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Adaptive purchase tasks in the operant demand framework. 操作性需求框架下的自适应采购任务。
IF 2.2 3区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-04-01 Epub Date: 2025-02-24 DOI: 10.1037/pha0000757
Shawn P Gilroy, Mark J Rzeszutek, Mikhail N Koffarnus, Derek D Reed, Steven R Hursh

Various avenues exist for quantifying the effects of reinforcers on behavior. Numerous nonlinear models derived from the framework of Hursh and Silberberg (2008) are often applied to elucidate key metrics in the operant demand framework (e.g., Q₀, PMAX), with each approach presenting respective strengths and trade-offs. This work introduces and demonstrates an adaptive task capable of elucidating key features of operant demand without relying on nonlinear regression (i.e., a targeted form of empirical PMAX). An adaptive algorithm based on reinforcement learning is used to systematically guide questioning in the search for participant-level estimates related to peak work (e.g., PMAX), and this algorithm was evaluated across four varying iteration lengths (i.e., five, 10, 15, and 20 sequentially updated questions). Equivalence testing with simulated agent responses revealed that tasks with five or more sequentially updated questions recovered PMAX values statistically equivalent to seeded PMAX values, which provided evidence suggesting that quantitative modeling (i.e., nonlinear regression) may not be necessary to reveal valuable features of reinforcer consumption and how consumption scales as a function of price. Discussions are presented regarding extensions of contemporary hypothetical purchase tasks and strategies for extracting and comparing critical aspects of consumer demand. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

有多种途径可以量化强化物对行为的影响。从Hursh和Silberberg(2008)的框架中衍生出来的许多非线性模型经常被用于阐明操作性需求框架中的关键指标(例如,Q 0, PMAX),每种方法都展示了各自的优势和权衡。这项工作介绍并展示了一个自适应任务,能够在不依赖非线性回归(即经验PMAX的目标形式)的情况下阐明操作性需求的关键特征。基于强化学习的自适应算法用于系统地引导问题搜索与峰值工作(例如,PMAX)相关的参与者水平估计,并且该算法在四个不同的迭代长度(即5、10、15和20个顺序更新的问题)上进行评估。模拟agent响应的等价检验表明,具有5个或更多顺序更新问题的任务恢复的PMAX值在统计上等同于种子PMAX值,这提供了证据,表明定量建模(即非线性回归)可能不需要揭示强化物消费的有价值特征以及消费如何作为价格的函数。讨论提出了关于当代假设的购买任务和策略的扩展,以提取和比较消费者需求的关键方面。(PsycInfo Database Record (c) 2025 APA,版权所有)。
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引用次数: 0
Evaluating the human abuse potential of concurrent use of electronic cigarettes and low nicotine cigarettes among adults who smoke. 评估吸烟成年人同时使用电子香烟和低尼古丁香烟的人体滥用潜力。
IF 2.4 3区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-04-01 Epub Date: 2024-11-14 DOI: 10.1037/pha0000749
Jason D Robinson, Yong Cui, George Kypriotakis, Jeffrey M Engelmann, Maher Karam-Hage, Jennifer A Minnix, Charles E Green, Sanjay Shete, Dorothy K Hatsukami, Eric C Donny, Sharon E Murphy, Stephen S Hecht, Thomas Eissenberg, David W Wetter, Paul M Cinciripini

The U.S. Food and Drug Administration has stated its intention to reduce the nicotine content of combustible cigarettes to render them less addictive. This study evaluated the impact of providing adults who smoke with both very low nicotine content cigarettes (VLNCCs) and electronic cigarettes (ECs) of varying nicotine content on measures of human abuse potential. Participants (n = 213) were adult combustible cigarette users. They smoked their usual brand cigarettes (UBCs) during Phase 1 (baseline; week 1) and were provided with and encouraged to exclusively use VLNCCs during Phase 2 (weeks 2-4). During dual-product Phases 3 (weeks 5-7) and 4 (weeks 8-10), participants received both VLNCCs and ECs (assigned to one of two EC devices in higher or lower nicotine concentrations and choice of flavor), with instructions to use them freely in Phases 3 and 4. Assessments included product use, exposure, acceptability, risk perception, and withdrawal-related measures. Results indicated that participants used significantly fewer UBCs during the VLNCC and dual-product phases and smoked fewer VLNCCs during the dual-product phases than the VLNCC-only phase. Neither EC liquid nicotine concentration nor flavor influenced product use. The three study product phases resulted in less product liking and more withdrawal symptoms than the UBC phase. These results suggest that adults who smoke are able to switch much of their tobacco product use from UBCs to VLNCCs and will substitute combustible UBCs and VLNCCs with noncombustible nicotine-containing ECs, but most remain dual users, at least in the short term. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

