title: Stressful Life Events and Relapse Among Formerly Alcohol Dependent Adults.
abstract: We examined associations between stressful life events and relapse among adults in the United States with at least 1 year of remission from DSM-IV alcohol dependence. The sample consisted of individuals in remission from alcohol dependence at the Wave 1 interview (2001-2002) for the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) who also participated in a Wave 2 interview (2004-2005; N 1,707). Associations between stressful life events, demographic variables, = and the binary outcome of alcohol dependence relapse were examined with multiple logistic regression models. After adjustment for potential confounders, respondents who were divorced or separated in the year preceding the baseline assessment (Wave 1) were over two times more likely (OR = 2.32; CI = 1.01-5.34) to have relapsed 3 years later (Wave 2), compared to those not experiencing a divorce/separation in the 12 months prior to Wave 1. No other stressful life event was associated with relapse. Findings suggest that formerly alcohol dependent adults are at increased risk for relapse following divorce/separation. These results highlight the need for social work practitioners to consider the possibility of relapse following a divorce when one or both partners have a history of alcohol dependence.
authors.affiliation: Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, New York, USA; Department of Psychiatry, Columbia College of Physicians and Surgeons, Columbia University, New York, New York, USA; New York State Psychiatric Institute, New York, New York, USA.
authors.forename: Daniel J
authors.initials: DJ
authors.lastname: Pilowsky
authors.forename: Katherine M
authors.initials: KM
authors.lastname: Keyes
authors.forename: Timothy J
authors.initials: TJ
authors.lastname: Geier
authors.forename: Bridget F
authors.initials: BF
authors.lastname: Grant
authors.forename: Deborah S
authors.initials: DS
authors.lastname: Hasin
keywords: alcohol dependence; alcoholism; divorce; relapse; stressful life events