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Chunk #22 — DISCUSSION

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Correlates of recovery from alcohol dependence: a prospective study over a 3-year follow-up interval.
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This study of factors associated with 3-year prospective recovery from alcohol dependence replicated a number of correlates of recovery identified in earlier studies based on Wave 1 NESARC data. For AR, the current finding of a strong positive impact of recent help-seeking that included 12-step participation was consistent with a prior survival analysis of help-seeking (Dawson et al., 2006a), although it is worth noting that the majority of individuals who achieved both AR and NR in the present study did not access any form of treatment or 12-step participation. An earlier finding of a positive association between severity of dependence and AR obtained in a cross-sectional analysis (Dawson et al., 2005) received support of marginal statistical significance (p=.095) in this study. With respect to NR, the current study’s finding of positive associations with recent initiation or termination of first marriage supported an earlier survival analysis of major life transitions (Dawson et al., 2006b), albeit at more marginal level of statistical significance for initiation of marriage (p=.051), and its finding of a highly significant negative association between volume of consumption and