Addictive Behaviors Reports最新文献_第3页

Orienting bias towards electronic nicotine delivery system (ENDS) cues 取向偏向电子尼古丁传递系统（ENDS）线索

IF 2.8 Q1 Psychology

Addictive Behaviors Reports

Pub Date : 2025-12-10 DOI: 10.1016/j.abrep.2025.100649

Sojung Youn, Brian A. Anderson

Background

Abnormal attentional biases for tobacco cues have been observed in the dot-probe task. With a recent increase in electronic nicotine delivery systems (ENDS) use, researchers have investigated the effect of ENDS use on early and later stages of attentional bias. Studies have provided support for later-stage attentional biases among ENDS users but not an orienting bias, which may be difficult to detect with smaller sample sizes, and due to low reliability. The present study tested orienting bias among young adult ENDS users and nonusers to ENDS-related images using a modified dot-probe task.

Method

A total of 224 participants were assigned to an ENDS user group (n = 110) or a control group (n = 114) following their history of ENDS use. A modified version of the dot-probe task was used where a rotated target letter (“T”) appeared shortly after image (ENDS-related and neutral) offset, requiring a directional response.

Results

The ENDS group exhibited a significantly larger ENDS-related orienting bias compared to the control group in response time and accuracy. A habituation effect was also observed, with the ENDS-related attentional bias being restricted for the first epoch of trials. Consistent with previous studies, the ENDS-related attentional bias exhibited low internal reliability.

Conclusions

A significant but short-lived orienting bias towards ENDS-related cues in ENDS users was observed. Similar to other substances of abuse, ENDS use affects early-stage attentional processes. Our findings also suggest ways to more robustly measure such early-stage attentional biases in ENDS users.

背景在点探测任务中观察到烟草线索的异常注意偏倚。随着电子尼古丁传递系统（ENDS）使用的增加，研究人员调查了电子尼古丁传递系统使用对早期和后期注意偏差的影响。研究已经为终端用户的后期注意偏差提供了支持，但没有为定向偏差提供支持，定向偏差在样本量较小且可靠性较低的情况下可能难以检测。本研究使用改进的点探测任务测试了年轻成年终端用户和非终端用户对终端相关图像的定向偏差。方法根据受试者使用ENDS的历史，将224名受试者分为ENDS用户组（n = 110）和对照组（n = 114）。使用了一个改进版本的点探测任务，其中旋转的目标字母（“T”）在图像（与ends相关的和中性的）偏移后不久出现，需要定向响应。结果与对照组相比，ENDS组在反应时间和准确性方面表现出更大的与ENDS相关的定向偏倚。习惯效应也被观察到，在试验的第一个阶段，与end相关的注意偏倚受到限制。与以往的研究一致，与end相关的注意偏倚表现出较低的内部信度。结论：在终端使用者中观察到对终端相关线索的显著但短暂的定向偏倚。与其他滥用物质类似，使用ENDS会影响早期的注意力过程。我们的研究结果还提出了更有效地测量终端用户早期注意偏差的方法。

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引用次数: 0

Internet-based versus synchronous cognitive behavioral therapy for gambling disorder: Study protocol for a non-inferiority randomized controlled trial 基于互联网的与同步认知行为治疗赌博障碍：一项非劣效性随机对照试验的研究方案

IF 2.8 Q1 Psychology

Addictive Behaviors Reports

Pub Date : 2025-12-01 DOI: 10.1016/j.abrep.2025.100642

Anna Westh Stenbro , Thomas Marcussen , David C. Hodgins , Thomas Tandrup Lamm , Lisbeth Frostholm

Background

Despite the availability of effective treatments for Gambling Disorder (GD), help-seeking remains low, and attrition rates are high. Internet-based cognitive behavioral therapy (iCBT) may address barriers to treatment access, but evidence comparing asynchronous iCBT with synchronous CBT (sCBT) is limited.

Objective

This study protocol outlines a non-inferiority randomized controlled trial (RCT) comparing the effectiveness of “SpilleFri” (SF), an asynchronous therapist-guided iCBT program, with individual sCBT delivered in-person or via video for adults with GD.

