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For whom does Alcoholics Anonymous work?

E R Galaif1, S Sussman

  • 1Institute for Health Promotion and Disease Prevention Research, University of Southern California, Los Angeles 90033, USA.

The International Journal of the Addictions
|January 1, 1995
PubMed
Summary
This summary is machine-generated.

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This literature review evaluates Alcoholics Anonymous (A.A.) effectiveness, detailing who benefits most and least from the program. It also explores A.A. criticisms and alternative treatments for alcohol use disorder.

Area of Science:

  • Addiction Medicine
  • Psychology
  • Public Health

Background:

  • Alcoholics Anonymous (A.A.) is a widely recognized mutual support program for individuals with alcohol use disorder.
  • Understanding A.A.'s specific efficacy for different patient profiles is crucial for treatment matching.

Purpose of the Study:

  • To synthesize existing literature to determine the effectiveness of Alcoholics Anonymous (A.A.).
  • To identify patient characteristics associated with positive and negative outcomes in A.A.
  • To discuss criticisms and alternatives to A.A. for alcohol use disorder.

Main Methods:

  • Literature review and synthesis of existing studies on Alcoholics Anonymous.
  • Analysis of research supporting and criticizing A.A.'s efficacy.

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  • Examination of factors influencing individual outcomes within A.A.

    • Main Results:

    • A.A. appears effective for a subset of individuals with alcohol use disorder, particularly those with strong social support and commitment.
    • Effectiveness varies, with some individuals not benefiting or experiencing adverse effects.
    • Several criticisms regarding A.A.'s approach and accessibility exist.

    Conclusions:

    • Matching individuals to Alcoholics Anonymous or alternative treatments requires careful consideration of personal factors and treatment goals.
    • Further research is needed to refine patient-treatment matching for alcohol use disorder.
    • A.A. is one option among several supportive treatments for alcohol dependence.