Authors: Panagiotis Spanakis; Rachael Gribble; Sharon A. M. Stevelink; Roberto J. Rona; Nicola T. Fear; Laura Goodwin · Research

Why Do Half of Military Personnel Not Recognize Their Problem Drinking?

New research reveals factors that help military personnel recognize problematic alcohol use and barriers that prevent awareness.

Source: Spanakis, P., Gribble, R., Stevelink, S. A. M., Rona, R. J., Fear, N. T., & Goodwin, L. (2022). Problem drinking recognition among UK military personnel: prevalence and associations. Social Psychiatry and Psychiatric Epidemiology, 58, 193-203. https://doi.org/10.1007/s00127-022-02306-x

What you need to know

  • Only half of UK military personnel with problematic drinking recognize they have an issue with alcohol
  • Personnel are more likely to recognize their drinking problem if they experience mental health issues, physical health problems, or negative life events
  • Recognition rates have improved over time but many still struggle to identify problematic drinking patterns

The Challenge of Recognizing Problem Drinking

Picture this: You’re at a social gathering with fellow service members, everyone’s having a few drinks, and it seems completely normal. But when does “normal” drinking cross the line into problematic territory? This is a question that many military personnel struggle with, particularly given the drinking culture often present in military settings.

What the Research Found

A large study of over 6,400 UK military personnel revealed that among those drinking at harmful levels, only 49% recognized they had a problem with alcohol. This is like having a check engine light on in your car but not seeing it - you can’t address a problem you don’t know exists.

Recognition rates varied significantly based on several factors. Those experiencing mental health challenges like PTSD were almost three times more likely to recognize their problematic drinking. Similarly, personnel dealing with physical health issues or social difficulties were over twice as likely to identify their drinking as problematic.

The Role of Life Events and Consequences

The research showed that negative life experiences played a crucial role in problem recognition. Personnel who had experienced three or more adverse life events in the past three years were nearly three times more likely to recognize their problematic drinking. Additionally, those who had ever been arrested were also three times more likely to acknowledge their drinking problems.

Mental Health Connection

There was a clear connection between mental health and problem recognition. Personnel experiencing symptoms of common mental health disorders or PTSD were significantly more likely to recognize their problematic drinking. This suggests that psychological distress may make people more aware of their drinking patterns and their potential negative impacts.

What This Means for You

If you’re serving or have served in the military, these findings highlight several important points to consider:

  • Don’t wait for serious consequences before evaluating your drinking habits
  • Be aware that what seems “normal” in military culture might still be unhealthy
  • Consider regular self-assessment of your drinking patterns rather than waiting for problems to emerge
  • Remember that seeking help early is a sign of strength, not weakness
  • If you’re experiencing mental health challenges, consider how alcohol might be affecting your wellbeing

Conclusions

  • Problem drinking recognition often comes too late - after negative consequences have already occurred
  • The military drinking culture can make it harder to recognize problematic patterns
  • Earlier recognition of problem drinking could help prevent serious health and social consequences
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