Do Adolescents Affiliate with 12 Step Groups? A Multivariate Process Model of Effects.

Research with adolescents has revealed good effects for 12-step attendance on substance use outcomes, but no studies have examined the effects of 12-step affiliation, or active involvement, beyond simple measures of attendance.

Prior research with adults has shown that measures of affiliation are more predictive than measures of attendance.

This study (1) assessed attributes that may influence 12-step attendance and affiliation; (2) tested whether 12-step affiliation in the first 3 months posttreatment possessed unique predictive power above that attributable to attendance alone; and (3) examined the extent to which motivation, coping and self-efficacy measured at 3 months mediated the relation between 12-step affiliation and substance use outcome in the ensuing 3 months.

Adolescent inpatients (N = 74, 62% female), who were aged 14-18 years (mean [SD] ? 15.9 [1.19] years), were interviewed during treatment and at 3 and 6 months post-discharge.

More severely substance-involved youth were more motivated for abstinence and more likely to attend and affiliate with 12-step groups.

A high degree of collinearity between 12-step attendance and affiliation suggested that those attending were also likely to be those actively involved.

Motivation was found to influence the relationship between 12-step affiliation and future substance use outcome.

Given the widespread treatment recommendations for adolescent 12-step involvement, more study is needed to determine what kinds and what aspects of 12-step groups and fellowships are helpful to adolescent change efforts and what alternatives should be developed.

Research; JOHN F. KELLY, MARK G. MYERS, and SANDRA A. BROWN. Do Adolescents Affiliate with 12 Step Groups? A Multivariate Process Model of Effects. J Stud Alcohol. 2002 May; 63(3): 293–304.
    Alcohol Problems in Adolescents and Young Adults: Epidemiology. Neurobiology. Prevention. Treatment (Recent Developments in Alcoholism)
by Marc, Ed. Galanter

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