Balancing the bio in a biopsychosocial model of hazardous drinking and alcohol use disorders

Journal article


Morris, J., Boness, C.L., Burton, R., Dar-Nimrod, I. and Moss, A. (2023). Balancing the bio in a biopsychosocial model of hazardous drinking and alcohol use disorders. Qeios. https://doi.org/10.32388/i1120f
AuthorsMorris, J., Boness, C.L., Burton, R., Dar-Nimrod, I. and Moss, A.
Abstract

How alcohol problems are represented, including as ‘Alcohol Use Disorder’ (AUD), has a broad set of implications for research, policy and practice. A biopsychosocial approach is commonly offered as a means of taking into account the various environmental and individual level factors that may contribute to so called mental and behavioural disorders including AUD. In this reply we argue that the reference article presents a heavy focus on ‘bio’ factors without sufficiently acknowledging the potential costs of doing so, particularly that a focus on individual level ‘bio’ factors may undermine the utilization of effective environmental policy levers whilst potentially harming AUD recovery processes. Thus, we call for a more balanced focus on the ‘psychosocial’ factors related to AUD.

Year2023
JournalQeios
PublisherQeios Ltd
ISSN2632-3834
Digital Object Identifier (DOI)https://doi.org/10.32388/i1120f
Web address (URL)https://www.qeios.com/read/I1120F
Publication dates
Online07 Apr 2023
Publication process dates
Deposited31 Jul 2024
Publisher's version
License
File Access Level
Open
Permalink -

https://openresearch.lsbu.ac.uk/item/97wy6

Download files

  • 110
    total views
  • 39
    total downloads
  • 2
    views this month
  • 1
    downloads this month

Export as

Related outputs

Look away now! Defensive processing and unrealistic optimism by level of alcohol consumption
Morris, J., Tattan-Birch, H., Albery, I. P., Heather, N. and Moss, A. C. (2024). Look away now! Defensive processing and unrealistic optimism by level of alcohol consumption. Psychology & Health. https://doi.org/10.1080/08870446.2024.2316681
Can 'justified disapproval' be separated from addiction stigma? An empirical focus is required
Morris, J., Kummetat, J. and Schomerus, G. (2024). Can 'justified disapproval' be separated from addiction stigma? An empirical focus is required. Addiction Research & Theory. https://doi.org/10.1080/16066359.2024.2394424
Evaluation of Web-Based Digital Intervention to Change Individual’s Drinking Behaviours
Chew, J., Morris, J., Bartlett, G. and Frings, D. (2024). Evaluation of Web-Based Digital Intervention to Change Individual’s Drinking Behaviours. Alcoholism Treatment Quarterly. https://doi.org/10.1080/07347324.2024.2381517
Can the language we choose help us reduce alcohol-related harms?
Morris, J. and Mitchell, G. (2024). Can the language we choose help us reduce alcohol-related harms? SHAAP/SARN Alcohol Occasionals series 2024. 20 Mar - 19 Jun 2024
Does Identity as a Drinker Predict Problem Recognition Motivation in Harmful Drinkers?
Albery, I., Long, N., Kelly, I., Frings, D. and Morris, J. (2024). Does Identity as a Drinker Predict Problem Recognition Motivation in Harmful Drinkers? Social Science & Medicine. 351, p. 116967. https://doi.org/10.1016/j.socscimed.2024.116967
Clinical alcohol guidelines are welcome—but upstream action is paramount
Morris, J., Cox, S., Rose. A.K. and Jones, A. (2023). Clinical alcohol guidelines are welcome—but upstream action is paramount. Addiction. https://doi.org/10.1111/add.16408
Components of Identity Expression in Problem and Non-Problem Gamblers.
Albery, I., Milia, C., Gunstone, B., Spada, M. and Moss, A. (2023). Components of Identity Expression in Problem and Non-Problem Gamblers. Addictive Behaviors. https://doi.org/10.1016/j.addbeh.2023.107936
Harnessing lived experience in a community-based intervention to address gambling-related harms
Jenkins, C, Mills, T, Reavey, P, Moss, A, Sykes, S, Wills, J and Grimes, J (2023). Harnessing lived experience in a community-based intervention to address gambling-related harms. European Journal of Public Health. 33 (Supplement_2). https://doi.org/10.1093/eurpub/ckad160.1654
Should we embrace the term ‘preaddiction’?
