Drinking goal selection in behavioral self-management treatment of chronic alcoholics

The relationship between individuals' choice of abstinence or moderate drinking during outpatient behavioral management treatment and outcome over 12 months' posttreatment was examined. At the initial assessment, 46% of 106 chronic alcoholic subjects chose abstinence, 44% chose moderate dr...

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Bibliographic Details
Published in:Addictive behaviors 1997-03, Vol.22 (2), p.247-255
Main Authors: Hodgins, David C., Leigh, Gillian, Milne, Robert, Gerrish, Robin
Format: Article
Language:English
Subjects:
Adult
Alcohol Drinking - psychology
Alcoholism
Alcoholism - psychology
Alcoholism - rehabilitation
Behavior modification
Behavior Therapy - methods
Female
Goals
Humans
Male
Middle Aged
Patient Compliance - psychology
Patient Participation
Personality Assessment
Rehabilitation
Self Care - psychology
Social research
Temperance - psychology
Treatment Outcome
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Summary:The relationship between individuals' choice of abstinence or moderate drinking during outpatient behavioral management treatment and outcome over 12 months' posttreatment was examined. At the initial assessment, 46% of 106 chronic alcoholic subjects chose abstinence, 44% chose moderate drinking, and 9% were unsure. Over the course of treatment, subjects were more likely to move from moderation to abstinence goals, and after the first 4 weeks of treatment, two-thirds chose abstinence. These subjects were older, had more severe alcohol problems (i.e., higher MAST scores), and were more likely to maintain their weekly alcohol consumption goals during the 16-week treatment period. Moreover, these subjects reported less alcohol use in the 12 month follow-up period, and a greater proportion were judged as having successful outcomes. The implications of these findings are discussed.
ISSN:0306-4603
1873-6327
DOI:10.1016/S0306-4603(96)00013-5