The National Institute on Alcohol Abuse and Alcoholism’s (NIAAA) definition of alcohol use disorder (AUD) recovery stipulates two criteria: remission from DSM-5 AUD and cessation of heavy drinking. Importantly, these criteria allow for consideration of nonabstinent alcohol treatment outcomes. However, researchers have yet to assess potential predictors of the NIAAA recovery outcome. The current study examined associations between mental health and coping predictors of NIAAA recovery status in an AUD treatment sample. At baseline (BL) and end-of-treatment (EOT) research interviews in a clinical trial, participants (N = 118) completed questionnaires assessing alcohol dependence, mental health, and confidence levels in reducing heavy drinking, as well as alcohol use and DSM-5 AUD symptom endorsement. Logistic regression models tested the associations between chosen predictors and the odds of achieving NIAAA recovery. Twenty-four percent of individuals (n = 28) met both criteria for NIAAA recovery at EOT. Higher levels of BL state anxiety and anxiety sensitivity predicted lower odds of achieving NIAAA recovery, while greater confidence to reduce heavy drinking predicted increased odds of NIAAA recovery. Social workers are encouraged to continue assessing and addressing mental health in AUD treatment to help individuals with alcohol problems achieve their AUD recovery goals.

中文翻译：

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国家酒精滥用和酒精中毒研究所 (NIAAA) 酒精治疗中个体酒精恢复的预测因素：对社会工作的影响


美国国家酒精滥用和酒精中毒研究所 (NIAAA) 对酒精使用障碍 (AUD) 恢复的定义规定了两个标准：DSM-5 AUD 的缓解和停止大量饮酒。重要的是，这些标准允许考虑非戒酒治疗的结果。然而，研究人员尚未评估 NIAAA 恢复结果的潜在预测因素。当前的研究在 AUD 治疗样本中检验了心理健康与 NIAAA 恢复状态应对预测因素之间的关联。在临床试验的基线 (BL) 和治疗结束 (EOT) 研究访谈中，参与者 (N = 118) 完成了问卷调查，评估酒精依赖、心理健康和减少酗酒的信心水平，以及饮酒和饮酒的信心。 DSM-5 AUD 症状认可。逻辑回归模型测试了所选预测变量与实现 NIAAA 恢复的几率之间的关联。 24% 的人 (n = 28) 符合 EOT NIAAA 恢复的两项标准。较高水平的 BL 状态焦虑和焦虑敏感性预示着 NIAAA 恢复的几率较低，而减少酗酒的信心则预示着 NIAAA 恢复的几率增加。鼓励社会工作者继续评估和解决 AUD 治疗中的心理健康问题，以帮助有酒精问题的个人实现 AUD 康复目标。