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Evaluation Review
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Treated and Untreated Alcohol-Use Disorders

Course and Predictors of Remission and Relapse

Rudolf H. Moos

Department of Veterans Affairs and Stanford University

Bernice S. Moos

Department of Veterans Affairs and Stanford University

The research described here focused on personal, life context, and help-related factors to trace the long-term course of treated and untreated alcohol-use disorders. A group of 461 individuals who sought help for alcohol problems was surveyed at baseline and 1, 3, 8, and 16 years later. Compared with individuals who remained untreated, individuals who entered treatment and/or Alcoholics Anonymous (AA), and participated in these modalities for a longer interval, were more likely to attain remission. Personal resources associated with social learning, stress and coping, behavior economic, and social control theories predicted the maintenance of remission.

Key Words: alcohol • remission • relapse • treatment • Alcoholics Anonymous

References

  • Adair, E.B., S.G. Craddock, H.G. Miller, and C.F. Turner. 1996. Quality of treatment data: Reliability over time of self-reports given by clients in treatment for substance abuse. Journal of Substance Abuse Treatment 13:145-50.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Allsop, S., B. Saunders, and M. Phillips. 2000. The process of relapse in severely dependent male problem drinkers. Addiction 95:95-106.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Annis, H.M., and J.M. Graham. 1988. Situational Confidence Questionnaire user's guide. Toronto: Addiction Research Foundation.
  • Annis, H.M., S.M. Sklar, and A.E. Moser. 1998. Gender in relation to relapse crisis situations, coping, and outcome among treated alcoholics. Addictive Behaviors 23:127-31.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Armor, D.J., and J.E. Meshkoff. 1983. Remission among treated and untreated alcoholics. Advances in Substance Abuse 3:239-69.
  • Babor, T.F., K. Steinberg, R. Anton, and F. Del Boca. 2000. Talk is cheap: Measuring drinking outcomes in clinical trials. Journal of Studies on Alcohol 61:55-63.[Web of Science][Medline] [Order article via Infotrieve]
  • Bandura, A. 1997. Self-e ficacy: The exercise of control. New York: Freeman.
  • Beattie, M.C., and R. Longabaugh. 1999. General and alcohol-specific social support following treatment. Addictive Behavior 24:593-606.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Bickel, W. K., and R. E. Vuchinich, eds. 2000. Reframing health behavior change with behavior economics. Mahwah, NJ: Lawrence Erlbaum.
  • Bien, T.H., W.R. Miller, and J.S. Tonigan. 1993. Brief interventions for alcohol problems: A review. Addiction 88:315-36.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Bond, J., L.A. Kaskutas, and C. Weisner. 2003. The persistent influence of social networks and Alcoholics Anonymous on abstinence. Journal of Studies on Alcohol 64:579-88.[Web of Science][Medline] [Order article via Infotrieve]
  • Carpenter, K.M., and D.S. Hasin. 1999. Drinking to cope with negative affect and DSM-IV alcohol use disorders: A test of three alternative explanations. Journal of Studies on Alcohol 60:694-704.[Web of Science][Medline] [Order article via Infotrieve]
  • Chung, T., J. Langenbucher, E. Labouvie, R. Pandina, and R. Moos. 2001. Changes in alcoholic patients' coping responses predict l2-month treatment outcomes. Journal of Consulting and Clinical Psychology 69:92-100.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Cunningham, J.A. 1999. Resolving alcohol-related problems with and without treatment: the effects of different problem criteria. Journal of Studies on Alcohol 60 (4): 463-66.[Web of Science][Medline] [Order article via Infotrieve]
  • Danziger, S.K., A. Kalil, and N.J. Anderson. 2000. Human capital, physical health, and mental health of welfare recipients: Co-occurrence and correlates. Journal of Social Issues 56:635-54.[CrossRef][Web of Science]