美国食品和药物管理局已表示有意降低可燃卷烟的尼古丁含量,以减少其成瘾性。本研究评估了向吸烟成人提供尼古丁含量极低的香烟(VLNCC)和尼古丁含量不同的电子香烟(EC)对人体滥用潜能测量的影响。参与者(n = 213)均为成人可燃卷烟使用者。他们在第 1 阶段(基线;第 1 周)吸惯常品牌卷烟(UBC),在第 2 阶段(第 2-4 周)获得并鼓励他们专门使用 VLNCC。在双产品阶段 3(第 5-7 周)和阶段 4(第 8-10 周),参与者同时获得 VLNCC 和电子烟(从尼古丁浓度较高或较低的两种电子烟中选择一种,并可选择不同口味),并在阶段 3 和阶段 4 接受自由使用的指导。评估包括产品使用、接触、可接受性、风险认知和戒断相关测量。结果表明,与仅使用尼古丁烟雾剂阶段相比,参与者在使用尼古丁烟雾剂和双产品阶段使用的 UBC 明显较少,在使用双产品阶段吸食的尼古丁烟雾剂也较少。烟油尼古丁浓度和口味都不会影响产品的使用。与 UBC 阶段相比,三个研究产品阶段对产品的喜爱程度较低,戒断症状较多。这些结果表明,吸烟成年人能够将大部分烟草制品的使用从 UBC 转为 VLNCC,并用含尼古丁的非燃烧性 EC 替代可燃 UBC 和 VLNCC,但至少在短期内,大多数人仍然是双重使用者。(PsycInfo Database Record (c) 2024 APA,保留所有权利)。
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引用次数: 0
Alcohol-related stimuli disrupt inhibitory control in heavy but not light drinkers in a crowdsourced sample. 在一个众包样本中,酒精相关的刺激会破坏重度饮酒者而非轻度饮酒者的抑制控制。
IF 2.2 3区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-04-01 Epub Date: 2024-12-02 DOI: 10.1037/pha0000750
Mia E Radevski, Jessica Weafer, Justin C Strickland, Jessica Marty, Chana K Akins

The association between inhibitory control and alcohol use has been well established. However, studies comparing the effects of alcohol cues on disinhibition in heavy and light drinkers have reported mixed results. The present study used a crowdsourcing platform, Prolific, to assess the effects of alcohol-related cues on inhibitory control in light drinkers versus heavy drinkers. Eligible participants were categorized as light or heavy drinkers based on National Institute on Alcohol Abuse and Alcoholism classifications. Participants (43 women and 65 men) then completed the Attentional Bias-Behavioral Activation task to assess inhibitory control. Subjects were randomized to either an alcohol or neutral-go condition. Inhibitory failures (IF) were measured as pressing a key when the assigned go cue was presented before the no-go cue. Analyses revealed a significant Drinking Status × Condition interaction, F(1, 99) = 5.656, p = .019, ηp² = 0.054. IF were greater in the alcohol-go compared to the neutral-go condition for heavy drinkers, t(46) = -1.848, p = .036, d = 0.538, but not light drinkers (p = .226, d = 0.197). Additionally, heavy drinkers had more IF than light drinkers in the alcohol-go condition, t(55) = -2.152, p = .018, d = 0.571, but not in the neutral-go condition (p = .266, d = 0.180). Results demonstrated that alcohol images disrupt inhibitory control in heavy drinkers but not light drinkers. The results from the present study extend research by using a crowdsourcing platform to replicate findings of disinhibition in heavy drinkers but not in light drinkers. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