Boness, C.L., Kanak, K. and Morris, J. (2023). Should we embrace the term ‘preaddiction’? Neuropsychopharmacology. https://doi.org/10.1038/s41386-023-01764-4
(Mis)understanding alcohol use disorder: Making the case for a public health first approach
Morris, J., Boness, C.L and Burton, R. (2023). (Mis)understanding alcohol use disorder: Making the case for a public health first approach. Drug and Alcohol Dependence. 253, p. 111019. https://doi.org/10.1016/j.drugalcdep.2023.111019
‘Odds Are: They Win’: a disruptive messaging innovation for challenging harmful products and practices of the gambling industry
T. Mills, J. Grimes, E. Caddick, C.L. Jenkins, J. Evans, A. Moss, J. Wills and S. Sykes (2023). ‘Odds Are: They Win’: a disruptive messaging innovation for challenging harmful products and practices of the gambling industry. Public Health. 224, pp. 41-44. https://doi.org/10.1016/j.puhe.2023.08.009
A continuum model of alcohol use and problems can advance public health goals without undermining treatment agendas Reply to commentaries
Morris, J., Boness, C.L. and Witkiewitz, K. (2023). A continuum model of alcohol use and problems can advance public health goals without undermining treatment agendas Reply to commentaries. Drugs, Education, Prevention and Policy. https://doi.org/10.1080/09687637.2023.2244658
Changing public perceptions of alcohol harms through framing.
Morris, J. and Fitzgerald, N. (2023). Changing public perceptions of alcohol harms through framing. SPECTRUM 'Alcohol evidence in policy and practice 2023' . Stirling University 09 - 11 May 2023 University of Edinburgh.
Why stigma matters in addressing alcohol harm
Morris, J. and Schomerus, G. (2023). Why stigma matters in addressing alcohol harm. Drug and Alcohol Review. 42 (5), pp. 1264-1268. https://doi.org/10.1111/dar.13660
Should we promote alcohol problems as a continuum? Implications for policy and practice
Morris, J., Boness, Cassandra L. and Witkiewitz, Katie (2023). Should we promote alcohol problems as a continuum? Implications for policy and practice. Drugs, Education, Prevention and Policy. 31 (2), pp. 271-281. https://doi.org/10.1080/09687637.2023.2187681
EFFECTS OF CONTINUUM VERSUS BINARY BELIEFS ABOUT ALCOHOL PROBLEMS ON PROBLEM RECOGNITION, DEFENSIVE PROCESSING AND STIGMA AMONG HARMFUL DRINKERS
Morris, J. (2023). EFFECTS OF CONTINUUM VERSUS BINARY BELIEFS ABOUT ALCOHOL PROBLEMS ON PROBLEM RECOGNITION, DEFENSIVE PROCESSING AND STIGMA AMONG HARMFUL DRINKERS. PhD Thesis London South Bank University School of Applied Sciences https://doi.org/10.18744/lsbu.8wx7w
How stigma hurts: ​alcohol stigma and how to change it
Morris, James (2022). How stigma hurts: ​alcohol stigma and how to change it. Alcohol: Sharing the truth. Online 19 - 20 May 2022
Before rock bottom? Does a disease model hinder recovery?
Morris, J. (2022). Before rock bottom? Does a disease model hinder recovery? Alcohol policy, treatment & research: New Directions for the post Covid era. London South Bank University 09 - 09 Jun 2022 London South Bank University.
Language and concepts in alcohol use disorder: how framing affects stigma and recovery
Morris, James (2022). Language and concepts in alcohol use disorder: how framing affects stigma and recovery. Lisbon Addictions 2022. Lisbon 23 - 25 Nov 2022 Lisbon Addictions.
