Does diagnosis matter? Differential effects of 12-step participation and social networks on abstinence

American Journal of Drug and Alcohol Abuse

Volumn 31, Issue 4, 2005, Pages 685-707

  Witbrodt, Jane ^a   Kaskutas, Lee Ann ^a  

^a ALCOHOL RESEARCH GROUP   (United States)

Author keywords

12 step activities; 12 step involvement; Abstinence; Alcohol dependence disorder; Alcoholics Anonymous; Cocaine Anonymous; Drug dependence disorder; DSM III R disorders; Friendship networks; Narcotics Anonymous; Polysubstance use disorder; Social networks

Indexed keywords

ALCOHOL; NARCOTIC AGENT;

ADULT; ALCOHOL ABSTINENCE; ALCOHOL ABUSE; ALCOHOLICS ANONYMOUS; ARTICLE; AUTOMATION; CHI SQUARE DISTRIBUTION; DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS; DRINKING BEHAVIOR; DRUG DEPENDENCE TREATMENT; FEMALE; FOLLOW UP; GROUP PSYCHOLOGY; HUMAN; MAJOR CLINICAL STUDY; MALE; MULTIVARIATE ANALYSIS; REGRESSION ANALYSIS; SOCIAL ADAPTATION;

ADOLESCENT; ADULT; ALCOHOLICS ANONYMOUS; ALCOHOLISM; BEHAVIOR THERAPY; FEMALE; FOLLOW-UP STUDIES; HUMANS; MALE; MIDDLE AGED; SOCIAL SUPPORT; SUBSTANCE-RELATED DISORDERS; TEMPERANCE;

EID: 27944471753     PISSN: 00952990     EISSN: None     Source Type: Journal    
DOI: 10.1081/ADA-68486     Document Type: Article

References (46)

