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Cited by 104Substance Abuse Treatment and OutcomesGambling Behavior and TreatmentsMental Health Treatment and Access

Prevalence and Correlates of Past-Year Recovery From DSM-5 Alcohol Use Disorder: Results from National Epidemiologic Survey on Alcohol and Related Conditions-III

Fan, Amy Z., Chou, Sanchen Patricia, Zhang, Haitao, Jung, Jeesun, Grant, Bridget F.·2019·Alcoholism: Clinical and Experimental Research
DOI 10.1111/acer.14192
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Abstract

BACKGROUND: Little is known about remission, recovery, and other outcomes of alcohol use disorder (AUD) as defined by the DSM-5. METHODS: Data from a large representative sample of the United States was used to examine correlates of past-year AUD status among individuals with prior-to-past-year AUD: persistent AUD, symptomatic high-risk drinking, asymptomatic high-risk drinking, symptomatic low-risk drinking, asymptomatic low-risk drinking (nonabstinent recovery, NAR), and abstainer (abstinent recovery, AR). Multiple logistic regression analyses were conducted to compare: (i) AR and NAR with persistent AUD, (ii) AR with NAR, and (iii) asymptomatic and symptomatic high-risk drinking with AR and NAR. RESULTS: Among individuals with AUD prior to past year (n = 7,785), 34.2% were classified with persistent AUD, 8.8 and 1.6% were symptomatic high-risk and symptomatic low-risk drinkers, respectively, 21.5% were asymptomatic high-risk drinkers, 17.9% were asymptomatic low-risk drinkers, and 16.0% were abstainers. One-quarter of individuals with AUD prior to past year achieved AR or NAR without the benefit of treatment, while a much greater percentage of individuals achieving AR (43.2%) reported receiving treatment relative to those with NAR (12.3%). The number of lifetime AUD symptoms was greater among those achieving AR (among the treated) and lower among those achieving NAR relative to persistent AUD. The number of AUD symptoms was also greater among those achieving AR than NAR and lower among asymptomatic and symptomatic risk drinkers relative to those achieving AR and NAR. Consumption was greater among those achieving AR relative to those achieving NAR and greater among asymptomatic and symptomatic risk drinkers relative to AR and NAR. Odds of achieving AR or NAR relative to persistent AUD were generally lower among non-Hispanic Blacks and those with higher education, greater among women and married individuals, and lower among illicit drug users and individuals with histories of a personality disorder or mood/anxiety disorder. CONCLUSIONS: There appears to be a substantial level of recovery from AUD. Information on specific factors associated with AUD outcomes can be useful in targeting appropriate treatment efforts.

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Crossref · 10.1111/acer.14192

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  • Only 16% of individuals undergoing treatment for AUD achieve abstinence.

    “Furthermore, only 16% of individuals undergoing treatment for AUD achieve abstinence, defined as individuals with prior-to-past-year AUD who were in remission within the past year according to the DSM-5-TR remission criteria [6].”

    From A Narrative Review of Current and Emerging Trends in the Treatment of Alcohol Use Disorder (2024) · cites this paper as [6]

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Authors
Fan, A. Z., Chou, S. P., Zhang, H., Jung, J., & Grant, B. F.
Affiliations
  • National Institutes of Health (US)
  • Virginia International University (US)
Corresponding author
Fan, Amy Z.
ORCID
Venue
Alcoholism: Clinical and Experimental Research
Publisher
Wiley
Published
2019-10-03
Volume
43
Issue
11
Pages
2406-2420
ISSN
  • 0145-6008 (ISSN-L)
  • 1530-0277
DOI
10.1111/acer.14192
OpenAlex
W2978613932
Cited by
104
References
69
Citations by year
2026: 8 · 2025: 18 · 2024: 23 · 2023: 14 · 2022: 13 · 2021: 15 · 2020: 11 · 2019: 2
FWCI
7.87
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Alcoholism Clinical and Experimental Research (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Social Sciences › Psychology › Clinical Psychology › Gambling Behavior and Treatments
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
Keywords
alcoholism, remission, recovery, DSM-5, hazardous drinking, alcohol treatment, sociodemographic correlates, illicit drug use, personality disorders, mood and anxiety disorders
MeSH terms
Adolescent, Adult, Aged, Alcoholism, Female, Humans, Male, Middle Aged, Remission Induction, United States, Prevalence, Diagnostic and Statistical Manual of Mental Disorders, Young Adult

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