Pub Date : 2026-06-01Epub Date: 2025-12-17DOI: 10.1016/j.abrep.2025.100657
Francesca Favieri , Giuseppe Forte , Maria Casagrande , Renata Tambelli
Behavioral addictions are increasingly common among adolescents and young adults, especially in the context of digital and compulsive behaviors. This study examined whether emotion dysregulation mediates the relationship between insecure attachment representations and behavioral addiction risk. A total of 418 undergraduate students (59.1 % female; M = 20.00, SD = 1.51; age range = 18–22 years) completed self-report measures on attachment style, emotion regulation, and behavioral addiction. Multiple regressions and mediation analyses were conducted. Results indicated that insecure attachment—particularly Preoccupation with Relationships and Need for Approval—was linked to greater behavioral addiction risk. This association was partly explained by emotion dysregulation, suggesting that difficulties in managing emotions heighten the impact of insecure attachment on maladaptive behaviors. These findings highlight the contribution of early relational vulnerabilities and emotion dysregulation deficits to behavioral addiction risk in emerging adulthood and suggest emotion regulation as a key target for prevention.
{"title":"Attachment Representations, emotion regulation Difficulties and behavioral addiction Risk: Testing a mediation model in undergraduate students","authors":"Francesca Favieri , Giuseppe Forte , Maria Casagrande , Renata Tambelli","doi":"10.1016/j.abrep.2025.100657","DOIUrl":"10.1016/j.abrep.2025.100657","url":null,"abstract":"<div><div>Behavioral addictions are increasingly common among adolescents and young adults, especially in the context of digital and compulsive behaviors. This study examined whether emotion dysregulation mediates the relationship between insecure attachment representations and behavioral addiction risk. A total of 418 undergraduate students (59.1 % female;<!--> <!-->M = 20.00,<!--> <!-->SD = 1.51; age range = 18–22 years) completed self-report measures on attachment style, emotion regulation, and behavioral addiction. Multiple regressions and mediation analyses were conducted. Results indicated that insecure attachment—particularly Preoccupation with Relationships and Need for Approval—was linked to greater behavioral addiction risk. This association was partly explained by emotion dysregulation, suggesting that difficulties in managing emotions heighten the impact of insecure attachment on maladaptive behaviors. These findings highlight the contribution of early relational vulnerabilities and emotion dysregulation deficits to behavioral addiction risk in emerging adulthood and suggest emotion regulation as a key target for prevention.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"23 ","pages":"Article 100657"},"PeriodicalIF":2.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145925249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-06-01Epub Date: 2025-12-30DOI: 10.1016/j.abrep.2025.100663
Christian Bäcklund , Daniel Eriksson Sörman , Hanna M. Gavelin , Orsolya Király , Zsolt Demetrovics , Jessica K. Ljungberg
Background
Studies have shown that emotion dysregulation, depression symptoms, and escapism motives are associated with Gaming Disorder (GD) symptoms. Findings indicate a discrepancy between the World Health Organization (WHO) and the American Psychiatric Association (APA) GD symptoms frameworks.
Objective
The current study aimed to investigate the serial mediating effect of depression symptoms and coping, escapism and fantasy motives on the relationship between emotion dysregulation and GD symptoms and compare the WHO and APA frameworks.
Methods
Data was collected through an online survey utilizing validated self-reported measures. The final convenience sample consisted of 678 video game players (68.44 % men [n = 464], 29.65 % women [n = 201], and 1.92 % reported ’other’ as gender identification [n = 13]) with an average age of 29.50 years (SD = 8.92). Structural equation modeling (SEM) was used to analyze the mediating effects.
Results
The results showed that depression symptoms and a composite measure of coping, escapism, and fantasy motivations, in sequence, fully mediated the relationship between emotion dysregulation and GD symptoms within the WHO framework and partially mediated it within the APA framework.
Conclusions
The results indicate that individuals with emotion dysregulation and higher levels of depression symptoms may use video games as an emotion regulation strategy. Managing emotion dysregulation and coping in the context of video games may aid in the clinical course for gaming disorder and co-occurring depression. Future research should utilize longitudinal designs to investigate study variables.
