ArticleAlcoholism, clinical and experimental research2020
Can Alcohol Use Disorder Recovery Include Some Heavy Drinking? A Replication and Extension up to 9 Years Following Treatment.
Article in Alcoholism, clinical and experimental research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- Group behavioral activation with and without a smartphone app in intensive outpatient treatment for substance use disorder: A three-arm randomized controlled trial.Drug and alcohol dependence · 2023Trial
- Individual and Community Social Determinants of Health and Recovery from Alcohol Use Disorder Three Years following Treatment.Journal of psychoactive drugsTrial
- Exploring heterogeneity in recovery from substance use disorder following mindfulness-based relapse prevention: A latent profile analysis.Journal of substance use and addiction treatment · 2025Article
- A behavioral choice analysis of the role of life events during early nonabstinent natural recovery from alcohol use disorder.Experimental and clinical psychopharmacology · 2025Article
- Self-Determined Motivation for Alcohol Use and Drinking Frequency, Intensity, and Consequences.Substance use & misuse · 2025Article
- Pain and unhealthy alcohol use among people living with HIV: A prospective cohort study.Alcohol, clinical & experimental research · 2024Article
- Agreement for Recovery: First Spanish Consensus on the Concept of Alcohol Addiction Recovery.Actas espanolas de psiquiatria · 2024Article
- Assessing NIAAA's Definition of Recovery from Alcohol Use Disorder: A Latent Class Analysis of a Heterogeneous Online Sample.Alcoholism treatment quarterly · 2024Article
- Joint effects of substance use disorders and recent substance use on HIV viral non-suppression among people engaged in HIV care in an urban clinic, 2014-2019.Addiction (Abingdon, England) · 2023Article
- Improving assessment of alcohol treatment barriers among Latino and White adults with an alcohol use disorder: Development of the barriers to specialty alcohol treatment scale.Drug and alcohol dependence · 2023Article
- Constructs derived from the addiction cycle predict alcohol use disorder treatment outcomes and recovery 3 years following treatment.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2023Article
- Multidimensional Quality of Life Across the Spectrum of Alcohol Use Behavior.Psychiatric research and clinical practice · 2022Article
- Barriers to retention in substance use treatment: Validation of a new, theory-based scale.Journal of substance abuse treatment · 2021Article
- An application of moderated nonlinear factor analysis to develop a commensurate measure of alcohol problems across four alcohol treatment studies.Drug and alcohol dependence · 2021Article
- Within-AUD outpatient treatment heavy drinking transitions and associations with long-term outcomes.Drug and alcohol dependence · 2021Article
- Shifts in behavioral allocation patterns as a natural recovery mechanism: Postresolution expenditure patterns.Alcoholism, clinical and experimental research · 2021Article
- Understanding alcohol harm reduction behaviors from the perspective of self-determination theory: A research agenda.Addiction research & theory · 2021Article
- What Is Recovery?Alcohol research : current reviews · 2020Review
- Adaptation and Psychometric Properties of the Electronic Cigarette Dependence Index (ECDI) in a Colombian Sample.International journal of psychological researchArticle
- Can Individuals With Alcohol Use Disorder Sustain Non-abstinent Recovery? Non-abstinent Outcomes 10 Years After Alcohol Use Disorder Treatment.Journal of addiction medicineArticle
Corrections and comments
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Authors and funding
12 authors.
Funding
Abstract
backgroundRecent research indicates some individuals who engage in heavy drinking following treatment for alcohol use disorder fare as well as those who abstain with respect to psychosocial functioning, employment, life satisfaction, and mental health. The current study evaluated whether these findings replicated in an independent sample and examined associations between recovery profiles and functioning up to 6 years later.
methodsData were from the 3-year and 7- to 9-year follow-ups of subsamples initially recruited for the COMBINE study (3-year follow-up: n = 694; 30.1% female, 21.0% non-White; 7- to 9-year follow-up: n = 127; 38.9% female, 27.8% non-White). Recovery at 3 years was defined by latent profile analyses including measures of health functioning, quality of life, employment, alcohol consumption, and cannabis and other drug use. Functioning at the 7- to 9-year follow-up was assessed using single items of self-rated general health, hospitalizations, and alcohol consumption.
resultsWe identified 4 profiles at the 3-year follow-up: (i) low-functioning frequent heavy drinkers (13.9%), (ii) low-functioning infrequent heavy drinkers (15.8%), (iii) high-functioning heavy drinkers (19.4%), and (iv) high-functioning infrequent drinkers (50.9%). At the 7- to 9-year follow-up, the 2 high-functioning profiles had the best self-rated health, and the high-functioning heavy drinking profile had significantly fewer hospitalizations than the low-functioning frequent heavy drinking profile.
conclusionsPrevious findings showing heterogeneity in recovery outcomes were replicated. Most treatment recipients functioned well for years after treatment, and a subset who achieved stable recovery engaged in heavy drinking and reported good health outcomes up to 9 years after treatment. Results question the long-standing emphasis on drinking practices as a primary outcome, as well as abstinence as a recovery criterion in epidemiologic and treatment outcome research and among stakeholder groups and funding/regulatory agencies. Findings support an expanded recovery research agenda that considers drinking patterns, health, life satisfaction, and functioning.
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