Does Alcoholics Anonymous work differently for men and women? A moderated multiple-mediation analysis in a large clinical sample

Drug and Alcohol Dependence

Volumn 130, Issue 1-3, 2013, Pages 186-193

  Kelly, John F ^a   Hoeppner, Bettina B ^a  

^a MASSACHUSETTS GENERAL HOSPITAL   (United States)

Author keywords

12 Step; Addiction treatment; Alcoholics Anonymous; Gender; Recovery; Women

Indexed keywords

ADULT; ALCOHOLICS ANONYMOUS; ALCOHOLISM; ARTICLE; COGNITIVE THERAPY; COHORT ANALYSIS; CONTROLLED STUDY; DEPRESSION; FEMALE; HUMAN; MAJOR CLINICAL STUDY; MALE; PRIORITY JOURNAL; RELIGION; SEX DIFFERENCE; SOCIAL ASPECT; SOCIAL NETWORK; TREATMENT RESPONSE;

ADULT; ALCOHOLICS ANONYMOUS; ALCOHOLISM; COGNITIVE THERAPY; COHORT STUDIES; FEMALE; HUMANS; MALE; MIDDLE AGED; MOTIVATIONAL INTERVIEWING; SEX FACTORS; TEMPERANCE; TREATMENT OUTCOME;

EID: 84877034352     PISSN: 03768716     EISSN: 18790046     Source Type: Journal    
DOI: 10.1016/j.drugalcdep.2012.11.005     Document Type: Article

References (59)

