Problem recognition as a discrete concept for change processes in alcohol use disorder

Alcohol problem recognition reflects the extent to which a person with any level of alcohol use disorder (AUD), 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 AUD not engaged in treatment or support. This review evaluates existing AUD problem recognition measures and related concepts such as ambivalence, readiness to change, motivation, cognitive biases and other self-evaluative appraisal processes.