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'I crave not to feel uncomfortable' - investigating craving for opioids and cannabis among individuals with chronic pain. “我渴望不感到不舒服”——调查慢性疼痛患者对阿片类药物和大麻的渴望。
IF 1.9 4区 社会学 Q3 SUBSTANCE ABUSE Pub Date : 2025-06-01 Epub Date: 2024-04-02 DOI: 10.1080/09687637.2024.2331572
Johannes Thrul, Courtney D Nordeck, Janardan Devkota, Chung Jung Mun, Kelly E Dunn, Cecilia L Bergeria, Vadim Zipunnikov, Ryan Vandrey, Patrick H Finan

Background: The assessment of drug craving is common in survey studies, including those using real-time data collection methods, such as Ecological Momentary Assessment (EMA). However, few studies investigate how participants with chronic pain interpret the word 'craving' and how interpretations impact survey responses.

Methods: We conducted a mixed-methods study among 12 individuals with chronic pain who were using prescription opioids and cannabis. Participants completed baseline surveys, cognitive interviews, and 14-day smartphone-based EMA data collection. Analyses included deductive and inductive coding of interviews and t-tests of EMA self-reports of opioid and cannabis craving.

Results: Four participants had negative reactions to the word 'craving', including mentions that these questions offended them. The remaining eight participants mentioned no negative connotation. EMA data showed that participants without negative reactions reported a greater range (opioids), higher standard deviation (opioids), and higher maximum (opioids, cannabis) on Likert-type EMA craving items, compared to those with a negative reaction.

Conclusions: Some individuals with chronic pain may have a negative reaction to the word 'craving' related to opioid and cannabis use and this reaction may impact survey responses. Alternative wording of survey items is recommended, for example focused on 'wanting' or 'needing'.

背景:药物渴望的评估在调查研究中很常见,包括那些使用实时数据收集方法的研究,如生态瞬时评估(EMA)。然而,很少有研究调查患有慢性疼痛的参与者如何解释“渴望”这个词,以及这些解释如何影响调查结果。方法:我们对12名使用处方阿片类药物和大麻的慢性疼痛患者进行了一项混合方法研究。参与者完成了基线调查、认知访谈和14天基于智能手机的EMA数据收集。分析包括访谈的演绎和归纳编码以及对阿片类药物和大麻渴望的EMA自我报告的t检验。结果:四名参与者对“渴望”这个词有负面反应,包括提到这些问题冒犯了他们。其余8位受访者没有提到负面含义。EMA数据显示,与那些有负面反应的参与者相比,没有负面反应的参与者报告了更大的范围(阿片类药物)、更高的标准偏差(阿片类药物)和更高的最大值(阿片类药物、大麻)。结论:一些慢性疼痛患者可能对阿片类药物和大麻使用相关的“渴望”一词有负面反应,这种反应可能会影响调查结果。建议对调查项目进行替代措辞,例如将重点放在“想要”或“需要”上。
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引用次数: 0
From subcultural to mainstream? The evolving meaning of cannabis use among youth in a restrictive policy context 从亚文化到主流?限制性政策背景下青少年吸食大麻的意义演变
IF 1.9 4区 社会学 Q3 SUBSTANCE ABUSE Pub Date : 2024-01-05 DOI: 10.1080/09687637.2023.2299368
S. L. Dahl, A. Bretteville-Jensen, J. Burdzovic Andreas
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引用次数: 0
Neither laissez-faire nor prohibition: the khat regulation policy preferences of people who chew khat and local social service providers in Ethiopia 既不放任也不禁止:埃塞俄比亚阿拉伯茶咀嚼者和当地社会服务提供者的阿拉伯茶监管政策偏好
IF 1.9 4区 社会学 Q3 SUBSTANCE ABUSE Pub Date : 2024-01-05 DOI: 10.1080/09687637.2023.2295218
Amanti Baru Olani
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引用次数: 0
Reviewing the anti-doping policy of India: Missing the wood for the trees? 审查印度的反兴奋剂政策:只见树木不见森林?
