Ten-year stability of remission in private alcohol and drug outpatient treatment: non-problem users versus abstainers.
- Authors
- Mertens, Jennifer R; Kline-Simon, Andrea H; Delucchi, Kevin L; Moore, Charles; Weisner, Constance M
- Year
- 2012
- Journal
- Drug and alcohol dependence
- PMID
- 22542217
- DOI
- 10.1016/j.drugalcdep.2012.03.020
- PMCID
- PMC3644563
BACKGROUND: This study examined stability of remission in patients who were abstainers and non-problem users at 1-year after entering private, outpatient alcohol and drug treatment. We examined: (a) How does risk of relapse change over time? (b) What was the risk of relapse for non-problem users versus abstainers? (c) What individual, treatment, and extra-treatment characteristics predicted time to relapse, and did these differ by non-problem use versus abstinence? METHODS: The sample consisted of 684 adults in remission (i.e., abstainers or non-problem users) 1 year following treatment intake. Participants were interviewed at intake, and 1, 5, 7, 9, and 11 years after intake. We used discrete-time survival analysis to examine when relapse is most likely to occur and predictors of relapse. RESULTS: Relapse was most likely at 5-year, and least likely at 11-year follow-up. Non-problem users had twice the odds of relapse compared to abstainers. Younger individuals and those with fewer 12-step meetings and shorter index treatment had higher odds of relapse than others. We found no significant interactions between non-problem use and the other covariates suggesting that significant predictors of outcome did not differ for non-problem users. CONCLUSIONS: Non-problem use is not an optimal 1-year outcome for those in an abstinence-oriented, heterogeneous substance use treatment program. Future research should examine whether these results are found in harm reduction treatment and self-help models, or in those with less severe problems. Results suggest treatment retention and 12-step participation are prognostic markers of long-term positive outcomes for those achieving remission at 1 year.
Hazard function for relapse into problem use for non-problem users at year 1 versus abstainers at year 1.
| # | Section | Preview |
|---|---|---|
| 40 | 4. Discussion — 4.3. Non-problem users: relapse versus remission | Like previous studies, a small number of individuals with non-problem use in this study (N = 26)… |
| 41 | 4. Discussion — 4.3. Non-problem users: relapse versus remission | The current study had several limitations. One is the relatively small group of non-problem users (N… |
| 42 | 4. Discussion — 4.3. Non-problem users: relapse versus remission | suicidal ideations; we had only a past-month measurement for these aspects of remission. Moreover,… |
| 43 | 5. Conclusions | In this treatment sample, using data from 11 years after treatment entry we found that non-problem… |
| 44 | 5. Conclusions | Our findings on predictors of relapse suggest that risk for relapse in remitted individuals becomes… |
| 45 | Fig. 1 | Hazard function for relapse into problem use for non-problem users at year 1 versus abstainers at… |
No entities extracted from this document yet.
No uploaded files.
In this knowledge base
| Title | Year | PMID |
|---|---|---|
| Familial association of abstinent remission from alcohol use disorder in first-degree relatives of alcohol-dependent treatment-seeking probands. | 2017 | 28556494 |
External
| Title | Authors | Journal | Year | Link |
|---|---|---|---|---|
| A 6-Month Follow-Up Study: Cognitive Impairment May Predict More Frequent Use of Methamphetamine. | Karabulut S | — | 2023 | → |
| Alcohol use disorder relapse factors: A systematic review. | Sliedrecht W et al. | — | 2019 | → |
| [Effect of clinical characteristics on relapse of alcohol dependence: a prospective cohort study]. | Zhu R et al. | — | 2019 | → |
| Acceptability of nonabstinent treatment outcome goals among addiction treatment providers in Ukraine. | Davis AK et al. | — | 2018 | → |
| Factors Associated with Sustained Remission among Chronic Opioid Users. | Shiraly R et al. | — | 2018 | → |
| The Recovery from Alcohol Consumption: Analysis of the Construct of Relapse. | Reyes-Huerta HE et al. | — | 2018 | → |
| American counselors' acceptance of non-abstinence outcome goals for clients diagnosed with co-occurring substance use and other psychiatric disorders. | Davis AK et al. | — | 2017 | → |
| Collaborative Care for Opioid and Alcohol Use Disorders in Primary Care: The SUMMIT Randomized Clinical Trial. | Watkins KE et al. | — | 2017 | → |
| Familial association of abstinent remission from alcohol use disorder in first-degree relatives of alcohol-dependent treatment-seeking probands. | McCutcheon VV et al. | — | 2017 | → |
| Posttreatment Low-Risk Drinking as a Predictor of Future Drinking and Problem Outcomes Among Individuals with Alcohol Use Disorders: A 9-Year Follow-Up. | Kline-Simon AH et al. | — | 2017 | → |
| Trajectories of remission and mortality over 13 years after intake to substance use treatment. | Kline-Simon AH et al. | — | 2017 | → |
| Use of Psychoactive Medication in Short- and Long-term Abstainers from Alcohol. | Nalpas B et al. | — | 2017 | → |
| Stressful Events and Other Predictors of Remission from Drug Dependence in the United States: Longitudinal Results from a National Survey. | McCabe SE et al. | — | 2016 | → |
| Substance use among persons with homeless experience in primary care. | Stringfellow EJ et al. | — | 2016 | → |
| The Relationship Between End-of-Treatment Alcohol Use and Subsequent Healthcare Costs: Do Heavy Drinking Days Predict Higher Healthcare Costs? | Aldridge AP et al. | — | 2016 | → |
| Treatment outcome, treatment retention, and their predictors among clients of five outpatient alcohol treatment centres in Switzerland. | Haug S et al. | — | 2016 | → |
| [Duration of therapeutic remission alcohol dependence: a role of dopamine system genes polymorphism and family history density]. | Kibitov AO et al. | — | 2015 | → |
| Rationale and Applications of Survival Tree and Survival Ensemble Methods. | Zhou Y et al. | — | 2015 | → |
| Alcohol use disorder clinical course research: informing clinicians' treatment planning now and in the future. | Maisto SA et al. | — | 2014 | → |
| Profiles of confidence and commitment to change as predictors of moderated drinking: a person-centered approach. | Kuerbis A et al. | — | 2014 | → |
| Time to relapse following treatment for methamphetamine use: a long-term perspective on patterns and predictors. | Brecht ML et al. | — | 2014 | → |