Methods

A total of 150 patients diagnosed with GD will be randomized to SF or sCBT. The primary outcome is change in GD severity, measured by the National Opinion Research Center DSM Screen for Gambling Problems (NODS), from baseline to three months post-treatment. Secondary outcomes include gambling behavior, psychological distress, relationship quality, and treatment process variables. Data will be collected at eight time points, including a 12-month follow-up. Non-inferiority will be tested using mixed linear models with a predefined margin of −2 NODS points. Process variables and moderators of treatment response will be explored.

Discussion

This trial addresses a critical gap in GD treatment research by directly comparing asynchronous and synchronous CBT formats. If SF proves non-inferior to sCBT, it could offer a scalable, flexible, and resource-efficient alternative for GD treatment. Findings may inform stepped-care models and broaden access to evidence-based interventions.

背景：尽管赌博障碍（GD）有有效的治疗方法，但寻求帮助的人数仍然很低，而且流失率很高。基于互联网的认知行为疗法（iCBT）可能解决了获得治疗的障碍，但比较异步iCBT和同步CBT （sCBT）的证据有限。目的：本研究方案概述了一项非劣效性随机对照试验（RCT），比较了“SpilleFri”（SF）的有效性，这是一项异步治疗师指导的iCBT计划，与个人sCBT面对面或通过视频提供给患有GD的成年人。方法将150例确诊为GD的患者随机分为SF组或sCBT组。主要结果是GD严重程度的变化，由国家意见研究中心DSM赌博问题筛查（NODS）测量，从基线到治疗后三个月。次要结局包括赌博行为、心理困扰、关系质量和治疗过程变量。数据将在8个时间点收集，包括12个月的随访。非劣效性将使用混合线性模型进行测试，该模型具有预定义的- 2个节点的边缘。将探讨处理反应的过程变量和调节因子。该试验通过直接比较异步和同步CBT格式，解决了GD治疗研究中的一个关键空白。如果SF不逊色于sCBT，它可以提供一种可扩展的、灵活的、资源高效的GD治疗替代方案。研究结果可能为阶梯式护理模式提供信息，并扩大循证干预措施的可及性。

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引用次数: 0

Greater impulsivity is associated with a reduced propensity to cash out of bets 更大的冲动与减少兑现赌注的倾向有关

IF 2.8 Q1 Psychology

Addictive Behaviors Reports

Pub Date : 2025-11-26 DOI: 10.1016/j.abrep.2025.100645

Ong George Ngieng , Lucy Albertella , Ty Hayes , Antonio Verdejo-Garcia , Lukasz Walasek , Elliot A. Ludvig , Daniel Bennett

A common feature of contemporary sports-betting apps is ‘instant cash-out’, which allows users to settle a bet early in exchange for a discounted immediate payout. Despite high prevalence and links with gambling-related harm, relatively little is known about how personality traits associated with gambling, such as impulsivity, predict instant cash-out usage. To address this question, we recruited 145 general-population adult participants (69 men, 66 women, 10 non-binary or undisclosed; M_age = 36.3, SD = 10.7; participants resided in Australia, Canada, Ireland, New Zealand, the UK, or the USA) to complete five self-report questionnaires related to impulsivity, as well as the Problem Gambling Severity Index (PGSI), and a validated cognitive task measuring individual differences in cash-out frequency. We then assessed how cash-out frequency in the behavioral task was associated with both self-reported impulsivity and PGSI. We found that cash-out frequency was negatively correlated both with PGSI scores and with a number of impulsivity-related traits including Dysfunctional Impulsivity, Lack of Premeditation, Positive Urgency, Sensation Seeking, and Fun Seeking. An exploratory factor analysis revealed that higher scores on a latent ‘Dysfunctional Impulsivity’ factor were negatively associated with cash-out frequency overall, whereas higher scores on an ‘Inhibition and Inflexibility’ factor predicted higher cash-out frequency specifically for bets with a low win probability. Taken together, results suggest that instant cash-out may primarily appeal to less impulsive people and those with lower PGSI scores. This raises the possibility that instant cash-out may specifically facilitate increased gambling behaviors among people with less prior experience of gambling.

