Answer questions about substance abuse, its symptoms,. Narcotics Anonymous, Cocaine Anonymous, 12-Step Group and 12-Step Facilitation in the title or as a keyword were considered for this review. Electronic searches covered all relevant databases (for example,. Based on the title and, in some cases, the abstract, the articles were considered for inclusion, then read and classified.
Representative studies were selected and presented for each criterion. All localized studies reporting a negative role of AA in abstinence are reported, and no studies with negative findings have been intentionally excluded. For the sake of brevity and clarity, many studies with positive results for AA and several small 12-step facilitation studies with mixed results between subgroups have been excluded. The objective was not to provide another exhaustive review of the literature on the effectiveness of AA, but to present representative studies of the effectiveness of AA according to the criterion for establishing causality.
Your Faith-Based 12-Step Program Masters Treatment in the United States. But researchers have debunked the fundamental principles of the AA doctrine and found that dozens of other treatments are more effective. Alcoholics Anonymous (AA), the global community of sobriety seekers, is the most effective path to abstinence. In a longitudinal study of problem drinkers who had not received previous treatment, 70% of those with 27 weeks or more of sustained attendance at a meeting in a given year (either in year 1, in years 2-3 or in years 4) abstained from alcohol consumption at the 16-year follow-up; those with a shorter duration of attendance had lower abstinence rates, with the most evident dose response for AA assistance being years 1 and 4 to 8 (Figure 2c).
Because AA is anonymous, some group members do not participate in studies, as they may violate the group's anonymity. Less than 1 percent of people treated for alcohol problems in the United States are prescribed naltrexone or any other medication that has been shown to help control alcohol use. When my book came out, dozens of members of Alcoholics Anonymous said that because I had challenged AA's claim of a 75 percent success rate, it would hurt or even kill people by discouraging attendance at meetings. Department of Veterans Affairs showed abstinence rates for people recovering from alcohol abuse at 1 year and 18 months.
Some studies combined abstinence from alcohol and drugs, or considered 12-step group attendance that would have included Narcotics Anonymous (NA) and other 12-step groups for drugs (in addition to AA). The results were evident: the more people attended the meetings and the longer they stayed in the program, the greater the chances of abstinence from alcohol and drugs. He spent a month in a center where treatment consisted of little more than attending Alcoholics Anonymous meetings. The study consisted of formally, informally treated (AA) and untreated individuals suffering from an alcohol problem.
Psychologists and psychiatrists, trained to provide cognitive-behavioral therapy and motivational enhancement therapy to treat patients with alcohol use disorder, may struggle to admit that lay people who lead AA groups do a better job of keeping people in the wagon. Another study in people with an untreated drinking problem showed that 70% of people 27 weeks or older in AA abstained from alcohol at the 16-year follow-up mark. As an organization, Alcoholics Anonymous has no real central authority, each AA meeting operates more or less autonomously and refuses to take positions on issues that are beyond the scope of the 12 steps. The articles included in this review and meta-analysis examined a number of different outcomes in alcohol consumption (e.
An exception is Moos's work that studied alcohol abstinence for 16 years in a sample with previously untreated alcohol consumption problems based on AA during years 2—3 and 4—8 (Figure 2c). In 1970, Senator Harold Hughes of Iowa, member of AA, persuaded Congress to pass the Comprehensive Alcohol and Alcohol Abuse Prevention, Treatment and Rehabilitation Act. The 1-year study considered abstinence from alcohol and drugs based on attendance to the 12-step group, while data from 3 and 8 years focused specifically on AA attendance and alcohol withdrawal. .