AA attendance and abstinence for dually diagnosed patients: a meta-analytic review

Addiction
J Scott ToniganKylee J Hagler

Abstract

There is consensus that best clinical practice for dual diagnosis (DD) is integrated mental health and substance use treatment augmented with Alcoholics Anonymous (AA) attendance. This is the first quantitative review of the direction and magnitude of the association between AA attendance and alcohol abstinence for DD patients. A systematic literature search (1993-2017) identified 22 studies yielding 24 effect sizes that met our inclusion criteria (8075 patients). Inverse-variance weighting of correlation coefficients (r) was used to aggregate sample-level findings and study aims were addressed using random- and mixed-effect models. Sensitivity and publication bias analyses were conducted to assess the likelihood of bias in the overall estimate of AA-related benefit. AA exposure and abstinence for DD patients were associated significantly and positively [rw  = 0.249; 95% confidence interval (CI) = 0.203-0.293; tau = 0.097). There was also significant heterogeneity in the distribution of effect sizes and high between-sample variance (I2  = 74.6, P < 0.001). Subgroup analyses indicated that the magnitude of AA-related benefit did not differ between 6- (k = 7) and 12- (k = 12) month follow-up (Q = 0.068, P = 0.794), type of treatm...Continue Reading

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Citations

Mar 12, 2020·The Cochrane Database of Systematic Reviews·John F KellyMarica Ferri
Apr 12, 2019·Current Opinion in Psychiatry·Pratima MurthyPrabhat K Chand
Jul 7, 2020·Alcohol and Alcoholism : International Journal of the Medical Council on Alcoholism·John F KellyKeith Humphreys
Jun 4, 2019·Current Opinion in Psychiatry·Pratima MurthyPrabhat K Chand
Feb 20, 2020·Substance Abuse : Research and Treatment·Angela J Nash

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