Predictors of engagement in the Alcoholics Anonymous group or to psychotherapy among Brazilian alcoholics

Terra, Mauro Barbosa; Barros, Helena Maria Tannhauser; Stein, Airton Tetelbom; Figueira, Ivan; Athayde, Luciana Dias; Palermo, Luiz Henrique; Tergolina, Letícia P; Rovani, Joana S; Silveira, Dartiu Xavier da

doi:10.1007/s00406-007-0719-1

Cited by 12 publications

(9 citation statements)

References 29 publications

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“…One study reported no demographic differences between those who attend AA and those who do not (Humphreys, Mavis, & Stofflemayr, 1994). Other studies found that certain demographic groups, such as women (Humphreys, Mavis, and Stofflemayr, 1991), those with higher levels of education (Terra et al, 2007), and African Americans (Humphreys et al, 1991; Kelly & Moos, 2003) are more likely to attend or less likely to drop out of AA. Higher substance use severity and more family, social and psychological problems have been shown to be associated with later AA participation (Emrick, Tonigan, Motgomery, & Little, 1993; Humphreys et al, 1991).…”

Section: Introductionmentioning

confidence: 99%

Predictors of Membership in Alcoholics Anonymous in a Sample of Successfully Remitted Alcoholics

Krentzman

Robinson

Perron

et al. 2011

Journal of Psychoactive Drugs

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This study identifies factors associated with Alcoholics Anonymous (AA) membership in a sample of 81 persons who have achieved at least one year of total abstinence from drugs and alcohol. Forty-four were AA members, 37 were not. Logistic regression was used to test the cross-sectional associations of baseline demographic, substance-related, spiritual and religious, and personality variables with AA membership. Significant variables from the bivariate analyses were included in a multivariate model controlling for previous AA involvement. Having more positive views of God and more negative consequences of drinking were significantly associated with AA membership. This information can be used by clinicians to identify clients for whom AA might be a good fit, and can help others overcome obstacles to AA or explore alternative forms of abstinence support.

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Section: Introductionmentioning

confidence: 99%

Predictors of Membership in Alcoholics Anonymous in a Sample of Successfully Remitted Alcoholics

Krentzman

Robinson

Perron

et al. 2011

Journal of Psychoactive Drugs

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“…Since 2000 the concept of engagement has been examined in several studies in the fi eld of groupwork. A number of researchers have assessed the engagement of group members on the basis of their attendance at meetings (Comfort et al, 2000;Daly et al, 2001;Fiorentine et al, 1999a;Prado et al, 2006;Terra et al, 2007). Considering attendance alone as an indicator of engagement is a major limitation.…”

Section: Engagement As a Conceptmentioning

confidence: 99%

“…Daly et al (2001) hypothesized that the unemployed had more trouble keeping a regular schedule. People with mental health problems seem to be less engaged and more likely to drop out (Amodeo et al, 2008;Graff et al, 2008, Terra et al, 2007. Engaged individuals, on the other hand, generally have a higher level of education (Daly et al, 2001;Terra et al, 2007).…”

Section: Ontosystem Factors: Participantsmentioning

confidence: 99%

Engagement of men in group treatment programs

Roy¹,

Gourde²,

Couto³

2011

Groupwork

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The goal of this paper is to arrive at a better understanding of the process of men's engagement in treatment groups. Given the low perseverance rate of men in such groups, engagement is crucial to program continuance and results. A number of treatment factors and strategies that can infl uence engagement in group therapy programs are drawn from a review of the literature. To gain a better understanding of the factors and how they interrelate, the literature was reviewed from the perspective of Bronfenbrenner's (1979) ecological model. The studies reviewed show that engagement is infl uenced by various factors associated with the characteristics of the participants, their family environment, treatment program, and cultural and social values. Current knowledge is discussed to highlight the main research and practice issues concerning men's engagement in treatment groups. The review underscores the importance of exploring the infl uence of male socialization on men's engagement, given that some traditional norms may curb their involvement and willingness to invest in group programs.

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“…Thus, a determination of more specific aspects of AA is highly important to better understand the reasons for adherence or nonadherence. The influence of co‐morbid conditions and demographic characteristics on adherence to AA groups has been previously documented 20 …”

Section: Introductionmentioning

confidence: 99%

Do Alcoholics Anonymous Groups Really Work? Factors of Adherence in a Brazilian Sample of Hospitalized Alcohol Dependents

et al. 2008

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This study was designed to determine factors affecting adherence to Alcoholics Anonymous (AA) groups. This cohort involved 300 alcoholics committed to three hospitals in Porto Alegre, Brazil. They were interviewed again in their homes after six months. The SCID-I and a questionnaire focusing on patient relationship with AA groups were used. The responses obtained through the questionnaire were independently evaluated by two researchers. AA adherence was below 20%. The main factors reported by patients as reasons for non-adherence to AA were relapse, lack of identification with the method, lack of need, and lack of credibility. The factors reported by patients as reasons for adherence were identification with the method and a way to avoid relapse. Although AA is considered an effective intervention for alcoholism, its adherence rate was excessively low. The identification of these nonadherence factors could help health professionals in referring certain alcoholic patients to therapeutic interventions other than AA.

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Predictors of engagement in the Alcoholics Anonymous group or to psychotherapy among Brazilian alcoholics

Abstract: The identification of predictors of engagement is important to guide clinicians in the choice of the treatment strategies that are more likely to be successful.

Cited by 12 publications

References 29 publications

Predictors of Membership in Alcoholics Anonymous in a Sample of Successfully Remitted Alcoholics

Predictors of Membership in Alcoholics Anonymous in a Sample of Successfully Remitted Alcoholics

Engagement of men in group treatment programs

Do Alcoholics Anonymous Groups Really Work? Factors of Adherence in a Brazilian Sample of Hospitalized Alcohol Dependents

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