Long-Term Influence of Duration and Frequency of Participation in Alcoholics Anonymous on Individuals With Alcohol Use Disorders.

This study examined the influence of the duration and frequency of a baseline episode of participation in Alcoholics Anonymous (AA) among 473 individuals with alcohol use disorders on 1-year and 8-year outcomes and the effect of additional participation and delayed participation on outcomes. Compared with individuals who did not participate, individuals who affiliated with AA relatively quickly, and who participated longer, had better 1-year and 8-year alcohol-related outcomes. Individuals who continued to participate, and those who continued longer, had better alcohol-related outcomes than did individuals who discontinued participation, but individuals who delayed participation in AA had no better outcomes than those who never participated. In general, the frequency of participation was independently associated only with a higher likelihood of abstinence. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Alcoholics Anonymous involvement and positive alcohol-related outcomes: Cause, consequence, or just a correlate? A prospective 2-year study of 2,319 alcohol-dependent men.

A positive correlation between Alcoholics Anonymous (AA) involvement and better alcohol-related outcomes has been identified in research studies, but whether this correlation reflects a causal relationship remains a subject of meaningful debate. The present study evaluated the question of whether AA affiliation appears causally related to positive alcohol-related outcomes in a sample of 2,319 male alcohol-dependent patients. An initial structural equation model indicated that 1-year posttreatment levels of AA affiliation predicted lower alcohol-related problems at 2-year follow-up, whereas level of alcohol-related problems at 1-year did not predict AA affiliation at 2-year follow-up. Additional models found that these effects were not attributable to motivation or psychopathology. The findings are consistent with the hypothesis that AA participation has a positive effect on alcohol-related outcomes. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Is it beneficial to have an alcoholics anonymous sponsor?

Alcoholics Anonymous (AA) attendance is predictive of increased abstinence for many problem drinkers and treatment referral to AA is common. Strong encouragement to acquire an AA sponsor is likewise typical, and findings about the benefits associated with social support for abstinence in AA support this practice, at least indirectly. Despite this widespread practice, however, prospective tests of the unique contribution of having an AA sponsor are lacking. This prospective study investigated the contribution of acquiring an AA sponsor using a methodologically rigorous design that isolated the specific effects of AA sponsorship. Participants were recruited from AA and outpatient treatment. Intake and follow-up assessments included questionnaires, semi-structured interviews, and urine toxicology screens. Eligibility criteria limited prior treatment and AA histories to clarify the relationship of interest while, for generalizability purposes, broad substance abuse criteria were used. Of the 253 participants, 182 (72%) provided complete data on measures central to the aims of this study. Overall reductions in alcohol, marijuana, and cocaine use were found over 12-months and lagged analyses indicated that AA attendance significantly predicted increased abstinence. During early AA affiliation but not later logistic regressions showed that having an AA sponsor predicted increased alcohol-abstinence and abstinence from marijuana and cocaine after first controlling for a host of AA-related, treatment, and motivational measures that are associated with AA exposure or are generally prognostic of outcome. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Alcoholics Anonymous Involvement (AAI) scale: Reliability and norms.

Alcoholics Anonymous (AA) participation often is of interest in alcoholism treatment research, but few measures of this variable have been developed with known psychometric properties. It is common for measures of AA participation to blur the important distinction between frequency of AA attendance and AA involvement. This study provides psychometric findings for the Alcoholics Anonymous Involvement (AAI) scale, a 13-item self-report inventory that measures lifetime and recent attendance and involvement in AA. Normative data are provided based on a national sample of alcoholic participants in treatment (N?=?1,625), and AAI response stability is reported by using a test-retest sample (N?=?76). Findings indicate that the AAI can serve as a reliable and useful instrument for assessing AA attendance and involvement. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Changing network support for drinking: Initial findings from the Network Support Project.

