Cited by 370Substance Abuse Treatment and OutcomesPsychotherapy Techniques and ApplicationsAlcohol Consumption and Health Effects

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Patient predictors of alcohol treatment outcome: A systematic review

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Adamson, Simon J., Sellman, John Douglas, Frampton, Chris M.A.·2009·Journal of Substance Abuse Treatment

DOI 10.1016/j.jsat.2008.05.007

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Abstract

Patient characteristics as predictors of alcohol use disorder treatment outcome were examined on three levels, identifying whether or not variables were significant predictors of drinking-related outcome in univariate analysis, in multivariate analysis, and in multivariate analyses limited to studies including several "key predictors." Also, a model was developed to predict total percentage of variance in treatment outcome accounted for in each study using each of the key predictors and a range of methodological factors. The most consistent univariate predictors were baseline alcohol consumption, dependence severity, employment, gender, psychopathology rating, treatment history, neuropsychological functioning, alcohol-related self-efficacy, motivation, socioeconomic status/income, treatment goal, and religion. When these key predictors were combined into multivariate analyses, baseline alcohol consumption and gender showed substantial reductions in predictive consistency whereas the remaining variables were not greatly affected. The most consistent predictors overall were dependence severity, psychopathology ratings, alcohol-related self-efficacy, motivation, and treatment goal. The two predictor variables most associated with greater variance accounted for in predictive models, when controlling for broader methodological variables, were baseline alcohol consumption and dependence severity. Few predictor variables were examined in more than a third of studies reviewed, and few variables were found to be significant predictors in a clear majority of studies. However, a subset of variables was identified, which collectively could be considered to represent a consistent set of predictors. Too few studies controlled for other important predictor variables. Attempts to synthesize findings were often hampered by lack of agreement of the best measure for predictor variables.

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Authors: Adamson, S. J., Sellman, J. D., & Frampton, C. M. A.
Affiliations: University of Otago (NZ)
Corresponding author: Adamson, Simon J.
ORCID: Adamson, Simon J.
Frampton, Chris M.A.
Venue: Journal of Substance Abuse Treatment
Publisher: Elsevier BV
Published: 2009-01
Volume: 36
Issue: 1
Pages: 75-86
ISSN: 0740-5472 (ISSN-L)
DOI: 10.1016/j.jsat.2008.05.007
OpenAlex: W2011221954
Cited by: 370
References: 91
Citations by year: 2026: 12 · 2025: 27 · 2024: 14 · 2023: 15 · 2022: 24 · 2021: 25 · 2020: 21 · 2019: 27 · 2018: 30 · 2017: 17 · 2016: 20 · 2015: 22 · 2014: 35 · 2013: 19 · 2012: 18
FWCI: 1.56
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: Journal of Substance Abuse Treatment (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
Keywords: alcoholism, alcohol treatment outcomes, predictors of treatment outcome, dependence severity, motivation, psychopathology, gender differences, treatment goals
MeSH terms: Alcohol Drinking, Alcoholism, Female, Forecasting, Humans, Male, Motivation, Psychiatric Status Rating Scales, Severity of Illness Index, Sex Factors, Social Class, Models, Statistical, Multivariate Analysis, Treatment Outcome, Self Efficacy

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