TY  - JOUR
PY  - 2012//
TI  - Effects of age and life transitions on alcohol and drug treatment outcome over nine years
JO  - Journal of studies on alcohol and drugs
A1  - Satre, Derek D.
A1  - Chi, Felicia W.
A1  - Mertens, Jennifer R.
A1  - Weisner, Constance M.
SP  - 459
EP  - 468
VL  - 73
IS  - 3
N2  - Objective: The purpose of this study was to examine the effects of age, common life transitions, treatment, and social support on outcomes 5-9 years after alcohol and other drug (AOD) treatment intake. Method: Participants were patients from a large outpatient AOD treatment program in an integrated health plan. There were 1,951 participants interviewed at intake, of whom 1,646 (84%) completed one or more telephone follow-up interviews at 5, 7, and 9 years. Measures included AOD use based on the Addiction Severity Index; treatment; and changes in marital, employment, and health status in the years between each follow-up. We compared participants by age group (18-39, 40-54, and ≥55 years old at intake) and examined factors (time invariant and time varying) associated with outcomes at 5, 7, and 9 years by fitting mixed-effects logistic random intercept models. Results: Changes in marital, employment, and health status varied significantly by age. Factors associated with remission across Years 5-9 included being in the middle-aged versus younger group (p < .001); female gender (p < .001); not losing a partner to separation, divorce, or death (p < .001); not experiencing a decline in health (p = .021); having any close friends supportive of recovery (p < .001); and not having any close friends who encourage AOD use (p < .001). Additional predictors, including employment changes, varied by drug versus alcohol abstinence outcome measures. Conclusions: Negative life transitions vary by age and are associated with worse outcomes. Older age and social support are associated with long-term AOD remission and abstinence. Findings inform treatment strategies to enhance recovery across the life span. (J. Stud. Alcohol Drugs, 73, 459-468, 2012).<p />  <p>Language: en</p>
LA  - en
SN  - 1937-1888
UR  - http://dx.doi.org/
ID  - ref1
ER  -