The aim of this study was to determine whether a socially focused treatment can effect change in the patient's social network from one that reinforces drinking to one that reinforces sobriety. Alcohol dependent men and women (N = 210) recruited from the community were randomly assigned to 1 of 3 outpatient treatment conditions: network support (NS), network support + contingency management (NS + CM), or case management (CaseM; a control condition). Analysis of drinking rates for 186 participants at 15 months indicated a significant interaction effect of Treatment × Time, with both NS conditions yielding better outcomes than the CaseM condition. Analyses of social network variables at posttreatment indicated that the NS conditions did not reduce social support for drinking relative to the CaseM condition but did increase behavioral and attitudinal support for abstinence as well as Alcoholics Anonymous (AA) involvement. Both the NS variables and AA involvement variables were significantly correlated with drinking outcomes. These findings indicate that drinkers' social networks can be changed by a treatment that is specifically designed to do so, and that these changes contribute to improved drinking outcomes. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychotherapy and Alcoholics Anonymous: An integrated approach.

This article provides a rationale for, and a method of, combining a nonprofessional self-help addiction recovery program, Alcoholics Anonymous (AA), and a professional treatment approach, psychotherapy. The two approaches share a common goal, target similar issues, and work toward similar outcomes. A psychotherapy approach that integrates the two approaches can be quite powerful. Treating a patient in psychotherapy who is also working in the AA program without a good understanding of AA can result in the two approaches working at cross-purposes, diminishing the effectiveness of both interventions. After a brief discussion of psychotherapy integration, the AA program is examined in detail, focusing on the philosophy and change strategies that are compatible with psychodynamic and cognitive–behavioral models of psychotherapy. A method for integrating these techniques into a psychotherapy directed at treating addiction is presented. Guidelines are provided to manage the implementation of this integrated approach throughout the process of recovery. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Prion protein immunohistochemical staining in the brains of monkeys with transmissible spongiform encephalopathy

BACKGROUND: Spirituality is receiving greater attention in the medical literature, especially in the family practice journals. A widely applicable instrument to assess spirituality has been lacking, however, and this has hampered research on the relationship between spirituality and health in the clinical setting. METHODS: A new instrument, called the Spiritual Involvement and Beliefs Scale, was designed to be widely applicable across religious traditions, to assess actions as well as beliefs to address key components not assessed in other available measures, and to be easily administered and scored. The instrument is a questionnaire containing 26 items in a modified Likert-type format. Following careful pretesting, the instrument was administered to 50 family practice patients and 33 family practice educators. The validity and reliability of the instrument were then evaluated. RESULTS: By several measures, instrument reliability and validity are very good, with high internal consistency (Cronbach's alpha = .92); strong test-retest reliability (r = .92); a clear four-factor structure; and a high correlation (r = .80) with another established measure of spirituality, the Spiritual Well-Being Scale. CONCLUSIONS: The Spiritual Involvement and Beliefs Scale (SIBS) appears to have good reliability and validity. Compared with other instruments that assess spirituality, the SIBS has several theoretical advantages, including broader scope, use of terms that avoid cultural-religious bias, and assessment of both beliefs and actions. More testing is underway to further assess its usefulness.     

Validating the Riverside Acculturation Stress Inventory with Asian Americans.

An emerging body of empirical research highlights the impact of acculturative stress in the lives of culturally diverse populations. Therefore, to facilitate future research in this area, we conducted 3 studies to examine the psychometric properties of the Riverside Acculturation Stress Inventory (RASI; Benet-Martínez & Haritatos, 2005) and its 5 subscales in a total sample of 793 self-identified Asian American participants. The reliability and validity of RASI scores and the hypothesized 1-factor higher order model (with 1st-order factors Language Skills, Work Challenges, Intercultural Relations, Discrimination, and Cultural Isolation) of the RASI were examined in Study 1. The RASI higher order structure and score validity and reliability were examined across different generational groups in Study 2. The stability of RASI scores over a 3-week period was examined in Study 3. Overall, findings from these studies support the hypothesized structure of the RASI and indicate that this brief instrument provides reliable and valid acculturative stress scores. In addition, results suggest that RASI items are interpreted in an equivalent manner across different generations of Asian American individuals. Implications for research and assessment are discussed. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Alcoholics anonymous, other 12-step movements and psychotherapy in the US population, 1990

