The role of Alcoholics Anonymous in mobilizing adaptive social network changes: A prospective lagged mediational analysis
Drug and Alcohol DependencePublished 28 October 2010
John F. Kelly, Robert L. Stout, Molly Magill, J. Scott Tonigan
Citations134
SJR quartileQ1
SJR score1.66
SNIP1.35
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TL;DR
AA appears to facilitate recovery by mobilizing adaptive changes in the social networks of individuals exhibiting a broad range of impairment to aid recovery by decreasing exposure to alcohol-related cues thereby reducing craving, while simultaneously increasing rewarding social relationships.
Abstract
AA appears to facilitate recovery by mobilizing adaptive changes in the social networks of individuals exhibiting a broad range of impairment. Specifically by reducing involvement with pro-drinking ties and increasing involvement with pro-abstinent ties. These changes may aid recovery by decreasing exposure to alcohol-related cues thereby reducing craving, while simultaneously increasing rewarding social relationships.
Keywords
PsychologyMedicine
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Cognitive behavioral coping skills therapy is described, which is based on the principles of social learning theory and views drinking behaviour as functionally related to major problems in the patient’s life.
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Individuals who obtain help for a drinking problem, especially relatively quickly, do somewhat better on drinking outcomes over 8 years than those who do not receive help, but there is little difference between types of help on long-term drinking outcomes.
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