Abstract

The purpose of this project is to describe the long-term course of treated and untreated alcohol abuse, and to examine how participation in professional treatment, and/or self-help groups, and life history and life context factors, influence the process of remission and relapse. The objectives are to: (1) compare alcohol-related, and psychological/social outcomes among individuals with alcohol use disorders who enter professional treatment with outcomes among untreated individuals; (2) focus on the outcome of participation in self-help groups with and without professional treatment; and examine the role of (3) stress and coping processes, life history factors, and (4) gender differences in the course of treated and untreated alcohol abuse. To pursue these objectives, the project involves a 16-year follow-up of individuals with alcohol use disorders who were previously studied at baseline and at 1-, 3-, and 8-year follow-ups. The plan is to (1) compare the 16-year course of treated and untreated alcohol abuse; (2) examine 16-year patterns of participation in self-help groups, with and without involvement in professional treatment, and relate these patterns to the process of remission and relapse; (3) examine stress and coping processes and life history factors among treated and untreated individuals, and (4) examine gender differences in the predictors and course of alcohol abuse.

  Funding Agency

Agency
National Institute of Health (NIH)
Institute
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Type
Research Project (R01)
Project #
5R01AA012718-05
Application #
6785231
Study Section
Health Services Research Review Subcommittee (AA)
Program Officer
Lowman, Cherry
Project Start
2000-09-21
Project End
2006-07-31
Budget Start
2004-08-01
Budget End
2006-07-31
Support Year
5
Fiscal Year
2004
Total Cost
$195,000
Indirect Cost

  Institution

Name
Stanford University
Department
Psychiatry
Type
Schools of Medicine
DUNS #
009214214
City
Stanford
State
CA
Country
United States
Zip Code
94305

  Publications

Blonigen, Daniel M; Timko, Christine; Moos, Rudolf H (2013) Alcoholics Anonymous and reduced impulsivity: a novel mechanism of change. Subst Abus 34:4-12
Blonigen, Daniel M; Timko, Christine; Finney, John W et al. (2011) Alcoholics Anonymous attendance, decreases in impulsivity and drinking and psychosocial outcomes over 16 years: moderated-mediation from a developmental perspective. Addiction 106:2167-77
Blonigen, Daniel M; Timko, Christine; Moos, Bernice S et al. (2011) Impulsivity is an independent predictor of 15-year mortality risk among individuals seeking help for alcohol-related problems. Alcohol Clin Exp Res 35:2082-92
Timko, Christine; Desai, Akash; Blonigen, Daniel M et al. (2011) Driving while intoxicated among individuals initially untreated for alcohol use disorders: one- and sixteen-year follow-ups. J Stud Alcohol Drugs 72:173-84
Oser, Megan L; McKellar, John; Moos, Bernice S et al. (2010) Changes in ambivalence mediate the relation between entering treatment and change in alcohol use and problems. Addict Behav 35:367-9
Blonigen, Daniel M; Timko, Christine; Moos, Bernice S et al. (2009) Treatment, alcoholics anonymous, and 16-year changes in impulsivity and legal problems among men and women with alcohol use disorders. J Stud Alcohol Drugs 70:714-25
Timko, Christine; Moos, Bernice S; Moos, Rudolf H (2009) Gender differences in 16-year trends in assault- and police-related problems due to drinking. Addict Behav 34:744-50
Ilgen, Mark A; Wilbourne, Paula L; Moos, Bernice S et al. (2008) Problem-free drinking over 16 years among individuals with alcohol use disorders. Drug Alcohol Depend 92:116-22
McKellar, John; Ilgen, Mark; Moos, Bernice S et al. (2008) Predictors of changes in alcohol-related self-efficacy over 16 years. J Subst Abuse Treat 35:148-55
Moos, Rudolf H; Moos, Bernice S (2007) Treated and untreated alcohol-use disorders: course and predictors of remission and relapse. Eval Rev 31:564-84

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