抑制控制和酒精使用之间的联系已经得到了很好的证实。然而,比较酒精对重度饮酒者和轻度饮酒者去抑制作用的影响的研究报告了不同的结果。目前的研究使用了一个众包平台,多产,来评估酒精相关线索对轻度饮酒者和重度饮酒者抑制控制的影响。根据国家酒精滥用和酒精中毒研究所的分类,符合条件的参与者被分为轻度或重度饮酒者。参与者(43名女性和65名男性)随后完成了注意偏差-行为激活任务,以评估抑制控制。受试者被随机分为酒精组和中性组。抑制失败(IF)被测量为当指定的围棋提示在不去的提示之前出现时按下一个键。分析结果显示,饮酒状态与饮酒条件的交互作用显著,F(1,99) = 5.656, p = 0.019, ηp²= 0.054。酒精组的IF高于重度饮酒者的中性状态,t(46) = -1.848, p = 0.036, d = 0.538,但轻度饮酒者没有(p = 0.226, d = 0.197)。此外,重度饮酒者在酒精-go条件下比轻度饮酒者有更多的IF, t(55) = -2.152, p = 0.018, d = 0.571,但在中性-go条件下没有(p = 0.266, d = 0.180)。结果表明,酒精图像破坏了重度饮酒者的抑制控制,而不是轻度饮酒者。本研究的结果通过使用众包平台来扩展研究,以复制重度饮酒者而不是轻度饮酒者的抑制解除的发现。(PsycInfo Database Record (c) 2024 APA,版权所有)。
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引用次数: 0
Episodic future thinking reduces delay discounting among persons who use e-cigarettes. 偶发性未来思维会降低电子烟使用者的延迟折现。
IF 2.2 3区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-02-01 Epub Date: 2024-09-26 DOI: 10.1037/pha0000745
B Eric Turnquist, Laura M Juliano

There has been an alarming increase in e-cigarette dependence among young adults, many of whom would like to quit vaping nicotine but are finding it difficult to do so. Episodic future thinking (EFT), a cognitive intervention involving imagining future events, has been shown to reduce cigarette craving, demand intensity, and self-administration among cigarette smokers but has not been tested with e-cigarette users. This study tested if a brief EFT intervention decreases delay discounting and smoking choice using a within-subjects experimental design administered via Zoom. Daily young adult e-cigarette users attended a baseline session and two counterbalanced experimental sessions: (a) EFT in which participants preexperienced and described positive future events and (b) standardized episodic thinking, a control intervention in which participants described their experiences watching three short videos. Measures of craving, mood, and delay discounting across three commodities: Money, e-cigarette products, and food were completed pre- and postmanipulation. As predicted, monetary delay discounting showed a greater decrease following EFT relative to standardized episodic thinking (p = .006; ηp² = .229). There were no effects on craving or mood. Participants also completed a 40-min vaping versus money choice task. Approximately 70% of participants chose to abstain for the full 40 min after EFT compared to 60% after the control condition, a nonsignificant difference (p = .184). Additional research is needed to support the efficacy of EFT as an intervention for helping e-cigarette users increase their ability to abstain. The study demonstrates the feasibility of conducting experimental research on e-cigarettes in a virtual setting. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

电子烟依赖症在年轻人中的增长速度令人震惊,他们中的许多人都希望戒掉吸食尼古丁的习惯,但却发现很难做到。外显未来思维(EFT)是一种涉及对未来事件进行想象的认知干预,已被证明可以减少吸烟者对香烟的渴望、需求强度和自我给药,但尚未对电子烟使用者进行过测试。本研究通过 Zoom 进行受试者内实验设计,测试了简短的 EFT 干预是否会减少延迟折扣和吸烟选择。每天都有年轻的成年电子烟用户参加基线课程和两个平衡实验课程:(a)EFT,参与者预先体验并描述积极的未来事件;(b)标准化表观思维,这是一种对照干预,参与者描述他们观看三个短视频的经历。对三种商品的渴望、情绪和延迟折现进行测量:在干预前后分别对金钱、电子烟产品和食物进行了测量。正如预测的那样,相对于标准化的外显思维,货币延迟折现在 EFT 之后出现了更大程度的下降(p = .006; ηp² = .229)。对渴求和情绪没有影响。参与者还完成了一项 40 分钟的吸烟与金钱选择任务。大约 70% 的参与者在 EFT 后选择戒烟 40 分钟,而在对照组条件下则有 60% 的参与者选择戒烟,差异不显著(p = .184)。还需要更多的研究来支持 EFT 作为帮助电子烟使用者提高戒烟能力的干预措施的有效性。该研究证明了在虚拟环境中开展电子烟实验研究的可行性。(PsycInfo Database Record (c) 2024 APA,保留所有权利)。
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引用次数: 0
Efficacy and safety of balovaptan for posttraumatic stress disorder: A randomized, placebo-controlled trial. 巴络伐坦治疗创伤后应激障碍的疗效和安全性:随机安慰剂对照试验。
IF 2.2 3区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-02-01 Epub Date: 2024-11-11 DOI: 10.1037/pha0000740
Sarah Marler, Michael Rabbia, Kevin Sanders, Michael Derks, Lorna Bailey, Alexandr Vilimovskij, Joerg Maurer, Anna-Lena Nordstroem, Heather Guthrie

