Document Detail


A longitudinal model of intake symptomatology, AA participation and outcome: retrospective study of the project MATCH outpatient and aftercare samples.
MedLine Citation:
PMID:  11838919     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The present study used data gathered in Project MATCH to longitudinally assess intake symptomatology, Alcoholics Anonymous (AA) participation, and outcome. Three primary constructs were considered: intake symptomatology, engagement in prescribed AA-related activities and functioning after engagement in AA-related behaviors. METHOD: The participants were 480 outpatient and 434 aftercare clients who participated in Project MATCH. RESULTS: Similar findings were found for each sample. Intake symptomatology positively predicted AA participation during the first 6 months following treatment. Although network support for drinking was negatively related to AA participation, such support did not mediate the relationship between intake symptomatology and subsequent AA participation. AA participation, in turn. positively predicted frequency of abstinent days in Months 7-12 posttreatment. This latter relationship was mediated by perceived self-efficacy to avoid drinking (Month 6). AA participation was positively related to self-efficacy to avoid drinking, which, in turn, predicted more days abstinent. One difference between the outpatient and aftercare samples emerged, involving the latent construct intake symptomatology. Intake symptomatology among outpatients was not predictive of percentage of abstinent days (Months 7-12), whereas intake symptomatology was negatively predictive of percentage of abstinent days in the aftercare sample. CONCLUSIONS: Intake symptomatology positively predicted participation in AA, which predicted subsequent abstinent days. The positive relationship between AA participation and self-efficacy to avoid drinking may explain in part why AA engagement predicts subsequent increases in abstinence.
Authors:
G J Connors; J S Tonigan; W R Miller;
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Journal of studies on alcohol     Volume:  62     ISSN:  0096-882X     ISO Abbreviation:  J. Stud. Alcohol     Publication Date:  2001 Nov 
Date Detail:
Created Date:  2002-02-12     Completed Date:  2002-08-07     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  7503813     Medline TA:  J Stud Alcohol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  817-25     Citation Subset:  IM    
Affiliation:
Research Institute on Addictions, State University of New York at Buffalo, 14203, USA. connors@ria.buffalo.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Aftercare* / methods,  psychology
Alcoholics Anonymous*
Alcoholism / epidemiology*,  psychology,  therapy*
Chi-Square Distribution
Female
Humans
Longitudinal Studies
Male
Middle Aged
Models, Psychological*
Outpatients / psychology*,  statistics & numerical data
Retrospective Studies
Treatment Outcome
Grant Support
ID/Acronym/Agency:
U10-AA08431/AA/NIAAA NIH HHS; U10-AA08435/AA/NIAAA NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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