Abstinence versus moderation recovery pathways following resolution of a substance use problem: Prevalence, predictors, and relationship to psychosocial well‐being in a U.S. national sample Article Swipe
David Eddie
,
Brandon G. Bergman
,
Lauren A. Hoffman
,
John F. Kelly
·
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.1111/acer.14765
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.1111/acer.14765
Background Many people who report resolving an alcohol or other drug (AOD) problem continue some level of substance use. Little information exists, however, regarding the prevalence of this resolution pathway, or how continued substance use after resolving an AOD problem, relative to abstinence, relates to functioning, quality of life, and happiness (i.e., well‐being). Greater knowledge of the prevalence and correlates of non‐abstinent AOD problem resolution could inform public health messaging and clinical guidelines, while encouraging substance use goals likely to maximize well‐being and reduce risks. Methods We analyzed data from a nationally representative sample of individuals who endorsed having resolved an AOD problem ( N = 2002). Analyses examined: (1) The prevalence of various substance use statuses coded from lowest to highest risk: (a) continuous abstinence from all AOD since problem resolution; (b) current abstinence from all AOD with some use since problem resolution; (c) current use of a substance reported as a secondary substance; (d) current use of the individual's primary substance only; or, (e) current use of a secondary and primary substance; (2) relationships between substance use status and demographic, clinical, and service use history measures; and (3) the relationship between substance use status and well‐being. Weighted, controlled, regression analyses examined the influence of independent variables on substance use status. Results (1) Prevalence : In this sample, 20.3% of patients endorsed continuous abstinence; 33.7% endorsed current abstinence; 21.0% endorsed current use of a secondary substance; 16.2% endorsed current use of a primary substance; and 8.8% endorsed current use of both a secondary and a primary substance. (2) Correlates : Lower‐risk substance use status was associated with the initiation of regular substance use at an older age, more years since problem resolution, and fewer lifetime psychiatric diagnoses. (3) Well ‐ Being : Controlling for pertinent confounds, lower‐risk substance use status was independently associated with greater self‐esteem, happiness, quality of life and functioning, and recovery capital, as well as less psychological distress. Conclusions About half of Americans who self‐identify as having resolved an AOD problem continue to use AOD in some form. It appears that, although for many abstinence is not necessary to overcome an AOD problem, it is likely to lead to better functioning and greater well‐being. Further, people appear to gravitate toward abstinence/lower risk substance use with greater time since problem resolution.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1111/acer.14765
- OA Status
- green
- Cited By
- 42
- References
- 42
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4200373803
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4200373803Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1111/acer.14765Digital Object Identifier
- Title
-
Abstinence versus moderation recovery pathways following resolution of a substance use problem: Prevalence, predictors, and relationship to psychosocial well‐being in a U.S. national sampleWork title
- Type
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articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
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2021Year of publication
- Publication date
-
2021-12-21Full publication date if available
- Authors
-
David Eddie, Brandon G. Bergman, Lauren A. Hoffman, John F. KellyList of authors in order
- Landing page
-
https://doi.org/10.1111/acer.14765Publisher landing page
- Open access
-
YesWhether a free full text is available
- OA status
-
greenOpen access status per OpenAlex
- OA URL
-
https://www.ncbi.nlm.nih.gov/pmc/articles/8858850Direct OA link when available
- Concepts
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Moderation, Abstinence, Psychosocial, Psychology, Substance use, Clinical psychology, Sample (material), Substance abuse, Psychiatry, Social psychology, Chemistry, ChromatographyTop concepts (fields/topics) attached by OpenAlex
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42Total citation count in OpenAlex
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2025: 17, 2024: 14, 2023: 9, 2022: 2Per-year citation counts (last 5 years)
- References (count)
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42Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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