Article Dans Une Revue Alcohol and Alcoholism Année : 2017

Maintenance of abstinence in self-help groups

Résumé

Aim : To analyse abstinence rates 12 months after alcohol cessation in a sample of French subjects participating in support group meetings.Method : The project was co-designed with support group representatives, and co-investigator roles were delegated to meeting managers. Subjects who had stopped drinking for <3 months were included. An independent investigator evaluated alcohol intake and group attendance every 3 months using a questionnaire, and time to first drink was analysed using survival curves. Results : Overall, 145 participants were included, mean age 47 years. At 1 year, 43% of the 119 who could be evaluated were abstinent. Relapse rates did not differ by gender, withdrawal method, previous stays in a rehabilitation unit or time of first contact with the self-help association. However, participants receiving specialist medical and/or psychological support in addition to attending group meetings had a significantly lower abstinence rate than those who only attended group meetings, although their attendance at group meetings was similar. Conclusion : Self-help associations can participate in rigorous scientific studies. The present results identified a subgroup of individuals with alcohol problems who attended self-help groups, but not traditional care pathways. Having additional specialist support was not associated with better outcome.

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Dates et versions

hal-03063229 , version 1 (26-05-2021)

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Bertrand Nalpas, Isabelle Boulze-Launay. Maintenance of abstinence in self-help groups. Alcohol and Alcoholism, 2017, 53 (1), pp.89-94. ⟨10.1093/alcalc/agx085⟩. ⟨hal-03063229⟩
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