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Posttreatment Low-Risk Drinking as a Predictor of Future Drinking and Problem Outcomes Among Individuals with Alcohol Use Disorders: A 9-Year Follow-Up
| Content Provider | Scilit |
|---|---|
| Author | Kline-Simon, Andrea H. Litten, Raye Z. Weisner, Constance M. Falk, Daniel E. |
| Copyright Year | 2017 |
| Description | Journal: Alcoholism: Clinical and Experimental Research Treatment for alcohol use disorders (AUDs) has traditionally been abstinence oriented, but new research and regulatory guidelines suggest that low-risk drinking may also be an acceptable treatment outcome. However, little is known about long-term outcomes for patients who become low-risk drinkers posttreatment. This study explores a posttreatment low-risk drinking outcome as a predictor of future drinking and psychosocial outcomes over 9 years. Study participants were adults with AUDs at treatment entry who received follow-up interviews 6 months posttreatment intake (N = 1,061) in 2 large randomized studies conducted at Kaiser Permanente Northern California, a large private, nonprofit, integrated health system. Six-month drinking status was defined as abstinent, low-risk (nonabstinent, no 5+ drinking days), or heavy drinking (1 or more days of 5+ drinks). Using logistic regression models, we explored the relationship between past 30-day drinking status at 6 months and odds of being abstinent or a low-risk drinker (compared to heavy drinking), and positive Addiction Severity Index psychosocial outcomes over 9 years (9-year follow-up rate of 73%). Abstainers and low-risk drinkers at 6 months had higher odds of recent abstinence/low-risk drinking over 9 years than heavy drinkers; abstainers had better drinking outcomes than low-risk drinkers. Additionally, among those with interview data, 95% of abstainers and 94% of low-risk drinkers at 6 months were abstinent/low-risk drinkers at 9 years; surprisingly, 89% of heavy drinkers at 6 months were also abstinent/low-risk drinkers although still significantly fewer than the other groups. Abstainers and low-risk drinkers at 6 months had better psychiatric outcomes, and abstainers had better family/social outcomes than heavy drinkers; medical outcomes did not differ. Low-risk drinkers and abstainers showed no reliable differences across psychosocial measures. The findings suggest that a low-risk drinking outcome may be reasonable over the long-term for some alcohol-dependent individuals receiving addiction treatment. |
| Related Links | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5567827/pdf |
| Ending Page | 658 |
| Page Count | 6 |
| Starting Page | 653 |
| e-ISSN | 15300277 |
| DOI | 10.1111/acer.13334 |
| Journal | Alcoholism: Clinical and Experimental Research |
| Issue Number | 3 |
| Volume Number | 41 |
| Language | English |
| Publisher | Wiley-Blackwell |
| Publisher Date | 2017-02-07 |
| Access Restriction | Open |
| Subject Keyword | Journal: Alcoholism: Clinical and Experimental Research Substance Abuse Long-term Outcomes Long-term Psychosocial Functioning Low-risk Drinking |
| Content Type | Text |
| Resource Type | Article |
