Keep on Keeping on? Patient Factors Predicting Discontinuation in Alcohol Use Disorder Treatment
Bibliographic Data
| ID | 21645129 |
|---|---|
| Authors | Kristoffer Høiland (0009-0003-8546-2692, Sykehuset i Vestfold, corresponding author), Espen Ajo Arnevik (0000-0003-1071-0017, University of Oslo), Espen Kristian Ajo Arnevik (University of Oslo), Lien My Diep (0000-0003-2086-4909, Oslo Center For Biostatistics and Epidemiology, Research Support Services, Oslo University Hospital), Tove Mathisen (Blå Kors Klinikk), Katie Witkiewitz (0000-0002-1086-3067, University of New Mexico), Jens Egeland (0000-0002-7322-9266, Sykehuset i Vestfold) |
| Year | 2025 |
| Volume | 60 |
| Issue | 12 |
| Pages | 1808-1819 |
| Publication date | 2025-10-15 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Substance Use & Misuse (JOURNAL) |
| Journal identifiers | ISSN: 1082-6084 • E-ISSN: 1532-2491 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/10826084.2025.2519404 |
| PMID | 40555227 |
| OpenAlex | W4411593949 |
| Language | EN |
| References cited | 88 |
BACKGROUND: A substantial portion of patients with alcohol use disorder (AUD) discontinue treatment. More knowledge of predictors of discontinuation is important for clinicians in preventing premature discontinuation and tailoring treatment to the patient. AIM: To investigate predictors of completion versus discontinuation in a sample from a multi-site study on outcome predictors of AUD treatment. METHODS: The analyses included 136 patients from a multi-site study on treatment outcome predictors in group treatment of AUD. Patients were examined at baseline with measures of alcohol use, drug use, psychological symptoms, maladaptive personality functioning, and cognitive functioning. In addition, demographic factors were registered. First, we conducted univariate analyses to examine whether a measure was associated with completion or discontinuation. Second, we selected significant variables from the univariate analyses and conducted a binary logistic regression to assess predictive ability. RESULTS: In total, 23.5% of participants discontinued treatment. The completer and discontinuation groups did not differ on measures of sociodemographic factors, alcohol use, substance use, mental health, or personality functioning. Executive functioning (EF) predicted discontinuation from treatment in the direction that higher EF predicted a decreased risk of discontinuation. CONCLUSION: Clinicians should examine EF before treatment to inform treatment planning and improve retention by tailoring interventions to the patients. TRIAL REGISTER: Clinical Trials.gov ID NCT04822987
Alcohol · Alcohol use disorder · Discontinuation · Psychiatry · Psychotherapist · Alcoholism and Thiamine Deficiency · Clinical Psychology · Gambling Behavior and Treatments · Medicine · Psychology · Substance Abuse Treatment and Outcomes
Diagnostic and Statistical Manual of Mental Disorders
Unity and diversity of executive functions
Dropout rates of in‐person psychosocial substance use disorder treatments
Drop-out from addiction treatment
Natural recovery from alcohol and drug problems
Evaluation of the Drug Use Disorders Identification Test (Dudit) in Criminal Justice and Detoxification Settings and in a Swedish Population Sample
Substance abuse treatment entry, retention, and outcome in women
Mice
The Role of Personality Functioning on Early Drop out in Outpatient Substance Misuse Treatment
Unmet treatment need
Whole person recovery from substance use disorder
Treatment outcome, treatment retention, and their predictors among clients of five outpatient alcohol treatment centres in Switzerland
The World Health Organization's WHOQOL-BREF quality of life assessment
Viability of the World Health Organization quality of life measure to assess changes in quality of life following treatment for alcohol use disorder
Quality of life, alcohol detoxification and relapse
The Relationship Between Neuropsychological Functioning and Mental Health Outcomes of Chronic Alcohol Users Involved in Counselling
Development of the Alcohol Use Disorders Identification Test (Audit)
| Citation velocity | historical |
|---|---|
| Highly cited | No |