当代体育博彩应用程序的一个共同特点是“即时兑现”，允许用户提前结算赌注，以换取折扣的即时支付。尽管赌博非常普遍，而且与赌博相关的危害也有联系，但人们对与赌博相关的性格特征（如冲动性）如何预测即时取款行为的了解相对较少。为了解决这个问题，我们招募了145名普通成人参与者（69名男性，66名女性，10名非二元或未公开；Mage = 36.3, SD = 10.7；参与者居住在澳大利亚，加拿大，爱尔兰，新西兰，英国或美国）完成五份与冲动性相关的自我报告问卷，以及问题赌博严重程度指数（PGSI），以及一项有效的认知任务，测量兑现频率的个体差异。然后，我们评估了行为任务中的兑现频率与自我报告的冲动性和PGSI之间的关系。我们发现，套现频率与PGSI分数以及与冲动性相关的一些特征呈负相关，包括功能失调冲动性、缺乏预先考虑、积极的紧迫性、寻求感觉和寻求乐趣。一项探索性因素分析显示，总体而言，潜在的“功能失调冲动性”因素得分越高，套现频率就越高，而“抑制和不灵活性”因素得分越高，特别是对于低赢概率的投注，套现频率就越高。综上所述，研究结果表明，即时套现可能主要吸引那些不那么冲动的人和那些PGSI得分较低的人。这增加了一种可能性，即即时提现可能会特别促进赌博经验较少的人增加赌博行为。

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引用次数: 0

The indirect effects of discrimination on substance use in bisexual adults through internalized binegativity, concealment, and distress tolerance 性别歧视对双性恋成人药物使用的间接影响，包括内化的负面性、隐蔽性和痛苦容忍

IF 2.8 Q1 Psychology

Addictive Behaviors Reports

Pub Date : 2025-11-20 DOI: 10.1016/j.abrep.2025.100644

Tarik D. Goulbourne , Nathan Grant Smith , Ezemenari M. Obasi , Lorraine R. Reitzel

Purpose

Bisexual people experience bisexual-specific stressors (e.g., anti-bisexual discrimination, internalized binegativity) that impact health outcomes. Still, little research has explored relationships between bisexual-specific stressors and substance use. Additionally, distress tolerance is negatively associated with substance use in non-sexual-minority samples, but only one study has examined distress tolerance in sexual minorities, and none have examined its relations to substance use in bisexual samples. This study examined the indirect relationship between anti-bisexual discrimination and substance use through internalized binegativity, sexual orientation concealment, and distress tolerance.

Methods

Bisexual adults aged 18–70 (M = 35, N = 97) were recruited locally and nationally, and reported experiences of anti-bisexual discrimination, internalized binegativity, sexual orientation concealment, distress tolerance, and substance use (i.e., 90-day marijuana and cocaine use, 30-day number of daily standard drinks, 30-day binge drinking).

Results

Anti-bisexual discrimination was significantly related to cocaine use indirectly through sexual orientation concealment and directly associated with internalized binegativity and sexual orientation concealment. There were also significant indirect effects for the relationship between anti-bisexual discrimination and cocaine use through internalized binegativity and for the relationship between anti-bisexual discrimination and alcohol use through internalized binegativity. Neither anti-bisexual discrimination nor internalized binegativity, sexual orientation concealment, or distress tolerance were significantly, directly associated with alcohol use, binge drinking, or marijuana use.

Conclusion

As the first study to examine the role of distress tolerance in the relationship between bisexual-specific minority stressors and substance use, the findings provide a novel contribution to the exploration of bisexual-specific health disparities and highlight a need for targeted clinical interventions.

