Unitary versus multidimensional models of alcoholism treatment outcome: an empirical study.

Babor, Thomas F.; Dolinsky, Zelig S.; Rounsaville, Bruge J.; Jaffe, Jerome H.

doi:10.15288/jsa.1988.49.167

Cited by 81 publications

(24 citation statements)

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“…The relationships between drinking outcomes and secondary outcomes have been considered from two different perspectives on alcoholism (Babor et al 1988). The unitary view has its roots in Jellinek's description of gamma alcoholics, for whom drinking affects all areas of life, and where improvements in secondary outcome are considered dependent on whether abstinence is achieved or not (Jellinek 1960).…”

Section: Introductionmentioning

confidence: 99%

“…At the same time, studies have indicated that participants with favorable substance use outcomes make greater improvements in other life areas than those with poorer substance use outcomes (e.g. Babor et al 1988;Argeriou et al 1994;Siegal et al 2002;Babor et al 2003;Schaar and Ö jehagen 2003). Today, many researchers advocate a bio-psycho-social perspective on alcohol dependence and treatment outcomes (e.g.…”

Section: Introductionmentioning

confidence: 99%

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Secondary outcomes: Group and individual change and relationships to drinking outcomes

Bodin

Romelsjö

2007

Addiction Research & Theory

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This article describes pre to posttreatment changes in secondary outcome domains, and examines the relationships between drinking outcomes and secondary outcomes, in a Swedish treatment sample. Structured interviews, including the Addiction Severity Index (ASI) Composite Scores, were performed on admission (n ¼ 244), and after 12 months (n ¼ 188, 77%). Significant problem reductions were observed for all domains except for the employment and medical domains. Posttreatment abstainers did not show greater improvement in secondary domains than did those who were in remission, and correlations between primary and secondary ASI domains, were generally low at baseline and follow-up. At the same time, those who met criteria for alcohol dependence during the follow-up year, reported significantly poorer secondary outcomes than did those with favorable drinking outcomes. Findings suggest that in the study sample, continuous abstinence did not automatically lead to better psychosocial adjustment, but that continued alcohol dependent drinking was associated with deterioration in secondary outcome domains.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Secondary outcomes: Group and individual change and relationships to drinking outcomes

Bodin

Romelsjö

2007

Addiction Research & Theory

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“…This compares with 37% of patients abstinent or drinking in a controlled fashion, one year after completing the ATU at Bexley (4).…”

Section: 6% -Percentage By Columns (30) -Numbers Of Subjects In Eamentioning

confidence: 93%

“…Examining drinking behaviour itself involves terms such as controlled drinking and abstinence, which have varying definitions and rely considerably on self-report (3). Other, more indirect, measures can be used, such as treatment utilisation, forensic problems, occupational functioning, social adjustment and psychological status (4). All servicemen are by definition in employment and work in a structured, disciplined environment subject to regular medical review.…”

Section: Introductionmentioning

confidence: 99%

Long-Term Follow up Study of Military Alcohol Treatment Programme Using Post-treatment Career as an Outcome Measure

Baggaley

Morgan-Jones²

1993

J R Army Med Corps

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The long term military careers of soldiers who had completed an in-patient alcohol treatment programme in 1983 were examined. Compared to a matched control group, soldiers who had received treatment served for a significantly shorter time post-treatment. Only 40% of the treatment group were discharged from the service on normal grounds. It is suggested that post-treatment career provides a useful outcome measure and indicates that even after extensive inpatient treatment, the results are poor.

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“…Les travaux de Farren et Dinan (1996) et d 'Epstein et al (2002) sont des exemples de travaux typologiques modernes sur les types I et II [3] . Au-delà des travaux de la lignée de Jellinek, d'autres typologies ont été développées intégrant parfois des critères psychocomportementaux (voir Slater et al, 1999), des dimensions de psychiatrie, de psychopathologie ou de psychologie comportementale (Jenicek et Cleroux, 1985), et parfois aussi de phénoménologie, de sociologie ou d'anthropologie (pour une recension des écrits sur le sujet voir Babor et al, 1988 ;Babor, 1992 ;SFA, 2001 ;Paille, 2000Paille, , 2002Lesch et al, 2011). Généralement, les typologies pathologiques sont développées à partir d'indicateurs de comportements de consommation d'alcool, de types de dépendance, de vulnérabilité génétique, de traits de personnalité ou de dysfonctionnements psychopathologiques face à l'alcool (Babor, 1992 ;Moss 2 Type Alpha : represents a purely psychological continual dependence or reliance upon the effect of alcohol to relieve bodily or emotional pain.…”

Section: L'approche Pathologiqueunclassified

Historicité des études typologiques en alcoologie

Fortin

2016

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Différentes manières de boire l’alcool sont perceptibles et différentes manières de concevoir la consommation d’alcool le sont également. Afin de « départager » ou « distinguer » les individus et groupes sociaux selon leur pratique de boire, différentes approches conceptuelles ont été utilisées à travers les époques, proposant des classifications des buveurs et buveuses en grands types. Un « type » est une conception abstraite qui regroupe et distingue les sujets ou les objets à partir de traits qu’ils ont en commun. En alcoologie, certaines typologies visent précisément à distinguer les buveurs problématiques ou pathologiques des buveurs non problématiques ou non pathologiques. D’autres typologies visent plutôt à distinguer les sociétés en fonction des pratiques de boire dominantes dans la population. Afin de souligner la contribution de chercheurs d’horizons d’études divers au développement de typologies en alcoologie et d’exposer l’historicité d’un domaine de recherche multidisciplinaire, ce texte fait état des connaissances des recherches typologiques du XXe et XXIe siècle des approches pathologiques et socioculturelles afin d’ouvrir la discussion sur les défis futurs en alcoologie des populations.

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Unitary versus multidimensional models of alcoholism treatment outcome: an empirical study.

Cited by 81 publications

References 0 publications

Secondary outcomes: Group and individual change and relationships to drinking outcomes

Secondary outcomes: Group and individual change and relationships to drinking outcomes

Long-Term Follow up Study of Military Alcohol Treatment Programme Using Post-treatment Career as an Outcome Measure

Historicité des études typologiques en alcoologie

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