Do Drug-Dependent Patients Attending Alcoholics Anonymous Rather than Narcotics Anonymous Do As Well? A Prospective, Lagged, Matching Analysis

作者: John F. Kelly , M. Claire Greene , Brandon G. Bergman

DOI: 10.1093/ALCALC/AGU066

关键词:

摘要: Aims: Alcoholics Anonymous (AA) is the most prevalent 12-step mutual-help organization (MHO), yet debate has persisted clinically regarding whether patients whose primary substance not alcohol should be referred to AA. Narcotics (NA) was created as a more specific fit enhance recovery from drug addiction; however, compared with AA, NA meetings are ubiquitous. Little known about effects of mismatch between individuals' and MHOs, any incongruence might result in lower likelihood continuation benefit. More research would inform clinical recommendations. Method: Young adults ( N = 279, M age 20.4, SD 1.6, 27% female; 95% White) treatment effectiveness study completed assessments at intake, 3, 6, 12 months post-treatment. A matching variable for ‘primary drug’ (i.e. those reporting cannabis, opiates or stimulants substance; n 198/279), reflecting proportion total attended that were Hierarchical linear models (HLMs) tested this variable's on future participation percent days abstinent (PDA). Results: The majority by both Drug attending proportionately AA than mismatched) no different who better matched respect PDA. Conclusion: may greater risk discontinuation diminished benefit relative NA. Findings boost confidence making referrals when less available.

参考文章(37)
Kathryn E. McCollister, Michael T. French, Derek M. Freitas, Michael L. Dennis, Christy K. Scott, Rodney R. Funk, Cost-effectiveness analysis of Recovery Management Checkups (RMC) for adults with chronic substance use disorders: evidence from a 4-year randomized trial. Addiction. ,vol. 108, pp. 2166- 2174 ,(2013) , 10.1111/ADD.12335
DUNCAN RAISTRICK, JACKIE BRADSHAW, GILLIAN TOBER, JEREMY WEINER, JEFF ALLISON, CAROLYN HEALEY, Development of the Leeds Dependence Questionnaire (LDQ): a questionnaire to measure alcohol and opiate dependence in the context of a treatment evaluation package Addiction. ,vol. 89, pp. 563- 572 ,(1994) , 10.1111/J.1360-0443.1994.TB03332.X
John F. Kelly, Robert L. Stout, Valerie Slaymaker, Emerging adults' treatment outcomes in relation to 12-step mutual-help attendance and active involvement. Drug and Alcohol Dependence. ,vol. 129, pp. 151- 157 ,(2013) , 10.1016/J.DRUGALCDEP.2012.10.005
Kristina N. Rynes, J. Scott Tonigan, Samara L. Rice, Interpersonal Climate of 12-Step Groups Predicts Reductions in Alcohol Use Alcoholism Treatment Quarterly. ,vol. 31, pp. 167- 185 ,(2013) , 10.1080/07347324.2013.771983
Natasha Slesnick, J. Scott Tonigan, Assessment of Alcohol and Other Drug Use by Runaway Youths: A Test-Retest Study of the Form 90. Alcoholism Treatment Quarterly. ,vol. 22, pp. 21- 34 ,(2004) , 10.1300/J020V22N02_03