  • Dooley, D., and J. Prause. 1997. Effect of favorable employment change on alcohol abuse: One-and five-year follow-ups in the National Longitudinal Survey of Youth. American Journal of Community Psychology 25:787-807.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Finney, J., and R. Moos. 1995. Entering treatment for alcohol abuse: A stress and coping model. Addiction 90:1223-40.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Finney, J., R. Moos, and C. Timko. 1999. The course of treated and untreated substance use disorders: Remission and resolution, relapse and mortality. In Addictions: A comprehensive guidebook, edited by B. McCrady, and E. Epstein, 30-49. New York: Oxford University Press. Finney, J., P. Wilbourne, and R. Moos. 2007. Psychosocial treatments for substance use disorders. In A guide to treatments that work 3rd ed., edited by P. E. Nathan and J. M. Gorman. New York: Oxford University Press.
  • Fiorentine, R., and M.P. Hillhouse. 2000. Drug treatment and 12-step program participation: The additive effects of integrated recovery activities. Journal of Substance Abuse Treatment 18:65-74.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Gossop, M., J. Harris, D. Best, L. Man, V. Manning, J. Marshall, and J. Strang. 2003. Is attendance at Alcoholics Anonymous meetings after inpatient treatment related to improved outcomes: A 6-month follow-up study. Alcohol & Alcoholism 38:421-6.[Abstract/Free Full Text]
  • Greenfield, S.F., M.R. Hufford, L.M. Vagge, L.R. Nuenz, M.E. Costello, and R.D. Weiss. 2000. The relationship of self-efficacy expectancies to relapse among alcohol dependent men and women: A prospective study. Journal of Studies on Alcohol 61:345-51.[Web of Science][Medline] [Order article via Infotrieve]
  • Haaga, D., S.M. Hall, and A. Haas. 2006. Participant factors in treating substance use disorders. In Principles of therapeutic change that work, edited by L. G. Castonguay and L. E. Beutler, 275-92. New York: Oxford University Press.
  • Harris, A., J. McKellar, R. Moos, J. Schaefer, and R. Cronkite. 2006. Predicting engagement in continuing care following residential substance use disorder treatment. Drug and Alcohol Dependence 84:93-101.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Hill, M. 1997. SPSS missing value analysis 7.5. Chicago, IL: SPSS.
  • Hirschi, T. 1969. Causes of delinquency. Berkeley: University of California Press.
  • Holahan, C.J., R. Moos, C.K. Holahan, R. Cronkite, and P.K. Randall. 2003. Drinking to cope and alcohol use and abuse in unipolar depression: A 10-year model. Journal of Abnormal Psychology 112:159-65.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Humphreys, K. 2004. Circles of recovery: Self-help organizations for addictions. Cambridge: Cambridge University Press.
  • Ilgen, M., J. McKellar, and R. Moos. 2007. Personal and treatment-related predictors of abstinence self-efficacy. Journal of Studies on Alcohol and Drugs 68:126-32.[Web of Science]
  • Ilgen, M., J. McKellar, and Q. Tiet. 2005. Abstinence self-efficacy and abstinence one year after substance use disorder treatment. Journal of Consulting and Clinical Psychology 73:1175-80.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Ilgen, M., Q. Tiet, J. Finney, and R. Moos. 2006. Self-efficacy, therapeutic alliance, and alcohol use disorder treatment outcomes. Journal of Studies on Alcohol 67:465-72.[Web of Science][Medline] [Order article via Infotrieve]
  • Jin, H., S.B. Rourke, T.L. Patterson, M.J. Taylor, and I. Grant. 1998. Predictors of relapse in long-term abstinent alcoholics. Journal of Studies on Alcohol 59:640-46.[Web of Science][Medline] [Order article via Infotrieve]
  • Kaplan, H.B. 1996. Psychosocial stress from the perspective of self theory. In Psychosocial stress: Perspectives on structure, theory, life course and methods, edited by H. B. Kaplan, 175-244. New York: Academic Press.