{"title":"Coping, escapism, and fantasy motives and depression symptoms mediate the relationship between emotion dysregulation and gaming disorder","authors":"Christian Bäcklund , Daniel Eriksson Sörman , Hanna M. Gavelin , Orsolya Király , Zsolt Demetrovics , Jessica K. Ljungberg","doi":"10.1016/j.abrep.2025.100663","DOIUrl":"10.1016/j.abrep.2025.100663","url":null,"abstract":"<div><h3>Background</h3><div>Studies have shown that emotion dysregulation, depression symptoms, and escapism motives are associated with Gaming Disorder (GD) symptoms. Findings indicate a discrepancy between the World Health Organization (WHO) and the American Psychiatric Association (APA) GD symptoms frameworks.</div></div><div><h3>Objective</h3><div>The current study aimed to investigate the serial mediating effect of depression symptoms and coping, escapism and fantasy motives on the relationship between emotion dysregulation and GD symptoms and compare the WHO and APA frameworks.</div></div><div><h3>Methods</h3><div>Data was collected through an online survey utilizing validated self-reported measures. The final convenience sample consisted of 678 video game players (68.44 % men <em>[n</em> = 464], 29.65 % women [<em>n</em> = 201], and 1.92 % reported ’other’ as gender identification [<em>n</em> = 13]) with an average age of 29.50 years (<em>SD</em> = 8.92). Structural equation modeling (SEM) was used to analyze the mediating effects.</div></div><div><h3>Results</h3><div>The results showed that depression symptoms and a composite measure of coping, escapism, and fantasy motivations, in sequence, fully mediated the relationship between emotion dysregulation and GD symptoms within the WHO framework and partially mediated it within the APA framework.</div></div><div><h3>Conclusions</h3><div>The results indicate that individuals with emotion dysregulation and higher levels of depression symptoms may use video games as an emotion regulation strategy. Managing emotion dysregulation and coping in the context of video games may aid in the clinical course for gaming disorder and co-occurring depression. Future research should utilize longitudinal designs to investigate study variables.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"23 ","pages":"Article 100663"},"PeriodicalIF":2.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145925252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-06-01Epub Date: 2025-12-14DOI: 10.1016/j.abrep.2025.100654
Gabriel P.A. Costa , Rebecca Suh , Mehmet Sofuoglu , Joao P. De Aquino
While medications for opioid use disorder (MOUD) effectively treat opioid use disorder (OUD), concurrent pain management remains challenging. Cannabidiol (CBD) shows promise in both pain management and OUD treatment. This open-label, proof-of-concept study aimed to evaluate the safety and tolerability of cannabidiol (CBD) and explore its utility for pain sensitivity using quantitative sensory testing (QST) among individuals with co-occurring OUD and chronic pain. Seven individuals with OUD receiving methadone or buprenorphine and experiencing chronic pain completed three test sessions with ascending oral CBD doses (400 mg, 800 mg, 1200 mg). QST analyses for pain sensitivity showed no significant main effects of CBD dose or time but revealed a significant MOUD x CBD dose interaction for heat pain threshold and tolerance. Post-hoc comparisons indicated that participants receiving buprenorphine exhibited significantly higher heat threshold (400 mg) and heat tolerance (800 mg) compared to those receiving methadone. Descriptively, the 400 mg CBD dose was associated with the most favorable pain response patterns across several QST measures in the buprenorphine group. CBD was well-tolerated across all doses; no serious adverse events, changes in subjective effects, or adverse cognitive effects on verbal memory were reported. In conclusion, this pilot study offers preliminary indications that CBD’s impact on pain sensitivity varies by dose and MOUD type, notably with potential benefits at 400 mg for individuals on buprenorphine. Coupled with its demonstrated safety and tolerability, these findings support future larger, placebo-controlled randomized trials to confirm CBD’s therapeutic utility for pain in this population.
