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Chunk #26 — IV. DISCUSSION

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The patterns of drug and alcohol use and associated problems over 30 years in 397 men.
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Table 3 also offers information regarding the outcomes at T30 for SUDs and AUDs in these high functioning men from a nonclinical population. As described in a recent paper (Trim et al., in press), 42% of these probands with AUDs no longer met criteria for alcohol abuse or dependence in the approximate five years prior to T30. It is interesting to note that those results were seen for members of both Group 1 and Group 3. Remissions at T30 were even more striking for SUDs where >70% of Group 1 and 2 men no longer fulfilled criteria for these diagnoses, with similar rates for the combined diagnosis Group 1 and the SUD only Group 2. These impressive rates of recovery may reflect the combination of indicators of a good prognosis in these subjects regarding their nonclinical status at T1, the high proportion who were married during the follow up, their high education level, and the general absence of premorbid conduct or antisocial problems, as well as the high rates of spontaneous recovery associated with substance-related conditions over time (Dawson et