The 2006 Cochrane Collaboration review was based on just eight studies, and ended with a call for more research to assess the program’s efficacy. In the intervening years, researchers answered the call. The newer review also applied standards that weeded out some weaker studies that drove earlier findings.
In the last decade or so, researchers have published a number of very high-quality randomized trials and quasi-experiments. Of the 27 studies in the new review, 21 have randomized designs. Together, these flip the conclusion.
https://www.nytimes.com/2020/03/11/upshot/alcoholics-anonymo...
https://eu.usatoday.com/story/news/health/2020/03/11/alcohol...
Some basic googling found https://www.theatlantic.com/magazine/archive/2015/04/the-irr... from 2015, which covers most of my understanding of AA.
The measure of success should be relapse after treatment, but AA doesn't have the concept of stopping, and more importantly does not consider relapse after ceasing attendance to be a failure of their 12 step program.
This ignores the moral corruptness of praying on, and essentially mandating indoctrination, of people in need of help.
And here I was just thinking the finding makes sense to the extent that AA is (probably) more involved than (most) psychotherapy. To extend my point, I think when people consider the benefits of things like therapy, that--because their attention is on the therapy at that moment--they don't realize that if therapy is 1 hour a week, there are 167 hours left in the person's week that can either help or harm them with respect to their goal.
The thing is That numerous prior AA publications have treated “falling off the wagon” or missing one of the steps to mean that you weren’t doing AA properly, and so they dont report it as a failure.
Essentially they end up getting close to just filtering out all the treatment failures, which inflates their success rate.