Alcohol and drug treatment involvement, 12-step attendance and abstinence: 9-year cross-lagged analysis of adults in an integrated health plan

详细信息    查看全文

• 作者：Jane Witbrodt ; Ph.D.^a ; ^{jwitbrodt@arg.org" class="auth_mail} ; Yu Ye ; M.A.^a ; ^{jbond@arg.org" class="auth_mail} ; Jason Bond ; Ph.D.^a ; Felicia Chi ; M.P.H.^b ; Constance Weisner ; Ph.D. ; M.S.W.^b ; ^c ; Jennifer Mertens ; Ph.D.^b
• 关键词：Path model ; Longitudinal data ; Alcohol and drug treatment ; 12-Step attendance ; Managed care
• 刊名：Journal of Substance Abuse Treatment
• 出版年：April, 2014
• 年：2014
• 卷：46
• 期：4
• 页码：412-419
• 全文大小：416 K

文摘

This study explored causal relationships between post-treatment 12-step attendance and abstinence at multiple data waves and examined indirect paths leading from treatment initiation to abstinence 9-years later. Adults (N = 1945) seeking help for alcohol or drug use disorders from integrated healthcare organization outpatient treatment programs were followed at 1-, 5-, 7- and 9-years. Path modeling with cross-lagged partial regression coefficients was used to test causal relationships. Cross-lagged paths indicated greater 12-step attendance during years 1 and 5 and were casually related to past-30-day abstinence at years 5 and 7 respectfully, suggesting 12-step attendance leads to abstinence (but not vice versa) well into the post-treatment period. Some gender differences were found in these relationships. Three significant time-lagged, indirect paths emerged linking treatment duration to year-9 abstinence. Conclusions are discussed in the context of other studies using longitudinal designs. For outpatient clients, results reinforce the value of lengthier treatment duration and 12-step attendance in year 1.