Protective resources and long-term recovery from alcohol use disorders.

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.

Research; Moos RH, Moos BS. Protective resources and long-term recovery from alcohol use disorders. Drug Alcohol Depend. 2007 Jan 5;86(1):46-54.
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