{"title":"Exploring the effects of cannabidiol on pain sensitivity using quantitative sensory testing among individuals receiving methadone or buprenorphine for opioid use disorder: an open-label, proof-of-concept study","authors":"Gabriel P.A. Costa , Rebecca Suh , Mehmet Sofuoglu , Joao P. De Aquino","doi":"10.1016/j.abrep.2025.100654","DOIUrl":"10.1016/j.abrep.2025.100654","url":null,"abstract":"<div><div>While medications for opioid use disorder (MOUD) effectively treat opioid use disorder (OUD), concurrent pain management remains challenging. Cannabidiol (CBD) shows promise in both pain management and OUD treatment. This open-label, proof-of-concept study aimed to evaluate the safety and tolerability of cannabidiol (CBD) and explore its utility for pain sensitivity using quantitative sensory testing (QST) among individuals with co-occurring OUD and chronic pain. Seven individuals with OUD receiving methadone or buprenorphine and experiencing chronic pain completed three test sessions with ascending oral CBD doses (400 mg, 800 mg, 1200 mg). QST analyses for pain sensitivity showed no significant main effects of CBD dose or time but revealed a significant MOUD x CBD dose interaction for heat pain threshold and tolerance. Post-hoc comparisons indicated that participants receiving buprenorphine exhibited significantly higher heat threshold (400 mg) and heat tolerance (800 mg) compared to those receiving methadone. Descriptively, the 400 mg CBD dose was associated with the most favorable pain response patterns across several QST measures in the buprenorphine group. CBD was well-tolerated across all doses; no serious adverse events, changes in subjective effects, or adverse cognitive effects on verbal memory were reported. In conclusion, this pilot study offers preliminary indications that CBD’s impact on pain sensitivity varies by dose and MOUD type, notably with potential benefits at 400 mg for individuals on buprenorphine. Coupled with its demonstrated safety and tolerability, these findings support future larger, placebo-controlled randomized trials to confirm CBD’s therapeutic utility for pain in this population.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"23 ","pages":"Article 100654"},"PeriodicalIF":2.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145797468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01Epub Date: 2025-06-19DOI: 10.1016/j.abrep.2025.100623
Gianluca Lo Coco , Rachel F. Rodgers
Previous evidence supports the existence of a relationship between greater use of highly visual social media and heightened body image and eating concerns. However, to date, the role of problematic social network use has not been articulated in relation to these outcomes and the multiple dynamics underlying these associations need to be further conceptualized. Moreover, models of the exacerbation and maintenance of these body image concerns are lacking, and little attention has been paid to state-level predictors and maintenance factors. The aim of this position paper is to propose model of the maintenance and exacerbation of body image and eating concerns in the context of problematic social network use. Specifically, it is suggested that body image and eating concerns are associated with both generalized and specific problematic social network use through appearance-motivated use of social networks (appearance improvement seeking information, suggested/recommended appearance content engagement, and homogeneous social media experience), as well as appearance-centered online interactions (selfie behaviors, appearance feedback, and compulsive social network checking), leading to state negative affect and internalization of appearance ideals. In addition, four factors are proposed as risk (appearance feedback sensitivity, and social network rumination) and protective (social media literacy and positive body image) factors, respectively. The existing evidence supporting this model as well as future research directions are discussed.
{"title":"A proposed model of the maintenance and exacerbation of body image and eating concerns in the context of problematic social network use","authors":"Gianluca Lo Coco , Rachel F. Rodgers","doi":"10.1016/j.abrep.2025.100623","DOIUrl":"10.1016/j.abrep.2025.100623","url":null,"abstract":"<div><div>Previous evidence supports the existence of a relationship between greater use of highly visual social media and heightened body image and eating concerns. However, to date, the role of problematic social network use has not been articulated in relation to these outcomes and the multiple dynamics underlying these associations need to be further conceptualized. Moreover, models of the exacerbation and maintenance of these body image concerns are lacking, and little attention has been paid to state-level predictors and maintenance factors. The aim of this position paper is to propose model of the maintenance and exacerbation of body image and eating concerns in the context of problematic social network use. Specifically, it is suggested that body image and eating concerns are associated with both generalized and specific problematic social network use through appearance-motivated use of social networks (appearance improvement seeking information, suggested/recommended appearance content engagement, and homogeneous social media experience), as well as appearance-centered online interactions (selfie behaviors, appearance feedback, and compulsive social network checking), leading to state negative affect and internalization of appearance ideals. In addition, four factors are proposed as risk (appearance feedback sensitivity, and social network rumination) and protective (social media literacy and positive body image) factors, respectively. The existing evidence supporting this model as well as future research directions are discussed.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"22 ","pages":"Article 100623"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144366161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01Epub Date: 2025-05-08DOI: 10.1016/j.abrep.2025.100613
Christian Montag , Jon D. Elhai
In societies around the world, the impact of artificial intelligence (AI) is being fiercely discussed. It is difficult to grasp AI’s influence, because AI represents a general-purpose technology, which can be applied in different settings. One product in which AI plays a pivotal role is social media. In this context, for instance, AI is used to provide people with personalized newsfeeds to prolong time spent online, which might result in addictive-like behavior. Many factors such as sociodemographic variables, history of psychopathology and personality traits have been revealed as risk factors for developing problematic social media use patterns. Yet, to our knowledge attitudes toward AI have not been examined in association with problematic social media use. In a sample of n = 956 social media users, we observed that positive AI attitudes were linked to overuse of social media as assessed with an addiction framework. The effect size of this association was stronger for males than females. Further we observed that this association was mediated by time spent on social media. The present study shows that positive AI attitudes – although well-known to be positive regarding embracing new technologies – might come with risks for developing addictive patterns of technology use, such as social media.
