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Related Experiment Videos

Network support for drinking, Alcoholics Anonymous and long-term matching effects

R Longabaugh1, P W Wirtz, A Zweben

  • 1Brown University, Center for Alcohol & Addiction Studies, Providence, RI 02912, USA.

Addiction (Abingdon, England)
|February 2, 1999
PubMed
Summary

Twelve Step Facilitation Therapy (TSF) is more effective than Motivational Enhancement Therapy (MET) for individuals with alcohol dependence and high social support for drinking. Alcoholics Anonymous (AA) involvement partially explains this outcome, benefiting those with supportive networks.

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Area of Science:

  • Addiction research
  • Clinical psychology
  • Public health

Background:

  • Identifying effective treatments for alcohol dependence is crucial.
  • Client-treatment matching can optimize therapeutic outcomes.
  • Social network support for drinking influences treatment effectiveness.

Purpose of the Study:

  • To test the matching hypothesis: Twelve Step Facilitation Therapy (TSF) vs. Motivational Enhancement Therapy (MET) for clients with high drinking support.
  • To investigate the causal chain underlying this potential effect.

Main Methods:

  • Eight hundred and six alcohol-dependent outpatients were randomized to TSF, MET, or Cognitive Behavioral Coping Skills Therapy (CBT).
  • Outcomes were assessed 3 years post-treatment, analyzing network support, Alcoholics Anonymous (AA) involvement, and drinking behavior.

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  • Analyses of Covariance (ANCOVAs) were used to test the matching hypothesis.

    • Main Results:

    • The matching hypothesis was supported: TSF was more effective than MET for clients with networks supportive of drinking at 3-year follow-up.
    • Alcoholics Anonymous (AA) involvement partially mediated this effect.
    • Clients with supportive networks assigned to TSF showed greater AA involvement, which correlated with better long-term drinking outcomes.

    Conclusions:

    • Twelve Step Facilitation Therapy (TSF) may be the preferred treatment for alcohol-dependent individuals with social networks that support drinking.
    • Encouraging Alcoholics Anonymous (AA) involvement is recommended for clients with supportive drinking networks, regardless of their assigned therapy.