Drinkers like us? The availability of relatable drinking reduction narratives for people with alcohol use disorders
Morris, James, Cox, Sharon, Moss, Antony. C. and Reavey, Paula (2022). Drinkers like us? The availability of relatable drinking reduction narratives for people with alcohol use disorders. Addiction Research & Theory. 31 (1), pp. 1-8. https://doi.org/10.1080/16066359.2022.2099544
The stigma of alcohol-related liver disease and its impact on healthcare
Schomerus, G., Leonhard, A., Manthey, J., Morris, J., Neufeld, Maria, Kilian, C., Speerforck, Sven, Winkler, P. and Corrigan, Patrick W. (2022). The stigma of alcohol-related liver disease and its impact on healthcare. Journal of Hepatology. https://doi.org/10.1016/j.jhep.2022.04.026
Before ‘Rock Bottom’? Problem framing effects on stigma and change among harmful drinkers
Morris, J. (2022). Before ‘Rock Bottom’? Problem framing effects on stigma and change among harmful drinkers. in: Heather, N., Field, M., Moss, A.C. and Satel, S. (ed.) Evaluating the Brain Disease Model of Addiction Routledge.
(Safe) Sex on My Mind: The Effects of a Safe Sex Prime and an Alcohol Prime on Sex-related Perceptions and Behavior
Johnson, H., Albery, I., Moss, A. and Frings, D. (2022). (Safe) Sex on My Mind: The Effects of a Safe Sex Prime and an Alcohol Prime on Sex-related Perceptions and Behavior. Journal of Studies on Alcohol and Drugs. 83 (3). https://doi.org/10.15288/jsad.2022.83.439
Why harmful drinkers reject change: coping and cognition in maintaining heavy drinking
Morris, J. (2021). Why harmful drinkers reject change: coping and cognition in maintaining heavy drinking. Middlesex University DARC seminar. Online 17 Mar 2021
Historical and Conceptual Approaches to Addiction
Day, E. and Morris, J. (2021). Historical and Conceptual Approaches to Addiction. in: Day, E. (ed.) Seminars in Addiction Psychiatry Cambridge University Press (CUP). pp. 1-14
The "alcoholic other": Harmful drinkers resist problem recognition to manage identity threat.
Morris, J., Moss, A C, Albery, I. and Heather, N (2021). The "alcoholic other": Harmful drinkers resist problem recognition to manage identity threat. Addictive Behaviors. 124, p. 107093. https://doi.org/10.1016/j.addbeh.2021.107093
Problem recogntion amongst harmful drinkers: a conceptual model for problem framing factors
Morris, J., Albery, I., Moss, A. and Heather, N. (2021). Problem recogntion amongst harmful drinkers: a conceptual model for problem framing factors. in: Alcohol Handbook: From Synapse to Society Elsevier. pp. 221-236
The Effects of Alcohol Use on Prospective Memory: A Systematic Literature Review.
Kyriacou, A., Smith-Spark, J.H., Senar, J., Moss, A.C. and Dyer, K.R. (2021). The Effects of Alcohol Use on Prospective Memory: A Systematic Literature Review. Substance Use & Misuse. 56 (3), p. 359. https://doi.org/10.1080/10826084.2020.1868005
Open letter from UK based academic scientists to the secretaries of state for digital, culture, media and sport and for health and social care regarding the need for independent funding for the prevention and treatment of gambling harms
Wardle, H, Banks, J, Bebbington, P, Blank, L, Bowden Jones Obe, H, Bramley, S, Bunn, C, Casey, E, Cassidy, R, Chamberlain, SR, Close, J, Critchlow, N, Dobbie, F, Downs, C, Dymond, S, Fino, E, Goyder, E, Gray, C, Griffiths, M, Grindrod, P, Hogan, L, Hoon, A, Hunt, K, James, R, John, B, Manthorpe, J, McCambridge, J, McDaid, D, McKee, M, McManus, S, Moss, A, Norrie, C, Nutt, DJ, Orford, J, Pryce, R, Purves, R, Reith, G, Roberts, A, Roberts, E, Roderique-Davies, G, Rogers, J, Rogers, RD, Sharman, S, Strang, J, Tunney, R, Turner, J, West, R and Zendle, D (2020). Open letter from UK based academic scientists to the secretaries of state for digital, culture, media and sport and for health and social care regarding the need for independent funding for the prevention and treatment of gambling harms. The BMJ. 370, pp. m2613-m2613. https://doi.org/10.1136/bmj.m2613
Peer pressure and alcohol consumption in adults living in the UK: a systematic qualitative review.
