Dynamic pathways to recovery from alcohol use disorder : meaning and methods / edited by Jalie A. Tucker, Uniteversity of Florida, Katie Witkiewitz, University of New Mexico.

Format:

Book

Contributor:

Tucker, Jalie A. (Jalie Ann), 1954- editor.

Witkiewitz, Katie, editor.

Language:

English

Subjects (All):

Alcoholism--Relapse--Prevention.

Alcoholism.

Alcoholics--Rehabilitation.

Alcoholics.

Physical Description:

1 online resource (xxiv, 442 pages) : digital, PDF file(s).

Edition:

1st ed.

Place of Publication:

Cambridge : Cambridge University Press, 2022.

Summary:

Alcohol use disorder is by far the most prevalent substance use disorder in the general population and is a major contributor to disease worldwide. Recovery from the disorder is a dynamic process of change, and individuals take many different routes to resolve their alcohol problems and seek to achieve a life worth living. Total abstention is not the only solution and robust recovery involves more than changing drinking practices. This volume brings together multidisciplinary research on recovery processes, contexts, and outcomes as well as new ideas about the multiple pathways involved. Experts chart the individual, social, contextual, community, economic, regulatory, policy, and structural influences that are vital to understanding alcohol use disorder and recovery. The book recommends new approaches to conceptualizing and assessing recovery alongside new avenues for research, community engagement, and policy that constitute a major shift in the practice and policy landscape.

Contents:

Cover

Half-title

Title page

Copyright information

Dedication

Contents

List of Figures

List of Tables

List of Contributors

Foreword

Preface

Acknowledgments

Introduction

1 Historical and Contemporary Perspectives on Pathways to Recovery from Alcohol Use Disorder

Historical and Contemporary Perspectives on Pathways to Recovery from Alcohol Use Disorder

Historical Views and Definitions of Recovery

Contemporary Views and Definitions of Recovery

Clinical Diagnosis of AUD and Remission

Cessation of Risky Drinking

Stakeholder Definitions of Recovery

Views of Recovery among Persons with AUD

Empirical Research on AUD Recovery Rates, Patterns, and Outcomes

Epidemiology of Recovery and Relationships with Help-Seeking and Problem Severity

Recovery across the Lifespan

Role of Gender and Race/Ethnicity in Recovery and Help-Seeking

Prospective Studies of Recovery Outcomes in Different Populations

Conceptualizing Recovery and Directions for Research and Practice

References

Part I Micro Level: The Individual as Change Agent

2 Biopsychosocial Process of Change in Alcohol Use Disorder Recovery

Biopsychosocial Process of Change in Alcohol Use Disorder Recovery

Definitions of AUD Remission, Relapse, and Recovery

Processes of Change from Remission to Relapse to Recovery

Biopsychosocial Model of the Relapse Process

Biopsychosocial Model of Recovery

Future Directions in Studying Recovery as a Biopsychosocial Process of Change

Definition of Recovery

Theory Development

Measurement Development

Conclusions and Recommendations

3 The Role of Self-Regulation Strategies in Recovery from Alcohol Use Disorder

The Role of Self-Regulation Strategies in Recovery from Alcohol Use Disorder

Mechanisms That Maintain AUD.

Self-Regulation as a Mechanism in AUD Recovery

Cognitive-Behavioral Self-Regulation Strategies

Stimulus Control

Cognitive Reappraisal

Distraction

Problem Solving

Goal Setting/Tracking

Episodic Future Thinking

Arousal Reduction

Physiological Management and Self-Care

Seeking Social Support

Active Communication

Positive Activity Engagement

Harm Reduction

Mindfulness- and Acceptance-Based Therapy (MABT) Self-Regulation Strategies

Mindful Awareness

Mindful Acceptance

Savoring

Values Clarification

4 Neuropsychological and Biological Influences on Drinking Behavior Change

Neuropsychological and Biological Influences on Drinking Behavior Change

Behavior Change Depends on Modulation of Arousal to Triggers and Cues

Arousal Modulation Mechanisms Bridge Brain, Body, and Behavior

Arousal as ''Context'' for Cognitive Training: Implications for Intervention and Recovery

Adaptive Arousal Modulation as Recovery Capital

5 Lifespan Developmental Perspectives on Natural Mechanisms of Cessation of Risky Alcohol Use and Recovery from Alcohol Use Disorder

Lifespan Developmental Perspectives on Natural Mechanisms of Cessation of Risky Alcohol Use and Recovery from Alcohol Use Disorder

Lifespan Developmental Issues in AUD Diagnosis

Epidemiology of Risky Alcohol Use and AUD

Age-Related Changes in Risky Alcohol Use and AUD

Age Differences in Transitions In and Out of AUD

Cohort Differences in Age-Related Change

Sociodemographic Differences

Adolescent Etiology of Risky Alcohol Use

Deviance Proneness Pathway

Stress/Trauma and Negative Affect Pathway

Pharmacological Effects Pathway

AUD Recovery across the Adult Lifespan.

