@article{ref1,
title="Natural history of alcohol dependence and remission events for a Native American sample",
journal="Journal of studies on alcohol",
year="2006",
author="Venner, Kamilla L. and Feldstein, Sarah W.",
volume="67",
number="5",
pages="675-684",
abstract="OBJECTIVE: Examining the progression of a disorder cross- culturally may help distinguish elements common to addictions from those that are differentially shaped by culture. This study sought to construct a combined sequence of both problem emergence and recovery efforts with Native Americans. METHOD: In a cross-sectional sample, 44 adult Native Americans (61% men) who had resolved alcohol dependence completed face-to-face interviews at a research center. The Alcohol Related Behaviors Survey and the Change Effort Card-sorts along with measures of alcohol involvement and current quality of life were administered. RESULTS: This sample's sequence of alcohol-related events was compared to that reported for Jellinek's historical white male sample (r(s) = .46, p = .001), a recent Navajo sample (r(s) = .33, p = .024), and a recent Mission Indian sample (r(s) = .28, p = .24). This sample's sequence of change efforts was compared to that in the Navajo sample (r(s) = .33, p = .182). CONCLUSIONS: Despite the small sample size precluding generalizability, there was greater concordance between this intertribal sample and Jellinek's white male sample than between this sample and a Mission Indian sample, indicating both cross-cultural and intracultural variation. In addition, change efforts begin during the development of alcohol problems rather than waiting until the person &quot;hits bottom,&quot; as suggested by previous research. Integrating the pathology of substance- use disorders with the process of resolving those disorders extends our understanding of the course of alcohol dependence.<p /><p>Language: en</p>",
language="en",
issn="0096-882X",
doi="",
url="http://dx.doi.org/"
}