Journal of Substance Abuse Treatment
Volume 38, Issue 1 , Pages 42-50 , January 2010

Early recovery from alcohol dependence: Factors that promote or impede abstinence

  • Dara A. Charney, M.D.

      Affiliations

    • Addictions Unit, McGill University Health Centre, Montreal, Canada
    • Department of Psychiatry, McGill University, Montreal, Canada
    • Corresponding Author InformationCorresponding author. Addictions Unit, McGill University Health Centre, 1547 Pine Avenue West, Montreal, Canada, QC H3G 1B3. Tel.: +1 514 934 8311; fax: +1 514 934 8262.
    • ,
  • Eugenia Zikos, M.D.

      Affiliations

    • Department of Psychiatry, McGill University, Montreal, Canada
    • ,
  • Kathryn J. Gill, Ph.D.

      Affiliations

    • Addictions Unit, McGill University Health Centre, Montreal, Canada
    • Department of Psychiatry, McGill University, Montreal, Canada

Received 9 October 2008 ,Revised 20 April 2009 ,Accepted 22 June 2009.

References 

  1. Alterman AI, Brown LS, Zaballero A, McKay JR. Interviewer severity ratings and composite scores of the ASI—A further look. Drug and Alcohol Dependence. 1994;34:201–209
  2. Armor DJ, Meshkoff JE. Remission among treated and untreated alcoholics. Advances in Substance Abuse. 1983;3:239–269
  3. Barratt ES, Patton JH. Impulsivity: Cognitive, behavioral, and psychophysiological correlates. In:  Zuckerman M editors. Biological basis of sensation-seeking, impulsivity and anxiety. Hillsdale, NJ: Lawrence Erlbaum Associates; 1983;p. 77–116
  4. Beattie MC, Longabaugh R. Interpersonal factors and post-treatment drinking and subjective well-being. Addiction. 1997;92:1507–1521
  5. Beck AT, Steer RA. Beck depression inventory. New York: Harcourt Brace; 1987;
  6. Beck AT, Steer RA. Beck anxiety inventory manual. San Antonio: The Psychological Corporation Harcourt Brace & Company; 1993;
  7. Booth BM, Curran GM, Han X. Predictors of short-term course of drinking in untreated rural and urban at-risk drinkers: Effects of gender, illegal drug use and psychiatric comorbidity. Journal of Studies on Alcohol. 2004;65:63–73
  8. Brewer DD, Catalano RF, Haggerty K, Gainey RR, Fleming CB. A meta-analysis of predictors of continued drug use during and after treatment for opiate addiction. Addiction. 1998;93:73–92
  9. Brown TG, Seraganian P, Tremblay J. Alcohol and cocaine abusers six months after traditional treatment: Do they fare as well as problem drinkers?. Journal of Substance Abuse Treatment. 1993;10:545–552
  10. Charney DA, Palacios-Boix J, Negrete JC, Dobkin PL, Gill KJ. Association between concurrent depression and anxiety and six-month outcome of addiction treatment. Psychiatric Services. 2005;56:927–933
  11. Charney DA, Paraherakis AM, Gill KJ. Integrated treatment of comorbid depression and substance use disorders. Journal of Clinical Psychiatry. 2001;62:672–677
  12. Ciraulo DA, Piechniczek-Buczek J, Iscan EN. Outcome predictors in substance use disorders. Psychiatry Clinics of North America. 2003;26:381–409
  13. Curran GM, Booth BM. Longitudinal changes in predictor profiles of abstinence from alcohol use among male veterans. Alcoholism: Clinical and Experimental Research. 1999;23:141–143
  14. Davidson KM, Blackburn IM. Co-morbid depression and drinking outcome in those with alcohol dependence. Alcohol and Alcoholism. 1998;33:482–487
  15. Dawson DA, Grant BF, Stinson FS, Chou PS, Boji H, Ruan WJ. Recovery from DSM-IV alcohol dependence: United States, 2001–2002. Addiction. 2005;100:281–292
  16. Derogatis L. Symptom Checklist-90 (revised): Administration, scoring and procedures manual II. Towson, MD: Clinical Psychometrics Research; 1992;
  17. Dom G, Hulstijn W, Sabbe B. Differences in impulsivity and sensation seeking between early- and late-onset alcoholics. Addictive Behaviors. 2006;31:298–308
  18. Driessen M, Meier S, Hill A, Wetterling T, Lange W, Junghanns K. The course of anxiety, depression and drinking behaviours after completed detoxification in alcoholics with and without comorbid anxiety and depressive disorders. Alcohol and Alcoholism. 2001;36:249–255
