ArticleAlcoholism, clinical and experimental research2020
Preresolution Drinking Problem Severity Profiles Associated with Stable Moderation Outcomes of Natural Recovery Attempts.
Article in Alcoholism, clinical and experimental research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
20 citing papers in PubMed, 32 citations in OpenAlex.
- Engagement in alcohol-free activities, community-level economic disadvantage, and heavy drinking following alcohol treatment.Journal of the experimental analysis of behavior · 2026Trial
- FDA Approves Reduced Drinking Endpoints for Alcohol Trials: A New Road for Alcohol Treatment?European addiction research · 2026Article
- Utility of substance-free alternatives in treating and preventing harmful substance use: A narrative review of the translational research spectrum.Drug and alcohol dependence reports · 2025Review
- Community characteristics and substance-free activity and service access predict membership in alcohol use disorder risk profiles.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2025Article
- Substance use negatively impacts change in reinforcement during the year following substance use treatment.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2025Article
- A behavioral choice analysis of the role of life events during early nonabstinent natural recovery from alcohol use disorder.Experimental and clinical psychopharmacology · 2025Article
- An Updated Narrative Review on the Role of Alcohol Among Indigenous Communities.Current addiction reports · 2023Article
- The collaborative study on the genetics of alcoholism: Sample and clinical data.Genes, brain, and behavior · 2023Review
- Matching, behavioral economics, and teleological behaviorism: Final cause analysis of substance use and health behavior.Journal of the experimental analysis of behavior · 2023Article
- Mechanisms of Behavior Change in Substance Use Disorder With and Without Formal Treatment.Annual review of clinical psychology · 2022Review
- Social Network Drinking Feedback is Associated with Use of Protective Behavioral Strategies and Drinking-Related Outcomes in Emerging Adult Risky Drinkers.Journal of studies on alcohol and drugs · 2022Article
- Behavioral economics of substance use: Understanding and reducing harmful use during the COVID-19 pandemic.Experimental and clinical psychopharmacology · 2021Article
- Understanding low treatment seeking rates for alcohol use disorder: A narrative review of the literature and opportunities for improvement.The American journal of drug and alcohol abuse · 2021Review
- The role of reward and reinforcement in understanding alcohol use among adults living with HIV in South Africa.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2021Article
- Shifts in behavioral allocation patterns as a natural recovery mechanism: Postresolution expenditure patterns.Alcoholism, clinical and experimental research · 2021Article
- Can Alcohol Use Disorder Recovery Include Some Heavy Drinking? A Replication and Extension up to 9 Years Following Treatment.Alcoholism, clinical and experimental research · 2020Article
- Epidemiology of Recovery From Alcohol Use Disorder.Alcohol research : current reviews · 2020Review
- What Is Recovery?Alcohol research : current reviews · 2020Review
- Can Individuals With Alcohol Use Disorder Sustain Non-abstinent Recovery? Non-abstinent Outcomes 10 Years After Alcohol Use Disorder Treatment.Journal of addiction medicineArticle
- Grounding alcohol simulation models in empirical and theoretical alcohol research: a model for a Northern Plains population in the United States.System dynamics reviewArticle
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
backgroundHigher problem severity contraindicates moderation drinking in treatment samples, but has not been well investigated in natural recovery samples with more prevalent moderation outcomes, nor have single studies assessed multiple severity indicators. Therefore, we integrated 5 prospective studies of recent natural recovery attempts to identify multi-indicator profiles that distinguished moderation from abstinence or unstable resolution involving relapse. The study evaluated whether moderation was distinguished by a generalized lower severity profile or whether more complex profiles better differentiated outcomes.
methodsCommunity-dwelling problem drinkers in the southeastern United States (N = 616, 67% male, 65% white, mean age = 46.5 years) enrolled soon after stopping alcohol misuse without treatment were followed prospectively for a year. Outcome predictors assessed at enrollment included preresolution drinking practices, alcohol-related problems, alcohol dependence, and a behavioral economic measure of the reward value of drinking based on preresolution spending on alcohol versus saving for the future.
resultsLatent profile analysis of severity indicators supported a 4-profile solution: (i) global low risk on all indicators, (ii) global high risk on all indicators, (iii) high risk limited to drinking practices only, and (iv) high risk limited to alcohol dependence and alcohol-related problems only. Outcomes differed by profile membership (p < 0.01). Multinomial logistic regression analyses showed that the global low risk and heavy drinking risk only profiles were associated with stable moderation during the 1-year follow-up. The high dependence and alcohol problems risk profile was associated with both abstinence and relapse during the follow-up (ps < 0.05).
conclusionsConsistent with prior research, moderation was associated with lower alcohol dependence, problems, and reward value. Participants who simply drank heavily and did not have elevated risk on other indicators also had a higher probability of moderation. Results support using multidimensional severity indicators that encompass functional variables in addition to drinking practices to predict outcomes.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.