Problem Recognition as A Discrete Concept for Change Processes in Problematic Alcohol Use.

IF 4.6 2区医学 Q1 SUBSTANCE ABUSE

Current Addiction Reports Pub Date : 2025-01-01 Epub Date: 2025-02-19 DOI:10.1007/s40429-025-00634-x

J Morris, D K Richards, I P Albery

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引用次数: 0

Abstract

Purpose of review: Alcohol problem recognition reflects the extent to which a person with any level of problematic alcohol use (PAU), including hazardous alcohol use, acknowledges the associated risks/harms as potentially/actually problematic with a relative degree of objectivity. Notably, alcohol problem recognition is typically low amongst people with PAU not engaged in treatment or support. This review evaluates existing PAU problem recognition measures and related concepts such as ambivalence, readiness to change, motivation, cognitive biases and other self-evaluative appraisal processes.

Recent findings: Alcohol problem recognition has been operationalised via various measures but is often conflated with other related but theoretically distinct concepts. Limited conceptual work examines the nature of problem recognition as a discrete concept and its function in relation to behaviour change outcomes and key variables.

Summary: Problem recognition is proposed as an important theoretically distinct process that warrants further conceptual development and testing for advancing understanding of change processes across the PAU spectrum.

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问题识别作为问题酒精使用变化过程的离散概念。

审查目的：对酒精问题的认识反映了具有任何程度的有问题的酒精使用（PAU），包括危险的酒精使用的人，以相对客观的程度承认相关的风险/危害是潜在的/实际的问题。值得注意的是，在没有接受治疗或支持的PAU患者中，酒精问题的认知度通常较低。本文综述了现有的PAU问题识别方法和相关概念，如矛盾心理、改变准备、动机、认知偏差和其他自我评价的评估过程。最近的发现：酒精问题的识别已经通过各种措施进行操作，但经常与其他相关但理论上不同的概念混为一谈。有限的概念性工作考察了问题识别作为一个离散概念的性质及其与行为改变结果和关键变量相关的功能。摘要：问题识别被认为是一个重要的理论上独特的过程，它保证了进一步的概念开发和测试，以推进对PAU范围内变化过程的理解。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Addiction Reports Psychology-Clinical Psychology

CiteScore

6.60

自引率

4.70%

发文量

期刊介绍： This journal focuses on the prevention, assessment and diagnosis, and treatment of addiction. Designed for physicians and other mental health professionals who need to keep up-to-date with the latest research, Current Addiction Reports offers expert reviews on the most recent and important research in addiction. We accomplish this by appointing leaders in the field to serve as Section Editors in key subject areas and disciplines, such asAlcoholTobaccoStimulants, cannabis, and club drugsBehavioral addictionsGender disparities in addictionComorbid psychiatric disorders and addictionSubstance abuse disorders and HIVSection Editors, in turn, select the most pressing topics as well as experts to evaluate the latest research, report on any controversial discoveries or hypotheses of interest, and ultimately bring readers up-to-date on the topic. Articles represent interdisciplinary endeavors with research from fields such as psychiatry, psychology, pharmacology, epidemiology, and neuroscience.Additionally, an international Editorial Board—representing a range of disciplines within addiction medicine—ensures that the journal content includes current, emerging research and suggests articles of special interest to their country or region.