IF 1.9 4区 社会学 Q3 SUBSTANCE ABUSE Pub Date : 2023-12-21 DOI: 10.1080/09687637.2023.2296828
Lovely Dasgupta
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引用次数: 0
Just have this come from their prescription pad: the medicalization of safer supply from the perspectives of health planners in BC, Canada 就从他们的处方笺上写下这句话:从加拿大不列颠哥伦比亚省卫生规划者的角度看更安全供应的医疗化问题
IF 1.9 4区 社会学 Q3 SUBSTANCE ABUSE Pub Date : 2023-11-28 DOI: 10.1080/09687637.2023.2283383
Celeste Macevicius, Daniel Gudiño Pérez, Alexa Norton, G. Kolla, Phoenix Beck-McGreevy, M. Selfridge, Jeremy Kalicum, Abby Hutchison, Karen A Urbanoski, Brittany Barker, A. Slaunwhite, Bohdan Nosyk, B. Pauly
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引用次数: 0
“Availability is the poor cousin of marketing and pricing”: qualitative study of stakeholders’ views on policy priorities around tobacco and alcohol availability 可获得性是营销和定价的 "穷亲戚":利益相关者对烟草和酒类可获得性政策优先事项看法的定性研究
IF 1.9 4区 社会学 Q3 SUBSTANCE ABUSE Pub Date : 2023-11-25 DOI: 10.1080/09687637.2023.2282355
Elena Dimova, N. Shortt, Richard J. Mitchell, Peter Lekkas, Jamie R. Pearce, Tom L. Clemens, Carol Emslie
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引用次数: 0
Accurate yet problematic: the divided sentiments regarding brain-based addiction by professionals in the Finnish service system 准确但有问题:芬兰服务系统中专业人士对基于大脑的成瘾的分歧看法
4区 社会学 Q3 SUBSTANCE ABUSE Pub Date : 2023-11-09 DOI: 10.1080/09687637.2023.2277659
Nina Jokirinne, Matilda Hellman, Syaron Basnet, Petteri Koivula
AbstractBackground There is an ongoing debate regarding the value and applicability of brain-based understandings of addiction. This study examines how professionals in the Finnish addiction service system view this matter.Methods The study participants (n = 997) were recruited at different levels of policy-making, treatment, prevention work, education, administration and research. We created an online questionnaire containing both multiple-choice and open-ended questions. Quantitative and qualitative analyses were performed.Results There was a broad agreement among survey participants regarding the relevance and importance of brain-based understandings, per se. The support seemed to have increased a great deal in the past decades. On a closer view, a dichotomous attitude prevailed among the respondents: They expressed robust support for etiologies and ontologies of brain-based addiction, but simultaneously acknowledged some greater risks with neurocentrism and with wider implementations of neuroscientifically based interventions. New divisions of responsibility and the weakening of rights among concerned parties were presented as risk scenarios. The respondents feared that a medicalization of addiction would sideline social approaches.Conclusion The Finnish addiction service professionals were not prepared to let brain-based ideas of addiction guide the country’s addiction services but saw them as a useful supplementary hermeneutic and pedagogic tool.Keywords: Brain-based addiction paradigmaddiction service systemexpert viewsexpert perceptionssubstance use addictionaddiction Disclosure statementNo potential conflict of interest was reported by the author(s).Additional informationFundingThe research was funded through the ERA-NET NEURON ELSA-call [No. 01GP1823]. The consortium’s Finnish part was funded by the Academy of Finland. Two of the authors were also partly funded by a cooperation contract with the Finnish Institute for Welfare and Health (THL), based on Section 52 in the Lotteries act. The Signe and Ane Gyllenberg Foundation has co-funded the work of Hellman and Koivula.