1. Alcoholics Anonymous Alcoholics Anonymous: The Story of How Thousands of Men and Women have Recovered from Alcoholism 1939, Alcoholics Anonymous World Services, New York. 3rd ed.
2. Alcoholics Anonymous Twelve Steps and Twelve Traditions 1952, Alcoholics Anonymous World Services, New York.
3. Alcoholics Anonymous 2011 Membership Survey 2012, Alcoholics Anonymous World Services, New York.
4. Beck A.T., Steer R., Garbin M. Psychometric properties of the Beck Depression Inventory: twenty-five years of evaluation. Clin. Psychol. Rev. 1988, 8:77-100.
5. Beck A.T., Ward C.H., Mendelson M., Mock J., Erbaugh J. An inventory for measuring depression. Arch. Gen. Psychiatry 1961, 4:561-571.
6. Blonigen D.M., Timko C., Finney J.W., Moos B.S., Moos R.H. Alcoholics Anonymous attendance, decreases in impulsivity and drinking and psychosocial outcomes over 16 years: moderated-mediation from a developmental perspective. Addiction 2011, 106:2167-2177.
7. Bohart A.C., Tallman K. How Clients Make Therapy Work: The Process of Active Self-healing 1999, American Psychological Association, Washington, DC.
8. Bouchery E.E., Harwood H.J., Sacks J.J., Simon C.J., Brewer R.D. Economic costs of excessive alcohol consumption in the U.S. 2006. Am. J. Prev. Med. 2011, 41:516-524.
9. Centers for Disease Control and Prevention, 2012. Binge Drinking. Vital Signs. Retrieved from: http://www.cdc.gov/vitalsigns/bingedrinking/.
10. Cha Y. Reinforcing separate spheres: the effect of spousal overwork on men's and women's employment in dual-earner households. Am. Sociol. Rev. 2010, 75:303-329.
11. Clifford P.R., Longabaugh R. Manual for the Administration of the Important People and Activities Instrument: Adapted for use by Project MATCH for NIAAA 5R01AA06698-05 1991, Center for Alcohol and Addiction Studies, Brown University, Providence.
12. Connors G.J., Tonigan J.S., Miller W.R. Measure of religious background and behavior for use in behavior change research. Psychol. Addict. Behav. 1996, 10:90-96.
13. Del Boca F.K., Mattson M.E. The gender matching hypothesis. Project MATCH Hypotheses: Results and Causal Chain Analysis. Project MATCH Monograph Series 2001, vol. 8. National Institute on Alcohol Abuse and Alcoholism, Bethesda, MD.
14. DiClemente C.C., Carbonari J.P., Montgomery R.P., Hughes S.O. The Alcohol Abstinence Self-Efficacy scale. J. Stud. Alcohol 1994, 55:141-148.
15. Humphreys K. Circles of Recovery: Self-help Organizations for Addictions 2004, Cambridge University Press, Cambridge.
16. Humphreys K., Mavis B., Stofflemayr B. Are twelve step programs appropriate for disenfranchised groups?. Mutual Aid and Mutual Aid Groups: International and Multicultural Perspectives 1994, Haworth Press, New York. F. Lavoie, T. Borkman, B. Gidron (Eds.).
17. Kadden, R.M., Carroll, K.M., Donovan, D., Cooney, N., Monti, P., Abrams, D., Litt, M., Hester, R., 1992. Cognitive-behavioral coping skills therapy manual: a clinical research guide for therapists treating individuals with alcohol abuse and dependence. Project MATCH Monograph Series, 4 (DHHS Publication No. (ADM) 92-1895).
18. Kaskutas L.A., Ye Y., Greenfield T.K., Witbrodt J., Bond J. Epidemiology of Alcoholics Anonymous participation. Recent Dev. Alcohol. 2008, 18:261-282.
19. Kazdin A.E., Nock M.K. Delineating mechanisms of change in child and adolescent therapy: methodological issues and research recommendations. J. Child Psychol. Psychiatry 2003, 44:1116-1129.
20. Kelly J.F., Hoeppner B.B., Stout R.L., Pagano M. Determining the relative importance of the mechanisms of behavior change within Alcoholics Anonymous: a multiple mediator analysis. Addiction 2012, 107:289-299.
21. Kelly J.F., Magill M., Stout R.L. How do people recover from alcohol dependence? A systematic review of the research on mechanisms of behavior change in Alcoholics Anonymous. Addict. Res. Theory 2009, 17:236-259.
22. Kelly J.F., Stout R.L., Magill M., Tonigan J.S. The role of Alcoholics Anonymous in mobilizing adaptive social network changes: a prospective lagged mediational analysis. Drug Alcohol Depend. 2011, 114:119-126.
23. Kelly J.F., Stout R.L., Magill M., Tonigan J.S., Pagano M.E. Mechanisms of behavior change in alcoholics anonymous: does Alcoholics Anonymous lead to better alcohol use outcomes by reducing depression symptoms?. Addiction 2010, 105:626-636.
24. Kelly J.F., White W.L. Broadening the base of addiction mutual-help group organizations. J. Groups Addict. Recover. 2012, 7:82-101.
25. Kelly J.F., Yeterian J.D. Mutual-help groups. Evidence-based Adjunctive Treatments 2008, Elsevier, New York. W. O'Donohue, J.A. Cunningham (Eds.).
26. Krentzman A.R., Brower K.J., Cranford J.A., Bradley J.C., Robinson E.A.R. Gender and extroversion as moderators of the association between Alcoholics Anonymous and sobriety. J. Stud. Alcohol Drugs 2012, 73:44-52.
27. Kuntsche S., Knibbe R., Kuntsche E., Gmel G. Housewife or working mum - each to her own? The relevance of societal factors in the association between social roles and alcohol use among mothers in 16 industrialized countries. Addiction 2011, 106:1925-1932.
28. Kuntsche S., Knibbe R.A., Gmel G. Social roles and alcohol consumption: a study of 10 industrialised countries. Soc. Sci. Med. 2009, 68:1263-1270.