Posttraumatic stress disorder (PTSD) has a significant impact on quality of life and affects more than 13 million individuals in the United States, with limited treatments available. EXUVIA (NCT05401565) was a Phase 2, randomized, placebo-controlled, double-blind trial, conducted across eight sites in the United States. The study aimed to assess the efficacy, safety, and pharmacokinetics of balovaptan, a highly selective vasopressin 1a receptor antagonist, in adults with PTSD. Between August 2022 and October 2023, a total of 57 adult participants (aged 18-60 years) were screened, and 29 participants were randomly allocated (1:1) to receive either balovaptan (13/29 [44.8%]) or placebo (16/29 [55.2%]). No meaningful differences were observed for balovaptan (-17.2 [± 10.7]) versus placebo (-15.6 [± 10.7]) as measured by the primary endpoint of change from baseline at Week 12 in Clinician-Administered PTSD Scale for Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition total symptom severity score. No meaningful differences for balovaptan versus placebo were observed at Week 12 for any secondary endpoints. Balovaptan was well tolerated with no new safety findings. The number of participants with at least one adverse event of any intensity was 9/13 (69.2%) in the balovaptan group and 7/16 (43.8%) in the placebo group. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

创伤后应激障碍(PTSD)对生活质量有很大影响,美国有 1300 多万人深受其害,但目前的治疗方法却很有限。EXUVIA(NCT05401565)是一项2期随机、安慰剂对照、双盲试验,在美国的8个地点进行。该研究旨在评估高选择性血管加压素1a受体拮抗剂巴络伐坦对成人创伤后应激障碍患者的疗效、安全性和药代动力学。2022年8月至2023年10月期间,共筛选出57名成年参与者(18-60岁),29名参与者被随机分配(1:1)接受巴络伐坦(13/29 [44.8%])或安慰剂(16/29 [55.2%])治疗。巴伐普坦(-17.2[±10.7])与安慰剂(-15.6[±10.7])的主要终点是第12周时临床医师管理的创伤后应激障碍量表(《精神疾病诊断与统计手册》第五版)症状严重程度总分与基线相比的变化,从这一指标衡量,巴伐普坦(-17.2[±10.7])与安慰剂(-15.6[±10.7])没有观察到有意义的差异。在第12周的任何次要终点上,均未观察到巴络伐坦与安慰剂之间存在有意义的差异。巴络伐坦的耐受性良好,没有新的安全性发现。巴络伐坦组中至少出现一次任何强度不良事件的人数为9/13(69.2%),安慰剂组为7/16(43.8%)。(PsycInfo Database Record (c) 2024 APA,版权所有)。
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引用次数: 0
Residual and enduring effects of cannabis use on cognitive and psychomotor function: A study of adults during unrestricted cannabis use, short-term abstinence, and protracted abstinence. 吸食大麻对认知和精神运动功能的残余和持久影响:一项关于成人无限制吸食大麻、短期戒断和长期戒断期间的研究。
IF 2.2 3区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-02-01 Epub Date: 2024-08-29 DOI: 10.1037/pha0000732
Carson O Burke, Sophie Boutouis, Jeffrey S Spence, Francesca M Filbey