摘要背景关于基于大脑的成瘾理解的价值和适用性一直存在争论。本研究考察了芬兰成瘾服务系统的专业人员如何看待这一问题。方法从决策、治疗、预防、教育、行政和科研等不同层面招募997名研究对象。我们制作了一份包含多项选择题和开放式问题的在线问卷。进行了定量和定性分析。结果调查参与者对基于大脑的理解本身的相关性和重要性有广泛的共识。在过去的几十年里,这种支持似乎增加了很多。从更近的角度来看,两种态度在受访者中盛行:他们对基于大脑的成瘾的病因和本体论表示强烈支持,但同时承认神经中心主义和基于神经科学的干预措施的更广泛实施存在更大的风险。新的责任划分和有关各方之间权利的削弱被视为风险情景。受访者担心成瘾的医学化会使社会方法边缘化。芬兰的成瘾服务专家并不准备让基于大脑的成瘾观念指导该国的成瘾服务,而是将其视为一种有用的补充解释学和教学工具。关键词:脑基成瘾范式成瘾服务系统专家观点专家感知物质使用成瘾披露声明作者未报告潜在利益冲突。本研究由ERA-NET NEURON ELSA-call [No. 5]资助。01 gp1823]。该联盟的芬兰部分由芬兰科学院资助。其中两名作者还根据《彩票法》第52条与芬兰福利和健康研究所签订的合作合同获得了部分资助。Signe and Ane Gyllenberg基金会共同资助了Hellman和Koivula的工作。
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引用次数: 0
The recreational inhalation of N 2 O “whippits” among college students at a Saudi University: prevalence, patterns, and perceived harm 沙特大学大学生娱乐性吸入二氧化氮“鞭子”:流行程度、模式和感知危害
4区 社会学 Q3 SUBSTANCE ABUSE Pub Date : 2023-11-03 DOI: 10.1080/09687637.2023.2277661
Rufaidah Dabbagh, Faisal Alhussaini, Alwaleed Binshaya, Mishari Alzoubi, Abdullah Alyamani, Omar Abdulghani, Abdullah Alsalboukh
AbstractBackground Recreational nitrous oxide (N2O) inhalation is a growing trend among young adults, but few studies have explored its prevalence. We aimed to measure the prevalence of recreational N2O inhalation among Saudi university students, its perceived harm, as well its association with gender, college type and use of tobacco and alcohol.Methods A cross-sectional study was conducted among undergraduate students at King Saud University, Riyadh, in September, 2022. Self-administered questionnaires asked about knowing someone who inhaled N2O, awareness of whippits (cream charger bulbs), its recreational use, and perceived side effects.Results A total of 720 students participated (response rate = 82%). About 13.3% of the students heard about N2O, 15.7% knew someone who inhaled N2O recreationally, 7.9% ever inhaled it (8.3% women, and 7.5% men), and 36.8% thought it had no negative health effects. Whippits were the most common mode inhaled. Being a health-college student increased the odds for lifetime recreational inhalation by 97% (AOR = 1.97; 95% CI = 1.10, 3.55), while hookah use increased the odds around three-fold (AOR = 3.27; 95% CI = 1.01, 10.63).Conclusion Saudi university students have a low perception of harm toward recreational N2O inhalation and are experimenting with it, with greater odds for use among healthy college students. Raising community awareness about this behavior is needed.Keywords: Nitrous oxideWhippitslaughing gasuniversity studentssubstance abuse AcknowledgmentsWe would like to acknowledge the King Saud University Deanship for Scientific Research for their continuous support. We would also like to thank Aleen Alkulyah, Aroub Al-mahmoud, Haifa Alamri, Lima Alotaibi, Mawaddah Alsobay, Modhi Alsubaie, Raed Neemat, Rawan Alqahtani, Rayan Bosaid, Reema Al-garni, Salma Alsaadoun and Sarah Alshahrani, for their assistance in participant recruitment and data collection.Disclosure statementNo potential conflict of interest was reported by the author(s).Additional informationFundingThis research received no specific funding or grant from any funding agency in the public, commercial or non-for-profit sectors.
摘要背景娱乐性吸入一氧化二氮(N2O)在年轻人中呈增长趋势,但很少有研究探讨其普遍性。我们的目的是测量沙特大学生娱乐性吸入一氧化二氮的流行程度、其感知的危害,以及其与性别、学院类型和烟酒使用的关系。方法对2022年9月在利雅得沙特国王大学就读的本科生进行横断面研究。自我管理的调查问卷询问了是否认识吸入一氧化二氮的人,对鞭子(奶油充电灯泡)的认识,它的娱乐用途,以及感知到的副作用。结果共720名学生参与问卷调查,回复率82%。大约13.3%的学生听说过一氧化二氮,15.7%的学生知道有人因娱乐而吸入一氧化二氮,7.9%的学生曾经吸入过一氧化二氮(8.3%的女性和7.5%的男性),36.8%的学生认为它对健康没有负面影响。皮鞭是最常见的吸入方式。健康大学生使终生娱乐性吸入的几率增加97% (AOR = 1.97;95% CI = 1.10, 3.55),而使用水烟的几率增加了约3倍(AOR = 3.27;95% ci = 1.01, 10.63)。结论沙特大学生对娱乐性吸入N2O危害的认知程度较低,并且正在进行试验,健康大学生使用N2O的几率更大。需要提高社区对这种行为的认识。关键词:氧化亚氮;鞭子;屠杀气体;大学生;滥用药物致谢我们要感谢沙特国王大学科学研究主任一直以来的支持。我们还要感谢Aleen Alkulyah、Aroub Al-mahmoud、Haifa Alamri、Lima Alotaibi、Mawaddah Alsobay、Modhi Alsubaie、Raed Neemat、Rawan Alqahtani、Rayan Bosaid、Reema Al-garni、Salma Alsaadoun和Sarah Alshahrani在招募参与者和收集数据方面提供的帮助。披露声明作者未报告潜在的利益冲突。本研究未获得任何公共、商业或非营利部门的资助机构的特别资助或拨款。
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引用次数: 0
The Psychedelic Social Club: a regulatory concept for people who use psychedelics? 迷幻社会俱乐部:对使用迷幻药的人的监管概念?
