Alcoholics anonymous careers: patterns of AA involvement five years after treatment entry.
Alcoholics anonymous careers: patterns of AA involvement five years after treatment entry.
复制标题
酗酒者匿名职业：接受治疗五年后 AA 参与模式。
DOI：
10.1097/01.alc.0000187156.88588.de
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发表时间：
2005
期刊：
影响因子：
--
通讯作者：
Weisner,Constance
中科院分区：
文献类型：
--
作者：
Kaskutas,LeeAnn;Ammon,Lyndsay;Delucchi,Kevin;Room,Robin;Bond,Jason;Weisner,Constance
Abstract:Background:Most formal treatment programs recommend Alcoholics Anonymous (AA) attendance during treatment and as a form of aftercare, but we know very little about treatment seekers' patterns of AA involvement over time and how these relate to abstinence.Method:This paper applies latent class growth curve modeling to longitudinal data from 349 dependent drinkers recruited when they were entering treatment and were re‐interviewed at one or more follow‐up interviews one, three and five years later, and who reported having attended AA at least once.Results:Four classes of AA “careers” of meeting attendance emerged: Thelow AAgroup mainly just attended AA during the 12 months following treatment entry. Themediumandhigh AAgroups were characterized by stable attendance at the second and third follow‐ups—at about 60 meetings a year for themediumgroup and over 200 meetings per year for thehighgroup, followed by slight increases for themediumgroup and slight decreases for thehighgroup by year five. Thedeclining AAgroup doubled its meeting attendance postbaseline, to almost 200 meetings during the year following treatment entry, but by year five they were only attending about six meetings on average. Decreases in AA meetings did not necessarily signal disengagement from AA; at the five‐year follow‐up, a third of thelow AAgroup and over half of thedeclining AAgroup said they felt like a member of AA. Activities other than meeting attendance, such as having a sponsor, otherwise paralleled the meeting careers, but social networks were similar by year five. Rates of abstinence by year five (for the past 30 days) were 43% for the low AA group, 73% for themediumgroup, 79% for thehighgroup and 61% for thedeclininggroup. Rates of dependence symptoms and social consequences of drinking did not differ between the groups at year five.Conclusions:The prototypical AA careers derived empirically are consistent with anecdotal data about AA meetings: some never connect; some connect but briefly; and others maintain stable (and sometimes quite high) rates of AA attendance. However, contrary to AA lore, many who connect only for a while do well afterwards.