  19. Finney JW, Moos RH, Timko C. The course of treated and untreated substance use disorders. Remission and resolution, relapse and mortality. In:  McCrady BS,  Epstein EE editor. Addictions: A comprehensive guidebook. New York: Oxford University Press; 1999;p. 30–49
  20. First M, Gibbon M, Spitzer RL, Williams JBW, Benjamin L. User 's guide for the structured clinical interview for DSM-IV personality disorders (SCID-II). Washington DC: American Psychiatric Press; 1997;
  21. First MB, Spitzer RL, Gibbon M, Williams JBW. Structured clinical interview for DSM-IV Axis I disorders—Patient edition. Biometrics Research Department. New York: Psychiatric Institute; 1996;
  22. Gauthier G, Paraherakis A, Gill KJ. Examining factors that may affect dropout in addiction treatment: A look at the assessment and engagement process. Canadian Health Psychologist. 1997;5:40–45
  23. Gordon AJ, Zrull M. Social networks and recovery: One year after inpatient treatment. Journal of Substance Abuse Treatment. 1991;8:143–152
  24. Greenfield SE, Weiss RD, Muenz LR, Vagge LM, Kelly JF, Bello LR, et al. The effect of depression on return to drinking; A prospective study. Archives of General Psychiatry. 1998;55:259–265
  25. Hasin DS, Tsai WY, Endicott J, Mueller TI, Coryell W, Keller M. The effects of major depression on alcoholism; Five-year course. American Journal on Addictions. 1996;5:144–155
  26. Jarvis TJ. Implications of gender for alcohol treatment research: A quantitative and qualitative review. British Journal of Addiction. 1992;87:1249–1261
  27. Krampe H, Wagner T, Stawicki S, Bartels C, Aust C, Kroener-Herwig B, et al. Personality disorder and chronicity of addiction as independent outcome predictors in alcoholism treatment. Psychiatry Services. 2006;57:708–712
  28. Kranzler HR, Del Boca FK, Rounsaville BJ. Comorbid psychiatric diagnosis predicts three-year outcomes in alcoholics; A posttreatment natural history study. Journal of Studies on Alcohol. 1996;57:619–626
  29. Loosen PT, Dew BW, Prange AJ. Long-term predictors of outcome in abstinent alcoholic men. American Journal of Psychiatry. 1990;147:1662–1666
  30. Mammo A, Weinbaum DF. Some patient factors that influence dropping out from outpatient alcoholism treatment. Journal of Studies on Alcoholism. 1993;54:92–101
  31. McLellan AT, Alterman AI, Metzger DS, Grissom GR, Woody GE, Luborsky L, et al. Similarity of outcome predictors across opiate, cocaine, and alcohol treatments: Role of treatment services. Journal of Consulting and Clinical Psychology. 1994;62:1141–1158
  32. Miller WR. Researching the spiritual dimensions of alcohol and other drug problems. Addiction. 1998;93:979–990
  33. Moeller FG, Barratt ES, Dougherty DM, Schmitz JM, Swann AC. Psychiatric aspects of impulsivity. American Journal of Psychiatry. 2001;158:1783–1793
  34. Moeller FG, Dougherty DM, Barratt ES, Schmitz JM, Swann AC, Grabowski J. The impact of impulsivity on cocaine use and retention in treatment. Journal of Substance Abuse Treatment. 2001;21:193–198
  35. Moos RH, Moos BS. Rates and predictors of relapse after natural and treated remission from alcohol use disorders. Addiction. 2006;101:212–222
  36. Moos RH, Moos BS, Finney JW. Predictors of deterioration among patients with substance-use disorders. Journal of Clinical Psychology. 2001;57:1403–1419
  37. Morgenstern J, Langenbucher J, Labouvie E, Miller KJ. The comorbidity of alcoholism and personality disorders in a clinical population: Prevalence rates and relation to alcohol typology variables. Journal of Abnormal Psychology. 1997;106:74–84
  38. Nordholm D, Nielsen B. Personality disorders among Danish alcoholics attending outpatient treatment. European Addiction Research. 2007;13:222–229
  39. Nurnberg HG, Rifkin A, Doddi S. A systematic assessment of the comorbidity of DSM-III-R personality disorders in alcoholic outpatients. Comprehensive Psychiatry. 1993;34:447–454
  40. O'Malley SS, Jaffe AJ, Chang G, Schottenfeld RS, Meyer RE, Rounsaville B. Naltrexone and coping skills therapy for alcohol dependence. Archives of General Psychiatry. 1992;49:881–887
  41. Ornstein P, Cherepon JA. Demographic variables as predictors of alcoholism treatment outcome. Journal of Studies on Alcohol. 1985;46:425–432
