Paths of entry into alcoholics anonymous: consequences for participation and remission.
Paths of entry into alcoholics anonymous: consequences for participation and remission.
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匿名进入酗酒者的途径：参与和缓解的后果。
DOI：
10.1097/01.alc.0000183006.76551.5a
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发表时间：
2005
期刊：
影响因子：
--
通讯作者：
Moos,BerniceS
中科院分区：
文献类型：
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作者：
Moos,RudolfH;Moos,BerniceS
摘要：背景：本研究比较了酒精使用障碍患者在开始寻求帮助后的第一年，只参加匿名戒酒会（AA）、同时参加专业治疗和只参加专业治疗的个体，或只参加专业治疗的个体。方法：在基线和1年、3年、8年和16年后对最初未接受治疗的个体（N= 362）进行调查。在每个接触点，参与者描述了他们参加AA和治疗的情况以及他们目前的酒精相关功能。他们还描述了他们参加AA和/或治疗的原因，以及这些帮助来源的好处。结果：与最初只参加治疗但后来参加AA的人相比，那些同时参加治疗和AA的人参加AA的时间更长，频率更高，更有可能获得缓解。在最初只参加AA的个体中，那些后来进入治疗的人比那些没有进入治疗的人有更差的缓解结果。在所有四次随访中，参加AA的时间越长，缓解的可能性越高；退出嗜酒者互诫会的人更有可能复发或继续不戒酒。结论：与在开始寻求帮助后第一年仅参加专业治疗的个体相比，同时参加治疗和AA的个体更有可能获得缓解。那些接受治疗但推迟参加AA的人似乎没有从AA中获得任何额外的好处。
Abstract:Background:This study compared individuals with alcohol use disorders who, in the first year after initiating help‐seeking, entered Alcoholics Anonymous (AA) only, entered professional treatment and AA together, or entered professional treatment onlyMethods:A sample of initially untreated individuals (N= 362) was surveyed at baseline and 1 year, 3 years, 8 years, and 16 years later. At each contact point, participants described their participation in AA and treatment and their current alcohol‐related functioning. They also described their reasons for entering AA and/or treatment and the perceived benefits of these sources of helpResults:Compared with individuals who initially participated only in treatment but later entered AA, those who entered treatment and AA together participated in AA longer and more frequently and were more likely to achieve remission. Among individuals who initially participated only in AA, those who later entered treatment had poorer remission outcomes than those who did not enter treatment. Longer duration of participation in AA was associated with a higher likelihood of remission at all four follow‐ups; individuals who dropped out of AA were more likely to relapse or remain nonremitted.Conclusions:Compared with individuals who participated only in professional treatment in the first year after they initiated help‐seeking, individuals who participated in both treatment and AA were more likely to achieve remission. Individuals who entered treatment but delayed participation in AA did not appear to obtain any additional benefit from AA.