Recovery from DSM‐IV alcohol dependence: United States, 2001–2002
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Aims To investigate the prevalence and correlates of recovery from Diagnostic and Statistical Manual version IV (DSM‐IV) alcohol dependence by examining the past‐year status of individuals who met the criteria for prior‐to‐past‐year (PPY) dependence. Design Cross‐sectional, retrospective survey of a nationally representative sample of US adults 18 years of age and over (first wave of a planned longitudinal survey). Methods This analysis is based on data from the 2001–02 National Epidemiologic Survey on Alcohol and Related Conditions (NESARC), in which data were collected in personal interviews conducted with one randomly selected adult in each sample household. A subset of the NESARC sample (total n = 43 093), consisting of 4422 US adults 18 years of age and over classified with PPY DSM‐IV alcohol dependence, were evaluated with respect to their past‐year recovery status: past‐year dependence, partial remission, full remission, asymptomatic risk drinking, abstinent recovery (AR) and non‐abstinent recovery (NR). Correlates of past‐year status were examined in bivariate analyses and using multivariate logistic regression models. Findings Of people classified with PPY alcohol dependence, 25.0% were still classified as dependent in the past year; 27.3% were classified as being in partial remission; 11.8% were asymptomatic risk drinkers who demonstrated a pattern of drinking that put them at risk of relapse; 17.7% were low‐risk drinkers; and 18.2% were abstainers. Only 25.5% of people with PPY dependence ever received treatment. Being married was associated positively with the odds of both AR and NR, and ethanol intake was negatively associated with both. Severity of dependence increased the odds of AR but decreased the odds of NR. The odds of AR (but not NR) increased with age and female gender but were decreased by the presence of a personality disorder. Treatment history modified the effects of college attendance/graduation, age at onset and interval since onset on the odds of recovery. Conclusions There is a substantial level of recovery from alcohol dependence. Information on factors associated with recovery may be useful in targeting appropriate treatment modalities.
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Several forms of alcohol treatment are cost-effective and improve clinical outcomes.
“various forms of alcohol treatment are cost-effective and improve clinical outcomes (8–15).”
Many individuals with SUD achieve longstanding remission, in many cases without any formal treatment.
“It is also well documented that many individuals with SUD achieve longstanding remission, in many cases without any formal treatment (see e.g., [27,30,38]).”
From Addiction as a brain disease revised: why it still matters, and the need for consilience (2021) · cites this paper as [38]
Most problem drinkers will never seek traditional alcohol treatment.
“The challenge in attempting to help problem drinkers is that most will never seek traditional alcohol treatment [6,7].”
From A randomized controlled trial of an internet‐based intervention for alcohol abusers (2009) · cites this paper as [7]
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- Authors
- Dawson, D. A., Grant, B. F., Stinson, F. S., Chou, P. S., Huang, B., & Ruan, W. J.
- Affiliations
- National Institutes of Health (US)
- Corresponding author
- Dawson, Deborah A.
- Venue
- Addiction
- Publisher
- Wiley
- Published
- 2005-03
- Volume
- 100
- Issue
- 3
- Pages
- 281-292
- ISSN
- 0965-2140 (ISSN-L)
- 1360-0443
- PMC
- PMC6527249
- OpenAlex
- W1541428759
- Cited by
- 597
- References
- 1
- Citations by year
- 2026: 6 · 2025: 10 · 2024: 13 · 2023: 14 · 2022: 4 · 2021: 35 · 2020: 51 · 2019: 21 · 2018: 26 · 2017: 26 · 2016: 36 · 2015: 42 · 2014: 37 · 2013: 38 · 2012: 37
- FWCI
- 24.14
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Addiction (publishedVersion)
- PubMed Central (publishedVersion, public-domain)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
- Keywords
- alcoholism, remission, abstinence, alcohol treatment, predictors of recovery, marital status, personality disorders, age of onset, college attendance, gender differences, alcohol dependence severity, NESARC
- MeSH terms
- Adolescent, Adult, Aged, Alcoholism, Epidemiologic Methods, Female, Humans, Male, Middle Aged, Recurrence, Remission, Spontaneous, Temperance, United States, Diagnostic and Statistical Manual of Mental Disorders
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