Is Controlled Drinking an Acceptable Goal in the Treatment of Alcohol Dependence? A Survey of French Alcohol Specialists
Abstract
AIM: Assessing acceptance of controlled drinking (CD) among French alcohol specialists. METHODS: On-line survey of 547 French alcohol specialists. We searched factors associated with acceptance of CD, and factors that affected the specialists' selection of treatment goal. Criteria for success used by specialists in clinical practice were compared with criteria expected to be used in clinical trials. RESULTS: CD was accepted as a treatment goal by 48.6% of alcohol specialists (n = 105, n = 216), and 61.9% practiced CD for their own patients (n = 130, n = 210). Factors in selecting outcome goals were: patient's choice, perceived self-efficacy, relapse history and severity of dependence. Age, profession and basis of specialists' opinion on CD were associated with acceptance of CD. CONCLUSION: Half of French alcohol specialists accept CD as a goal. Acceptance was associated with specialists' personal and professional characteristics. The criteria for success specialists use in their clinical practice differ from those they expect to be used in clinical trials.
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Non-drinking outcomes are clinically relevant and complementary to consumption criteria.
“Non-drinking outcomes are clinically relevant and complementary to consumption criteria, particularly in the context of the recent expansion of therapeutic objectives in AUD to include drinking reduction alongside abstinence.37”
Quality of life has been identified as an important variable in assessing treatment outcomes in patients with AUD from their perspective and appears to be a good predictor for treatment success.
“Moreover, quality of life has been identified as an important variable in assessing treatment outcomes in patients with AUD from their perspective45–47 and appears to be a good predictor for treatment success.37”
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References 27 · Cited by 64
- Authors
- Luquiens, A., Reynaud, M., & Aubin, H. J.
- Affiliations
- Assistance Publique – Hôpitaux de Paris (FR)
- Université Paris-Sud (FR)
- Corresponding author
- Aubin, H.J.
- Venue
- Alcohol and Alcoholism
- Publisher
- Oxford University Press (OUP)
- Published
- 2011-07-18
- Volume
- 46
- Issue
- 5
- Pages
- 586-591
- ISSN
- 0735-0414 (ISSN-L)
- 1464-3502
- OpenAlex
- W2104927872
- Cited by
- 64
- References
- 27
- Citations by year
- 2025: 1 · 2023: 3 · 2022: 4 · 2021: 2 · 2020: 4 · 2019: 2 · 2018: 4 · 2017: 8 · 2016: 5 · 2015: 8 · 2014: 9 · 2013: 9 · 2012: 4
- FWCI
- 5.28
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Alcohol and Alcoholism (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
- Keywords
- controlled drinking, alcoholism treatment, treatment goals, clinician attitudes, outcome criteria, self-efficacy, dependence severity, clinical practice versus clinical trials
- MeSH terms
- Adult, Alcohol Drinking, Alcoholism, Attitude of Health Personnel, Clinical Trials as Topic, Data Collection, France, Goals, Humans, Middle Aged, Software, Specialization, Temperance, Internet, Electronic Mail
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