Patients With Alcohol Use Disorders and Their Concerned Others: Concordance of Lived Experience as a Moderator of Treatment Outcomes

Christine Timko; Michael A Cucciare; Kathleen M Grant; Lance Brendan Young; Fernanda S Rossi; Mai Chee Lor; Erin Woodhead

doi:10.15288/jsad.2021.82.395

Back

Patients With Alcohol Use Disorders and Their Concerned Others: Concordance of Lived Experience as a Moderator of Treatment Outcomes

Journal article

Open access

Peer reviewed

Patients With Alcohol Use Disorders and Their Concerned Others: Concordance of Lived Experience as a Moderator of Treatment Outcomes

Christine Timko, Michael A Cucciare, Kathleen M Grant, Lance Brendan Young, Fernanda S Rossi, Mai Chee Lor and Erin Woodhead

Journal of studies on alcohol and drugs, Vol.82(3), pp.395-400

05/2021

DOI: 10.15288/jsad.2021.82.395

PMCID: PMC8328236

PMID: 34100708

Files and links (1)

url

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8328236View

Published (Version of record) Open Access

Abstract

Growing up with an adult with an alcohol use disorder (AUD) is common and negatively affects adult functioning. This study examined two questions concerning the lived experience of growing up in a home with AUD. The first question asked how adults entering AUD treatment (n = 402) who had this lived experience (58%) compared to those who did not (42%) on indicators of alcohol use severity. Patients with lived experience reported alcohol use at a younger age, more times having been arrested and charged, and greater risk for future substance use. The second question examined concordance between patients and their concerned others on this lived experience (n = 277 dyads) and patients' treatment outcomes 3 months later. The associations between patients' lived experience and better treatment outcomes were stronger when patients' concerned others had a concordant lived experience. When patient-concerned other dyads reported concordant lived experiences at baseline, patients had lower substance use and risk scores at the 3-month follow-up than when the dyads reported discordant lived experiences with regard to growing up in a home with AUD; effect sizes were small. Concordance and discordance on this lived experience could be considered in treatment planning for patients with AUD and their concerned others. Providers could ask about each member's childhood and aim interventions at helping dyads discuss their childhoods in ways that validate each other's needs and provide emotional support, without stigmatization. Delivery may consider relationship type (spousal or other) and be in educational or treatment sessions that include the dyad or one member.

Adult

Alcoholism - therapy

Child

Humans

Substance-Related Disorders - therapy

Treatment Outcome

Details

Title: Subtitle: Patients With Alcohol Use Disorders and Their Concerned Others: Concordance of Lived Experience as a Moderator of Treatment Outcomes
Creators: Christine Timko - Stanford University School of Medicine
Michael A Cucciare - Central Arkansas Veterans Healthcare System
Kathleen M Grant - University of Nebraska Medical Center
Lance Brendan Young - Western Illinois University
Fernanda S Rossi - Stanford University
Mai Chee Lor - Center for Innovation to Implementation, Department of Veterans Affairs Health Care System, Palo Alto, California
Erin Woodhead - San Jose State University
Resource Type: Journal article
Publication Details: Journal of studies on alcohol and drugs, Vol.82(3), pp.395-400
DOI: 10.15288/jsad.2021.82.395
PMID: 34100708
PMCID: PMC8328236
ISSN: 1937-1888
eISSN: 1938-4114
Grant note: RCS 00-001 / HSRD VA R01 AA024136 / NIAAA NIH HHS
Language: English
Date published: 05/2021
Academic Unit: Preventive and Community Dentistry; Dentistry Administration
Record Identifier: 9984367621302771

Metrics

25 Record Views

6 Times Cited - Web of Science