ArticleDrug and alcohol dependence2012
Ten-year stability of remission in private alcohol and drug outpatient treatment: non-problem users versus abstainers.
Article in Drug and alcohol dependence, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
18 citing papers in PubMed, 31 citations in OpenAlex.
- Collaborative Care for Opioid and Alcohol Use Disorders in Primary Care: The SUMMIT Randomized Clinical Trial.JAMA internal medicine · 2017Trial
- Posttreatment Low-Risk Drinking as a Predictor of Future Drinking and Problem Outcomes Among Individuals with Alcohol Use Disorders: A 9-Year Follow-Up.Alcoholism, clinical and experimental research · 2017Trial
- Profiles of confidence and commitment to change as predictors of moderated drinking: a person-centered approach.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2014Trial
- A 6-Month Follow-Up Study: Cognitive Impairment May Predict More Frequent Use of Methamphetamine.Substance abuse : research and treatment · 2023Article
- [Effect of clinical characteristics on relapse of alcohol dependence: a prospective cohort study].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2019Article
- Acceptability of nonabstinent treatment outcome goals among addiction treatment providers in Ukraine.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2018Article
- Factors Associated with Sustained Remission among Chronic Opioid Users.Addiction & health · 2018Article
- Familial association of abstinent remission from alcohol use disorder in first-degree relatives of alcohol-dependent treatment-seeking probands.Addiction (Abingdon, England) · 2017Article
- American counselors' acceptance of non-abstinence outcome goals for clients diagnosed with co-occurring substance use and other psychiatric disorders.Journal of substance abuse treatment · 2017Article
- Trajectories of remission and mortality over 13 years after intake to substance use treatment.The American journal of drug and alcohol abuse · 2017Article
- Stressful Events and Other Predictors of Remission from Drug Dependence in the United States: Longitudinal Results from a National Survey.Journal of substance abuse treatment · 2016Article
- Treatment outcome, treatment retention, and their predictors among clients of five outpatient alcohol treatment centres in Switzerland.BMC public health · 2016Article
- The Relationship Between End-of-Treatment Alcohol Use and Subsequent Healthcare Costs: Do Heavy Drinking Days Predict Higher Healthcare Costs?Alcoholism, clinical and experimental research · 2016Article
- Rationale and Applications of Survival Tree and Survival Ensemble Methods.Psychometrika · 2015Article
- Alcohol use disorder clinical course research: informing clinicians' treatment planning now and in the future.Journal of studies on alcohol and drugs · 2014Review
- Time to relapse following treatment for methamphetamine use: a long-term perspective on patterns and predictors.Drug and alcohol dependence · 2014Article
- Article
- The Recovery from Alcohol Consumption: Analysis of the Construct of Relapse.International journal of psychological researchReview
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundThis study examined stability of remission in patients who were abstainers and non-problem users at 1-year after entering private, outpatient alcohol and drug treatment. We examined: (a) How does risk of relapse change over time? (b) What was the risk of relapse for non-problem users versus abstainers? (c) What individual, treatment, and extra-treatment characteristics predicted time to relapse, and did these differ by non-problem use versus abstinence?
methodsThe sample consisted of 684 adults in remission (i.e., abstainers or non-problem users) 1 year following treatment intake. Participants were interviewed at intake, and 1, 5, 7, 9, and 11 years after intake. We used discrete-time survival analysis to examine when relapse is most likely to occur and predictors of relapse.
resultsRelapse was most likely at 5-year, and least likely at 11-year follow-up. Non-problem users had twice the odds of relapse compared to abstainers. Younger individuals and those with fewer 12-step meetings and shorter index treatment had higher odds of relapse than others. We found no significant interactions between non-problem use and the other covariates suggesting that significant predictors of outcome did not differ for non-problem users.
conclusionsNon-problem use is not an optimal 1-year outcome for those in an abstinence-oriented, heterogeneous substance use treatment program. Future research should examine whether these results are found in harm reduction treatment and self-help models, or in those with less severe problems. Results suggest treatment retention and 12-step participation are prognostic markers of long-term positive outcomes for those achieving remission at 1 year.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.