  42. Pardini DA, Plante TG, Sherman A, Stump JE. Religious faith and spirituality in substance abuse recovery: Determining the mental health benefits. Journal of Substance Abuse Treatment. 2000;19:347–354
  43. Pettinati HM, Pierce JD, Belden PP, Meyers K. The relationship of Axis II personality disorders to other known predictors of addiction treatment outcome. American Journal of Addiction. 1999;8:136–147
  44. Powell BJ, Landon JF, Cantrell PJ, Penick EC, Nickel EJ, Liskow BI, et al. Prediction of drinking outcomes for male alcoholics after 10 to 14 years. Alcoholism: Clinical and Experimental Research. 1998;22:559–566
  45. Powell G, Peveler R. Nature and prevalence of personality disorders amongst patients receiving treatment for alcohol dependence. Journal of Mental Health. 1996;5:305–314
  46. Preuss UW, Koller G, Barnow S, Eikmeier M, Soyka M. Suicidal behavior in alcohol-dependent subjects: The role of personality disorders. Alcoholism: Clinical and Experimental Research. 2006;30:866–877
  47. Ralevski E, Ball S, Nich C, Limoncelli D, Petrakis I. The impact of personality disorders on alcohol use outcomes in a pharmacotherapy trial for alcohol dependence and comorbid Axis I disorder. American Journal of Addiction. 2007;16:443–449
  48. Rounsaville BJ, Dolinsky ZS, Babor TF, Meyer RE. Psychopathology as a predictor of treatment outcome in alcoholics. Archives of General Psychiatry. 1987;44:505–513
  49. Ryan RM, Plant RW, O'Malley S. Initial motivations for alcohol treatment—Relations with patient characteristics, treatment involvement, and dropout. Addiction Behavior. 1995;20:279–297
  50. Schuckit MA. The clinical implications of primary diagnostic groups among alcoholics. American Journal of Psychiatry. 1985;142:1043–1049
  51. Sellman JD, Joyce PR. Does depression predict relapse in the months following treatment for men with alcohol dependence?. Australian & New Zealand Journal of Psychiatry. 1996;30:573–578
  52. Stark MJ. Dropping out of substance abuse treatment: A clinically oriented review. Clinical Psychological Review. 1992;12:93–116
  53. Toumbouro JW, Hamilton M, Fallon B. Treatment level progress and time spent in treatment in prediction of outcomes following drug-free therapeutic community treatment. Addiction. 1998;93:1051–1064
  54. Tucker JA, Vuchinich RE, Pukish MM. Molar environmental contexts surrounding recovery from alcohol problems by treated and untreated problem drinkers. Experimental Clinical Psychopharmacology. 1995;3:195–204
  55. Volpicelli JR, Alterman AI, Hayashida M, O'Brien CP. Naltrexone in the treatment of alcohol dependence. Archives of General Psychiatry. 1992;49:876–880
  56. Vaillant GE. Natural history of addiction and pathways to recovery. In:  Graham AW,  Schultz TK,  Wilford BB editor. Principles of addiction medicine. 2nd ed.. Chevy Chase, MD: American Society of Addiction Medicine, Inc; 1998;p. 295–308
  57. Verheul R, van den Brink W, Hartgers C. Personality disorders predict relapse in alcoholic patients. Addictive Behaviors. 1998;23:869–882
  58. Verheul R, van den Brink W, Koeter MWJ, Hartgers C. Antisocial alcoholic patients show as much improvement at 14-month follow-up as non-antisocial alcoholic patients. American Journal of Addiction. 1999;8:24–33
  59. Wagner T, Krampe H, Stawicki S, Reinhold J, Jahn H, Mahike K, et al. Substantial decrease of psychiatric comorbidity in chronic alcoholics upon integrated outpatient treatment—results of a prospective study. Journal of Psychiatric Research. 2004;38:619–635
  60. Weisner C, Matzger H, Kaskutas LA. How important is treatment? One-year outcomes of treated and untreated alcohol-dependent individuals. Addiction. 2003;98:901–911
  61. Willinger U, Lenzinger E, Hornik K, Fischer G, Schönbeck G, Aschauer HN, et al. Anxiety as a predictor of relapse in detoxified alcohol-dependent patients. Alcohol and Alcoholism. 2002;37:609–612
  62. Wölwer W, Burtscheidt W, Redner C, Schwarz R, Gaebel W. Out-patient behaviour therapy in alcoholism: Impact of personality disorders and cognitive impairments. Acta Psychiatrica Scandinavia. 2001;103:30–37

PII: S0740-5472(09)00096-8

doi: 10.1016/j.jsat.2009.06.002

Journal of Substance Abuse Treatment
Volume 38, Issue 1 , Pages 42-50 , January 2010

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