Experience-Induced Change of Alcohol-Related Risk Perception in Patients with Alcohol Use Disorders

Sarah Klepper, Michael Odenwald, Susanne Rösner, Smeralda Senn, Hans Menning, Devi Pereyra-Kröll, Brigitte Rockstroh, Sarah Klepper, Michael Odenwald, Susanne Rösner, Smeralda Senn, Hans Menning, Devi Pereyra-Kröll, Brigitte Rockstroh

Abstract

The role of alcohol-related risk perception for effective treatment of alcohol use disorders (AUD) is still unclear. The present study on 101 alcohol-dependent patients undergoing a 10-week AUD treatment protocol investigated the relationship between alcohol-related risk perception and alcohol use with the hypotheses that (1) risk perception changes across treatment, (2) changes vary with treatment-related experiences of abstinence/relapse indicating 'risk reappraisal,' and (3) adjustment of perceived own vulnerability according to 'risk reappraisal hypothesis' predicts abstinence during follow-up. Abstinence during treatment was related to a decrease, and relapse during treatment to a slight increase in perceived own risks. Abstinence during the 3-month follow-up varied with experience-induced risk reappraisal. The results show an impact of risk reappraisal on alcohol use and hence advocate a focus on risk reappraisal in AUD treatment.

Keywords: alcohol addiction; feedback; risk perception; risk reappraisal; treatment.

Figures

FIGURE 1
FIGURE 1
Flowchart of participants across different points of assessment. N = 62 participated in T1 and T3. T2 denotes the point in time, when information about alcohol use during treatment was available from patient files of all 101 participants, so that n = 101 data sets were submitted to hypotheses testing.
FIGURE 2
FIGURE 2
Linear functions of fixed predicted values (multivariate linear mixed model) to visualize the change in the FAR subscales (A) POV, (B) PV, (C) AR, and (D) PE over a treatment episode by relapse/abstinence. Solid line: patients who relapsed during treatment. Dashed line: patients who successfully abstained from alcohol during treatment. POV, perceived own vulnerability; PV, peer vulnerability; AR, affective risk perception; PE, precaution effectiveness.

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