Goal choice of alcoholics: A comparison of those who choose total abstinence vs. those who choose responsible, controlled drinking

Pachman, Joseph S.; Foy, David W.; van, M. C.

doi:10.1002/1097-4679(197807)34:3<781::aid-jclp2270340343>3.0.co;2-w

Cited by 23 publications

(20 citation statements)

References 14 publications

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“…A strong association between the initial preferred drinking goal and successful treatment outcome has been reported (2)(3)(4)(5)(6)(7). Individuals seem to select the goal that best fits their needs and circumstances, which is likely to result in a better outcome.…”

Section: Introductionsupporting

confidence: 81%

Association Between Drinking Goal and Alcohol Use One Year After Residential Treatment: A Multicenter Study

Meyer

Wapp

Strik

et al. 2014

Journal of Addictive Diseases

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This study examined whether patients' drinking goals at admission to and discharge from 12 residential alcohol use disorder treatment programmes were associated with alcohol-related outcomes at 1-year follow-up. Detoxified patients (N=289) completed assessments at admission, after treatment, and at 1-year follow-up. Drinking goals of abstinence, conditional abstinence (in principle abstinence but potential occurrence of lapses or drinking, when urges are strong), and controlled drinking changed during treatment and predicted the 1-year follow-up outcomes (abstinence, number of standard drinks, and number of days to the first alcohol use). Goals at discharge had a better predictive value. The goal of abstinence at discharge had better outcomes than conditional abstinence; the poorest had controlled drinking.Drinking goal and alcohol use outcome 3

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Section: Introductionsupporting

confidence: 81%

Association Between Drinking Goal and Alcohol Use One Year After Residential Treatment: A Multicenter Study

Meyer

Wapp

Strik

et al. 2014

Journal of Addictive Diseases

View full text Add to dashboard Cite

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“…While previous studies on this topic exclusively focused on patients with present alcohol use disorders (Adamson & Sellman, 2001;Heather et al, 2010;Pachman, Foy, & Van Erd, 1978) clients in our study were more heterogeneous, including those without alcohol use due to prior detoxification at another institution, as well as clients who reduced their alcohol use prior to treatment admission to a non-hazardous level.…”

Section: Discussionmentioning

confidence: 96%

Drinking Goals and Their Association With Treatment Retention and Treatment Outcomes Among Clients in Outpatient Alcohol Treatment

Haug

Eggli

Schaub

2016

Substance Use & Misuse

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Background: Few studies have compared characteristics of clients entering alcohol treatment who differ in their drinking goal preferences or have investigated the relevance of drinking goals as a predictor of treatment outcomes. Objectives: To investigate associations between baseline drinking goal preferences and client characteristics as well as treatment retention and outcomes among clients in outpatient alcohol treatment. Methods: Secondary data analyses on a longitudinal multicenter study investigating the effectiveness of outpatient alcohol treatment in Switzerland among 805 clients. Assessments were conducted at treatment admission, discharge, and at 6-and 12-month follow ups. At-risk drinking was assessed through the alcohol use disorders identification test. Treatment retention was defined as regular discharge with or without transition into another institution. Results: Clients aiming to abstain from drinking were more likely to be in retreatment, to be assigned to treatment by a health institution, to have no at-risk alcohol use, and to be already alcohol abstinent at the time of admission relative to clients who aimed to control their drinking. Clients without at-risk alcohol use at admission showed higher treatment retention when aiming for controlled drinking than for abstinence, while there was no difference in treatment retention among clients with at-risk use. Clients with at-risk use at admission were more likely to reach not-at-risk alcohol use status when aiming for alcohol abstinence than for controlled drinking.

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“…Early work to understand the characteristics associated with goal selection generally found that CD was associated with higher levels of functioning. In a study of veterans receiving inpatient alcohol-dependence treatment, participants who selected abstinence goals had fewer years of education and more years of problem drinking than those with CD goals (Pachman et al, 1978). Comparing those who personally selected a CD or abstinence goal with those who were prescribed abstinence by a provider because of disease severity revealed similar results (Booth et al, 1984).…”

mentioning

confidence: 99%

Predictors of Pretreatment Commitment to Abstinence: Results from the COMBINE Study

DeMartini

Devine

DiClemente

et al. 2014

J. Stud. Alcohol Drugs

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ABSTRACT. Objective: Patients entering treatment for alcohol problems do not have uniform treatment goals, and a pretreatment drinking goal has a signifi cant impact on treatment outcome. The objective of this study was to understand better how an array of individual characteristics, including factors that affect treatment, are related to treatment goals before beginning alcohol treatment in the COMBINE (Combining Medications and Behavioral Interventions) Study. Method: Participants were alcohol-dependent individuals (N = 1,156; 357 women) recruited at 11 outpatient academic alcoholism-treatment clinics across the United States to participate in a randomized, double-blind, placebo-controlled trial that combined behavioral intervention with acamprosate and/or naltrexone. Treatment goal was coded as controlled drinking, conditional abstinence, or total abstinence. Multinomial logistic regressions assessed whether there were signifi cant relationships between predictor variables and pretreatment goal selection. Results: Lower levels of alcohol-related consequences, lower readiness to change, higher family income, more daily drinkers in social network, and lack of prior treatment or Alcoholics Anonymous engagement predicted choice of a controlled drinking goal over a total abstinence goal. Fewer alcohol-related consequences, lower readiness to change, and more daily drinkers in-network predicted choice of a conditional abstinence goal over a total abstinence goal. Conclusions: Higher levels of functioning, lower levels of consequences, no prior involvement in treatment and Alcoholics Anonymous, and a more drinking-saturated social environment are associated with the choice of a non-abstinence goal. (J. Stud. Alcohol Drugs, 75, 438-446, 2014)

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Goal choice of alcoholics: A comparison of those who choose total abstinence vs. those who choose responsible, controlled drinking

Cited by 23 publications

References 14 publications

Association Between Drinking Goal and Alcohol Use One Year After Residential Treatment: A Multicenter Study

Association Between Drinking Goal and Alcohol Use One Year After Residential Treatment: A Multicenter Study

Drinking Goals and Their Association With Treatment Retention and Treatment Outcomes Among Clients in Outpatient Alcohol Treatment

Predictors of Pretreatment Commitment to Abstinence: Results from the COMBINE Study

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