Morris, H., Larsen, J., Catterall, E., Moss, A.C. and Dombrowski, S. (2020). Peer pressure and alcohol consumption in adults living in the UK: a systematic qualitative review. BMC Public Health. 20 (1), p. 1014. https://doi.org/10.1186/s12889-020-09060-2
Measuring the impact of the Capital Card®†, a novel form of contingency management, on substance misuse treatment outcomes: A retrospective evaluation
Moss, A., DeSilva, D., Cox, S., Notley, C. and Nanda, M. (2020). Measuring the impact of the Capital Card®†, a novel form of contingency management, on substance misuse treatment outcomes: A retrospective evaluation. PLoS ONE. 15 (3), p. e0229905. https://doi.org/10.1371/journal.pone.0229905
Continuum beliefs are associated with higher problem recognition than binary beliefs among harmful drinkers without addiction experience.
Morris, J., Albery, I., Moss, A. and Heather, N. (2020). Continuum beliefs are associated with higher problem recognition than binary beliefs among harmful drinkers without addiction experience. Addictive Behaviors. https://doi.org/10.1016/j.addbeh.2020.106292
Comparison of Allen Carr's Easyway programme with NHS-standard specialist cessation support: a randomised controlled trial
Frings, D., Albery, I., Moss, A., Brunger, H., Burghelea, M., White, S. and Wood, K. (2020). Comparison of Allen Carr's Easyway programme with NHS-standard specialist cessation support: a randomised controlled trial. Addiction. 115 (5), pp. 977-985. https://doi.org/10.1111/add.14897
Context-Specific Drinking and Social Anxiety: The Roles of Anticipatory Anxiety and Post-Event Processing
Buckner, J.D., Lewis, E.M, Terlecki, M.A., Albery, I. and Moss, A. (2020). Context-Specific Drinking and Social Anxiety: The Roles of Anticipatory Anxiety and Post-Event Processing. Addictive Behaviors. 102, p. 106184. https://doi.org/10.1016/j.addbeh.2019.106184
Understanding women's feelings about safety and hazards of street drinking in London through interpretative phenomenological analysis
Tyler, A., Moss, A. and Cox, S. (2019). Understanding women's feelings about safety and hazards of street drinking in London through interpretative phenomenological analysis. Addictive Behaviors. 99, p. 106042. https://doi.org/10.1016/j.addbeh.2019.106042
Selective attentional bias to food-related stimuli in healthy individuals with characteristics towards orthorexia nervosa
Albery, I., Michalska, M, Moss, A. and Spada, M. (2019). Selective attentional bias to food-related stimuli in healthy individuals with characteristics towards orthorexia nervosa. Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity. https://doi.org/10.1007/s40519-019-00755-z
Pre-partying amongst students in the UK: Measuring motivations and consumption levels across different educational contexts
Howard, A, Albery, IP, Frings, D, Spada, MM and Moss, A (2019). Pre-partying amongst students in the UK: Measuring motivations and consumption levels across different educational contexts. Substance Use and Misuse. 54 (9), pp. 1519-1529. https://doi.org/10.1080/10826084.2019.1590414
Optics and Illusions of Street Drinking in East London: A thematic analysis
Tyler, A., Cox, S. and Moss, A. (2018). Optics and Illusions of Street Drinking in East London: A thematic analysis. SSA Annual Conference, Society for the Study of Addiction. Newcastle 07 - 08 Nov 2018
Selective attentional bias for novel psychoactive substance (NPS) and expectancy-related stimuli amongst non-problematic NPS users and never NPS users.