目的双性恋者会经历双性恋特有的压力源（例如，对双性恋的歧视、内化的消极情绪），这些压力源会影响健康结果。然而，很少有研究探索双性恋特定压力源与药物使用之间的关系。此外，在非性少数样本中，痛苦耐受性与物质使用呈负相关，但只有一项研究调查了性少数群体的痛苦耐受性，而没有一项研究调查了双性恋样本中痛苦耐受性与物质使用的关系。本研究通过内化负性、性取向隐瞒性和痛苦耐受性来考察反双性恋歧视与物质使用之间的间接关系。方法招募18-70岁的成年双性恋者（M = 35, N = 97），报告其反双性恋歧视、内化双性恋消极、性取向隐藏性、痛苦耐受力和物质使用（即90天大麻和可卡因使用、30天每日标准饮酒量、30天酗酒）经历。结果反双性恋歧视与可卡因使用存在间接性取向隐瞒相关，与内化消极性和性取向隐瞒直接相关。反双性恋歧视与可卡因使用之间的关系通过内化的消极作用，以及反双性恋歧视与酒精使用之间的关系通过内化的消极作用，也存在显著的间接影响。对双性恋的歧视、内化的消极、性取向隐蔽性或痛苦容忍与酒精使用、酗酒或大麻使用都没有显著的直接关系。结论该研究首次探讨了双性恋特定少数群体应激源与物质使用之间的关系，为探索双性恋特定健康差异提供了新的贡献，并强调了有针对性的临床干预的必要性。

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引用次数: 0

Evaluating a drink-counting and a breathalyzer-coupled app for monitoring alcohol use: A comparison with timeline followback and peth biomarker 评估用于监测酒精使用的饮酒计数和呼气测醉器耦合应用程序：与时间跟踪和生物标志物的比较

IF 2.8 Q1 Psychology

Addictive Behaviors Reports

Pub Date : 2025-11-14 DOI: 10.1016/j.abrep.2025.100643

Josefine Östh , Andreas Lundin , Peter Wennberg , Sven Andréasson , Anna-Karin Danielsson

Aim

Accurately measuring alcohol consumption remains a challenge. This study aimed to evaluate two app-based methods, one using drink-count logging and one using a breathalyzer, by comparing them to retrospective self-report (Timeline Followback, TLFB) and a biomarker of alcohol use (Phosphatidylethanol, PEth).

Methods

Data were acquired from a randomized controlled trial involving alcohol-dependent adults (n = 110). Standard drinks, drinking days, and heavy drinking days reported via the drink-counting app or breathalyzer, were compared with TLFB data over the 12-week period using Lin’s concordance correlation coefficient (CCC). Correlation with PEth was assessed only at the 12-week mark, using Spearman’s rank correlation coefficient (rho) and Receiver Operating Characteristic (ROC) curves, reporting the area under the curve (AUC).

Results

Compared to app-based methods, TLFB consistently identified more drinking days and heavy drinking days. However, the drink-counting app’s estimates were still relatively close to TLFB and demonstrated strong agreement for drinking days across the different time intervals (CCC = 0.71–0.86). The drink-counting app also showed a strong correlation with PEth values for standard drinks and drinking days (rho = 0.74–0.78). In contrast, breathalyzer data generally showed weak agreement with both TLFB and PEth.

Conclusions

Although TLFB yielded more drinking and heavy drinking days, the drink-counting app showed strong agreement with TLFB and correlated closely with PEth levels, indicating good validity. In contrast, breathalyzer data showed weaker agreement, likely due to lower usage during drinking episodes. These findings suggest that drink-counting apps could provide a reliable tool for monitoring alcohol use, offering advantages over both retrospective reports and breathalyzer measures.

准确测量酒精消费量仍然是一个挑战。本研究旨在评估两种基于应用程序的方法，一种使用饮酒计数记录，另一种使用呼气测醉器，通过将它们与回顾性自我报告（时间线跟踪，TLFB）和酒精使用的生物标志物（磷脂酰乙醇，PEth）进行比较。方法数据来自一项涉及酒精依赖成年人的随机对照试验（n = 110）。通过饮酒计数应用程序或呼气测醉器报告的标准饮酒量、饮酒天数和重度饮酒天数，使用Lin的一致性相关系数（CCC）与12周期间的TLFB数据进行比较。仅在12周时评估与PEth的相关性，使用Spearman等级相关系数（rho）和受试者工作特征（ROC）曲线，报告曲线下面积（AUC）。结果与基于app的方法相比，TLFB一致地识别出更多的饮酒天数和重度饮酒天数。然而，饮酒量计算应用程序的估计值仍然相对接近TLFB，并且在不同的时间间隔（CCC = 0.71-0.86）中显示出强烈的一致性。饮酒量计算应用程序还显示，标准饮料和饮酒天数的PEth值之间存在很强的相关性（rho = 0.74-0.78）。相比之下，酒精测试数据通常显示与TLFB和PEth的一致性较弱。结论虽然TLFB产生了更多的饮酒和重度饮酒天数，但饮酒量计算应用程序与TLFB具有较强的一致性，且与PEth水平密切相关，具有较好的效度。相比之下，酒精测试数据显示的一致性较弱，可能是由于饮酒期间使用较少。这些研究结果表明，饮酒计数应用程序可以提供一种可靠的工具来监测酒精使用情况，比回顾性报告和酒精测量仪都有优势。

