Does alcoholics anonymous work? The results from a meta-analysis of controlled experiments

Author(s): Shadish, W. R.

Journal/Book: Subst Use Misuse. 1999; 34: 270 Madison Ave, New York, NY 10016, USA. Marcel Dekker Inc. 1897-1916.

Abstract: This article reviews the outcome (usually abstinence at 12 months) of 21 controlled studies of AA, with emphasis on methodological quality. Severe selection biases compromised all quasi-experiments. Randomized studies yielded worse results for AA than nonrandomized studies, but were biased by selection of coerced subjects. Attending conventional AA meetings was worse than no treatment or alternative treatment; residential AA-modeled treatments performed no better or worse than alternatives; and several components of AA seemed supported (recovering alcoholics as therapists, peer-led self-help therapy groups, teaching the Twelve-Step process, and doing an honest inventory).

Note: Article Kownacki RJ, N Texas State Hosp, Competency Program, Vernon,TX 76384 USA

Keyword(s): PSYCHOLOGICALLY ORIENTED TREATMENT; SUBSTANCE-ABUSE; METAANALYSIS; ABSTINENCE; EFFICACY; TRIAL

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