Objective: Data from epidemiological research reveal that most alcohol depe
ndent individuals recover without professional treatment. Little is known,
however, about individuals remitting from alcohol dependence without formal
help, and almost no data are available with respect to gender differences
in natural recovery. Method: Women (n = 38) and men (n = 106) who remitted
from alcohol dependence according to DSM-IV without utilization of formal h
elp (treatment or self-help groups) are compared. A standardized interview
assessed reasons for not seeking help, and triggering mechanisms and mainte
nance factors of remission. Results: Compared with male subjects, female su
bjects, prior to remission. experienced lower extents of social pressure to
change drinking behavior, drove less often under the influence of alcohol.
revealed less satisfaction with different life domains and reported a high
er impact of health problems on the remission process. Female subjects also
informed fewer individuals about their former drinking problems. Conclusio
ns: Female and male natural remitters differ in factors that trigger the pr
ocess as well as the maintenance of natural remission.