@article{ref1,
title="The effect of alcohol use disorder symptom and recovery narratives on problem-recognition: a randomized online trial",
journal="Addictive behaviors",
year="2022",
author="Leonhard, Anya and Leonhard, Christoph and Sander, Christian and Schomerus, Georg",
volume="134",
number="",
pages="e107426-e107426",
abstract="BACKGROUND: Low problem recognition is a barrier to seeking treatment for alcohol use disorder (&quot;AUD&quot;). 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. <br><br>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. <br><br>RESULTS: Moderate drinking recovery narratives resulted in higher endorsement of continuum beliefs (F (1, 485) = 16.27, p <.001, η(2)(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, η(2)(p) =.10, 90 % CI [0.01, 0.25]). <br><br>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.<p /> <p>Language: en</p>",
language="en",
issn="0306-4603",
doi="10.1016/j.addbeh.2022.107426",
url="http://dx.doi.org/10.1016/j.addbeh.2022.107426"
}