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Tuesday, July 28, 2009

Early recovery from alcohol dependence: Factors that promote or impede abstinence
Journal of Substance Abuse Treatment Article in Press, 24 July 2009

The objectives of this prospective follow-up study were to identify factors that promote or impede the early recovery process and to examine whether drinking status at 4 weeks predicts later abstinence.

During the first 4 weeks of treatment, 57% (n = 100) of patients slipped or relapsed on alcohol, whereas 43% (n = 75) were fully abstinent.

Patients who slipped or relapsed were more likely to report nondependent use of a secondary substance, meet criteria for a Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition Axis II Cluster B personality disorder, have a higher level of impulsivity, and have more severe social problems at intake. The final logistic regression model accounted for 37% of the variance in drinking status.

Patients who slipped or relapsed early in treatment were likely to continue to struggle to maintain abstinence at 12 weeks


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