Late Adolescence and Early Young Adulthood (Approximately Ages 18-23)

Recovery during Young Adulthood

Recovery beyond Young Adulthood

Maturing Out versus Natural Recovery Models

Recovery in Older Adults

Bridging Developmental Models across the Entire Lifespan

Links to Brain-Based Models of Addiction

6 Mutual Help Approaches and Mechanisms of Change

Mutual Help Approaches and Mechanisms of Change

AA and Other Mutual Help Programs

Mutual Help Affiliation Profiles

Mutual Support and Alcohol Abstinence Outcomes

AA Active Ingredients

Meeting Characteristics

AA Sponsors

AA Step Work

Mutual Support Mechanisms of Behavior Change (MOBC)

Class One: Common and Protective MOBC

Spiritual Practices

Abstinence Social Support

Abstinence Self-efficacy

Class Two: Reductions in MOBC

Depression

Anger

Selfishness

Future Directions for Mutual Support Research

Expanding the Types of AA Active Ingredients in MOBC Research

Modeling AA Meeting Heterogeneity

Identifying Linkages between Improvements in Life Functioning and MOBC

Expanding Timeframes and Methods for AA Research

Investigating Other Mutual Help Groups

7 Time-Varying Effect Modeling to Examine Recovery Outcomes across Four Years

Time-Varying Effect Modeling to Examine Recovery Outcomes across Four Years

Global Influences on Functioning in Recovery

Recovery as an Ongoing Process

Examining Recovery as a Dynamic Process via Time-Varying Effect Modeling

TVEM Example Application: RMC Intervention as a Time-Varying Predictor of Substance Use and Other Recovery Changes across Four Years

Early Re-Intervention (ERI-2) Method

Baseline Severity Assessment

Substance Use Recovery Outcomes.

Other Positive Change Recovery Outcomes

Additional Covariates

TVEM and Analytic Plan

RMC Intervention Effect on Substance Use Outcomes across Time

RMC Intervention Effect on Other Positive Recovery Outcomes across Time

Interaction between RMC Intervention and Baseline Severity on Outcomes across Time

TVEM Results

Syntax for Panel Figure 7.1

Example Syntax for Panel Figure 7.2

Syntax for Panel Figure 7.3

8 Latent Variable Mixture Modeling Approaches to Investigating Longitudinal Recovery Processes

Latent Variable Mixture Modeling Approaches to Investigating Longitudinal Recovery Processes

Important Features of Longitudinal Data for Modeling Changes

Within-Individual vs. Between-Individual Change

Variable-Centered vs. Person-Centered Approaches

Latent Class Analysis and Latent Profile Analysis

Latent Class Analysis

Model Specification

Assumption of Local Independence

Latent Profile Analysis

Latent Class Regression

Longitudinal Latent Variable Mixture Models

Latent Growth Curve Modeling

Growth Mixture Modeling

Person-Centered Mediation Analysis

Part II Meso Level: Understanding and Promoting Individual Behavior Change within Natural Environments

9 Natural Recovery from Alcohol Use Disorder: Patterns, Contexts, and the Behavioral Economics of Change

Natural Recovery from Alcohol Use Disorder: Patterns, Contexts, and the Behavioral Economics of Change

Descriptive Research on Natural Recovery

Longitudinal Studies of Natural Recovery.

Behavioral Economics and Applications to Harmful Substance Use and Recovery

Measurement Issues in a Behavioral Economic Analysis of Recovery

Project ARC: Alcohol Recovery in Community

Pre-Resolution Predictors of 1-Year Drinking Outcomes

Post-Resolution Shifts in Monetary Allocation and Associations with Drinking

10 Individual Behavioral Interventions to Incentivize Sobriety and Enrich the Natural Environment with Appealing Alternatives to Drinking

Individual Behavioral Interventions to Incentivize Sobriety and Enrich the Natural Environment with Appealing Alternatives to Drinking

Behavioral Economic Theory as a Framework for Guiding Alcohol Interventions that Enrich the Environment with Alternative Reinforcers

Low Threshold Interventions that Enrich the Environment with Alternative Reinforcers

Substance-Free Activity Session (SFAS)

Episodic Future Thinking (EFT)

Implementation Intentions (II)

Comprehensive Alcohol or Drug Use Treatments Delivered in Clinical Care Settings that Enrich the Environment with Alternative Reinforcers

Behavioral Activation (BA)

Cognitive Behavioral Treatments (CBT)

Mindfulness- and Acceptance-Based Treatments

Network Support Treatment (NST) and Twelve Step Facilitation (TSF)

Exercise-Based Interventions

Contingency Management (CM)

Community Reinforcement Approach (CRA)

Importance of Dissemination to High-Risk and Underserved Populations

11 Family and Social Processes in Recovery from Alcohol Use Disorder

Family and Social Processes in Recovery from Alcohol Use Disorder

Family and Social Processes Relevant to AUD

Family and Social Processes in the Development and Maintenance of AUD.

Family Factors Predicting or Protecting against the Development of AUD.

Notes:

Title from publisher's bibliographic system (viewed on 23 Dec 2021).

ISBN:

9781108982818

1108982816

9781108981323

1108981321

9781108976213

1108976212

OCLC:

1250429966