Based on the 1990 US National Alcohol Survey, this note provides the first available comprehensive findings on self-reported utilization of a variety of sources of personal support and counselling for alcohol and other problems. Respondents were queried about lifetime attendance and number of times they went to identified sources of help in the prior year. Twelve-step groups included Alcoholics Anonymous, Al-Anon, Adult Children of Alcoholics, and other non-alcohol-oriented groups like Gamblers Anonymous, Narcotics Anonymous, and Overeaters Anonymous; additional questions inquired about support or therapy groups and individual counselling for non-alcohol problems. Of the US adult population, 9% have been to an AA meeting at some time, 3.6% in the prior year, only about one-third of these for problems of their own. About half these percentages, mostly women, have attended Al-Anon. Of the same population, 13.3% indicate ever attending a 12-step meeting (including non-alcohol-oriented groups), 5.3% in the last year. During the prior year a further 2.1% used other support/therapy groups and 5.5% sought individual counselling/therapy for personal problems other than alcohol. In contrast to this high reported utilization, only 4.9% (ever) and 2.3% (12-months) reported going to anyone including AA for a problem (of their own) related to drinking.     

Development and validation of the Neuropsychology Behavior and Affect Profile.

This series of 4 studies describes the psychometric properties of the Neuropsychology Behavior and Affect Profile, which consists of 5 peer-rated scales (106 items) designed to measure personality change in brain-impaired individuals. Study 1 pertains to item derivation. Study 2 used relatives of 61 Ss identified as demented to determine the test's internal consistency. Results showed moderate levels of internal consistency across the 5 scales, with slightly higher coefficients (.68–.82) obtained for present (vs. premorbid) emotional status. High test–retest reliability was demonstrated in Study 3 (intraclass correlation coefficients ranged from .92 to .99). Study 4 established discriminant validity; the instrument differentiated 61 demented Ss from 88 normal elderly controls on the basis of present behavioral affective style. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A Depressive Symptom Scale for the California Psychological Inventory: Construct Validation of the CPI-D.

To facilitate life span research on depressive symptomatology, a depressive symptom scale for the California Psychological Inventory (CPI) is needed. The authors constructed such a scale (the CPI-D) and compared its psychometric properties with 2 widely used self-report depression scales: the Beck Depression Inventory and the Center for Epidemiological Studies Depression Scale. Construct validity of the CPI-D was examined in 3 studies. Study 1 established content validity, classifying CPI-D items into Diagnostic and Statistical Manual of Mental Disorders-Fourth Edition depressive symptoms. Study 2 used 3 large samples to gather evidence for reliability and validity: Correlational analyses demonstrated alpha reliability and convergent and discriminant validity; factor analysis provided evidence for discriminant validity with anxiety; and regression analyses demonstrated comparative validity with existing standard PI scales. Study 3 used clinician ratings of depression and anxiety as criteria for external validity. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Factor structure and psychometric properties of the Injection Phobia Scale–Anxiety.