{"title":"The darker side of positive AI attitudes: Investigating associations with (problematic) social media use","authors":"Christian Montag , Jon D. Elhai","doi":"10.1016/j.abrep.2025.100613","DOIUrl":"10.1016/j.abrep.2025.100613","url":null,"abstract":"<div><div>In societies around the world, the impact of artificial intelligence (AI) is being fiercely discussed. It is difficult to grasp AI’s influence, because AI represents a general-purpose technology, which can be applied in different settings. One product in which AI plays a pivotal role is social media. In this context, for instance, AI is used to provide people with personalized newsfeeds to prolong time spent online, which might result in addictive-like behavior. Many factors such as sociodemographic variables, history of psychopathology and personality traits have been revealed as risk factors for developing problematic social media use patterns. Yet, to our knowledge attitudes toward AI have not been examined in association with problematic social media use. In a sample of n = 956 social media users, we observed that positive AI attitudes were linked to overuse of social media as assessed with an addiction framework. The effect size of this association was stronger for males than females. Further we observed that this association was mediated by time spent on social media. The present study shows that positive AI attitudes – although well-known to be positive regarding embracing new technologies – might come with risks for developing addictive patterns of technology use, such as social media.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"22 ","pages":"Article 100613"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144190188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01Epub Date: 2025-10-18DOI: 10.1016/j.abrep.2025.100635
Margarita Santiago-Torres , Kristin E. Mull , Brianna M. Sullivan , Jonathan B. Bricker
Introduction
Whether living near a tobacco retailer impacts the efficacy of smoking cessation treatments remains largely unknown. We used data from a randomized trial comparing two smoking cessation apps among 2415 adults: iCanQuit, based on Acceptance and Commitment Therapy, and QuitGuide, based on standard U.S. Clinical Practice Guidelines. We examined whether tobacco retailer density impacted the efficacy of the treatments on 12-month cessation outcomes.
Methods
Data on tobacco retailer density per 1,000 people (i.e., “one unit”) was linked to each participant’s residential ZIP Code. Cessation outcomes included 30-day point prevalence abstinence (PPA) from cigarette smoking, prolonged abstinence, 30-day PPA from nicotine/tobacco products, and relapse. We examined the interaction between density and treatment arm on 12-month 30-day PPA and compared cessation outcomes separately by arm.
Results
The interaction between density and treatment arm on cessation did not reach statistical significance (P = 0.09). For each one-unit increase in density, there was no change in quit rates in the iCanQuit arm (P = 0.62). In the QuitGuide arm, higher density was associated with lower quit rates (OR = 0.54; 95 % CI, 0.27–1.06; P = 0.07), although not-statistically significant. There was a significant interaction between density and treatment arm on prolonged cigarette abstinence (P = 0.03). We found no change in prolonged abstinence in the iCanQuit arm (P = 0.44). In the QuitGuide arm, higher density was associated with lower prolonged abstinence (OR = 0.27; 95 % CI, 0.07–1.02; P = 0.054), although not-statistically significant. Conclusions: Living near tobacco retailers may undermine the effectiveness of standard behavioral treatment but appears to have no impact on the effectiveness of acceptance-based smoking cessation treatments.
