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The Association Between Self-Reported Mental Health Status and Alcohol and Drug Abstinence 5 Years Post-Assessment for an Addiction Disorder in U.S. and Swedish Samples
Stockholm University, Faculty of Social Sciences, Centre for Social Research on Alcohol and Drugs (SoRAD).ORCID iD: 0000-0002-1757-9974
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2013 (English)In: Journal of Addictive Diseases, ISSN 1055-0887, E-ISSN 1545-0848, Vol. 32, no 2, 180-193 p.Article in journal (Refereed) Published
Abstract [en]

This study compared whether self-reported mental health status was associated with likelihood of being abstinent from alcohol and drugs five years after baseline assessment for an addiction disorder in two representative samples; one from Sweden (n = 469) and one from the US (n = 667). Self-reported mental health status was measured through the ASI score of mental health symptoms and history of inpatient and/or outpatient treatment. Through logistic regression modeling the study controlled for demographic characteristics including age, gender, employment status and social network connection with individuals who do not use alcohol/drugs. For both the US and Swedish samples employment status and having a social network that does not use alcohol and drugs were associated with being likely to be abstinent from alcohol and drugs five years after initial assessment. For the US sample only, individuals who reported symptoms of anxiety were 50% more likely not to be abstinent from alcohol and drugs at follow-up. For the Swedish sample, current mental health status was not significantly associated with abstinence. However, reporting a lifetime history of inpatient psychiatric treatment at the baseline assessment was significantly associated with not being abstinent at 5 years post assessment; those with a lifetime history of inpatient mental health treatment were 47% less likely to report abstinence. While specific variables differ across Sweden and the US, psychiatric comorbid status, employment and social network are each associated with drug and alcohol abstinence cross-nationally.

Place, publisher, year, edition, pages
2013. Vol. 32, no 2, 180-193 p.
Keyword [en]
Comorbid mental health and substance use disorders, changes in substance use, cross-national, Sweden, US
National Category
Sociology (excluding Social Work, Social Psychology and Social Anthropology) Social Work
Research subject
URN: urn:nbn:se:su:diva-86516DOI: 10.1080/10550887.2013.795468OAI: diva2:587181
Kvinnor och män i svensk missbruksbehandling + En komparativ studie av behandlingssystem, behandlingsinsatser och långtidsförlopp bland missbrukare i Stockholms län och norra Kalifornien
Forte, Swedish Research Council for Health, Working Life and Welfare, 2006-0822


Initial data collection in Sweden was funded by the Ministry of Health and Social Affairs. The 5-year follow-up and data analysis was funded by the Swedish Council for Working Life and Social Research (FAS).

The data collection in the US was funded by the US National Institute on Alcohol Abuse and Alcoholism (R01 AA09750 and P50 AA05595).

Available from: 2013-01-14 Created: 2013-01-14 Last updated: 2016-09-20Bibliographically approved

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Trocchio, SarahStorbjörk, Jessica
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