Life domains, alcoholics anonymous, and role incumbency in the 3-year course of problem drinking.
This study examined the course of problem drinking among 439 individuals over 3 years, using a life domains perspective that distinguishes life stressors and social resources in different contexts. More severe chronic financial stressors both predicted and were predicted by more alcohol consumption and drinking-related problems. Among social resources, Alcoholics Anonymous was the most robust predictor of better functioning on multiple outcome criteria. Support from friends and extended family also predicted better outcomes; this effect was stronger for individuals who were low on primary role incumbency (i.e., who were unemployed and/or did not have a spouse/partner).
Humphreys
K
K
Center for Health Care Evaluation, Veterans Affairs Palo Alto Health Care System, Menlo Park, California 94025, USA.
Moos
R H
RH
Finney
J W
JW
D000223:Adaptation, Psychological; D000328:Adult; D000428:Alcohol Drinking / Q000517:prevention & control / Q000523:psychology; D000436:Alcoholics Anonymous; D000437:Alcoholism / Q000175:diagnosis* / Q000523:psychology / Q000534:rehabilitation; D004651:Employment; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008016:Life Change Events; D008137:Longitudinal Studies; D008297:Male; D008393:Marriage; D008960:Models, Psychological; D017063:Outcome Assessment, Health Care; D011336:Probability; D012044:Regression Analysis; D012380:Role; D012847:Single Person; D012944:Social Support; D014478:Unemployment