Albery, IP, Moss, AC, Davidson, N, Mba, S, Blaszko, U and Marchant, A (2018). Selective attentional bias for novel psychoactive substance (NPS) and expectancy-related stimuli amongst non-problematic NPS users and never NPS users. Journal of Substance Use. 23 (4), pp. 422-428. https://doi.org/10.1080/14659891.2018.1436606
STI-protective self-efficacy and binge drinking in a sample of university students in the United Kingdom
Johnson, H.L., Albery, I.P., Frings, D., Moss, A.C. and Moss, A. (2018). STI-protective self-efficacy and binge drinking in a sample of university students in the United Kingdom. Sexual and Reproductive HealthCare. 17, pp. 19-25. https://doi.org/10.1016/j.srhc.2018.05.004
Parents' drinking motives and problem drinking predict their children's drinking motives, alcohol use and substance misuse
Marino, C, Moss, AC, Vieno, A, Albery, IP, Frings, D and Spada, MM (2018). Parents' drinking motives and problem drinking predict their children's drinking motives, alcohol use and substance misuse. Addictive Behaviors. https://doi.org/10.1016/j.addbeh.2018.03.028
Aspects of alcohol use disorder affecting social cognition as assessed using the Mini Social and Emotional Assessment (mini-SEA)
Cox, SA, Bertoux, M, Turner, JJD, Moss, AC, Locker, K and Riggs, K (2018). Aspects of alcohol use disorder affecting social cognition as assessed using the Mini Social and Emotional Assessment (mini-SEA). Drug and Alcohol Dependence. 187, pp. 165-170. https://doi.org/10.1016/j.drugalcdep.2018.03.004
Impact of lower strength alcohol labelling on consumption: A randomised controlled trial
Vasiljevic, M, Couturier, D-L, Frings, D, Moss, AC, Albery, IP and Marteau, TM (2018). Impact of lower strength alcohol labelling on consumption: A randomised controlled trial. Health Psychology. 37 (7), pp. 658-667. https://doi.org/10.1037/hea0000622
The effects of food craving and desire thinking on states of motivational challenge and threat and their physiological indices.
Frings, DJ, Eskisan, G, Caselli, G, Albery, IP, Moss, AC and Spada, MM (2018). The effects of food craving and desire thinking on states of motivational challenge and threat and their physiological indices. Eating and Weight Disorders. https://doi.org/10.1007/s40519-018-0525-y
Understanding drinking among midlife men in the United Kingdom: A systematic review of qualitative studies
Parke, H, Michalska, M, Russell, A, Moss, AC, Holdsworth, C, Ling, J and Larsen, J (2018). Understanding drinking among midlife men in the United Kingdom: A systematic review of qualitative studies. Addictive Behaviors Reports. 8, pp. 85-94. https://doi.org/10.1016/j.abrep.2018.08.001
The Science of Absent Evidence: Is there such thing as an effective responsible drinking message?
Moss, AC and Albery, IP (2017). The Science of Absent Evidence: Is there such thing as an effective responsible drinking message? Alcohol and Alcoholism. https://doi.org/10.1093/alcalc/agx070
Effect of health messages on alcohol attitudes and intentions in a sample of 16- & 17-year-old underage drinkers
Moss, AC, Evans, S and Albery, IP (2017). Effect of health messages on alcohol attitudes and intentions in a sample of 16- & 17-year-old underage drinkers. International Journal of Environmental Research and Public Health. 14 (10). https://doi.org/10.3390/ijerph14101183
Environmental context influences visual attention to responsible drinking messages
Frings, D, Moss, AC, Albery, IP, Eskisan, G, Wilcockson, TDW and Marchant, A (2017). Environmental context influences visual attention to responsible drinking messages. Alcohol and Alcoholism. https://doi.org/10.1093/alcalc/agx076
Study protocol for a randomised controlled trial of Allen Carr’s Easyway programme versus Lambeth and Southwark NHS service for smoking cessation.