  • Keller, M.B., P.W. Lavori, P. McDonald-Scott, J. Endicott, N. Andreasen, and M.M. Van Eerdewegh. 1983. The reliability of retrospective treatment reports. Psychiatry Research 9:81-8.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Kelly, J.F., R. Stout, W. Zywiak, and R. Schneider. 2006. A 3-year study of addiction mutual-help group participation following intensive outpatient treatment. Alcoholism: Clinical and Experimental Research 30 (8): 1381-92.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Kissin, W., C. McLeod, and J. McKay. 2003. The longitudinal relationship between self-help group attendance and course of recovery. Evaluation and Program Planning 26:311-23.[CrossRef][Web of Science]
  • Klingemann, H., and M. Aeberhard. 2004. Biographie und suchtkarrieren 1988-2002: Longitudinale fallanalysen von alcohol—und heroinselbstheiler/innen und -heilern. Abhaengigkeiten 2 (4): 52-63.
  • Lash, S.J., J.L. Burden, B.R. Monteleone, and L.P. Lehmann. 2004. Social reinforcement of substance abuse treatment aftercare participation: Impact on outcome. Addictive Behaviors 29: 37-42.
  • Lemere, F. 1953. What happens to alcoholics? American Journal of Psychiatry 109:674-6.[Abstract/Free Full Text]
  • Maisto, S.A., K.B. Carey, and C.M. Bradizza. 1999. Social learning theory. In Psychological theories of drinking and alcoholism 2nd ed., edited by K. E. Leonard and H. T. Blane, 106-163. New York: Guilford.
  • McCrady, B.S. 2004. To have but one true friend: Implications for practice of research on alcohol use disorders and social networks. Psychology of Addictive Behaviors 18:113-21.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Miller, W.R., S.T. Walters, and M.E. Bennett. 2001. How effective is alcoholism treatment in the United States? Journal of Studies on Alcohol 62:211-20.[Web of Science][Medline] [Order article via Infotrieve]
  • Moos, R. 1993. Coping Responses Inventory: Adult Form manual. Odessa, FL: Psychological Assessment Resources.
  • Moos, R. 2006. Social contexts and substance use. In Rethinking substance abuse: What the science shows and what we should do about it, edited by W. R. Miller and K. M. Carroll, 182-200. New York: Guilford.
  • Moos, R. 2007. Theory-based active ingredients of effective treatments for substance use disorders. Drug and Alcohol Dependence 88:109-121.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Moos, R., R. Cronkite, and J. Finney. 1992. Health and Daily Living Form manual, 2nd ed. Redwood City, CA: Mind Garden.
  • Moos, R., J.W. Finney, B. Federman, and R. Suchinsky. 2000. Specialty mental health care improves patients' outcomes: Findings from a nationwide program to monitor the quality of care for patients with substance use disorders. Journal of Studies on Alcohol 61:704-713.[Web of Science][Medline] [Order article via Infotrieve]
  • Moos, R., and B. Moos. 1994. Life Stressors and Social Resources Inventory: Adult Form manual. Odessa, FL: Psychological Assessment Resources.
  • ———. 2003. Long-term influence of duration and intensity of treatment on previously untreated individuals with alcohol use disorders. Addiction 98:325-37.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • ———. 2004. Long-term influence of duration and frequency of participation in Alcoholics Anonymous on individuals with alcohol use disorders. Journal of Consulting and Clinical Psychology 72:81-90.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • ———. 2005. Paths of entry into Alcoholics Anonymous: Effects on participation, perceived benefit, and outcome. Alcoholism: Clinical and Experimental Research 29:1858-68.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • ———. 2006a. Participation in treatment and Alcoholics Anonymous: A 16-year follow-up of initially untreated individuals. Journal of Clinical Psychology 62:735-50.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • ———. 2006b. Rates and predictors of relapse after natural and treated remission from alcohol use disorders. Addiction 101:212-22.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • ———. 2007. Protective resources and long-term recovery from alcohol use disorders. Drug and Alcohol Dependence 86:46-54.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Moyer, A., and J.W. Finney. 