{"title":"Evaluating a drink-counting and a breathalyzer-coupled app for monitoring alcohol use: A comparison with timeline followback and peth biomarker","authors":"Josefine Östh , Andreas Lundin , Peter Wennberg , Sven Andréasson , Anna-Karin Danielsson","doi":"10.1016/j.abrep.2025.100643","DOIUrl":"10.1016/j.abrep.2025.100643","url":null,"abstract":"<div><h3>Aim</h3><div>Accurately measuring alcohol consumption remains a challenge. This study aimed to evaluate two app-based methods, one using drink-count logging and one using a breathalyzer, by comparing them to retrospective self-report (Timeline Followback, TLFB) and a biomarker of alcohol use (Phosphatidylethanol, PEth).</div></div><div><h3>Methods</h3><div>Data were acquired from a randomized controlled trial involving alcohol-dependent adults (n = 110). Standard drinks, drinking days, and heavy drinking days reported via the drink-counting app or breathalyzer, were compared with TLFB data over the 12-week period using Lin’s concordance correlation coefficient (CCC). Correlation with PEth was assessed only at the 12-week mark, using Spearman’s rank correlation coefficient (rho) and Receiver Operating Characteristic (ROC) curves, reporting the area under the curve (AUC).</div></div><div><h3>Results</h3><div>Compared to app-based methods, TLFB consistently identified more drinking days and heavy drinking days. However, the drink-counting app’s estimates were still relatively close to TLFB and demonstrated strong agreement for drinking days across the different time intervals (CCC = 0.71–0.86). The drink-counting app also showed a strong correlation with PEth values for standard drinks and drinking days (rho = 0.74–0.78). In contrast, breathalyzer data generally showed weak agreement with both TLFB and PEth.</div></div><div><h3>Conclusions</h3><div>Although TLFB yielded more drinking and heavy drinking days, the drink-counting app showed strong agreement with TLFB and correlated closely with PEth levels, indicating good validity. In contrast, breathalyzer data showed weaker agreement, likely due to lower usage during drinking episodes. These findings suggest that drink-counting apps could provide a reliable tool for monitoring alcohol use, offering advantages over both retrospective reports and breathalyzer measures.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"22 ","pages":"Article 100643"},"PeriodicalIF":2.8,"publicationDate":"2025-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145519560","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}

引用次数: 0

Psychophysiological response of individuals with internet gaming disorder to gaming content from social media 网络游戏障碍个体对社交媒体游戏内容的心理生理反应

IF 2.8 Q1 Psychology

Addictive Behaviors Reports

Pub Date : 2025-11-05 DOI: 10.1016/j.abrep.2025.100641

Daisuke Jitoku , Nanase Kobayashi , Yuka Fujimoto , Chenyu Qian , Shoko Okuzumi , Shisei Tei , Takehiro Tamura , Hidehiko Takahashi , Takefumi Ueno , Junya Fujino