1. Emrick CD, Tonigan JS, Montgomery H, Little L. Alcoholics Anonymous: what is currently known? In: McCrady BS, Miller WR, eds. Research on Alcoholics Anonymous: Opportunities and Alternatives. New Brunswick, NJ: Rutgers Center of Alcohol Studies, 1993:41-78.
2. Tonigan JS, Toscova R, Miller WR. Meta-analysis of the literature on Alcoholics Anonymous: sample and study characteristics moderate findings. J Stud Alcohol 1996; 57(1):65-72.
3. Tonigan JS, Miller WR, Connors GJ. Project MATCH client impressions about Alcoholics Anonymous: measurement issues and relationship to treatment outcomes. Alcohol Treat Q 2000; 18(1):25-41.
4. Ouimette PC, Moos RH, Finney JW. Influence of outpatient treatment and 12-step group involvement on one-year substance abuse treatment outcomes. J Stud Alcohol 1998; 59:513-522.
5. Morgenstern J, Labouvie E, McCrady BS, Kahler CW, Frey RM. Affiliation with Alcoholics Anonymous following treatment: a study of its therapeutic effects and mechanisms of action. J Consult Clin Psychol 1997; 65(5):768-777.
6. Timko C, Moos RH, Finney JW, Lesar MD. Long-term outcomes of alcohol use disorders: comparing untreated individuals with those in Alcoholics Anonymous and formal treatment. J Stud Alcohol 2000; 61(4):529-540.
7. Tonigan JS. Benefits of Alcoholics Anonymous attendance: replication of findings between clinical research sites in Project MATCH. Alcohol Treat Q 2001; 19(1):67-78.
8. Owen PL, Slaymaker V, Tonigan JS, McCrady BS, Epstein EE, Kaskutas LA, Humphreys K, Miller WR. Participation in Alcoholics Anonymous: intended and unintended change mechanisms. Alcohol Clin Exp Res 2003; 27(3):524-532.
9. Tonigan JS, Miller WR, Chavez R, Porter N, Worth L, Westphal V, Carroll L, Repa K, Martin A, Tracy LA. AA participation 10-years after Project MATCH treatment: preliminary findings. Presentation abstract, Research Society on Alcoholism. Alcohol Clin Exp Res 2002; 26(suppl 5):42A.
10. Gilbert FS. Development of a "Steps Questionnaire." J Stud Alcohol 1991; 52(4):353-360.
11. Tonigan JS, Connors GJ, Miller WR. The Alcoholics Anonymous Involvement Scale (AAI): reliability and norms. Psychol Addict Behav 1996; 10(2):75-80.
12. Humphreys K, Kaskutas LA, Weisner C. The Alcoholics Anonymous Affiliation Scale: development, reliability, and norms for diverse treated and untreated populations. Alcohol Clin Exp Res 1998; 22(5):974-978.
13. Morgenstern J, Kahler CW, Frey RM, Labouvie E. Modeling therapeutic response to 12-step treatment: optimal responders, non-responders, and partial responders. J Subst Abuse 1996; 8(1):45-59.
14. Kingree JB. Measuring affiliation with 12-step groups. Subst Use Misuse 1997; 32(2):181-194.
15. Snow MG, Prochaska JO, Rossi JS. Processes of change in Alcoholics Anonymous: maintenance factors in long-term sobriety. J Stud Alcohol 1994; 55:362-371.
16. McCrady B, Morgenstern J, Epstein E. Beliefs, behavior and the bottom line: Alcoholics Anonymous and the outcomes of treatment. Research Society on Alcoholism, Annual Meeting, Hilton Head, SC, 1998.
17. Beattie M. Meta-analysis of social relationships and posttreatment drinking outcomes: comparison of relationship structure, function and quality. J Stud Alcohol 2001; 62:518-527.
18. Broome KM, Simpson DD, Joe GW. The role of social support following short-term inpatient treatment. Am J Addict 2002; 11:57-65.
19. Humphreys K, Noke JM. The influence of post treatment mutual help group participation on the friendship networks of substance abuse patients. Am J Community Psychol 1997; 25(1):1-16.
20. Kaskutas LA, Bond J, Humphreys K. Social networks as mediators of the effect of Alcoholics Anonymous. Addiction 2002; 97(7):891-900.
21. Humphreys K, Mankowski ES, Moos RH, Finney JW. Do enhanced friendship networks and active coping mediate the effect of self-help groups on substance abuse? Ann Behav Med 1999; 21:54-60.
22. Bond J, Kaskutas LA, Weisner C. The persistent influence of social networks and Alcoholics Anonymous on abstinence. J Stud Alcohol 2003; 64(4):579-588.
23. Project MATCH Research Group. Matching alcoholism treatment to client heterogeneity: Project MATCH posttreatment drinking outcomes. J Stud Alcohol 1997; 58(1):7-29.
24. Weisner C, Ray GT, Mertens J, Satre DD, Moore C. Short-term alcohol and drug treatment outcomes predict long-term outcome. Drug Alcohol Depend 2003; 71:281-294.
25. Florentine R. After drug treatment: are 12-step programs effective in maintaining abstinence? Am J Drug Alcohol Abuse 1999; 25(1):93-116.
26. Kaskutas LA, Witbrodt J, French MT. Outcomes and costs of day hospital treatment and nonmedical day treatment for chemical dependency. J Stud Alcohol 2004; 65(3):371-382.
27. Kaskutas LA, Zhang L, French MT, Witbrodt J. Women's Programs vs. Mixed-Gender Day Treatment: Results from a Randomized Study [ARG F516]. Alcohol Research Group, Public Health Institute: Berkeley, CA, 2004.
28. Kaskutas LA, Graves K, Witbrodt J. A Comparison of Services Received by Clients Attending Chemical Dependency Day Treatment Programs in Community and Hospital Settings [ARG F508]. Alcohol Research Group, Public Health Institute: Berkeley, CA, 2003.
29. Stout RL, Wirtz PW, Carbonari JP, Del Boca FK. Ensuring balanced distribution of prognostic factors in treatment outcome research. J Stud Alcohol 1994; (suppl 12):70-75.
30. Marcus SC, Robins LN, Bucholz KK, Przybeck TR. Diagnostic Interview Schedule Screening Interview (DISSI). Washington University Department of Psychiatry, 1989.
31. Bucholz KK, Marion SL, Shayka JJ, Marcus SC. A short computer interview for obtaining psychiatric diagnoses. Psychiatr Serv 1996; 47:293-297.
32. Miller NS. Treatment efficacy. In: Miller NS, Gold MS, Smith DE, eds. Manual of Therapeutics for Addictions. New York: Wiley-Liss, 1997:301-312.
33. Owen P, Marlatt GA. Should abstinence be the goal for alcohol treatment? Am J Addict 2001; 10(4):289-295.
34. Humphreys K, Kaskutas LA, Weisner C. The relationship of pretreatment Alcoholics Anonymous affiliation with problem severity, social resources, and treatment history. Drug Alcohol Depend 1998; 49:123-131.
35. McLellan AT, Alterman AI, Cacciola J, Metzger D, O'Brien CP. A new measure of substance abuse treatment: initial studies of the treatment services review. J Nerv Ment Dis 1992; 180(2):101-110.
36. Kaskutas LA, Weisner C, Lee M, Humphreys K. Alcoholics Anonymous affiliation at treatment intake among White and Black Americans. J Stud Alcohol 1999; 60(6):810-816.
37. Humphreys K, Mavis BE, Stoffelmayr BE. Are twelve step programs appropriate for disenfranchised groups? Evidence from a study of posttreatment mutual help involvement. Prev Hum Serv 1994; 11(1):165-179.
38. Humphreys K, Mavis BE, Stöffelmayr BE. Factors predicting attendance at self-help groups after substance abuse treatment: preliminary findings. J Consult Clin Psychol 1991; 59:591-593.
39. Shen Q, McLellan AT, Merrill JC. Client's perceived need for treatment and its impact on outcome. Subst Abuse 2000; 21(3):179-192.
40. SPSS Inc. The CHAID Manual for SPSS for Windows. SPSS Inc.: Chicago, 1993.
41. Zemore SE, Kaskutas LA, Ammon LN. In twelve-step groups, helping helps the helper. Addiction 2004; 99:1015-1023.
42. Zemore SE, Kaskutas LA. Helping, spirituality, and AA in recovery. J Stud Alcohol 2004; 65(3):383-391.
43. Kaskutas LA, Turk N, Bond J, Weisner C. The role of religion, spirituality and Alcoholics Anonymous in sustained sobriety. Alcohol Treat Q 2003; 21(1):1-16.
44. Christo G, Franey C. Drug user's spiritual beliefs, locus of control and the disease concept in relation to narcotics anonymous attendance and six-month outcomes. Drug Alcohol Depend 1995; 38:51-56.
45. Wells EA, Peterson PL, Gainey RR, Hawkins JD, Catalano RF. Outpatient treatment for cocaine abuse: a controlled comparison of relapse prevention and Twelve-Step approaches. Am J Drug Alcohol Abuse 1994; 20(1):1-17.
46. Zywiak WH, Longabaugh R, Wirtz PW. Decomposing the relationships between pretreatment social network characteristics and alcohol treatment outcome. J Stud Alcohol 2002; 63(1):114-121.