{"title":"Does living near a tobacco retailer impact the efficacy of smoking cessation treatments?: Analysis from a randomized trial","authors":"Margarita Santiago-Torres , Kristin E. Mull , Brianna M. Sullivan , Jonathan B. Bricker","doi":"10.1016/j.abrep.2025.100635","DOIUrl":"10.1016/j.abrep.2025.100635","url":null,"abstract":"<div><h3>Introduction</h3><div>Whether living near a tobacco retailer impacts the efficacy of smoking cessation treatments remains largely unknown. We used data from a randomized trial comparing two smoking cessation apps among 2415 adults: iCanQuit, based on Acceptance and Commitment Therapy, and QuitGuide, based on standard U.S. Clinical Practice Guidelines. We examined whether tobacco retailer density impacted the efficacy of the treatments on 12-month cessation outcomes.</div></div><div><h3>Methods</h3><div>Data on tobacco retailer density per 1,000 people (i.e., “one unit”) was linked to each participant’s residential ZIP Code. Cessation outcomes included 30-day point prevalence abstinence (PPA) from cigarette smoking, prolonged abstinence, 30-day PPA from nicotine/tobacco products, and relapse. We examined the interaction between density and treatment arm on 12-month 30-day PPA and compared cessation outcomes separately by arm.</div></div><div><h3>Results</h3><div>The interaction between density and treatment arm on cessation did not reach statistical significance (<em>P</em> = 0.09). For each one-unit increase in density, there was no change in quit rates in the iCanQuit arm (<em>P</em> = 0.62). In the QuitGuide arm, higher density was associated with lower quit rates (OR = 0.54; 95 % CI, 0.27–1.06; <em>P</em> = 0.07), although not-statistically significant. There was a significant interaction between density and treatment arm on prolonged cigarette abstinence (<em>P</em> = 0.03). We found no change in prolonged abstinence in the iCanQuit arm (<em>P</em> = 0.44). In the QuitGuide arm, higher density was associated with lower prolonged abstinence (OR = 0.27; 95 % CI, 0.07–1.02; <em>P</em> = 0.054), although not-statistically significant. <em>Conclusions:</em> Living near tobacco retailers may undermine the effectiveness of standard behavioral treatment but appears to have no impact on the effectiveness of acceptance-based smoking cessation treatments.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"22 ","pages":"Article 100635"},"PeriodicalIF":2.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145361057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01Epub Date: 2025-10-09DOI: 10.1016/j.abrep.2025.100633
Tamara L. Taillieu , Samantha Salmon , Janique Fortier , Ashley Stewart-Tufescu , Ana Osorio , Harriet L. MacMillan , Jitender Sareen , Lil Tonmyr , Marni Brownell , Tracie O. Afifi
Purpose
Vaping among adolescents is concerning, given limited empirical evidence about effects on health. We examined associations between vaping and concurrent and new onset physical and mental health conditions in a sample of adolescents.
Methods
Data were from Waves 1 to 3 of the longitudinal Well-Being and Experiences Study (n = 1002 aged 14–17 years at Wave 1) collected in Winnipeg, Manitoba (overall retention rate of 66.4 % at Wave 3). Past 30-day vaping was assessed at Wave 1. Health outcomes included both physical and mental health conditions. Data were analyzed using descriptive statistics and logistic regressions. Sex differences in associations were also examined.
Results
At Wave 1, past 30-day vaping was reported by 27.8 % of the sample (28.1 % of males and 27.4 % of females); 42.1 % of adolescents reported having been diagnosed with at least one physical health condition, and 22.9 %, at least one mental health condition. Past 30-day vaping at Wave 1 was statistically significantly associated with concurrent mood disorders, alcohol/drug problems, and any mental health condition (odds ratios [ORs] = 1.77, 11.01, and 1.44, respectively) and new onset alcohol/drug problems and any mental disorder (ORs = 5.02 and 1.70, respectively) over the two-year follow-up period in unadjusted models. In fully adjusted models, only the association between vaping at Wave 1 and new onset alcohol/drug problems remained statistically significant (adjusted OR = 4.58). Associations was similar for males and females.
Discussion
Vaping is common among adolescents. Providing youth with evidence-based data on potential harms might help them make informed decisions about vaping initiation, reduction, and cessation.