Despite the increasing clinical recognition of internet gaming disorder (IGD), treatment options remain scarce, and relapse rates are high. One major challenge is the pervasive presence of digital triggers that reinforce gaming behaviors, particularly through social media platforms, which are integral to gaming culture. Further research is needed on how gaming-related social media content affects gaming desire and physiological reactions because this topic remains understudied. This study investigated the effects of gaming-related social media videos on gaming desire and skin conductance response (SCR) in individuals with IGD and healthy controls (HCs) who casually play online games. While participants viewed gaming-related and neutral videos from social media, their gaming desire and SCR were assessed. Correlations between SCR and clinical variables were also examined. Notably, both groups exhibited increased gaming desire and SCR after viewing gaming-related videos compared with those after viewing neutral ones. Although self-reported gaming desire was comparable between groups, the SCR was significantly higher in the IGD group. In the HC group, SCR levels were positively correlated with gaming history. The dissociation between subjective and physiological outcomes may indicate implicit sensitization to gaming-related cues in IGD, suggesting that physiological reactivity could occur independently of self-reported cravings. Our findings can help elucidate the underlying mechanisms of IGD and highlight the need for further research on strategies aimed at managing gaming-related cue exposure in digital environments.

尽管越来越多的临床认识到网络游戏障碍（IGD），治疗方案仍然很少，复发率很高。一个主要挑战是数字触发器的普遍存在，特别是通过社交媒体平台（游戏邦注：这是游戏文化不可或缺的一部分）强化游戏行为。关于游戏相关的社交媒体内容如何影响游戏欲望和生理反应，还需要进一步的研究，因为这一主题仍未得到充分研究。本研究调查了与游戏相关的社交媒体视频对IGD患者和健康对照组（hc）随意玩网络游戏的游戏欲望和皮肤电导反应（SCR）的影响。当参与者观看社交媒体上的游戏相关视频和中立视频时，他们的游戏欲望和SCR被评估。我们还研究了SCR与临床变量之间的相关性。值得注意的是，两组人在观看游戏相关视频后都比观看中性视频后表现出了更高的游戏欲望和SCR。尽管自我报告的游戏欲望在各组之间具有可比性，但IGD组的SCR明显更高。在HC组中，SCR水平与游戏史呈正相关。主观和生理结果之间的分离可能表明IGD中对游戏相关线索的内隐敏感，这表明生理反应可能独立于自我报告的渴望而发生。我们的发现有助于阐明IGD的潜在机制，并强调需要进一步研究旨在管理数字环境中与游戏相关的线索暴露的策略。

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引用次数: 0

Effects of HIV and alcohol stigma on biomarker-confirmed alcohol use following a peer-delivered intervention in South Africa 艾滋病毒和酒精污名对南非同伴交付干预后生物标志物证实的酒精使用的影响

IF 2.8 Q1 Psychology

Addictive Behaviors Reports

Pub Date : 2025-11-01 DOI: 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.

Trial Registration: ClinicalTrials.gov NCT03529409.

尽管多种形式的耻辱感与健康结果之间存在文献记载的关系，但有限的研究调查了艾滋病毒和酒精耻辱感对客观测量的酒精使用的影响。需要进行研究，以更好地了解耻辱与健康结果之间的关系，从而为减少耻辱的干预工作提供信息。方法从南非的两个公共艾滋病护理点招募符合不健康饮酒和非最佳艾滋病药物依从性标准的参与者（N = 60）。内化酒精耻辱感、制定酒精耻辱感、内化HIV耻辱感和磷脂酰乙醇（PEth）水平（一种酒精使用生物标志物）在基线和基线后3个月和6个月进行评估。参与者被随机分配到同伴提供的行为干预或像往常一样加强治疗（促进转诊到同一地点的物质使用治疗项目）。本研究采用交叉滞后面板结构方程模型，考察了耻感对PEth结果的滞后影响，以及耻感是否介导同伴干预的影响。结果发现了显著的滞后效应，例如基线时较高水平的制定酒精耻辱感和内化艾滋病毒耻辱感分别预测了三个月随访时较高的PEth水平。在六个月的随访中，较高的内化酒精耻辱感水平预示着较高的佩斯水平。干预对柱头没有显著影响（ps > 0.05）。病耻感并没有调节干预的效果。结论研究结果表明，更高的HIV和酒精污名预示着更多的酒精使用。未来的研究应探索如何将减少耻辱感的策略纳入同伴提供的干预措施，并评估减少耻辱感对健康结果的影响。试验注册：ClinicalTrials.gov NCT03529409。

