A representative subset of 39,809 individuals from the GfK KnowledgePanel were sent the screening question via email, to which 25,229 responded (63.4%). This response rate is similar to other nationally representative surveys (Grant et al., 2015, Center https://ecosoberhouse.com/ for Behavioral Health Statistics and Quality, 2016, Centers for Disease Control and Prevention, 2013). Data were weighted using the method of iterative proportional fitting so as to represent the US civilian population (Battaglia et al., 2009).
Some people find it’s still too overwhelming to be around alcohol, and it’s too hard to change their habits. If one drink still leads to several more, attempting moderation isn’t the safest choice. People who have a more severe drinking problem and find moderation difficult to maintain often do better with abstinence. Support groups based on sobriety, like Alcoholics Anonymous (AA), find success through fellowship.
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In addition to shaping mainstream addiction treatment, the abstinence-only 12-Step model also had an indelible effect on the field of SUD treatment research. Most scientists who studied SUD treatment believed that abstinence was the only acceptable treatment goal until at least the 1980s (Des Jarlais, 2017). Abstinence rates became the primary outcome for determining SUD treatment effectiveness (Finney, Moyer, & Swearingen, 2003; Kiluk, Fitzmaurice, Strain, & Weiss, 2019; Miller, 1994; Volkow, 2020), a standard which persisted well into the 1990s (Finney et al., 2003). Little attention was given to whether people in abstinence-focused treatments endorsed abstinence goals themselves, or whether treatment could help reduce substance use and related problems for those who did not desire (or were not ready for) abstinence.
She’d had a few occasions recently where she blacked out from drinking, then spent days in bed depressed. The group gave her ideas for ways she could take a few days away from all of it – the stress, the husband and the drinking – and suggested more therapy to deal with the psychological triggers of her drinking and depression. Whether via self-talk or a conversation with a trusted friend, family member, or healthcare professional, it’s important to talk about your urges and remind yourself why you chose to moderate your drinking in the first place.
Dietary Guidelines for Alcohol
Despite compatibility with harm reduction in established SUD treatment models such as MI and RP, there is a dearth of evidence testing these as standalone treatments for helping patients achieve nonabstinence goals; this is especially true regarding DUD (vs. AUD). In sum, the current body of literature reflects multiple well-studied nonabstinence approaches for treating AUD and exceedingly little research testing nonabstinence treatments for drug use problems, representing a notable gap in the literature. From a health perspective, complete abstinence is recommended for certain populations. This includes those managing liver disease, bipolar disorder, abnormal heart rhythms, or chronic pain. While sobriety can be achieved by anyone, it’s important to check in with your healthcare provider before making significant changes to your drinking patterns.
A young man in the group explained that he had bipolar disorder, that he was feeling great on his new medication, but that there might be a problem when it comes to alcohol. “I’m not someone who drinks when they’re depressed, I drink when I’m up,” he said. “If I’m feeling good, I want to be out being social, and that means drinking.” The group offered some tips and tricks for sticking to the four-drink-a-night https://ecosoberhouse.com/article/total-alcohol-abstinence-vs-moderation/ maximum, and for finding ways to be social without drinking. “I make plans for my non-drinking days so that I’m not thinking about it so much – I work out, I schedule late work meetings, so it’s not even a temptation,” a tall, thin older woman says. Later, she explains that there was a time not long ago when the idea of getting through any day without five or six drinks seemed impossible to her.
Effects of moderate drinking
AA works on social interaction where members give each other emotional support and practical tips to refrain from drinking. Research even suggests that fellowship can help more people achieve sobriety than therapy. This is because not only is it beneficial to be surrounded by those who share a similar goal to you, but it can also be validating to witness others’ struggles that mirror your own.
An additional concern is that the lack of research supporting the efficacy of established interventions for achieving nonabstinence goals presents a barrier to implementation. The past 20 years has seen growing acceptance of harm reduction, evidenced in U.S. public health policy as well as SUD treatment research. Thirty-two states now have legally authorized SSPs, a number which has doubled since 2014 (Fernández-Viña et al., 2020).