{"title":"Cross-sectional and longitudinal associations between adolescent vaping and physical and mental health problems","authors":"Tamara L. Taillieu , Samantha Salmon , Janique Fortier , Ashley Stewart-Tufescu , Ana Osorio , Harriet L. MacMillan , Jitender Sareen , Lil Tonmyr , Marni Brownell , Tracie O. Afifi","doi":"10.1016/j.abrep.2025.100633","DOIUrl":"10.1016/j.abrep.2025.100633","url":null,"abstract":"<div><h3>Purpose</h3><div>Vaping among adolescents is concerning, given limited empirical evidence about effects on health. We examined associations between vaping and concurrent and new onset physical and mental health conditions in a sample of adolescents.</div></div><div><h3>Methods</h3><div>Data were from Waves 1 to 3 of the longitudinal Well-Being and Experiences Study (n = 1002 aged 14–17 years at Wave 1) collected in Winnipeg, Manitoba (overall retention rate of 66.4 % at Wave 3). Past 30-day vaping was assessed at Wave 1. Health outcomes included both physical and mental health conditions. Data were analyzed using descriptive statistics and logistic regressions. Sex differences in associations were also examined.</div></div><div><h3>Results</h3><div>At Wave 1, past 30-day vaping was reported by 27.8 % of the sample (28.1 % of males and 27.4 % of females); 42.1 % of adolescents reported having been diagnosed with at least one physical health condition, and 22.9 %, at least one mental health condition. Past 30-day vaping at Wave 1 was statistically significantly associated with concurrent mood disorders, alcohol/drug problems, and any mental health condition (odds ratios [ORs] = 1.77, 11.01, and 1.44, respectively) and new onset alcohol/drug problems and any mental disorder (ORs = 5.02 and 1.70, respectively) over the two-year follow-up period in unadjusted models. In fully adjusted models, only the association between vaping at Wave 1 and new onset alcohol/drug problems remained statistically significant (adjusted OR = 4.58). Associations was similar for males and females.</div></div><div><h3>Discussion</h3><div>Vaping is common among adolescents. Providing youth with evidence-based data on potential harms might help them make informed decisions about vaping initiation, reduction, and cessation.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"22 ","pages":"Article 100633"},"PeriodicalIF":2.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145361028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01Epub Date: 2025-11-01DOI: 10.1016/j.abrep.2025.100640
Jennifer M. Belus , Morgan S. Anvari , Hongjie Ke , Kristen S. Regenauer , Tianzhou Ma , Bronwyn Myers , Lena S. Andersen , John A. Joska , Jessica F. Magidson
Background
Despite documented relationships between multiple forms of stigma and health outcomes, limited research has examined the effects of both HIV and alcohol stigmas on objectively measured alcohol use. Research is needed to better understand relationships between stigma and health outcomes to inform intervention efforts that reduce stigma.
Methods
Participants (N = 60) who met criteria for unhealthy alcohol use and suboptimal HIV medication adherence were recruited from two public HIV care sites in South Africa. Internalized alcohol stigma, enacted alcohol stigma, internalized HIV stigma and phosphatidylethanol [PEth] levels, an alcohol use biomarker, were assessed at baseline, and three- and six-months post-baseline. Participants were randomized to a peer-delivered behavioral intervention or enhanced treatment as usual (facilitated referral to a co-located substance use treatment program). A cross-lagged panel structural equation model with three mediators was used to test lagged effects of stigma on PEth outcomes and whether stigma mediated the effects of the peer intervention.
Results
Significant lagged effects were identified such that higher levels of enacted alcohol stigma and internalized HIV stigma at baseline separately predicted higher PEth levels at three-month follow-up. Higher levels of internalized alcohol stigma predicted higher PEth levels at six-month follow-up. No significant intervention effects were found on stigma (ps > 0.05). Stigma did not mediate the effect of the intervention.
Conclusions
Findings suggest that higher HIV and alcohol stigma predict greater alcohol use. Future research should explore how stigma reduction strategies can be incorporated into peer-delivered interventions and evaluate the effects of reducing stigma on health outcomes.
