Molar environmental contexts surrounding recovery from alcohol problems by treated and untreated problem drinkers.

Author(s):  
Jalie A. Tucker ◽  
Rudy E. Vuchinich ◽  
Michele M. Pukish
1990 ◽  
Vol 156 (2) ◽  
pp. 249-255 ◽  
Author(s):  
Nady A. El-Guebaly ◽  
John R. Walker ◽  
Colin A. Ross ◽  
Raymond F. Currie

In a medium-sized Canadian city, 581 randomly selected households were contacted and responded to a survey on the impact of parental alcohol problems. Twenty-two per cent of the respondents indicated that at least one of their parents had a drinking problem. The biological father was affected in 81%. Compared with the rest of the sample, the adult children of problem drinkers were younger but they did not differ in income or education. Adult children of problem drinkers were more likely to have parents who were divorced or separated; to be divorced, separated, or remarried themselves; to be heavy drinkers and have indications of alcohol problems; and to use more sources of help for problems with stress and anxiety and problems with alcohol. They did not differ from those without parental drinking problems on measures of current positive and negative affect.


Crisis ◽  
1996 ◽  
Vol 17 (4) ◽  
pp. 157-166 ◽  
Author(s):  
Anette Søgaard Nielsen ◽  
Unni Bille-Brahe ◽  
Heidi Hjelmeland ◽  
Børge Jensen ◽  
Aini Ostamo ◽  
...  

The purpose of this study was to see whether and how the number of suicide attempters with alcohol problems and their drinking habits differ between the Nordic areas under study. Problem-drinkers were defined as persons who themselves felt that they had an alcohol problem. The analyses were based on data collected at five Nordic research centers participating in the WHO/Euro Multicentre Study on Parasuicide, namely: Helsinki (Finland); Umeå and Stockholm (Sweden); Sør-Trøndelag (Norway); and Odense (Denmark). The results showed that the frequency of problem-drinking among suicide attempters differed markedly between the areas under study; the Finnish male and the Danish female suicide attempters included the highest proportions of self-identified problem-drinkers. The pattern of drinking among the suicide attempters also differed between the areas. The analyses indicate that the point when alcohol becomes a problem to somebody, especially to a degree that it increases the risk of suicidal behavior, not only depends on how much and how often the person drinks alcohol; the prevailing drinking pattern, the attitudes towards drinking alcohol, and the level of social control are also important factors to take into consideration when relations between alcohol and suicidal behavior are under study.


2020 ◽  
Vol 14 ◽  
pp. 117822182093363
Author(s):  
Katherine J Karriker-Jaffe ◽  
Jane Witbrodt ◽  
Amy A Mericle ◽  
Douglas L Polcin ◽  
Lee Ann Kaskutas

This study tests a socioecological model of relapse and recovery using latent class growth mixture modeling to identify neighborhood, social network and individual-level predictors of alcohol dependence trajectories among a large, longitudinal sample of problem drinkers recruited from substance use treatment settings. We identified four distinct alcohol dependence trajectories: Stable Recovery/Low (Class 1); Relapsing/Rising (Class 2); Late Recovery/Declining (Class 3); and Chronic/High (Class 4). Neighborhood context (poverty and density of bars), social network characteristics (less involvement with Alcoholics Anonymous [AA], continued affiliation with heavy drinkers), and individual predisposing (psychiatric severity) and need (returning to treatment) characteristics each distinguished individuals in the Relapsing/Rising class from individuals in the Stable Recovery/Low class. Social network characteristics (AA involvement and continued affiliation with heavy drinkers) were the primary distinguishing factors for individuals in the Chronic/High class compared to the Late Recovery/Declining class. Study findings can be used to promote recovery and help prevent relapse by: guiding development of community-level interventions to improve social and physical environments; identifying potentially modifiable factors (social network support for sobriety, participation in self-help) to reduce negative consequences among problem drinkers who remain in high-risk neighborhoods; and contributing to ongoing discussions about new and continued licensing of alcohol outlets and regulation of alcohol sales to prevent alcohol problems in high-risk areas and among high-risk people.


1980 ◽  
Vol 25 (3) ◽  
pp. 220-227 ◽  
Author(s):  
Reginald G. Smart ◽  
Marion Gillies ◽  
Geoff Brown ◽  
Nancy L. Blair

This paper reports on the extent of alcohol problems in a sample of adults aged 18 and over. The survey was of the household type with personal interviews. The area of the survey is very similar in demographic characteristic to the Province of Ontario as a whole. Of the 993 respondents, 15.3% were abstinent, 56.8% were social drinkers, 25.1% reported some dependency symptoms and 2.8% were problem drinkers. Serious dependency, defined as three or more symptoms or problems, was found in 5.5% of drinkers. They were mostly males, in lower social classes, young or middle-aged and with lower incomes. The most commonly reported symptoms were wishing to stop or cut down on drinking, memory loss after drinking and receiving medical warnings about drinking. Very few dependent or problem drinkers had received any treatment for problem drinking, including both formal and informal treatment. The rate of serious dependent or alcoholic drinking is 55 per 1,000 or about twice as high as expected based on liver cirrhosis or alcohol consumption data for the area surveyed. The results strongly suggest that there is a large number of people with serious alcohol problems who are receiving no treatment for them. There is a need for both more treatment efforts and preventive programs.


1999 ◽  
Vol 9 (2) ◽  
pp. 151-162 ◽  
Author(s):  
Lawrence Schonfeld ◽  
Larry W Dupree

Alcohol misuse among older people has now been investigated for over 30 years. Schonfeld and Dupree previously described studies of alcohol use and abuse in the USA and UK, categories of older problem drinkers, age-inappropriate assessments, and examples of age-specific treatment. This review addresses more recent studies on drinking behaviour across several countries, screening assessment for older adults, alcohol problems in primary care medical settings, current age-specific treatment programmes, and treatment recommendations by expert panels, as well as in-home detoxification and use of the medication naltrexone as adjuncts to treatment.


2016 ◽  
Vol 60 (1) ◽  
pp. 75-88 ◽  
Author(s):  
Margaretha Järvinen ◽  
Charlotte Bloch

Sympathy is an emotion that connects people in trouble with those around them. This paper uses Candace Clark’s sociological theory on sympathy-giving to explore the emotional relationships between adult children of alcoholics (ACOAs) and their parents. Three dimensions are singled out as being central to sympathy-giving. We show, first, that the ‘sympathy accounts’ of alcoholic parents are related to the degree to which they live up to standardized parental obligations. Second, ACOAs’ sympathy investment in their parents is associated with the parents’ reciprocation – in terms of returning the sympathy, showing gratitude and/or acknowledging their problems and trying to solve them. Third, the interviewees’ sympathy-giving is related to the moral status they ascribe to problem drinkers, and especially their conceptions of alcohol problems as being self-inflicted or caused by circumstances the drinker cannot control. The paper is based on qualitative interviews with 25 ACOAs recruited through a survey in Denmark.


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