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Resolution from alcohol problems with and without treatment: reasons for change
J A Cunningham1, L C Sobell, M B Sobell
1Addiction Research Foundation, University of Toronto, Ontario, Canada.
Journal of Substance Abuse
|January 1, 1995
Summary
Many individuals successfully reduce alcohol consumption without formal treatment. Weighing pros and cons of drinking was a common self-resolution strategy, often involving moderate drinking rather than complete abstinence.
Area of Science:
- Addiction research
- Behavioral science
- Public health
Background:
- Understanding self-initiated changes in alcohol consumption is crucial for public health.
- Many individuals seek to modify drinking habits without professional intervention.
Purpose of the Study:
- To explore the reasons behind voluntary cessation or reduction of alcohol intake.
- To identify common strategies employed by individuals resolving alcohol problems.
Main Methods:
- Survey administered to 248 volunteers at a science center.
- Classification of 64 respondents with resolved alcohol problems (1+ year).
- Analysis of self-reported reasons for resolution and drinking patterns post-resolution.
Main Results:
- 75% of respondents resolved alcohol issues without formal treatment or self-help.
- Over half (57.8%) of resolved cases involved non-abstinent, moderate drinking.
- The most frequent resolution strategy was "weighing the pros and cons of drinking and not drinking."
Conclusions:
- Self-resolution of alcohol problems is common and often involves moderation, not just abstinence.
- Cognitive strategies like pros and cons analysis are key self-help mechanisms.
- Findings suggest potential for non-abstinence-based interventions in alcohol management programs.