.

J Assoc Nurses AIDS Care. 2023; 35(1):e1-e2.

PMID: 38150573 PMC: 10753926. DOI: 10.1097/JNC.0000000000000445.

Associations between alcohol use disorder polygenic score and remission in participants from high-risk families and the Indiana Biobank.

Lai D, Kuo S, Wetherill L, Aliev F, Zhang M, Marco A Alcohol Clin Exp Res (Hoboken). 2023; 48(2):283-294.

PMID: 38054532 PMC: 10922306. DOI: 10.1111/acer.15239.

Comparison of Recovery Capital in Patients with Alcohol and Opioid Dependence - An Exploratory Study.

Kaur A, Lal R, Sen M, Sarkar S Addict Health. 2022; 14(2):105-114.

PMID: 36544508 PMC: 9743817. DOI: 10.22122/AHJ.2022.196722.1314.

Family-Based Predictors of Alcohol Use Disorder (AUD) Recurrence and New Non-Alcohol Substance Use Disorder Onset Following Initial AUD Recovery.

Farmer R, Gau J, Seeley J, Kosty D J Stud Alcohol Drugs. 2022; 83(2):239-247.

PMID: 35254247 PMC: 8909923.

References

Tucker J . Predictors of help-seeking and the temporal relationship of help to recovery among treated and untreated recovered problem drinkers. Addiction. 1995; 90(6):805-9. DOI: 10.1046/j.1360-0443.1995.9068057.x. View

Dawson D, Grant B, Stinson F, Chou P . Estimating the effect of help-seeking on achieving recovery from alcohol dependence. Addiction. 2006; 101(6):824-34. DOI: 10.1111/j.1360-0443.2006.01433.x. View

Kelly J, Stout R, Magill M, Tonigan J, Pagano M . Spirituality in recovery: a lagged mediational analysis of alcoholics anonymous' principal theoretical mechanism of behavior change. Alcohol Clin Exp Res. 2010; 35(3):454-63. PMC: 3117904. DOI: 10.1111/j.1530-0277.2010.01362.x. View

Sobell L, Cunningham J, Sobell M . Recovery from alcohol problems with and without treatment: prevalence in two population surveys. Am J Public Health. 1996; 86(7):966-72. PMC: 1380437. DOI: 10.2105/ajph.86.7.966. View

Timko C, MOOS R, Finney J, Lesar M . Long-term outcomes of alcohol use disorders: comparing untreated individuals with those in alcoholics anonymous and formal treatment. J Stud Alcohol. 2000; 61(4):529-40. DOI: 10.15288/jsa.2000.61.529. View

Robinson E, Cranford J, Webb J, Brower K . Six-month changes in spirituality, religiousness, and heavy drinking in a treatment-seeking sample. J Stud Alcohol Drugs. 2007; 68(2):282-90. DOI: 10.15288/jsad.2007.68.282. View

Dawson D, Grant B, Stinson F, Chou P . Maturing out of alcohol dependence: the impact of transitional life events. J Stud Alcohol. 2006; 67(2):195-203. DOI: 10.15288/jsa.2006.67.195. View

Bischof G, Rumpf H, Hapke U, Meyer C, John U . Types of natural recovery from alcohol dependence: a cluster analytic approach. Addiction. 2003; 98(12):1737-46. DOI: 10.1111/j.1360-0443.2003.00571.x. View

Bischof G, Rumpf H, Hapke U, Meyer C, John U . Remission from alcohol dependence without help: how restrictive should our definition of treatment be?. J Stud Alcohol. 2002; 63(2):229-36. DOI: 10.15288/jsa.2002.63.229. View

10.

Koenig L, Vaillant G . A prospective study of church attendance and health over the lifespan. Health Psychol. 2009; 28(1):117-24. DOI: 10.1037/a0012984. View

11.

Grant B, Stinson F, Dawson D, Chou S, Ruan W, Pickering R . Co-occurrence of 12-month alcohol and drug use disorders and personality disorders in the United States: results from the National Epidemiologic Survey on Alcohol and Related Conditions. Arch Gen Psychiatry. 2004; 61(4):361-8. DOI: 10.1001/archpsyc.61.4.361. View

12.

Prescott C, Neale M, Corey L, Kendler K . Predictors of problem drinking and alcohol dependence in a population-based sample of female twins. J Stud Alcohol. 1997; 58(2):167-81. DOI: 10.15288/jsa.1997.58.167. View

13.

Sobell L, Ellingstad T, Sobell M . Natural recovery from alcohol and drug problems: methodological review of the research with suggestions for future directions. Addiction. 2000; 95(5):749-64. DOI: 10.1046/j.1360-0443.2000.95574911.x. View

14.

Grant B, Stinson F, Dawson D, Chou S, Dufour M, Compton W . Prevalence and co-occurrence of substance use disorders and independent mood and anxiety disorders: results from the National Epidemiologic Survey on Alcohol and Related Conditions. Arch Gen Psychiatry. 2004; 61(8):807-16. DOI: 10.1001/archpsyc.61.8.807. View

15.

Miller W . Researching the spiritual dimensions of alcohol and other drug problems. Addiction. 1998; 93(7):979-90. DOI: 10.1046/j.1360-0443.1998.9379793.x. View

16.

Rumpf H, Bischof G, Hapke U, Meyer C, John U . Studies on natural recovery from alcohol dependence: sample selection bias by media solicitation?. Addiction. 2000; 95(5):765-75. DOI: 10.1046/j.1360-0443.2000.95576512.x. View

17.

Grant B, Dawson D, Stinson F, Chou P, Kay W, Pickering R . The Alcohol Use Disorder and Associated Disabilities Interview Schedule-IV (AUDADIS-IV): reliability of alcohol consumption, tobacco use, family history of depression and psychiatric diagnostic modules in a general population sample. Drug Alcohol Depend. 2003; 71(1):7-16. DOI: 10.1016/s0376-8716(03)00070-x. View

18.

Cunningham J . Short-term recovery from alcohol abuse or dependence: any evidence of a relationship with treatment use in a general population sample?. Alcohol Alcohol. 2005; 40(5):419-21. DOI: 10.1093/alcalc/agh155. View

19.

Klingemann H, Sobell M, Sobell L . Continuities and changes in self-change research. Addiction. 2009; 105(9):1510-8. DOI: 10.1111/j.1360-0443.2009.02770.x. View

20.

Zemore S . A role for spiritual change in the benefits of 12-step involvement. Alcohol Clin Exp Res. 2007; 31(10 Suppl):76s-79s. DOI: 10.1111/j.1530-0277.2007.00499.x. View