ArticleAlcohol, clinical & experimental research2025
Experiences and barriers to alcohol use disorder treatment among adults with and without self-reported executive functioning challenges: A mixed-methods study.
Article in Alcohol, clinical & experimental research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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Who cites it
2 citing papers in PubMed.
- Demoralization, employment status, and early symptom reduction as correlates of treatment discontinuation in outpatient alcohol use disorder.Alcohol and alcoholism (Oxford, Oxfordshire) · 2026Article
- Experiences and barriers to alcohol use disorder treatment among adults with and without self-reported executive functioning challenges: A mixed-methods study.Alcohol, clinical & experimental research · 2025Article
Corrections and comments
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Authors and funding
16 authors.
Funding
Abstract
backgroundExecutive functioning (EF)-the ability to plan, organize, and complete goal-directed tasks-plays a critical role in the onset and course of alcohol use disorder (AUD). Individuals with AUD often report challenges in EF domains, such as initiating, planning, and performing key tasks, including seeking, engaging in, and adhering to treatment. While AUD treatment efficacy is well-established, little is known about individuals' lived experiences with AUD treatment, especially among those with EF challenges. To date, no studies have explored how self-reported EF challenges shape treatment-seeking experiences in people with AUD using a mixed-methods approach. This study addresses that gap.
methodsWe conducted a mixed-methods study involving 30 adults seeking AUD treatment between June 2022 and June 2023. This work was part of a broader research program examining cognitive functioning in addictions within a mental health and addictions hospital in Toronto, Canada. Data collection included semistructured qualitative interviews and a standardized self-administered EF questionnaire. Data were integrated, analyzed thematically, and narratively synthesized.
resultsApproximately half of participants (53%) met the threshold for EF challenges. Many described multiple prior treatment attempts, a delayed recognition of problematic alcohol use, and an incongruence between treatment expectations and experiences. Those with EF challenges described distinct barriers to care and expressed a need for additional supports, including access to psychotherapy, clearer treatment pathways and timelines, and more proactive communication and follow-up from healthcare providers.
conclusionsIndividuals with AUD often experience co-occurring mental health and EF challenges that may affect their motivation to seek treatment and shape treatment experiences and trajectories. Tailored treatment approaches that address EF challenges through enhanced support, structure, and provider communication may improve treatment engagement and outcomes among this population.
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