29. Mackinnon D.P. Introduction to Statistical Mediation Analysis 2008, Taylor & Francis Group/Lawrence Erlbaum Associates, New York.
30. Mackinnon D.P., Lockwood C.M., Williams J. Confidence limits for the indirect effect: distribution of the product and resampling methods. Multivar. Behav. Res. 2004, 39:99.
31. Maier W., Gansicke M., Gater R., Rezaki M., Tiemens B., Urzua R.F. Gender differences in the prevalence of depression: a survey in primary care. J. Affect. Disord. 1999, 53:241-252.
32. Miller W.R., Del Boca F.K. Measurement of drinking behavior using the Form 90 family of instruments. J. Stud. Alcohol. Suppl. 1994, 12:112-118.
33. Miller W.R., Zweben A., DiClemente C.C., Rychtarik R.G. Motivational Enhancement Therapy Manual: A Clinical Research Guide for Therapists Treating Individuals with Alcohol Abuse and Dependence 1992, National Institute on Alcohol Abuse and Alcoholism, Rockville, MD.
34. Moos R.H., Moos B.S., Timko C. Gender, treatment and self-help in remission from alcohol use disorders. Clin. Med. Res. 2006, 4:163-174.
35. Muller D., Judd C.M., Yzerbyt V.Y. When moderation is mediated and mediation is moderated. J. Pers. Soc. Psychol. 2005, 89:852-863.
36. Nolen-Hoeksema S. Gender differences in risk factors and consequences for alcohol use and problems. Clin. Psychol. Rev. 2004, 24:981-1010.
37. Twelve-Step Facilitation Therapy Manual: A Clinical Research Guide for Therapists Treating Individuals with Alcohol Abuse and Dependence 1992, vol. 4. National Institute on Alcohol Abuse and Alcoholism, Rockville, MD.
38. Office of National Drug Control Policy, 2011. National Drug Control Strategy. Washington, DC.
39. Owen P.L., Slaymaker V., Tonigan J.S., McCrady B.S., Epstein E.E., Kaskutas L.A., Humphreys K., Miller W.R. Participation in Alcoholics Anonymous: intended and unintended change mechanisms. Alcohol. Clin. Exp. Res. 2003, 27:524-532.
40. Paradis C. Parenthood, drinking locations and heavy drinking. Soc. Sci. Med. 2011, 72:1258-1265.
41. Piccinelli M., Wilkinson G. Gender differences in depression. Critical review. Br. J. Psychiatry 2000, 177:486-492.
42. Potenza M.N., Hong K.I., Lacadie C.M., Fulbright R.K., Tuit K.L., Sinha R. Neural correlates of stress-induced and cue-induced drug craving: influences of sex and cocaine dependence. Am. J. Psychiatry 2012, 169:406-414.
43. Powell T.J. Self-help Organizations and Professional Practice 1987, NASW Press, Silver Spring, MD.
44. Preacher K.J., Hayes A.F. Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behav. Res. Methods 2008, 40:879-891.
45. Project MATCH Research Group Project MATCH (Matching Alcoholism Treatment to Client Heterogeneity): rationale and methods for a multisite clinical trial matching patients to alcoholism treatment. Alcohol. Clin. Exp. Res. 1993, 17:1130-1145.
46. Project MATCH Research Group Matching alcoholism treatments to client heterogeneity: Project MATCH posttreatment drinking outcomes. J. Stud. Alcohol 1997, 58:7-29.
47. Schafer J.L., Graham J.W. Missing data: our view of the state of the art. Psychol. Methods 2002, 7:147-177.
48. Selig, J.P., Preacher, K.J., 2008. Monte Carlo method for assessing mediation: an interactive tool for creating confidence intervals for indirect effects [Computer software]. Available from http://quantpsy.org/.
49. Sobel M.E. Some new results on indirect effects and their standard errors in covariance structure models. Sociological Methodology 1986 1986, 159-186. American Sociological Association, Washington, DC. N. Tuma (Ed.).
50. Sobel M.E. Asymptotic confidence intervals for indirect effects in structural equations models. Sociological Methodology 1982 1982, 290-312. Jossey-Bass, San Francisco. S. Leinhart (Ed.).
51. Timko C., Moos R.H., Finney J.W., Connell E.G. Gender differences in help-utilization and the 8-year course of alcohol abuse. Addiction 2002, 97:877-889.
52. U.S. Department of Justice, 2011. The Economic Impact of Illicit Drug Use on American Society. Washington, DC.
53. UK Drug Strategy Reducing Demand, Restricting Supply, Building Recovery: Supporting People to Live a Drug-free Life 2010, HM Government, London.
54. Weich S., Sloggett A., Lewis G. Social roles and gender difference in the prevalence of common mental disorders. Br. J. Psychiatry 1998, 173:489-493.
55. Wilsnack R., Wilsnack S. Gender and Alcohol: Individual and Social Perspectives 1997, Rutgers Center of Alcohol Studies, Rutgers. 3rd ed.
56. Witbrodt J., Delucchi K. Do women differ from men on alcoholics anonymous participation and abstinence? A multi-wave analysis of treatment seekers. Alcohol. Clin. Exp. Res. 2011, 35:2231-2241.
57. Witbrodt J., Romelsjo A. Gender differences in mutual-help attendance one year after treatment: Swedish and U.S. samples. J. Stud. Alcohol Drugs 2010, 71:125-135.
58. Yung Y.F. Testing and contrasting mediation or indirect effects in SEM: an analytic approach and its implementation. Paper Presented at the 73rd Annual Meeting of the Psychometric Society 2008.
59. Zemore S.E. A role for spiritual change in the benefits of 12-step involvement. Alcohol. Clin. Exp. Res. 2007, 31(Suppl. 10):76s-79s.