{"title":"Effects of HIV and alcohol stigma on biomarker-confirmed alcohol use following a peer-delivered intervention in South Africa","authors":"Jennifer M. Belus , Morgan S. Anvari , Hongjie Ke , Kristen S. Regenauer , Tianzhou Ma , Bronwyn Myers , Lena S. Andersen , John A. Joska , Jessica F. Magidson","doi":"10.1016/j.abrep.2025.100640","DOIUrl":"10.1016/j.abrep.2025.100640","url":null,"abstract":"<div><h3>Background</h3><div>Despite documented relationships between multiple forms of stigma and health outcomes, limited research has examined the effects of both HIV and alcohol stigmas on objectively measured alcohol use. Research is needed to better understand relationships between stigma and health outcomes to inform intervention efforts that reduce stigma.</div></div><div><h3>Methods</h3><div>Participants (<em>N</em> = 60) who met criteria for unhealthy alcohol use and suboptimal HIV medication adherence were recruited from two public HIV care sites in South Africa. Internalized alcohol stigma, enacted alcohol stigma, internalized HIV stigma and phosphatidylethanol [PEth] levels, an alcohol use biomarker, were assessed at baseline, and three- and six-months post-baseline. Participants were randomized to a peer-delivered behavioral intervention or enhanced treatment as usual (facilitated referral to a co-located substance use treatment program). A cross-lagged panel structural equation model with three mediators was used to test lagged effects of stigma on PEth outcomes and whether stigma mediated the effects of the peer intervention.</div></div><div><h3>Results</h3><div>Significant lagged effects were identified such that higher levels of enacted alcohol stigma and internalized HIV stigma at baseline separately predicted higher PEth levels at three-month follow-up. Higher levels of internalized alcohol stigma predicted higher PEth levels at six-month follow-up. No significant intervention effects were found on stigma (<em>p</em>s > 0.05). Stigma did not mediate the effect of the intervention.</div></div><div><h3>Conclusions</h3><div>Findings suggest that higher HIV and alcohol stigma predict greater alcohol use. Future research should explore how stigma reduction strategies can be incorporated into peer-delivered interventions and evaluate the effects of reducing stigma on health outcomes.</div><div>Trial Registration: ClinicalTrials.gov NCT03529409.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"22 ","pages":"Article 100640"},"PeriodicalIF":2.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145519534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01Epub Date: 2025-09-13DOI: 10.1016/j.abrep.2025.100630
Faith Shank, Jonathan Jin, Megan Korovich, D.J. Angelone, Meredith C. Jones
Person-centered analyses have been used to identify subgroups of drinkers based on their drinking motivations and associations with problematic drinking behaviors. Graduate students engage in heavy drinking patterns; however, no research has examined these associations between drinking motives and drinking patterns in graduate students. The current study aimed to: a) identify profiles of graduate student drinkers by endorsement of drinking motives, and b) explore associations between profiles and alcohol use and alcohol-related consequences. Participants consisted of 325 graduate students, primarily white (71.3 %), 54.9 % female, with a mean age of 26 years old. A latent profile analysis revealed five distinct profiles: high levels of all motives; low levels of all motives; moderate levels of all motives; high levels of external motives; and a mixed level of motives. Negative binomial regression analyses revealed significant differences between profile membership, and both drinks per week and alcohol-related consequences. These findings may be used to inform interventions to reduce problematic drinking behaviors among graduate students by encouraging practitioners to target those with profile memberships that are associated with higher drinking levels.
{"title":"A latent profile analysis of drinking motives among graduate student heavy drinkers","authors":"Faith Shank, Jonathan Jin, Megan Korovich, D.J. Angelone, Meredith C. Jones","doi":"10.1016/j.abrep.2025.100630","DOIUrl":"10.1016/j.abrep.2025.100630","url":null,"abstract":"<div><div>Person-centered analyses have been used to identify subgroups of drinkers based on their drinking motivations and associations with problematic drinking behaviors. Graduate students engage in heavy drinking patterns; however, no research has examined these associations between drinking motives and drinking patterns in graduate students. The current study aimed to: a) identify profiles of graduate student drinkers by endorsement of drinking motives, and b) explore associations between profiles and alcohol use and alcohol-related consequences. Participants consisted of 325 graduate students, primarily white (71.3 %), 54.9 % female, with a mean age of 26 years old. A latent profile analysis revealed five distinct profiles: high levels of all motives; low levels of all motives; moderate levels of all motives; high levels of external motives; and a mixed level of motives. Negative binomial regression analyses revealed significant differences between profile membership, and both drinks per week and alcohol-related consequences. These findings may be used to inform interventions to reduce problematic drinking behaviors among graduate students by encouraging practitioners to target those with profile memberships that are associated with higher drinking levels.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"22 ","pages":"Article 100630"},"PeriodicalIF":2.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145094609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01Epub Date: 2025-05-29DOI: 10.1016/j.abrep.2025.100616
Jessica P. Orea, Haylee K. DeLuca Bishop, Kim Pulvers
Background
Young adults have the highest rates of Cannabis Use Disorder (CUD) among all age groups. One important yet understudied behavioral factor linked with CUD is Distress Tolerance (DT), and it is unknown whether this association varies as a function of race/ethnicity, despite health disparities. This study tests the hypothesis that the association between DT and CUD symptoms will be stronger among young adults who identify as non-Hispanic Black or Hispanic (under-represented minoritized; URM) and that cannabis coping motives will mediate this association.
