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Chunk #4 — Introduction

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Environmental influences predominate in remission from alcohol use disorder in young adult twins.
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Several studies in a national probability sample have also found scant evidence that family history of AUD influences remission. Among individuals with lifetime alcohol dependence who participated in the first wave of the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC), family history of alcoholism had no association with abstinent recovery but was associated with slightly increased odds for non-abstinent recovery (Dawson et al. 2005). Data from the second wave of the NESARC were used to examine correlates of relapse among individuals who were in remission from prior-year alcohol abuse or dependence at their first interview and who were reinterviewed approximately 3 years later. Family history of alcoholism had no association with remission (Dawson et al. 2007). Another analysis using NESARC data found that family history of a substance use disorder, defined as any alcohol or drug use disorder in first-degree relatives, had no association with remission from lifetime alcohol dependence (Lopez-Quintero et al. 2011).