Temporal sequencing of alcohol-related problems, problem recognition, and help-seeking episodes

Little is known about temporal relations between the development of alcohol-related problems, self-recognition of problems, and help seeking from professional and lay sources. The sequencing of these events was investigated retrospectively using a community sample of male and female problem drinkers (N=101) who varied in their help-seeking histories [no assistance, Alcoholics Anonymous (AA)-only, or treatment-plus-AA] and current drinking status (resolved abstinent or nonresolved). The rank-order of events was similar across groups and gender. Problem recognition typically occurred early with the onset of pathological drinking and related psychosocial problems. Health problems and help seeking were late developments, if they occurred at all. Although the sequence order was similar across groups, the latency to help seeking varied; help seeking was more rapid among women, resolved participants, and participants who had sought help from both treatment and AA. The findings question conventional views that denial deters help seeking and suggest opportunities for screening and early intervention. (C) 2002 Elsevier Science Ltd. All rights reserved.