The objective of this article is to provide an operational definition of recovery from alcohol use disorder (AUD) to facilitate the consistency of research on recovery and stimulate further research. The construct of recovery has been difficult to operationalize in the alcohol treatment and recovery literature. Several formal definitions of recovery have been developed but have limitations because 1) they require abstinence from both alcohol and substance use, 2) they do not include the DSM-5 diagnostic criteria for AUD as part of the recovery process (i.e., no focus on remission from AUD), 3) they do not link remission and cessation from heavy drinking to improvements in biopsychosocial functioning and quality-of-life constructs, and 4) they do not distinguish between alcohol and other drug use. The authors present a newly developed National Institute on Alcohol Abuse and Alcoholism (NIAAA) definition of recovery from DSM-5 AUD based on qualitative feedback from key recovery stakeholders (e.g., researchers, clinicians, and recovery specialists). The definition views recovery as both a process of behavioral change and an outcome and incorporates two key components of recovery, namely, remission from DSM-5 AUD and cessation from heavy drinking, a nonabstinent recovery outcome. The NIAAA definition of recovery also emphasizes the importance of biopsychosocial functioning and quality of life in enhancing recovery outcomes. This new NIAAA definition of recovery is an operational definition that can be used by diverse stakeholders to increase consistency in recovery measurement, stimulate research to better understand recovery, and facilitate the process of recovery.

本文的目的是提供酒精使用障碍 (AUD) 恢复的操作定义，以促进恢复研究的一致性并促进进一步研究。在酒精治疗和恢复文献中，恢复的结构很难实施。已经制定了几种正式的恢复定义，但有局限性，因为 1) 它们需要戒酒和戒毒，2) 它们不包括 DSM-5 诊断标准作为恢复过程的一部分（即不关注AUD 的缓解），3）他们没有将大量饮酒的缓解和戒断与生物心理社会功能和生活质量结构的改善联系起来，并且 4）他们没有区分酒精和其他药物的使用。作者根据主要恢复利益相关者（例如，研究人员、临床医生和恢复专家）的定性反馈，提出了新制定的国家酒精滥用和酒精中毒研究所 (NIAAA) 对 DSM-5 AUD 恢复的定义。该定义将恢复视为行为改变的过程和结果，并包含恢复的两个关键组成部分，即从 DSM-5 AUD 缓解和戒酒，这是一种非戒断的恢复结果。NIAAA 对恢复的定义还强调了生物心理社会功能和生活质量在提高恢复结果方面的重要性。这个新的 NIAAA 恢复定义是一个操作定义，不同的利益相关者可以使用它来提高恢复测量的一致性，刺激研究以更好地理解恢复，