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Am J Psychiatry 2008; 165:1172-1178
(published online June 2, 2008; doi: 10.1176/appi.ajp.2008.07081308)
© 2008 American Psychiatric Association
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*Related Articles

Factors Associated With Remission From Alcohol Dependence in an American Indian Community Group

David A. Gilder, M.D., Philip Lau, M.A., Linda Corey, R.N., M.S., and Cindy L. Ehlers, Ph.D.

OBJECTIVE: This study identified factors associated with remission from DSM-III-R alcohol dependence in an American Indian community group. METHOD: Participants were assessed by using the Semi-Structured Assessment for the Genetics of Alcoholism. RESULTS: Five hundred eighty participants were assessed for alcohol use and alcohol use symptoms; 254 participants were found to have alcohol dependence. The rate of remission in this group was 59%. Thirty-four percent of remitters and 39% of nonremitters had received treatment for alcohol problems. Remission from alcohol dependence was associated with being female, older, and married; an earlier age of onset of alcohol dependence; and self-reported depression symptoms from drinking. Absence of remission was associated with continuing to drink despite knowing one had medical problems from drinking and self-reported anxiety symptoms from drinking. CONCLUSIONS: Attention to factors associated with remission from alcohol dependence may be important in designing more effective treatment and prevention programs in this high-risk population.


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J. Westermeyer
A Sea Change in the Treatment of Alcoholism
Am J Psychiatry, September 1, 2008; 165(9): 1093 - 1095.
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