The present investigation examined the factor structure and psychometric properties of the Injection Phobia Scale–Anxiety (IPS-Anx). Principal components analysis of IPS-Anx items in Study 1 (n = 498) revealed a 2-factor structure consisting of Distal Fear and Contact Fear. However, CFA results in Study 2 (n = 567) suggest that a 1-factor structure may be more parsimonious. IPS-Anx scores demonstrated excellent reliability including test–retest over a 12-week period in Study 3 (n = 195). Supportive evidence for convergent and divergent validity of IPS-Anx scores was also found in Study 4 (n = 319), with strong associations with disgust propensity and sensitivity and weak associations with positive affect. Further evidence of validity was found in Study 5 (n = 1,674) because IPS-Anx scores discriminated those who have experienced fainting symptoms or avoided medical procedures from those without a history of such symptoms. In Study 6, data from Studies 2 through 5 were pooled, and the findings of Study 2 were replicated. The 1-factor model also fit the data well for men and women in Study 6. Lastly, IPS-Anx scores differentiated those with blood-injection-injury phobia (n = 39) from those without this phobia (n = 43) in Study 7. These findings suggest that the IPS-Anx has excellent psychometric properties, making it suitable for use in programmatic research on injection phobia. However, future research examining the validity of a short form of the scale with only the Contact Fear items may further improve the efficiency and utility of the IPS-Anx. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Mentors' perceptions of negative mentoring experiences: Scale development and nomological validation.

Three studies were conducted to develop a psychometrically sound, multidimensional measure of mentors' perceptions of negative experiences with their protégés. In Study 1, items were developed, and content-related validity was established. In Study 2, CFA was used to establish the dimensionality of the new measure. Construct-related (convergent and discriminant) and criterion-related validity evidence were also obtained by using data from matched mentor-protégé dyads. Study 3 replicated the factor structure of the instrument and provided additional validity evidence by using a sample of female academic mentors. The findings are discussed in terms of broadening the scope of mentoring research to consider the mentor's perspective of relationship problems and dyadic processes in mentoring relationships. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Children of Alcoholics Screening Test (CAST) and influence of parent's drinking on their children

The Children of Alcoholics Screening Test (CAST) is a 30-item screening instrument developed to identify children who are either living with or have lived with alcoholic parents. The Japanese edition of CAST and a questionnaire on parent's drinking were administered; 572 samples of high school students and 44 samples of advanced nursing school students were obtained. The following observations were made. 1) The CAST exhibited a high level of reliability (Cronbach's alpha coefficient of internal consistency reliability = .92, reliability coefficient theta computed on principle component analysis = .92, test-retest reliability coefficient p = .96). 2) All of the 30 questions of CAST elicited affirmative responses of varying degrees, and none of the questions were found to be incongruous. 3) Factor analysis was performed to detect the potential structure model of the CAST 30 items. It revealed that the CAST is composed of and able to check, in order of relative weight, the cognitive > emotional > behavioral experiences. 4) 17.7% of the total CAST sample scored six and over, which is the score that serves as the cutoff point to identify the children of alcoholics. 5) The average CAST score of female students was found to be significantly greater than that of male students (p = 0.008). On each of the 30 items, female students had a higher rate of answering affirmatively than male students, and on 13 items (item number 2, 3, 4, 8, 9, 10, 12, 16, 19, 20, 22, 23, 28) were found to differ significantly. 6) The CAST score of the sample was found to be significantly related to the frequency of the father's drinking, and compared to male students, female students were more sensitive to and affected more seriously by their father's drinking.     

Reaction to Cummings on addiction.

Argues that there is an assumption in N. A. Cummings's (see record 1980-08234-001) article that is unfortunate for psychologists who work with addiction and for their patients. Cummings devotes only a short paragraph to Alcoholics Anonymous (AA) and speaks in a way that dismisses AA as not worthy of serious consideration in the treatment of addictions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Tyrosinase transfection produces melanin synthesis and growth retardation in glioma cells

Therapists working in the addictions field and practicing from a psychoanalytic psychodynamic framework are often confronted with the patient's need to know, the demand for therapist self-disclosure. Consistent with Alcoholics Anonymous (AA) principles, many patients state that they cannot be helped unless the therapist is revealing of their personal background. This paper discusses the theoretical roots of therapist self-disclosure and the AA philosophy and offers suggestions for how the two might be reconciled.     

Motivational Enhancement for 12-Step Involvement Among Patients Undergoing Alcohol Detoxification.

