Evidence map›Paper›PMID 38682086›Full record

ArticleDrugs (Abingdon, England)2024

Should we promote alcohol problems as a continuum? Implications for policy and practice.

J Morris, C L Boness, K Witkiewitz

Abstract read
In one paragraph

Article in Drugs (Abingdon, England), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Rasch analysis of DSM-5 alcohol use disorder in a large inpatient sample.Alcohol, clinical & experimental research · 2025
    Article
  8. Article
  9. Reducing Stigma and Enhancing Care for People Who Use Alcohol.Journal of health service psychology · 2025
    Article
  10. Review
  11. Should we embrace the term 'preaddiction'?Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2024
    Article
  12. Article
  13. Article
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

J MorrisCentre for Addictive Behaviours Research, School of Applied Sciences, London South Bank University, United Kingdom.
C L BonessCenter on Alcohol, Substance use, And Addictions, University of New Mexico, Albuquerque, New Mexico.
K WitkiewitzCenter on Alcohol, Substance use, And Addictions, University of New Mexico, Albuquerque, New Mexico.

Funding

Precision Medicine and Recovery in a Telehealth Treatment Program for Alcohol Use DisorderR01AA022328 · NIAAA · UNIVERSITY OF NEW MEXICO · PI Katie A Witkiewitz · 2013 to 2026
$3.1M
Measurement and Multimethod Validation of Alcohol Use Disorder Etiologic MechanismsK08AA030301 · NIAAA · UNIVERSITY OF NEW MEXICO · PI Cassandra Lee Boness · 2022 to 2026
$1.1M
NIAAA NIH HHS K08 AA030301NIAAA NIH HHS R01 AA022328
6 · The paper itself

Abstract

The highly heterogeneous nature of alcohol use and problems has presented significant challenges to those attempting to understand, treat or prevent what is commonly termed alcohol use disorder (AUD). However, any attempts to capture this complex phenomenon, including the various current criterion of AUD, come with a number of limitations. One particular limitation has been how alcohol problems are represented or understood in ways which do not capture the broad spectrum of alcohol use and harms and the many potential routes to prevention, treatment, and recovery. One possible response to this has been proposed as more explicitly framing or conceptualizing a continuum model of alcohol use and harms. In this commentary, we attempt to identify the key implications of a continuum model for policy and practice, examining the historical and current context of alcohol problem classifications and models. We argue a continuum model of alcohol use and problems holds a number of advantages for advancing public health goals, but also some potential limitations, both of which require further examination.

Indexed as

alcohol preventionalcohol problemsalcohol use disordercontinuumnon-abstinent recoveryrecovery

Identifiers

PMID38682086
PMCPMC11052541

What OpenQuestion holds

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Registered trials

None linked

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.