Method
Participants with past 30 day cannabis use (N = 451; M = 21.3 years; 54.8 % female; 33.0 % Hispanic; 35.7 % non-Hispanic Black) completed a cross-sectional survey administered through an online panel in 2021, which included measures of Distress Tolerance, Cannabis Coping Motives, and CUD symptoms. Moderation, mediation, and moderated mediation with covariates age, gender, education, income, and cannabis state legality were tested.
Results
Greater distress intolerance was associated with higher CUD symptoms (b = 1.85, p = 0.000) and the effect was stronger for URM than NHW individuals (b = -2.43, p = 0.002).
Cannabis motives mediated the association between distress intolerance and CUD symptoms (indirect effect: b = 1.069, SE = 0.222, 95 % CI(b) = [.662, 1.520]). Moderated mediation was not present, indicating that the link between DT and CUD symptoms by coping motives did not vary by race/ethnicity (index = 0.011, SE = 0.491, 95 % CI(b) = [-0.916, 1.033]).
Conclusion
Developing DT may be a valuable approach for preventing and treating CUD, particularly among young adults from underrepresented backgrounds.
{"title":"Association between distress tolerance and cannabis use disorder symptoms is stronger among U.S. young adults who identify as Hispanic and non-Hispanic Black","authors":"Jessica P. Orea, Haylee K. DeLuca Bishop, Kim Pulvers","doi":"10.1016/j.abrep.2025.100616","DOIUrl":"10.1016/j.abrep.2025.100616","url":null,"abstract":"<div><h3>Background</h3><div>Young adults have the highest rates of Cannabis Use Disorder (CUD) among all age groups. One important yet understudied behavioral factor linked with CUD is Distress Tolerance (DT), and it is unknown whether this association varies as a function of race/ethnicity, despite health disparities. This study tests the hypothesis that the association between DT and CUD symptoms will be stronger among young adults who identify as non-Hispanic Black or Hispanic (under-represented minoritized; URM) and that cannabis coping motives will mediate this association.</div></div><div><h3>Method</h3><div>Participants with past 30 day cannabis use (<em>N</em> = 451; <em>M</em> = 21.3 years; 54.8 % female; 33.0 % Hispanic; 35.7 % non-Hispanic Black) completed a cross-sectional survey administered through an online panel in 2021, which included measures of Distress Tolerance, Cannabis Coping Motives, and CUD symptoms. Moderation, mediation, and moderated mediation with covariates age, gender, education, income, and cannabis state legality were tested.</div></div><div><h3>Results</h3><div>Greater distress intolerance was associated with higher CUD symptoms (<em>b</em> = 1.85, <em>p</em> = 0.000) and the effect was stronger for URM than NHW individuals (<em>b</em> = -2.43, <em>p</em> = 0.002).</div><div>Cannabis motives mediated the association between distress intolerance and CUD symptoms (indirect effect: <em>b</em> = 1.069, <em>SE</em> = 0.222, 95 % CI(<em>b</em>) = [.662, 1.520]). Moderated mediation was not present, indicating that the link between DT and CUD symptoms by coping motives did not vary by race/ethnicity (index = 0.011, <em>SE</em> = 0.491, 95 % CI(<em>b</em>) = [-0.916, 1.033]).</div></div><div><h3>Conclusion</h3><div>Developing DT may be a valuable approach for preventing and treating CUD, particularly among young adults from underrepresented backgrounds.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"22 ","pages":"Article 100616"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144194869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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