The impact of cannabis on cognitive and psychomotor function is important to understand, given the role of the endocannabinoid system in these critical processes. The literature has shown robust acute negative effects of cannabis on cognition and psychomotor skills during intoxication, and to a lesser degree, persisting effects following short-term abstinence up to 4 weeks. However, whether these decrements resolve after long-term cessation of use remains unclear. We evaluated cognitive and psychomotor function in 31 adults with current cannabis use during unrestricted use (UNR) and after a 3-day abstinence (RES), 23 adults with former cannabis use (> 90 days abstinent; FU), and 58 nonusing controls (CON) using the cognition and motor batteries of the National Institutes of Health Toolbox. Linear mixed models showed no significant differences in cognitive and motor performance between UNR, RES, and FU groups. Group effects emerged such that CON outperformed UNR on the Oral Reading Recognition Test, and CON outperformed both UNR and RES on the Picture Vocabulary Test. In terms of psychomotor function, FU, RES, and UNR performed better than CON on the Grip Strength Test. In this comprehensive examination of cognitive and psychomotor performance in adults with cannabis use with 3 days to > 90 days of abstinence, our results indicated that the cognitive impacts of chronic, heavy cannabis use are observable during short-term abstinence but remit after > 90 days of abstinence. This highlights widespread impacts of cannabis use abstinence across cognitive and psychomotor domains. Future studies are needed to evaluate whether these effects are also observable with use reduction, as opposed to abstinence. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

鉴于内源性大麻素系统在认知和精神运动功能这些关键过程中的作用,了解大麻对这些功能的影响非常重要。文献显示,大麻在中毒期间对认知和精神运动技能有强烈的急性负面影响,其次是在短期戒断长达 4 周后的持续影响。然而,这些负面影响在长期停用后是否会消失仍不清楚。我们使用美国国立卫生研究院工具箱中的认知和运动电池,评估了 31 名当前吸食大麻的成年人在无限制吸食期间(UNR)和戒断 3 天后(RES)、23 名曾经吸食大麻的成年人(戒断超过 90 天;FU)和 58 名未吸食大麻的对照组(CON)的认知和精神运动功能。线性混合模型显示,UNR、RES 和 FU 组在认知和运动表现方面没有明显差异。但在口语阅读识别测试中,CON 的成绩优于 UNR;在图片词汇测试中,CON 的成绩优于 UNR 和 RES。在精神运动功能方面,FU、RES 和 UNR 在握力测试中的表现优于 CON。在这次对禁欲 3 天至超过 90 天的吸食大麻成年人的认知和精神运动表现进行的全面检查中,我们的结果表明,长期大量吸食大麻对认知的影响在短期禁欲期间可以观察到,但在禁欲超过 90 天后会减轻。这凸显了禁用大麻对认知和精神运动领域的广泛影响。未来的研究需要评估这些影响是否也能通过减少使用而非禁用观察到。(PsycInfo Database Record (c) 2024 APA,版权所有)。
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引用次数: 0
An experimental investigation into the impact of acute stress on alcohol craving. 急性压力对酒精渴求影响的实验研究。
IF 2.4 3区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-02-01 Epub Date: 2024-11-07 DOI: 10.1037/pha0000751
Douglas Glenn, Cathy Lau-Barraco

Drinking to cope is associated with many negative alcohol-related outcomes among college students, such as increased alcohol use, drinking-related problems, and alcohol use disorders. Previous experimental studies have shown that students exposed to a stressor, compared to those not exposed to a stressor, drink more and have stronger urges to drink, presumably to cope with the stressor. However, no such study has tested this effect using a remote-based stressor, which may be more common for students because of the recent increase in online learning. As such, the present study aimed to (a) test the impact of an acute stressor on state anxiety and alcohol craving and (b) investigate trait-level drinking characteristics as potential moderators of the impact of the acute stressor. Participants were 137 (Mage = 19.9, SDage = 2.0; 82.5% female; 41.6% White) college students who consumed alcohol in the past month. Using a between-subjects experimental design, we assigned participants randomly to an experimental (i.e., acute stress) condition or control (i.e., neutral) condition, and they completed a premanipulation battery of alcohol-related attitudes and behaviors and a postmanipulation measure of alcohol craving. On average, participants in the experimental condition reported greater increases in anxiety than those in the control condition, but there were no differences found in alcohol craving. However, for both anxiety and craving, greater increases from pre- to postmanipulation were found when trait-level anxiety and trait-level drinking were high, respectively. Thus, heavier drinking college students may be at greater risk for craving alcohol in response to stress than those who typically drink less. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

