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Can Individuals With Alcohol Use Disorder Sustain Non-abstinent Recovery? Non-abstinent Outcomes 10 Years After Alcohol Use Disorder Treatment
- Source :
- J Addict Med
- Publication Year :
- 2020
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2020.
-
Abstract
- OBJECTIVE: Four decades ago the “controlled drinking” controversy roiled the alcohol field. Data have subsequently accumulated indicating that non-abstinent alcohol use disorder (AUD) recovery is achievable, but questions remain whether it is sustainable long-term. This study examined whether non-abstinent recovery at three years following AUD treatment is associated with better functioning at 10 years following treatment. METHODS: Data were from the 10-year follow-up of Project MATCH (New Mexico site only, n=146; 30.1% female, 58.6% non-White). Recovery was defined by latent profile analyses based on psychosocial functioning and alcohol consumption three years following treatment. Drinking practices and consequences, depression, purpose in life, and anger were assessed 10 years following treatment. Distal outcome analyses examined differences in drinking and functional outcomes at 10 years as a function of the 3-year latent profiles. Analyses were pre-registered at https://osf.io/3hbxr. RESULTS: Four latent profiles identified at three years following treatment (i.e., low functioning frequent heavy drinkers, low functioning infrequent heavy drinkers, high functioning heavy drinkers, and high functioning infrequent non-heavy drinkers) were significantly associated with outcomes ten years following treatment. The two high functioning profiles at three years had the highest level of psychological functioning at ten years post-treatment, regardless of alcohol consumption level. Abstinence at three years did not predict better psychological functioning at ten years. CONCLUSIONS: Non-abstinent AUD recovery is possible and is sustainable for up to 10 years following treatment. The current findings align with recent proposals to move beyond relying on alcohol consumption as a central defining feature of AUD recovery.
- Subjects :
- Male
medicine.medical_specialty
Alcohol Drinking
New Mexico
media_common.quotation_subject
030508 substance abuse
Alcohol use disorder
Anger
Article
03 medical and health sciences
0302 clinical medicine
mental disorders
Humans
Medicine
Pharmacology (medical)
030212 general & internal medicine
Psychiatry
Depression (differential diagnoses)
media_common
business.industry
Abstinence
medicine.disease
Alcoholism
Psychiatry and Mental health
Treatment Outcome
Controlled drinking
Female
0305 other medical science
business
Project MATCH
Psychosocial
After treatment
Subjects
Details
- ISSN :
- 19353227 and 19320620
- Volume :
- 15
- Database :
- OpenAIRE
- Journal :
- Journal of Addiction Medicine
- Accession number :
- edsair.doi.dedup.....93c9640d17aa0ea9af058a97a5ba8596