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The DSM-IV definition of remission from dependence is based only on consequences and does not require abstinence. Full remission differs from partial remission (fewer than three consequences after 1 month ofno consequences). Remission is considered to be “early” after 1 month and “sustained” after 12 months.Of U.S. adults with prior alcohol dependence, 52% continue to drink with consequences, 18% abstain completely, 12% remainheavy drinkers without consequences, and only 18% drink within lower-risk limits. A longterm study showed that only 11% of men with alcohol dependence maintained nondependent drinking over a period of 50 years.Persons withalcohol dependence who have impaired self-control, severe alcohol problems, or affective symptomsare less likely than those without these features to maintain controlled drinking.The term “recovery,” as used in Alcoholics Anonymous (AA), can be defined as abstinence and active involvement in mutual support or treatment. In one study, 62% of persons with such involvement remained in remission at 3 years, as comparedwith only 43% of persons who did not receive help.Only one quarter of persons with alcohol dependence ever receive treatment.
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