Improvements in recovery capital are associated with decreased alcohol use in a primary opioid use disorder treatment-seeking cohort

Nicholas L. Bormann; Andrea N. Weber; Stephan Arndt; Alison Lynch

doi:10.1111/ajad.13431

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Improvements in recovery capital are associated with decreased alcohol use in a primary opioid use disorder treatment-seeking cohort

Journal article

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Improvements in recovery capital are associated with decreased alcohol use in a primary opioid use disorder treatment-seeking cohort

Nicholas L. Bormann, Andrea N. Weber, Stephan Arndt and Alison Lynch

The American journal on addictions, Vol.32(6), pp.547-553

11/2023

DOI: 10.1111/ajad.13431

PMID: 37132067

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Abstract

Background and ObjectivesComorbid substance use can negatively impact multiple aspects of treatment for patients with an opioid use disorder (OUD). We investigated if treatment for OUD led to improvements in patients' recovery capital (RC) overtime, and whether there were associated changes in co-occurring alcohol use. MethodsParticipants (n = 133) were patients with OUD seeking outpatient treatment, who completed the Assessment of Recovery Capital (ARC) and reported drinking days per 30-day period thrice over the 6-month study. No specific treatments targeting alcohol were used. Two different models were employed to assess changes in total ARC score and adjusted odds ratio (aOR) for past 30-day abstinence. ResultsBaseline mean ARC scores were 36.6 and significantly increased to mean score of 41.2 at study end. Ninety-one participants (68.4%) reported no alcohol use at baseline, and 97 (78.9%) reported no use in the previous 30 days at study endpoint. For each increase in ARC, there was an aOR 1.07 (confidence interval [CI]: 1.02-1.13) for past 30-day abstinence. Considering ARC standard deviation of 10.33 over all measurements, this equates to an aOR of 2.10 (CI: 1.22-3.62) for past 30-day abstinence. Discussion and ConclusionsWe saw significantly increased aOR for past 30-day abstinence as RC improved in an OUD treatment-seeking population. This difference was not caused by differences in ARC between study completers and noncompleters. Scientific SignificanceShowcases how RC growth may be protective of past 30-day alcohol use in an OUD cohort and adds specific aOR for abstinence per ARC increase.

Life Sciences & Biomedicine

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Substance Abuse

Details

Title: Subtitle: Improvements in recovery capital are associated with decreased alcohol use in a primary opioid use disorder treatment-seeking cohort
Creators: Nicholas L. Bormann - Indiana University – Purdue University Indianapolis
Andrea N. Weber - University of Iowa
Stephan Arndt - University of Iowa
Alison Lynch - University of Iowa
Resource Type: Journal article
Publication Details: The American journal on addictions, Vol.32(6), pp.547-553
DOI: 10.1111/ajad.13431
PMID: 37132067
NLM abbreviation: Am J Addict
ISSN: 1055-0496
eISSN: 1521-0391
Publisher: Wiley
Number of pages: 7
Grant note: TI081620 / Substance Abuse and Mental Health Services Administration; United States Department of Health & Human Services 5881SA137E; 5881SA144E; 5881SA145E / Iowa Department of Public Health T25HP37624 / Health Resources and Services Administration; United States Department of Health & Human Services; United States Health Resources & Service Administration (HRSA)
Language: English
Date published: 11/2023
Academic Unit: Psychiatry; Biostatistics; Addiction Medicine; Family and Community Medicine; Nursing; Injury Prevention Research Center; Internal Medicine
Record Identifier: 9985132184802771

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