在大学生中,为应付压力而饮酒与许多与酒精相关的负面结果有关,如饮酒量增加、饮酒相关问题和酒精使用障碍。以往的实验研究表明,与未接触压力源的学生相比,接触压力源的学生饮酒量更大,饮酒冲动更强,这可能是为了应对压力源。然而,还没有研究使用远程压力源来测试这种效应,而由于近年来在线学习的增加,这种压力源对学生来说可能更为常见。因此,本研究旨在:(a)测试急性压力源对状态焦虑和酒精渴求的影响;(b)调查作为急性压力源影响潜在调节因素的特质水平饮酒特征。参与者为 137 名在过去一个月中饮酒的大学生(年龄平均值为 19.9 岁,平均年龄最小值为 2.0 岁;82.5% 为女性;41.6% 为白人)。我们采用主体间实验设计,将参与者随机分配到实验(即急性应激)条件或对照(即中性)条件下,并让他们完成酒精相关态度和行为的前干预测试以及酒精渴求的后干预测试。平均而言,实验条件下的参与者比对照条件下的参与者更焦虑,但在酒精渴求方面没有发现差异。然而,当特质水平的焦虑和特质水平的饮酒量较高时,焦虑和渴求从操纵前到操纵后的增加幅度都更大。因此,与通常饮酒较少的大学生相比,饮酒较多的大学生可能更容易因压力而产生对酒精的渴望。(PsycInfo Database Record (c) 2024 APA, 版权所有)。
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引用次数: 0
Opioid Protective Behavioral Strategies Scale (OPBSS): Development and psychometric evaluation. 阿片类药物保护行为策略量表(OPBSS):开发与心理测量评估。
IF 2.2 3区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-02-01 Epub Date: 2024-08-29 DOI: 10.1037/pha0000738
Margo C Hurlocker, Matthew R Pearson

Protective behavioral strategies (PBS) are behaviors that individuals use to mitigate harm related to risky behaviors. Though measures have been validated to assess alcohol- and cannabis-specific PBS use, an opioid-specific PBS measure has yet to be validated. The present study developed and validated a tool to assess the extent of PBS employed by individuals who use licit and/or illicit opioids. We recruited a community sample of adults who endorsed past-month opioid use (n = 345) via online platforms to complete a baseline survey, and 277 participants (80.2%) also completed the 1-month follow-up survey. From PBS measures of other substances, harm reduction strategies found in the literature, and expert feedback, we developed the 60-item Opioid Protective Behavioral Strategies Scale (OPBSS). We removed 14 items based on item and exploratory factor analyses, resulting in 46 retained items. A two-factor solution was supported: strategies focused on managing opioid use (Controlled Opioid Use) and preventing opioid-related harm (Serious Harm Reduction). The OPBSS subscales demonstrated high internal consistencies, fair-to-excellent test-retest reliability, significant positive associations with PBS measures for other substances, and robust associations with risky opioid use and opioid-related negative consequences, both concurrently and prospectively when controlling for other opioid characteristics. The 46-item OPBSS has promising psychometric properties. Importantly, more opioid PBS predicted less risky opioid use and related consequences, suggesting that opioid PBS may be a beneficial opioid prevention effort. However, additional psychometric work is needed to determine which PBS are most suitable for populations with distinct opioid use patterns. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

