Problem-free drinking over 16 years among individuals with alcohol use disorders.

Problem-free drinking over 16 years among individuals with alcohol use disorders. Research Abstract Details 

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Problem-free drinking over 16 years among individuals with alcohol use disorders. Abstract Text:

Mark A Ilgen,Paula L Wilbourne,Bernice S Moos,Rudolf H Moos,Mark A Ilgen,Paula L Wilbourne,Bernice S Moos,Rudolf H Moos,

BACKGROUND: Limited data exist on the rates and long-term stability of non-problem drinking in individuals who sought help for an alcohol use disorder. METHODS: A sample of initially untreated individuals with alcohol use disorders (n=420) was surveyed at baseline and 1 year and was re-assessed at 8 and 16 years. RESULTS: In the 6 months prior to the 1-year assessment, 36% (n=152) of participants reported abstinence from alcohol, 48% (n=200) reported drinking with problems, and 16% (n=68) reported non-problem drinking. At each follow up, 16-21% of the sample reported non-problem drinking. Compared to individuals in the abstinent and problem-drinking groups, individuals who were drinking in a problem-free manner at 1 year had reported, at baseline, fewer days of intoxication, drinks per drinking day, alcohol dependence symptoms, and alcohol-related problems, less depression, and more adaptive coping mechanisms. Over time, 48% of participants who engaged in non-problem drinking at 1 year continued to report positive outcomes (either non-problem drinking or abstinence) throughout the long-term follow-up, whereas 77% of those abstaining at 1 year reported positive outcomes throughout the same time period. Additionally, 43% of individuals with problematic alcohol consumption at 1 year reported positive outcomes over the remaining follow-up interval, a rate that was not significantly different from the rate of positive outcomes of 48% observed in those with initial problem-free drinking. CONCLUSIONS: Although some individuals report non-problem drinking a year after initially seeking help, this pattern of alcohol use is relatively infrequent and is less stable over time than is abstinence. An accurate understanding of the long-term course of alcohol use and problems could help shape expectations about the realistic probability of positive outcomes for individuals considering moderate drinking as a treatment goal.

Problem-free drinking over 16 years among individuals with alcohol use disorders. Publishing Authors By Initials

MA Ilgen,PL Wilbourne,BS Moos,RH Moos,MA Ilgen,PL Wilbourne,BS Moos,RH Moos,

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Problem-free drinking over 16 years among individuals with alcohol use disorders. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Drug and alcohol dependence

VOLUME: 92

Page Numbers: 116-22

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ISSN: 0376-8716

DAY: 23

MONTH: 08

YEAR: 2007

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LANGUAGE: eng

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AFFILIATION: Center for Health Care Evaluation, Department of Veterans Affairs Palo Alto Health Care System and Stanford University School of Medicine, 795 Willow Road (MPD 152), Menlo Park, CA 94025, USA.

Country: Ireland

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MEDLINETA: Drug Alcohol Depend

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