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Does Alcoholics Anonymous involvement predict treatment outcome?

H A Montgomery1, W R Miller, J S Tonigan

  • 1Center on Alcoholism, Substance Abuse, and Addictions (CASAA), University of New Mexico, Albuquerque 87131-1161, USA.

Journal of Substance Abuse Treatment
|July 1, 1995
PubMed
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Patient involvement in Alcoholics Anonymous (AA) after inpatient treatment for alcohol dependence predicted better outcomes. Simple attendance at AA meetings did not significantly impact drinking results post-treatment.

Area of Science:

  • Addiction medicine
  • Psychiatry
  • Public health

Background:

  • Alcohol dependence is a significant public health issue requiring effective long-term treatment strategies.
  • Inpatient treatment offers a structured environment but post-discharge support is crucial for sustained recovery.
  • The role of Alcoholics Anonymous (AA) in recovery outcomes requires further elucidation.

Purpose of the Study:

  • To investigate the relationship between post-treatment Alcoholics Anonymous (AA) involvement and drinking outcomes in patients with alcohol dependence.
  • To determine if simple attendance versus active engagement in AA predicts recovery success.

Main Methods:

  • A cohort of patients treated for alcohol dependence as inpatients was followed for 31 weeks post-discharge.
  • Patient characteristics before treatment were compared between AA attenders and nonattenders.

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  • Drinking outcomes were assessed and correlated with AA attendance and level of involvement.

    • Main Results:

    • Patients attending AA post-treatment were not different from nonattenders in pretreatment characteristics.
    • Mere attendance of Alcoholics Anonymous (AA) meetings was not a significant predictor of drinking outcomes.
    • A higher degree of involvement and engagement in AA activities was associated with more favorable drinking outcomes.

    Conclusions:

    • Active engagement and deep involvement in Alcoholics Anonymous (AA) are more critical for successful alcohol dependence recovery than simple meeting attendance.
    • Treatment programs should encourage and facilitate deeper integration into mutual support groups like AA for sustained abstinence.