4区 社会学 Q3 SUBSTANCE ABUSE Pub Date : 2023-10-30 DOI: 10.1080/09687637.2023.2276067
Henry Harder, Fabian Pitter Steinmetz, Maja Kohek
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引用次数: 0
Bereaved mothers’ media coverage and public support for harm reduction in Canada 加拿大丧失亲人母亲的媒体报道和公众对减少伤害的支持
4区 社会学 Q3 SUBSTANCE ABUSE Pub Date : 2023-10-20 DOI: 10.1080/09687637.2023.2261615
Heather Morris, T. Cameron Wild, Hauwa Bwala, Jakob Koziel, Petra Schulz, Diane Kunyk, Tania Bubela, Elaine Hyshka
AbstractBackground Mothers whose child’s death is related to substance use have emerged as prominent and outspoken critics of Canadian drug policy in the news media. We examined the extent to which, and who among, the general public has seen or heard mothers bereaved by substance use in the media; predicted factors associated with exposure to such media; and explored associations with public acceptance of harm reduction.Methods We analyzed data from a 2018 online panel survey assessing Canadian views on harm reduction, using randomly-drawn provincially representative (N = 4645) and nationally representative (n = 2002) samples of adults.Results A majority (58.3%) of Canadians had seen or heard media featuring a mother whose child had died from an overdose. Respondents who had an increased level of familiarity with people who use drugs as well as older respondents were significantly more likely to have reported exposure to bereaved mothers’ media. Respondents who had been exposed to bereaved mothers’ media coverage were less likely to respond ‘don’t know/no opinion’ of harm reduction vs. opposing harm reduction.Conclusion Additional studies using a variety of methods are required to further evaluate the advocacy work being undertaken by mothers bereaved by substance use.Keywords: Harm reductionpublic opinionbereavementmedia advocacy Authors’ contributionsConceptualization: Heather Morris, T. Cameron Wild, Elaine Hyshka, Diane Kunyk, Tania Bubela, Petra SchulzData Curation: Heather Morris, T. Cameron Wild, Jakob KozielFormal Analysis: Heather Morris, T. Camerion Wild, Elaine Hyshka, Hauwa Bwala, Jakob KozielFunding Acquisition: T. Cameron Wild, Elaine HyshkaInvestigation: Heather Morris, T. Cameron Wild, Elaine HyshkaMethodology: Heather Morris, T. Cameron Wild, Elaine Hyshka, Diane Kunyk, Tania BubelaProject Administration: Heather Morris, T. Cameron Wild, Elaine HyshkaResources: Heather Morris, T. Cameron Wild, Elaine Hyshka,Software: Heather Morris, T. Cameron Wild, Elaine Hyshka, Jakob Koziel, Hauwa BwalaSupervision: T. Cameron Wild & Elaine HyshkaValidation: T. Cameron Wild & Elaine HyshkaVisualization: Heather Morris, T. Cameron Wild, Elaine HyshkaWriting Original Draft: Heather Morris, Cam Wild, Elaine