保护性行为策略(PBS)是个人用来减轻与危险行为相关的伤害的行为。虽然评估酒精和大麻特定 PBS 使用情况的方法已经得到验证,但阿片类药物特定 PBS 的方法尚未得到验证。本研究开发并验证了一种工具,用于评估使用合法和/或非法阿片类药物的个人使用 PBS 的程度。我们通过在线平台招募了认可过去一个月使用过阿片类药物的社区成人样本(n = 345)来完成基线调查,277 名参与者(80.2%)还完成了为期 1 个月的随访调查。通过对其他物质的 PBS 测量、文献中发现的减低伤害策略以及专家反馈,我们开发出了 60 个项目的阿片类药物保护行为策略量表(OPBSS)。根据项目分析和探索性因子分析,我们删除了 14 个项目,保留了 46 个项目。结果支持双因子解决方案:侧重于管理阿片类药物使用(受控阿片类药物使用)和预防阿片类药物相关伤害(严重减少伤害)的策略。OPBSS 各分量表显示出较高的内部一致性、一般到极佳的测试-再测试可靠性、与其他物质的 PBS 测量结果的显著正相关性,以及与阿片类药物的危险使用和阿片类药物相关不良后果的稳健相关性,无论是同时使用还是在控制其他阿片类药物特征的前提下使用。46个项目的OPBSS具有良好的心理测量特性。重要的是,更多的阿片类药物预防和监测可预测较少的阿片类药物使用风险和相关后果,这表明阿片类药物预防和监测可能是一种有益的阿片类药物预防措施。然而,要确定哪些 PBS 最适合具有不同阿片类药物使用模式的人群,还需要开展更多的心理测量工作。(PsycInfo Database Record (c) 2024 APA,保留所有权利)。
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引用次数: 0
Simultaneous use of alcohol, cannabis, and energy drinks predicts increased daily alcohol consumption and alcohol consequences. 同时使用酒精、大麻和能量饮料可预测每日酒精消耗量和酒精后果的增加。
IF 2.2 3区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-02-01 Epub Date: 2024-11-07 DOI: 10.1037/pha0000736
Jack T Waddell, Abigail E McDonald, Selena I Quiroz, William R Corbin

Simultaneous alcohol and cannabis (SAM) use and alcohol mixed with energy drinks (AmED) days are associated with heavier drinking and negative consequences compared to alcohol-only days. However, it remains unclear if SAM and AmED days differ from one another in terms of consumption and negative consequences. It also remains unclear how often days characterized by both SAM + AmED occur and if these days are associated with incremental risk for heavier drinking and negative consequences. College students who engage in SAM use and AmED completed a 30-day timeline followback interview. Day-level data on drinking days were curated to test whether days characterized by alcohol only, SAM use only, AmED use only, or SAM + AmED were associated with increased drinking quantity, negative alcohol consequences, and positive alcohol consequences. Twenty-one percent of drinking days were AmED days, 19% were SAM days, and 15.4% were SAM + AmED days. SAM-only, AmED-only, and SAM + AmED days were associated with increased drinking and negative consequences compared to alcohol-only days. However, SAM-only and SAM + AmED (but not AmED-only) days were associated with more positive consequences than alcohol-only days. SAM-only and AmED-only days did not differ in drinking quantity or consequences, whereas SAM + AmED days were associated with increased drinking and negative (but not positive) consequences compared to both SAM-only and AmED-only days. Combined SAM + AmED days are common and associated with increased risk for negative outcomes. Prevention efforts should consider how to reduce the occurrence of SAM + AmED use and how to reduce risk on days when it does occur. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

与纯饮酒日相比,同时使用酒精和大麻(SAM)以及酒精混合能量饮料(AmED)日与饮酒量增加和负面影响有关。然而,目前还不清楚同时使用酒精和大麻以及酒精混合能量饮料日在饮酒量和不良后果方面是否存在差异。此外,还不清楚同时出现 "SAM "和 "AmED "的日子有多频繁,以及这些日子是否与饮酒量增加和负面后果增加的风险有关。使用 SAM 和 AmED 的大学生完成了为期 30 天的时间跟踪访谈。对饮酒日的日级数据进行了整理,以检验仅饮酒、仅使用 SAM、仅使用 AmED 或 SAM + AmED 是否与饮酒量增加、酒精负面影响和酒精正面影响相关。21%的饮酒日为 AmED 日,19% 为 SAM 日,15.4% 为 SAM + AmED 日。与纯饮酒日相比,纯SAM饮酒日、纯AmED饮酒日和SAM+AmED饮酒日的饮酒量和消极饮酒后果都有所增加。然而,与纯饮酒日相比,纯 SAM 日和 SAM + AmED 日(而非纯 AmED 日)与更多的积极后果相关。纯 SAM 日和纯 AmED 日在饮酒量或饮酒后果方面没有差异,而与纯 SAM 日和纯 AmED 日相比,SAM + AmED 日则与饮酒量增加和消极(而非积极)后果有关。合并 "SAM+AmED "日很常见,并且与不良后果的风险增加有关。预防工作应考虑如何减少 SAM + AmED 使用的发生,以及如何在发生时降低风险。(PsycInfo Database Record (c) 2024 APA,保留所有权利)。
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引用次数: 0
Is a very brief web-based intervention with focus on protective behavioral strategies efficacious in reducing impaired control over alcohol in undergraduates? 以保护性行为策略为重点的非常简短的网络干预对减少大学生对酒精的控制能力受损是否有效?
IF 2.2 3区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-02-01 Epub Date: 2024-08-15 DOI: 10.1037/pha0000737
Tessa Frohe, Nioud Mulugeta Gebru, Bailee Wilson, Robert F Leeman

