Background

Low problem recognition is a barrier to seeking treatment for alcohol use disorder (“AUD”). Promoting continuum belief narratives, which conceptualize AUD as a spectrum, together with narratives that promote non-abstinence recovery may boost self-recognition of risky drinking. This experimental study examines the effect of dichotomous vs continuous symptom narratives and non-abstinence vs abstinence recovery narratives on self-recognition of risky drinking among students.

Methods

N = 489 participants were randomized to one of four interventions combining a continuous vs dichotomous AUD symptom narrative with an abstinence vs moderated drinking AUD recovery narrative in a 2×2 design. Participants completed demographic and alcohol use (AUDIT-C) preintervention measures and postintervention measures assessing self-recognition of risky drinking and endorsement of continuum beliefs.

Results

Moderate drinking recovery narratives resulted in higher endorsement of continuum beliefs (F (1, 485) = 16.27, p <.001, η²_p =.032 90 % CI [0.01, 0.06]). Recognizing own risky drinking behavior was unaffected by the interventions. However, in a subgroup of participants without prior AUD experience who met AUDIT-C criteria for risky drinking, the combination of a continuous symptom narrative and moderated drinking recovery narrative resulted in higher problem recognition (F (1, 48) = 5.79, p =.020, η²_p =.10, 90 % CI [0.01, 0.25]).

Conclusions

Exposure to moderated drinking recovery narratives may help develop an awareness in young adults that problematic alcohol use exists on a spectrum. Among those at increased risk for AUD, exposure to narratives that promote a continuous model of AUD and non-abstinence recovery may increase problem recognition.

中文翻译：

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酒精使用障碍症状和恢复叙述对问题识别的影响：一项随机在线试验

背景

问题认知度低是寻求酒精使用障碍（“AUD”）治疗的障碍。推广连续统一的信念叙事，将 AUD 概念化为一个范围，再加上促进非禁欲恢复的叙事，可能会增强对危险饮酒的自我认识。本实验研究探讨了二分法与连续症状叙述以及非禁欲与禁欲恢复叙述对学生危险饮酒自我认知的影响。

方法

N = 489 名参与者被随机分配到四种干预措施中的一种，在 2×2 设计中将连续与二分 AUD 症状叙述与戒酒与适度饮酒 AUD 恢复叙述相结合。参与者完成了人口统计和酒精使用（AUDIT-C）干预前措施和干预后措施，评估对危险饮酒的自我认知和对连续信念的认可。

结果

适度饮酒恢复叙述导致对连续统信念的更高认可（F (1, 485) = 16.27, p  <.001, η ² _p  =.032 90 % CI [0.01, 0.06]）。干预措施不会影响对自己危险饮酒行为的认识。然而，在没有 AUD 经验但符合 AUDIT-C 危险饮酒标准的参与者亚组中，连续症状叙述和适度饮酒恢复叙述的结合导致了更高的问题认知 (F (1, 48) = 5.79, p  = .020, η ² _p  =.10, 90% CI [0.01, 0.25])。

结论

接触适度饮酒恢复的叙述可能有助于年轻人认识到存在一定范围内的酒精使用问题。在澳元风险较高的人群中，接触促进澳元连续模式和非禁欲恢复的叙述可能会增加对问题的认识。