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Chunk #53 — FUTURE DIRECTIONS FOR RESEARCH — Mechanisms of Treatment Response

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The Role of the Family in Alcohol Use Disorder Recovery for Adults.
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One specific mechanistic aspect of this literature that has not been thoroughly explored is the role of specific conflict behaviors and dyadic processes (both adaptive and maladaptive) in influencing alcohol craving as well as risk for lapse and relapse in AUD. The daily process and micro-longitudinal research designs and methods that have proven essential to understand some individual and dyadic mechanisms linking alcohol with couple conflict behaviors, such as intimate partner violence, have not been extended to nonviolent dyadic processes and recovery-related cognitions and behaviors. This literature could be advanced through innovative intersections of multi-method approaches that link laboratory, neurobiological, and naturalistic data, such as incorporating traditional clinical trial designs with micro-longitudinal and remote assessment methods. Such data might be used to inform novel and accessible adjunct interventions and tailored treatment modifications to insulate people with AUD and their families from high-risk situations.