Forty-eight patients undergoing inpatient detoxification for alcohol dependence were assigned to either brief advice (BA) to attend Alcoholics Anonymous or a motivational enhancement for 12-step involvement (ME-12) intervention that focused on increasing involvement in 12-step self-help groups. Attendance at 12-step groups did not differ significantly by treatment condition over 6 months of follow-up, nor did drinking outcomes. There was a significant interaction between 12-step experience and treatment condition, indicating that ME-12 was associated with relatively better alcohol outcomes at the low ends of 12-step experience, whereas BA was associated with relatively better outcomes at the high ends of 12-step experience. Results indicate that among patients undergoing alcohol detoxification, ME-12 may be beneficial only for those who have little experience with 12-step groups. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Reduced substance-abuse-related health care costs among voluntary participants in Alcoholics Anonymous

OBJECTIVE: This study examined differences in outcomes, alcoholism treatment utilization, and costs between alcoholic individuals with no previous treatment history who chose to attend Alcoholics Anonymous (AA) or to seek help from a professional outpatient alcoholism treatment provider. METHODS: Participants in this three-year prospective study were recruited at alcoholism information and referral services and at detoxification units in the San Francisco Bay Area. Chi square and t tests and repeated-measures analyses of variance were used to examine data gathered from interviews with 201 participants at baseline and at one and three years. RESULTS: At baseline, participants who chose to attend AA meetings (N = 135) were not significantly different from those who chose professional outpatient treatment (N = 66) in sex, marital status, employment, race, and symptoms of alcohol dependence and depression. However, AA attendees had lower incomes and less education and experienced more adverse consequences of drinking at baseline than did those who sought outpatient care, suggesting somewhat worse prognoses for the AA group. Over the three-year study, per-person treatment costs for the AA group were 45 percent (or $1,826) lower than costs for the outpatient treatment group. Despite the lower costs, outcomes for the AA group at both one and three years were similar to those of the outpatient treatment group. CONCLUSIONS: Voluntary AA participation may significantly reduce professional treatment costs. Clinicians, researchers, and policymakers should recognize the potential health care cost offsets offered by AA and other self-help organizations.     

Reliability and validity of the Functional Outcome Questionnaire for Aphasia (FOQ-A).

Objective: To perform a psychometric evaluation of the Functional Outcome Questionnaire for Aphasia (FOQ-A), a 32-item instrument designed to assess the extent to which a person who has had a stroke performs several important functional communication behaviors. Research Design: The FOQ-A was administered to family caregivers of persons with a history of left hemisphere stroke (N = 91) undergoing a comprehensive screening assessment to determine their eligibility for participation in research trials for novel stroke rehabilitation interventions. Results: Statistical analyses provided strong support for the internal consistency reliability and the convergent and discriminant validity of the FOQ-A. An exploratory factor analysis revealed a two-factor solution, Basic Verbal Expression and Conversational Response Skills. Conclusions: The present findings build on earlier evidence indicating that the FOQ-A has good psychometric properties and considerable promise as a measure of functional communication in aphasia rehabilitation. Future research will focus on the test-retest reliability, criterion-oriented validity, and predictive validity of the instrument. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

When nonsense sounds happy or helpless: The Implicit Positive and Negative Affect Test (IPANAT).

This article introduces an instrument for the indirect assessment of positive and negative affect, the Implicit Positive and Negative Affect Test (IPANAT). This test draws on participant ratings of the extent to which artificial words subjectively convey various emotions. Factor analyses of these ratings yielded two independent factors that can be interpreted as implicit positive and negative affect. The corresponding scales show adequate internal consistency, test–retest reliability, stability (Study 1), and construct validity (Study 2). Studies 3 and 4 demonstrate that the IPANAT also measures state variance. Finally, Study 5 provides criterion-based validity by demonstrating that correlations between implicit affect and explicit affect are higher under conditions of spontaneous responding than under conditions of reflective responding to explicit affect scales. The present findings suggest that the IPANAT is a reliable and valid measure with a straightforward application procedure. (PsycINFO Database Record (c) 2010 APA, all rights reserved)