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引用次数: 0

Compounding risks of chronic health conditions and substance use disorder on healthcare burden in the USA: Analysis of NSDUH data (2021–2023) 慢性健康状况和物质使用障碍对美国医疗负担的复合风险：NSDUH数据分析（2021-2023）

IF 2.8 Q1 Psychology

Addictive Behaviors Reports

Pub Date : 2025-11-01 DOI: 10.1016/j.abrep.2025.100639

Ayodeji Iyanda , Richard Adeleke , Omowunmi Iyanda

Background

Emergency room (ER) use reflects acute healthcare burden, but the roles of chronic health conditions (CHCs), substance use disorders (SUDs), drug use disorders (DUDs), and mental health conditions (MHCs) remain underexplored across populations.

Methods

Using nationally representative survey data (N = 226,838; weighted = 1,243,120,763), we applied survey-weighted logistic regression to examine predictors of ER visits. Covariates included CHCs, SUDs, DUDs, severity levels of these orders, MHCs, race/ethnicity, education, employment, residence, and body mass index.

Results

Adults with ≥ 1 CHC were more likely to visit the ER (OR = 1.72; 95 % CI: 1.60–1.85). DUD significantly increased ER use (OR = 1.70; 95 % CI: 1.54–1.88), while overall SUD was not significant after adjustment (OR = 1.05; 95 % CI: 0.98–1.12). Severe SUD elevated ER use even without CHCs (OR = 1.89; 95 % CI: 1.67–2.13). African Americans had higher odds of ER visits (OR = 1.28; 95 % CI: 1.21–1.36), and Native American/Alaska Natives were more likely to report DUD (OR = 1.55; 95 % CI: 1.31–1.82). Lower educational attainment (OR = 1.22; 95 % CI: 1.16–1.28) and unemployment (OR = 1.34; 95 % CI: 1.25–1.43) were linked to higher risks. MHCs predicted ER use (OR = 1.63; 95 % CI: 1.53–1.74) and substance-related disorders.

Conclusions

CHCs, DUD severity, and MHCs are strong predictors of ER utilization. Disparities among African Americans and Native American/Alaska Natives highlight the need for integrated care addressing chronic illness, behavioral health, and substance use—particularly for socioeconomically and racially marginalized groups.

急诊室（ER）的使用反映了急性医疗负担，但慢性健康状况（CHCs）、物质使用障碍（SUDs）、药物使用障碍（DUDs）和精神健康状况（MHCs）在人群中的作用仍未得到充分探讨。方法使用具有全国代表性的调查数据（N = 226,838；加权= 1,243,120,763），我们应用调查加权逻辑回归来检验急诊室就诊的预测因素。协变量包括CHCs、sud、DUDs、这些顺序的严重程度、MHCs、种族/民族、教育、就业、居住和体重指数。结果CHC≥1的成人更有可能去急诊室就诊（OR = 1.72; 95% CI: 1.60-1.85）。DUD显著增加ER的使用（OR = 1.70; 95% CI: 1.54-1.88），而调整后总体SUD无显著性差异（OR = 1.05; 95% CI: 0.98-1.12）。即使没有CHCs，严重的SUD也会使ER使用升高（OR = 1.89; 95% CI: 1.67-2.13）。非裔美国人就诊的几率更高（OR = 1.28; 95% CI: 1.21-1.36），美洲原住民/阿拉斯加原住民更有可能报告DUD （OR = 1.55; 95% CI: 1.31-1.82）。较低的受教育程度（OR = 1.22; 95% CI: 1.16-1.28）和失业（OR = 1.34; 95% CI: 1.25-1.43）与较高的风险相关。MHCs预测ER使用（OR = 1.63; 95% CI: 1.53-1.74）和物质相关障碍。结论schc、DUD严重程度和mhc是ER使用的重要预测因子。非洲裔美国人和美国原住民/阿拉斯加原住民之间的差异突出了对慢性病、行为健康和药物使用进行综合护理的必要性，特别是对社会经济和种族边缘化群体。

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引用次数: 0

Association of behavioral economic demand for kratom with DSM-5 use disorder: quantity and likelihood-based demand approaches kratom行为经济需求与DSM-5使用障碍的关联：基于数量和可能性的需求方法

IF 2.8 Q1 Psychology

Addictive Behaviors Reports

Pub Date : 2025-10-25 DOI: 10.1016/j.abrep.2025.100638

Zachary Pierce-Messick , Kirsten E. Smith , Samuel F. Acuff , Derek D. Reed , David H. Epstein , Justin C. Strickland

Aims

Kratom products have increased in popularity in the United States due to their availability and their purported analgesic and stimulatory properties. We sought to examine if behavioral economic demand procedures widely used in addiction science would identify indicators of problematic kratom use and to evaluate the relative performance of differing demand approaches.

