Affiliation with Alcoholics Anonymous after treatment: a study of its therapeutic effects and mechanisms of action.

@article{Morgenstern1997AffiliationWA,
  title={Affiliation with Alcoholics Anonymous after treatment: a study of its therapeutic effects and mechanisms of action.},
  author={Jon Morgenstern and Erich W. Labouvie and Barbara S McCrady and Christopher W. Kahler and R M Frey},
  journal={Journal of consulting and clinical psychology},
  year={1997},
  volume={65 5},
  pages={
          768-77
        }
}
Relatively little is known about how substance abuse treatment facilitates positive outcomes. This study examined the therapeutic effects and mechanisms of action of affiliation with Alcoholics Anonymous (AA) after treatment. Patients (N = 100) in intensive 12-step substance abuse treatment were assessed during treatment and at 1- and 6-month follow-ups. Results indicated that increased affiliation with AA predicted better outcomes. The effects of AA affiliation were mediated by a set of common… Expand
Gender Aspects of Affiliation with Alcoholics Anonymous after Treatment
Studies incorporating gender aspects of post-treatment affiliation with Alcoholics Anonymous (AA) have often focused on meeting attendance, disregarding behavioral indicators of affiliation. ThisExpand
Examining the effects of alcoholism typology and AA attendance on self-efficacy as a mechanism of change.
TLDR
Abstinence self-efficacy mediated a modest proportion of the effect of posttreatment AA attendance on later abstinence in both Type-A and Type-B alcoholics, indicating a strong direct relationship to abstinence across treatment conditions and typologies. Expand
Does Alcoholics Anonymous Participation Decrease Learned Helplessness and Increase Self-efficacy?
Alcoholics Anonymous (AA) has long been the major treatment of choice in the United States for individuals with alcohol related problems. Research on AA has had methodological problems and there isExpand
Determining the relative importance of the mechanisms of behavior change within Alcoholics Anonymous: a multiple mediator analysis.
TLDR
While Alcoholics Anonymous facilitates recovery by mobilizing several processes simultaneously, it is changes in social factors which appear to be of primary importance. Expand
Help-seeking careers: connections between participation in professional treatment and Alcoholics Anonymous.
  • R. Moos, B. Moos
  • Psychology, Medicine
  • Journal of substance abuse treatment
  • 2004
TLDR
The findings suggest that referral and alliance processes contribute to a positive association between the duration of an initial episode of treatment and subsequent AA, and then extended participation in AA contributes to better alcohol-related outcomes and reduced need for subsequent treatment. Expand
Participation in treatment and Alcoholics Anonymous: a 16-year follow-up of initially untreated individuals.
TLDR
This study focused on the duration of participation in professional treatment and Alcoholics Anonymous for previously untreated individuals with alcohol use disorders, finding that individuals who obtained 27 weeks or more of treatment in the first year after seeking help had better 16-year alcohol-related outcomes. Expand
Predictors of Membership in Alcoholics Anonymous in a Sample of Successfully Remitted Alcoholics
TLDR
Having more positive views of God and more negative consequences of drinking were significantly associated with AA membership, which can be used by clinicians to identify clients for whom AA might be a good fit, and can help others overcome obstacles to AA or explore alternative forms of abstinence support. Expand
The role of therapeutic alliance in substance use disorder treatment for young adults.
TLDR
Findings clarify a role for alliance in promoting during-treatment changes through reducing distress and suggest older age and higher baseline levels of motivation, self-efficacy, coping skills, and commitment to AA/NA predicted a stronger alliance. Expand
Self-Efficacy as a Factor in Abstinence from Alcohol/Other Drug Abuse: A Meta-Analysis
ABSTRACT Increased self-efficacy or confidence to remain abstinent has been identified as one mechanism explaining behavior change, with investigations of this mechanism occurring most frequently inExpand
Alcoholics Anonymous and 12-step alcoholism treatment programs.
  • K. Humphreys
  • Psychology, Medicine
  • Recent developments in alcoholism : an official publication of the American Medical Society on Alcoholism, the Research Society on Alcoholism, and the National Council on Alcoholism
  • 2003
TLDR
Key content areas for future enquiry include further longitudinal evaluation of the outcomes of participation in AA and 12-step treatment (particularly in outpatient samples); better specification of the aspects of AA that influence outcome; and individual-, community-, and health organization-level controlled studies of the health care cost consequences of 12- step interventions. Expand
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 67 REFERENCES
Examining mediators of change in traditional chemical dependency treatment.
TLDR
Findings do not support prevailing practitioner views regarding how traditional treatment works and suggest that interventions in these treatments may be mismatched to patient needs. Expand
Processes of change in Alcoholics Anonymous: maintenance factors in long-term sobriety.
TLDR
There was a consistent, positive relationship between the use of behaviorally oriented change processes and increased involvement with AA, with current attendees and high affiliates utilizing these particular strategies more frequently than either self-changers, past attendees or the low to medium affiliate groups. Expand
Enhancing substance abuse treatment evaluations: examining mediators and moderators of treatment effects.
  • J. Finney
  • Medicine
  • Journal of substance abuse
  • 1995
TLDR
This article considers ways in which the basic, comparative approach to evaluating treatment for substance abuse is sometimes enhanced, including explaining (identifying mediators of) patient-treatment interaction effects. Expand
Effects of commitment to abstinence, positive moods, stress, and coping on relapse to cocaine use.
TLDR
Results suggest that solidifying abstinence goals and enhancing positive moods may facilitate early abstinence, and use of more coping strategies predicted abstinence for Caucasian but not for African-American Ss. Expand
Meta-analysis of the literature on Alcoholics Anonymous: sample and study characteristics moderate findings.
TLDR
AA experiences and outcomes are heterogeneous, and it makes little sense to seek omnibus profiles of AA affiliates or outcomes, and well-designed studies with large outpatient samples may afford the best opportunity to detect predictors and effects of AA involvement. Expand
Alcoholics Anonymous and behavior therapy: can habits be treated as diseases? Can diseases be treated as habits?
  • B. McCrady
  • Psychology, Medicine
  • Journal of consulting and clinical psychology
  • 1994
TLDR
The theoretical foundations, view of the change process, and treatment practices of AA and behavior therapy are described and theoretical and practice perspectives on integration of the two models are examined. Expand
Self-efficacy, aftercare and relapse in a treatment program for alcoholics.
TLDR
The role of self-efficacy in the prediction of relapse following alcoholism treatment was examined in a 12-month follow-up evaluation and the problem of ceiling effects in posttreatment self-efficiency assessments was discussed. Expand
Self-efficacy and marijuana cessation: a construct validity analysis.
TLDR
Efficacy contributed incrementally to the prediction of posttreatment marijuana use beyond efficacy source variables, but it did not completely mediate the effects of those sources of efficacy judgments. Expand
Assessment and Treatment of Addictive Disorders
Part I: Assessment Profiles of Drinking Patterns Before and After Outpatient Treatment for Alcohol Abuse by Stephen A. Maisto, Linda C. Sobell, Mark B. Sobell, Hau Lei, and Kathy SykoraExpand
The efficacy of AA attendance for aftercare of inpatient alcoholics: some follow-up data.
TLDR
Results did indicate higher percentages of abstinence for AA attenders, but only at 18 months, and subjects attending AA for the entire 18 months reported a total abstinence rate of 50%. Expand
...
1
2
3
4
5
...