If a particular study of alcoholism failed to control for cultural patterns in drinking among participants, the study would have low:

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Internal validity refers to the extent to which a study can demonstrate a cause-and-effect relationship between variables, free from confounding factors. Failing to control for cultural patterns in drinking could introduce confounding variables that affect the study's ability to accurately determine the relationship between alcoholism and the variables being studied, thus lowering its internal validity.

If a Particular Study of Alcoholism Failed to Control for Cultural