Wood, KV, Albery, IP, Moss, AC, White, S and Frings, D (2017). Study protocol for a randomised controlled trial of Allen Carr’s Easyway programme versus Lambeth and Southwark NHS service for smoking cessation. BMJ Open. 7 (12), p. e016867. https://doi.org/10.1136/bmjopen-2017-016867
Exploring the Alcohol-Behaviour Link: Myopic self-enhancement in the absence of alcohol consumption as a function of past alcohol use
Moss, AC, Albery, IP and Rahman, K (2016). Exploring the Alcohol-Behaviour Link: Myopic self-enhancement in the absence of alcohol consumption as a function of past alcohol use. Addictive Behaviors Reports. 4 (Dec), pp. 37-43. https://doi.org/10.1016/j.abrep.2016.07.002
Examining the relationship between selective attentional bias for food- and body-related stimuli and purging behaviour in bulimia nervosa
Albery, IP, Wilcockson, TDW, Frings, D, Moss, AC, Caselli, G and Spada, MM (2016). Examining the relationship between selective attentional bias for food- and body-related stimuli and purging behaviour in bulimia nervosa. Appetite. 107 (Dec), pp. 208 - 212. https://doi.org/10.1016/j.appet.2016.08.006
Do Baseline Executive Functions Mediate Prospective Memory Performance under a Moderate Dose of Alcohol?
Smith-Spark, JH, Moss, AC and Dyer, K. (2016). Do Baseline Executive Functions Mediate Prospective Memory Performance under a Moderate Dose of Alcohol? Frontiers in Psychology. 7, pp. 1325 - 1325. https://doi.org/10.3389/fpsyg.2016.01325
Personality, motives and metacognitions as predictors of problematic Facebook Use in university students
Marino, C, Vieno, A, Moss, AC, Caselli, G, Nikčević, AV and Spada, MM (2016). Personality, motives and metacognitions as predictors of problematic Facebook Use in university students. Personality and Individual Differences. 101, pp. 70 - 77. https://doi.org/10.1016/j.paid.2016.05.053
Exploring the Relationship between Sexual Compulsivity and Attentional Bias to Sex-Related Words in a Cohort of Sexually Active Individuals.
Albery, IP, Lowry, J, Frings, D, Johnson, HL, Hogan, C and Moss, AC (2016). Exploring the Relationship between Sexual Compulsivity and Attentional Bias to Sex-Related Words in a Cohort of Sexually Active Individuals. European Addiction Research. 23 (1), pp. 1 - 6. https://doi.org/10.1159/000448732
Impact of alcohol promoting and alcohol warning advertisements on alcohol consumption, affect, and implicit cognition in heavy drinking young adults: a laboratory-based randomized controlled trial
Stautz, K, Albery, IP, Frings, D, Moss, AC and Marteau, T (2016). Impact of alcohol promoting and alcohol warning advertisements on alcohol consumption, affect, and implicit cognition in heavy drinking young adults: a laboratory-based randomized controlled trial. British Journal of Health Psychology. 22 (1), pp. 128-150. https://doi.org/10.1111/bjhp.12221
Dyads experience over confidence in hand-eye coordination skills after placebo alcohol
Frings, D, Albery, IP, Rolph, K, Leczfalvy, A, Smaczny, S and Moss, AC (2016). Dyads experience over confidence in hand-eye coordination skills after placebo alcohol. Journal of Applied Social Psychology. 3 (47), pp. 148-157. https://doi.org/10.1111/jasp.12418
Testing a frequency of exposure hypothesis in attentional bias for alcohol-related stimuli amongst social drinkers
Albery, I., Sharma, D., Noyce, S., Frings, D. and Moss, A. (2015). Testing a frequency of exposure hypothesis in attentional bias for alcohol-related stimuli amongst social drinkers. Addictive Behaviors Reports. 1, pp. 68-72. https://doi.org/10.1016/j.abrep.2015.05.001
The effects of responsible drinking messages on attentional allocation and drinking behaviour.
Moss, AC, Albery, IP, Dyer, KR, Frings, D, Humphreys, K, Inkelaar, T, Harding, E and Speller, A (2015). The effects of responsible drinking messages on attentional allocation and drinking behaviour. Addictive Behaviors. 44, pp. 94 - 101. https://doi.org/10.1016/j.addbeh.2014.11.035
Neknomination': Predictors in a sample of UK university students
Moss, AC, Spada, MM, Harkin, J, Albery, IP, Rycroft, N and Nikčević, AV (2015). Neknomination': Predictors in a sample of UK university students. Addictive Behaviors Reports. 1, pp. 73 - 75. https://doi.org/10.1016/j.abrep.2015.05.003