HyshkaWriting Reviewing & Editing: Heather Morris, Cam Wild, Elaine Hyshka, Diane Kunyk, Tania Bubela, Jakob Koziel, Hauwa Bwala, Petra SchulzDisclosure statementNo potential conflict of interest was reported by the author(s).Data availability statementData are available from https://borealisdata.ca/dataverse/ualbertaAdditional informationFundingThis work was supported by the Canadian Institutes of Health Research under grant CIHR; MOP 137073; https://cihr-irsc.gc.ca/e/193.html) to TCW and EH; an infrastructure grant from CIHR to the Canadian Research Initiative in Substance Misuse (CRISM), Prairie Node under grant # CRISMN139151; Social Sciences and Humanities Research Council (SSHRC) Doctoral Award under grant # 752-2019-2510 to HM; Izaak Wal
【摘要】背景:在新闻媒体上,孩子的死亡与药物使用有关的母亲已经成为加拿大毒品政策的突出和直言不讳的批评者。我们调查了公众在媒体上看到或听到母亲因药物使用而失去亲人的情况的程度,以及其中有哪些人;与接触这类媒介有关的预测因素;并探讨了公众对减少危害的接受程度。方法:采用随机抽取的省级代表性(N = 4645)和全国代表性(N = 2002)成年人样本,分析了2018年在线小组调查的数据,该调查评估了加拿大人对减少危害的看法。结果大多数(58.3%)的加拿大人曾看到或听到媒体报道有母亲的孩子死于药物过量。与吸毒者熟悉程度增加的受访者以及年龄较大的受访者更有可能报告接触过丧亲母亲的媒体。接触过丧亲母亲媒体报道的受访者对减少伤害“不知道/没有意见”与反对减少伤害的可能性较小。结论需要使用各种方法进行更多的研究,以进一步评估因药物使用而失去亲人的母亲正在开展的宣传工作。关键词:减少伤害公众舆论痛失亲人媒体倡导作者贡献概念化:希瑟·莫里斯、t·卡梅伦·怀尔德、伊莱恩·希什卡、黛安·昆伊克、塔尼亚·布贝拉、佩特拉·舒尔茨数据策展:希瑟·莫里斯、t·卡梅伦·怀尔德、雅各布·科齐尔形式分析:希瑟·莫里斯、t·卡梅伦·怀尔德、伊莱恩·希什卡、豪瓦·布瓦拉、雅各布·科齐尔资金获取:t·卡梅伦·怀尔德、伊莱恩·希什卡调查:希瑟·莫里斯、t·卡梅伦·怀尔德、伊莱恩·希什卡研究方法:Heather Morris, T. Cameron Wild, Elaine Hyshka, Diane Kunyk, Tania bubela项目管理:Heather Morris, T. Cameron Wild, Elaine Hyshka资源来源:Heather Morris, T. Cameron Wild, Elaine Hyshka,软件:Heather Morris, T. Cameron Wild, Elaine Hyshka, Jakob Koziel, Hauwa bwal监督:T. Cameron Wild和Elaine Hyshka验证:T. Cameron Wild和Elaine Hyshka可视化:Heather Morris, T. Cameron Wild, Elaine Hyshka写作原图:Heather Morris, Cam Wild, Elaine Hyshka, Diane Kunyk, Tania Bubela, Jakob Koziel, Hauwa Bwala, Petra schulz披露声明作者未报告潜在的利益冲突。数据可用性声明数据可从https://borealisdata.ca/dataverse/ualbertaAdditional信息获得资金本工作由加拿大卫生研究院在CIHR资助下支持;拖把137073;https://cihr-irsc.gc.ca/e/193.html)到TCW和EH;CIHR向加拿大物质滥用研究倡议(CRISM)提供的基础设施赠款,草原节点,赠款# CRISMN139151;社会科学与人文科学研究理事会(SSHRC)博士资助项目# 752-2019-2510授予HM;伊扎克·沃尔顿·基拉姆纪念奖学金;斯托勒里儿童医院基金会和艾伯塔省妇女健康基金会向卫生部提供的第2221号赠款;通过资助# CRC TIER2 233345的加拿大二级卫生系统创新研究主席计划,支持伊莱恩·希什卡。资助者在手稿中没有扮演任何角色。作者简介希瑟·莫里斯希瑟·莫里斯是加拿大阿尔伯塔大学医学和牙科学院的注册护士和博士后。卡梅隆·怀尔德是公共卫生学院的教授。在进行这项研究时,Hauwa Bwala是公共卫生学院的研究协调员。Jakob Koziel是比塞尔中心的高级研究分析师,将数据转化为洞察力,分析内部和外部数据,将信息与该机构的使命、愿景和长期成果战略性地联系起来。佩特拉·舒尔茨是“妈妈停止伤害”组织的创始成员之一。佩特拉的小儿子丹尼死于毒品中毒,吸取了这一教训,佩特拉已成为毒品政策改革的倡导者,旨在减少与药物使用定罪相关的危害。Diane Kunyk,加拿大阿尔伯塔大学护理学院副院长兼教授。Tania Bubela是西蒙弗雷泽大学健康科学系的教授和院长。Elaine Hyshka是加拿大卫生系统创新研究主席、阿尔伯塔大学卫生科学学院公共卫生学院副教授、皇家亚历山德拉医院内城卫生与健康项目科学主任。
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Drugs: Education, Prevention and Policy
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