Clinical course was studied in 131 male and female adolescents with current
alcohol use disorder (AUD) at baseline (BL). Participants were classified
into 4 groups according to their diagnosis and drinking pattern I year late
r. The 4 groups were compared with each other and with 37 community control
participants. Results showed that over half of the clinical sample no long
er had a current AUD at 1 year, about 64% were and 36% were not still drink
ing. 131, discriminators of 1-year status were alcohol dependence, other dr
ug use, and coping. All of the clinical groups tended to show improvement a
t I year in the main dependent variables, and the abstainers' level of drug
use and coping were comparable with that of the community participants. Th
ese findings suggest that many adolescents improve in functioning during th
e I year after alcohol and drug treatment and that a stress and coping mode
l is useful for studying clinical course of AUDs in adolescents.