This study examined the influence of the duration and frequency of a baseline episode of participation in Alcoholics Anonymous (AA) among 473 individuals with alcohol use disorders on 1-year and 8-year outcomes and the effect of additional participation and delayed participation on outcomes. Compared with individuals who did not participate,…

Examined variables (social background, intake symptoms, program type, treatment experiences, and perceptions of environment) related to posttreatment functioning of alcoholic patients. Results showed the combined explanatory power of program-related variables was more than expected. Explained variance was shared between patient-related and…

Social climate of residential alcoholism programs was assessed using Community-Oriented Programs Environment Scale (COPES). COPES perceptions were independent of patient background, psychosocial functioning, and alcohol-related characteristics. In conjunction with previous research, results indicate perceptions of social climate of treatment…

The research described here focused on personal, life context, and help-related factors to trace the long-term course of treated and untreated alcohol-use disorders. A group of 461 individuals who sought help for alcohol problems was surveyed at baseline and 1, 3, 8, and 16 years later. Compared with individuals who remained untreated, individuals…

This study followed baseline samples of 424 unipolar depressed patients and 424 community controls across 10 years to investigate the association between depression and alcohol-related coping and to examine how life context vulnerabilities underlie the risk for depressed individuals to rely on drinking to cope. Findings supported all hypotheses.…

Results illustrate the usefulness of a conceptual model for assessing the interrelationships among pretreatment, and posttreatment variables and outcome. This approach facilitates the unraveling of these complex interrelationships by allowing for examination of the cumulative influences of prior variables on subsequent variables. (Author/BEF)

Although stressful life change events are thought to influence the development of alcoholism and to enhance the probability of relapse after treatment, the actual coping responses to specific events among alcoholics remain largely unexplored. Efforts were made to operationalize and classify coping responses and to explore their relationship to…

An expanded model of treatment evaluation is presented, and connections to stress and coping theory are examined. Examples are taken from a research program on the long-term outcomes of alcoholism and depression. Implications for assessment and diagnosis, program design and improvement, and stress and coping theory are explored. (SLD)