simple presence of interactions with others. More specifically, the SNI measure does not assess the quality of social relationships. Additionally, we note that the ISS and SNI measures do not tap into aspects of relationships that may be particularly important with AUD populations. In treatment, and particularly with Alcoholics Anonymous, people with AUDs may be encouraged to rebuild estranged family relationships and seek support networks consisting of others in recovery. Active heavy drinkers, on the other hand, may intentionally seek alcohol-focused friendships (Leonard et al., 2000) to provide drinking partners, escape from interpersonal concerns related to social stigma (e.g., judgment), and acceptance of addictive behaviors that may be typically hidden from others. Such friendships may increase the diversity of one’s social network notwithstanding stigma, yet may not provide the benefits of non-alcohol-focused friendships. These complex relationships, including the pro-drinking nature of one’s social network, were not assessed in NESARC.
