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Long-term recovery from alcoholism
1Department of Psychiatry, School of Medicine, University of Nevada.
The Psychiatric Clinics of North America
|March 1, 1993
Summary
Alcoholics Anonymous (AA) shows steady membership growth and is recognized for long-term alcoholism treatment. However, high initial dropout rates persist, alongside demographic shifts and increasing dual-addiction among members.
Area of Science:
- Addiction Medicine
- Psychiatry
- Public Health
Background:
- Alcoholics Anonymous (AA) is a widely recognized long-term treatment for alcoholism.
- Psychiatrists and psychoanalysts acknowledge AA's effectiveness in addiction treatment.
- Triennial membership surveys provide insights into AA's demographics and program engagement.
Purpose of the Study:
- To analyze AA membership trends and engagement patterns.
- To identify demographic shifts within the AA fellowship.
- To inform psychiatric referrals and support for patients in AA.
Main Methods:
- Analysis of triennial AA membership surveys.
- Examination of sobriety duration, sponsorship, home group affiliation, and meeting attendance.
- Assessment of demographic changes including age, sex, and co-occurring substance use.
Main Results:
- Consistent membership increase with stable long-term sobriety proportions.
- High initial dropout rates (50% within 3 months, 59% in the first year).
- Shifting demographics: increased women and young members (<30), decreased older members (>50), and rising dual-addiction (46%).
Conclusions:
- AA remains effective for long-term alcoholism treatment, despite high early attrition.
- Psychiatrists can leverage AA data to improve patient referrals and support.
- Understanding AA's evolving demographics and challenges aids in patient recovery and treatment integration.