Impaired control (i.e., difficulty adhering to limits on alcohol use) prospectively predicts self-reported alcohol-related problems in undergraduates yet remains understudied. In particular, there is little evidence regarding whether brief interventions can reduce impaired control. An efficacious, very brief, web-based intervention focused on protective behavioral strategy (PBS) use may be well suited to reducing impaired control, but there is also little evidence regarding relationships between impaired control and PBS use. Data were analyzed from a randomized controlled trial of U.S. Tertiary Health Research Intervention via Email (Leeman et al., 2016) that yielded evidence of reduced weekly and peak alcohol use among undergraduates who drink heavily (N = 208). Multilevel models were tested to determine efficacy in reducing impaired control over alcohol use. The parent trial tested variants providing both direct (e.g., avoiding drinking games) and indirect (e.g., securing a designated driver) PBS, direct only or indirect only. Given this focus of the parent trial, self-reported PBS use was included in the model. U.S. Tertiary Health Research Intervention via Email did not significantly reduce impaired control over alcohol use compared to a control condition (p = .15-.96), and there was no significant main effect of time or interactions with time. However, direct and indirect PBS use was significantly inversely related to impaired control. An efficacious, very brief web-based intervention associated with decreased alcohol use did not decrease impaired control over alcohol significantly. More intensive, or longer, interventions may be needed to reduce impaired control. Greater PBS use was associated with less impaired control; thus, interventions that increase PBS use may decrease impaired control. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

控制能力受损(即难以遵守饮酒限制)可预测大学生自我报告的酒精相关问题,但这方面的研究仍然不足。特别是,关于简短干预能否减少控制能力受损的证据还很少。一种有效的、非常简短的、以使用保护性行为策略(PBS)为重点的网络干预可能非常适合于减少控制能力受损,但有关控制能力受损与使用保护性行为策略之间关系的证据也很少。我们分析了一项通过电子邮件进行的美国高等健康研究干预随机对照试验(Leeman 等人,2016 年)的数据,该试验证明酗酒的本科生(N = 208)每周饮酒量和峰值饮酒量有所减少。对多层次模型进行了测试,以确定在减少对酒精使用的控制能力受损方面的效果。家长试验测试了同时提供直接(如避免饮酒游戏)和间接(如指定司机)PBS、仅提供直接或仅提供间接的变体。鉴于家长试验的重点,模型中包括了自我报告的 PBS 使用情况。与对照组相比,通过电子邮件进行的美国三级健康研究干预并没有显著减少对饮酒的控制能力受损的情况(p = .15-.96),时间的主效应或与时间的交互效应也不显著。然而,直接和间接使用 PBS 与控制能力受损呈明显的反比关系。一种有效的、非常简短的网络干预与酒精使用的减少有关,但并没有明显减少对酒精的控制能力受损。可能需要更深入或更长时间的干预才能减少控制能力受损。更多使用 PBS 与更少的控制能力受损有关;因此,增加 PBS 使用的干预措施可能会减少控制能力受损。(PsycInfo Database Record (c) 2024 APA, 版权所有)。
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引用次数: 0
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Experimental and clinical psychopharmacology
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