The Staying Power of Alcoholics Anonymous

Celebrating its 75th anniversary, Alcoholics Anonymous continues to lead addicts to sobriety as long as they stick with it for the long haul. Christie Nicholson reports

Join Our Community of Science Lovers!

In 1934, a Westchester stockbroker, Bill Wilson, promised his wife he’d never drink again. Then during the following spring, he nearly fell off the wagon. In a desperate move he called a local surgeon and drunk Bob Smith. It was that conversation that marked the first meeting of Alcoholics Anonymous.

Celebrating its 75th Anniversary this year A.A.—with its 12 guiding principles to sobriety—is a hallmark institution for addicts. But does it work?

Well, a 2006 study published in Alcoholism: Clinical and Experimental Research followed 349 drinkers over five years. And scientists found that success rates correlated with the frequency and length of A.A. attendance.


On supporting science journalism

If you're enjoying this article, consider supporting our award-winning journalism by subscribing. By purchasing a subscription you are helping to ensure the future of impactful stories about the discoveries and ideas shaping our world today.


Of those who dropped out of A.A. after the first year, only 43 percent were still sober at year five. Of those who went to 60 meetings a year, 73 percent continued to abstain. And 79 percent of those who attended 200 meetings annually had gone into remission by year five. Maybe most surprising, is that 61 percent of those who attended 200 meetings in their first year but dropped down to six meetings in year five, were still able to stay dry.

But such results show a correlation, and that results, like most things in life, are based on individual circumstances and personality.

Nonetheless, most long-term studies conclude that if one sticks with A.A. for the long haul, at least five years, then chances for permanent abstinence steadily increases.

—Christie Nicholson

It’s Time to Stand Up for Science

If you enjoyed this article, I’d like to ask for your support. Scientific American has served as an advocate for science and industry for 180 years, and right now may be the most critical moment in that two-century history.

I’ve been a Scientific American subscriber since I was 12 years old, and it helped shape the way I look at the world. SciAm always educates and delights me, and inspires a sense of awe for our vast, beautiful universe. I hope it does that for you, too.

If you subscribe to Scientific American, you help ensure that our coverage is centered on meaningful research and discovery; that we have the resources to report on the decisions that threaten labs across the U.S.; and that we support both budding and working scientists at a time when the value of science itself too often goes unrecognized.

In return, you get essential news, captivating podcasts, brilliant infographics, can't-miss newsletters, must-watch videos, challenging games, and the science world's best writing and reporting. You can even gift someone a subscription.

There has never been a more important time for us to stand up and show why science matters. I hope you’ll support us in that mission.

Thank you,

David M. Ewalt, Editor in Chief, Scientific American

Subscribe