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Background: Alcohol use disorder is a chronic disease, and the consumption of alcohol after treatment is an integral part of the disease process. However, drinking alcohol itself is not a disorder; persistent problematic drinking is. This paper assesses the stability of the yearly drinking patterns of individuals with alcohol use disorder after discharge from psychiatric hospitalization for Alcohol Use Disorder (AUD). Methods: A sample of 259 men and women hospitalized in 196768 with a diagnosis of probable or definite alcohol use disorder by Feighner Criteria was followed over 21 years. Of the survivors, 96 (82.1%) completed follow-up interviews and 76 (65.0%) had yearly drinking pattern data available for the entire 21 years. Yearly drinking patterns were analyzed for the proportions maintaining them for >5 years and for the mean maximum number of consecutive years for each pattern. Results: This follow-up cohort represented a less severely affected group of problem drinkers than had been admitted to the study. Abstinence, occasional-social, regular-heavy, and very-heavy or binge drinking were the most stable patterns of consumption in that between 19.7% to 44.7% of the patients maintained these patterns for >5 consecutive years and the mean maximum durations were between from 2.7 and 7.3 years. Frequent-social and regular-light drinking were the least stable (0% to 6.6%and 0.0 to 0.9 years respectively). Approximately 89% of the patients consuming alcohol at a regular-heavy or higher level did so within a year after hospital discharge. Conclusion: Occasional-social drinking was the most stable and least pathological, non-abstinent, drinking pattern. Frequentsocial and regular-light drinking were the least stable patterns and had a high likelihood of leading to more serious, pathological consumption. The marked instability of regular-light drinking suggests that tolerance and alcohol-related cue exposure may be important components of relapse.

Patterns Of Alcohol Consumption Data Over 21 Years Following Hospitalization For Alcohol Use Disorder