Mueller S E, Petitjean S, Boening J, Wiesbeck G A
Psychiatric University Clinics, University of Basel, Basel, Switzerland.
Alcohol Alcohol. 2007 Mar-Apr;42(2):108-12. doi: 10.1093/alcalc/agl122. Epub 2007 Jan 25.
Self-help groups such as Alcoholics Anonymous (AA) are widely recommended for aftercare of alcohol-dependent persons, even though scientific knowledge of its effectiveness is inconsistent. The aim of the present analysis was to elucidate whether persons attending AA groups regularly after detoxification have lower relapse rates within 1 year, compared to persons without self-help group attendance.
Data for the present analysis were derived from the placebo-group of a multi-centre study in Germany (Wiesbeck et al., 2001). Patients were free to choose either self-help group attendance (N = 50) or no support (N = 28).
After 1-month of follow-up, there was a lower relapse rate in patients attending a self-help group as compared to the control group, a difference, however, that leveled off during the following months. Moreover, relapse rates did not differ significantly at any point of time between both groups. Levels of social functioning improved in both groups over 1 year.
The present study was unable to show an advantage of self-help group attendance in reducing relapses compared to the control group.
诸如戒酒互助会（AA）之类的自助组织被广泛推荐用于酒精依赖者的后续护理，尽管关于其有效性的科学认知并不一致。本分析的目的是阐明与未参加自助组织的人相比，戒毒后定期参加戒酒互助会的人在1年内的复发率是否更低。
本分析的数据来自德国一项多中心研究的安慰剂组（维斯贝克等人，2001年）。患者可以自由选择参加自助组织（N = 50）或不接受支持（N = 28）。
随访1个月后，参加自助组织的患者复发率低于对照组，但这种差异在随后几个月趋于平稳。此外，两组在任何时间点的复发率均无显著差异。两组的社会功能水平在1年中均有所改善。
本研究未能表明与对照组相比，参加自助组织在降低复发率方面具有优势。