2002. Outcomes for untreated individuals involved in randomized trials of alcohol treatment. Journal of Substance Abuse Treatment 23 (3): 247-52.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Moyer, A., J.W. Finney, C.E. Swearingen, and P. Vergun. 2002. Brief interventions for alcohol problems: A meta-analytic review of controlled investigations in treatment-seeking and non-treatment-seeking populations. Addiction 97:279-92.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Peirce, R.S., M.R. Frone, M. Russell, and M.L. Cooper. 1994. Relationship of financial strain and psychosocial resources to alcohol use and abuse: The mediating role of negative affect and drinking motives. Journal of Health and Social Behavior 35:291-308.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Ritsher, J.B., R. Moos, and J. Finney. 2002. The influence of treatment orientation and continuing care on substance abuse patients' two-year remission. Psychiatric Services 53:595-601.[Abstract/Free Full Text]
  • Roizen, R., D. Cahalan, and P. Shanks. 1978. "Spontaneous remission" among untreated problem drinkers. In Longitudinal research on drug use: Empirical findings and methodological issues, edited by D. B. Kandel, 197-221. Washington, DC: Hemisphere.
  • Siefert, K., P.J. Bowman, C.M. Heflin, S. Danziger, and D.R. Williams. 2000. Social and environmental predictors of maternal depression in current and recent welfare recipients. American Journal of Orthopsychiatry 70:510-22.[Web of Science][Medline] [Order article via Infotrieve]
  • Timko C., A. DeBenedetti, and R. Billow. 2006. Intensive referral to 12-step self-help groups and 6-month substance use disorder outcomes. Addiction 101:678-88.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Timko, C., A. DeBenedetti, B. Moos, and R. Moos. 2006. Predictors of 16-year mortality among initially untreated individuals with alcohol use disorders. Alcoholism: Clinical and Experimental Research 30:1711-20.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Tonigan, J.S., G.J. Connors, and W.R. Miller. 2003. Participation and involvement in Alcoholics Anonymous. In Matching Alcoholism treatments to client heterogeneity: The results of Project MATCH, edited by T. F. Babor and F. K. Del Boca, 184-204. New York: Cambridge University Press.
  • Tucker, J.A., 2002. Natural resolution of alcohol-related problems. In Recent developments in alcoholism: Volume XVI. Research on Alcoholism Treatment, edited by M. Galanter, 77-90. New York: Kluwer.
  • Tucker, J.A., R.E. Vuchinich, B.C. Black, and P.D. Rippens. 2006. Significance of a behavioral economic index of reward value in predicting drinking problem resolution. Journal of Consulting and Clinical Psychology 74:317-26.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Tucker, J.A., R.E. Vuchinich, and P.D. Rippens. 2002. Predicting natural resolution of alcohol-related problems: A prospective behavioral economic analysis. Experimental and Clinical Psychopharmacology 10:248-57.
  • Walton, M.A., F.C. Blow, C.R. Bingham, and S.T. Chermack. 2002. Individual and social/ environmental predictors of alcohol and drug use 2 years following substance abuse treatment. Addictive Behaviors 28:627-42.[CrossRef][Web of Science]
  • Watson, A.L., and K.J. Sher. 1998. Resolution of alcohol problems without treatment: Methodological issues and future directions of natural recovery research. Clinical Psychology: Science and Practice 5:1-18.[Medline] [Order article via Infotrieve]
  • Weisner, C., H. Matzger, and L.A. Kaskutas. 2003. How important is treatment? One-year outcomes of treated and untreated alcohol-dependent individuals. Addiction 98:901-911.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Witbrodt, J., and L.A. Kaskutas. 2005. Does diagnosis matter? Differential effects of 12-step participation and social networks on abstinence. American Journal of Drug and Alcohol Abuse 31:685-707.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]

Evaluation Review, Vol. 31, No. 6, 564-584 (2007)
DOI: 10.1177/0193841X07306749


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