Protective resources and long-term recovery from alcohol use disorders

Drug Alcohol Depend. 2007 Jan 5;86(1):46-54. doi: 10.1016/j.drugalcdep.2006.04.015.

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.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adaptation, Psychological
  • Adolescent
  • Adult
  • Aged
  • Alcoholics Anonymous
  • Alcoholism / epidemiology
  • Alcoholism / rehabilitation*
  • Convalescence*
  • Depression / epidemiology
  • Depression / psychology
  • Family / psychology
  • Female
  • Health Resources / organization & administration*
  • Humans
  • Male
  • Mental Health Services / organization & administration*
  • Middle Aged
  • Psychological Theory
  • Remission Induction
  • Self Efficacy
  • Social Control, Formal
  • Social Support*
  • Time Factors