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Protective resources and long-term recovery from alcohol use disorders
Abstract
Aims This study examined indices of personal and social resources drawn from social learning, behavioral economics, and social control theories as predictors of medium- and long-term alcohol use disorder outcomes.Design and measures Individuals (N = 461) who initiated help-seeking for alcohol-related problems were surveyed at baseline and 1, 3, 8, and 16 years later. At baseline and each follow-up, participants provided information about their personal and social resources and alcohol-related and psychosocial functioning.Findings In general, protective resources associated with social learning (self-efficacy and approach coping), behavioral economics (health and financial resources and resources associated with Alcoholics Anonymous), and social control theory (bonding with family members, friends, and coworkers) predicted better alcohol-related and psychosocial outcomes. A summary index of protective resources associated with all three theories significantly predicted remission. Protective resources strengthened the positive influence of treatment on short-term remission and partially mediated the association between treatment and remission.Conclusions Application of social learning, behavior economic, and social control theories may help to identify predictors of remission and thus to allocate treatment more efficiently.
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“Perceived social support has been shown to predict long-term outcome in different types of psychiatric illness, e.g. alcohol use disorders [34], major depressive disorder [35] and bipolar disorder [36].”
From Helpful and hindering factors for remission in dysthymia and panic disorder at 9-year follow-up: A mixed methods study (2008) · cites this paper as [34]
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Metadata
- Authors
- Moos, R. H., & Moos, B. S.
- Affiliations
- Stanford University (US)
- Corresponding author
- Moos, Rudolf H.
- Venue
- Drug and Alcohol Dependence
- Publisher
- Elsevier BV
- Published
- 2007-01
- Volume
- 86
- Issue
- 1
- Pages
- 46-54
- ISSN
- 0376-8716 (ISSN-L)
- OpenAlex
- W1964723785
- Cited by
- 147
- References
- 75
- Citations by year
- 2026: 2 · 2025: 5 · 2024: 2 · 2023: 8 · 2022: 4 · 2021: 15 · 2020: 10 · 2019: 12 · 2018: 6 · 2017: 5 · 2016: 9 · 2015: 7 · 2014: 10 · 2013: 11 · 2012: 7
- FWCI
- 5.15
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Drug and Alcohol Dependence (publishedVersion)
- PubMed (publishedVersion)
- Funders
- U.S. Department of Veterans Affairs
- Health Services Research and Development
- National Institute on Alcohol Abuse and Alcoholism (AA12718, AA15685, R01AA012718, R01AA015685)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Sociology and Political Science › Homelessness and Social Issues
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
- Keywords
- alcoholism, protective resources, long-term recovery, remission, social learning theory, behavioral economics, social control theory, self-efficacy, approach coping, Alcoholics Anonymous, social bonds, treatment outcomes, help-seeking, psychosocial functioning
- MeSH terms
- Adaptation, Psychological, Adolescent, Adult, Aged, Alcoholics Anonymous, Alcoholism, Convalescence, Depression, Family, Female, Health Resources, Humans, Male, Mental Health Services, Middle Aged, Psychological Theory, Remission Induction, Social Control, Formal, Social Support, Time Factors, Self Efficacy
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