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Two pathways out of drinking problems without professional treatment
Open accessAbstract
This 3-year longitudinal study examined two recovery pathways among 135 problem drinking individuals who never received professional treatment. Almost half (48.3%) of those individuals for whom outcome could be clearly determined became moderate drinkers or stably abstinent. At baseline, individuals who subsequently became abstinent (n = 28) were of low socioeconomic status, had severe drinking problems, and believed their drinking was a very serious problem. Once they began their recovery, they relied heavily on Alcoholics Anonymous as a maintenance factor. In contrast, individuals who became moderate drinkers (n = 29) had higher socioeconomic status and more social support at baseline than did individuals who became abstinent or continued to have drinking problems. A logistic regression on baseline data showed that it was possible to predict which natural recovery pathway an individual drinker would follow. The implications of these findings for alcoholism treatment and policy are discussed.
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“Indeed, greater social support has predicted lower substance use rates after treatment (Broome et al., 2002; Humphreys & Noke, 1997; Humphreys et al., 1995)”
From The Importance of Social Support in Recovery Populations: Toward a Multilevel Understanding (2023) · cites this paper as Humphreys et al., 1995
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Metadata
- Authors
- Humphreys, K., Moos, R. H., & Finney, J. W.
- Affiliations
- VA Palo Alto Health Care System (US)
- Stanford University (US)
- Corresponding author
- Humphreys, Keith
- ORCID
- Humphreys, Keith
- Venue
- Addictive Behaviors
- Publisher
- Elsevier BV
- Published
- 1995-07
- Volume
- 20
- Issue
- 4
- Pages
- 427-441
- ISSN
- 0306-4603 (ISSN-L)
- OpenAlex
- W2055495850
- Cited by
- 135
- References
- 45
- Citations by year
- 2025: 1 · 2024: 1 · 2023: 2 · 2021: 2 · 2019: 2 · 2018: 1 · 2017: 2 · 2016: 1 · 2015: 2 · 2014: 3 · 2013: 6 · 2012: 6
- FWCI
- 2.03
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Addictive Behaviors (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Funders
- National Institute on Alcohol Abuse and Alcoholism (R01AA006699, AA02863, AA 06699)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Sociology and Political Science › Homelessness and Social Issues
- Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
- Keywords
- problem drinking, natural recovery, alcohol abstinence, moderate drinking, Alcoholics Anonymous, social support, socioeconomic status, predictors of recovery, alcoholism treatment
- MeSH terms
- Adult, Alcohol Drinking, Alcoholics Anonymous, Alcoholism, Female, Follow-Up Studies, Health Status, Humans, Longitudinal Studies, Male, Marriage, Middle Aged, Social Support, Socioeconomic Factors, Treatment Outcome
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