The objectives, benefits, and feasibility of controlled drinking in the management of patients with alcohol use disorders: A narrative literature review

Introduction: In the context of a lack of consensus on the objectives of controlled alcohol consumption, there is a significant gap between patients’ preference for controlled drinking and its acceptance by healthcare providers. This literature review aims to clarify the definitions, benefits, and feasibility of controlled drinking.

Method: Articles were retrieved from MEDLINE, LiSSa, and CAIRN databases. The selection of articles focused on the period 2013–2023. Results: Of 619 identified articles, 18 were included. Controlled drinking aims to reduce alcohol consumption to low-risk levels. Its benefits are comparable to those of abstinence, and it is considered feasible. Discussion: A quantitative definition of controlled drinking helps clarify this therapeutic objective. Identifying factors that predict the choice and success of controlled drinking helps healthcare providers set shared goals with patients and recommend appropriate treatments.