Methods

Respondents with a lifetime history of kratom use (N = 117) completed two versions of a hypothetical kratom purchase task. The first version (“Quantity”) followed typical purchase task methods; respondents were asked how much kratom they would purchase across various prices. The second version (“Likelihood”) asked how likely respondents would be to purchase a single dose of kratom across the same price range. Logistic regression was used to determine the association of demand indices with the likelihood of meeting KUD criteria.

Results

For the Quantity version, higher demand intensity (OR = 2.16, p = 0.01) and lower demand elasticity (OR = 0.45, p = 0.01) were significantly associated with past year but not lifetime KUD (p’s > 0.10). For the Likelihood version, demand intensity, demand elasticity, and Pmax were not associated with KUD (p’s > 0.10); higher breakpoint was associated with past year, but not lifetime KUD (OR = 1.44, p = 0.04).

Conclusions

This study is the first to demonstrate that purchase tasks can quantify the reinforcing efficacy of kratom and emphasizes the temporal specificity of the association between purchase tasks and problem behaviors. These findings also suggest that demand indices from Quantity- and Likelihood-based tasks differentially relate to KUD, emphasizing the importance of task and outcome selection.

AimsKratom产品在美国越来越受欢迎，因为它们的可用性和所谓的镇痛和刺激特性。我们试图检验在成瘾科学中广泛使用的行为经济需求程序是否能识别出有问题的kratom使用指标，并评估不同需求方法的相对表现。方法117名有终生使用克拉通史的被调查者完成了两个版本的假设克拉通购买任务。第一个版本（“数量”）遵循典型的购买任务方法；受访者被问及他们会在不同的价格下购买多少克朗。第二个版本（“可能性”）询问受访者在相同价格范围内购买单剂量kratom的可能性有多大。使用逻辑回归来确定需求指数与满足KUD标准的可能性之间的关系。结果对于数量版本，较高的需求强度（OR = 2.16, p = 0.01）和较低的需求弹性（OR = 0.45, p = 0.01）与过去一年显著相关，而与终生KUD无关（p 's > 0.10）。对于可能性版本，需求强度，需求弹性和Pmax与KUD无关（p 's > 0.10）；较高的断点与过去年份相关，但与终生KUD无关（OR = 1.44, p = 0.04）。结论本研究首次证明了购买任务可以量化问题行为的强化效果，并强调了购买任务与问题行为之间关联的时间特异性。这些发现还表明，基于数量和可能性的任务的需求指数与KUD的关系不同，强调了任务和结果选择的重要性。

{"title":"Association of behavioral economic demand for kratom with DSM-5 use disorder: quantity and likelihood-based demand approaches","authors":"Zachary Pierce-Messick , Kirsten E. Smith , Samuel F. Acuff , Derek D. Reed , David H. Epstein , Justin C. Strickland","doi":"10.1016/j.abrep.2025.100638","DOIUrl":"10.1016/j.abrep.2025.100638","url":null,"abstract":"<div><h3>Aims</h3><div>Kratom products have increased in popularity in the United States due to their availability and their purported analgesic and stimulatory properties. We sought to examine if behavioral economic demand procedures widely used in addiction science would identify indicators of problematic kratom use and to evaluate the relative performance of differing demand approaches.</div></div><div><h3>Methods</h3><div>Respondents with a lifetime history of kratom use (N = 117) completed two versions of a hypothetical kratom purchase task. The first version (“Quantity”) followed typical purchase task methods; respondents were asked how much kratom they would purchase across various prices. The second version (“Likelihood”) asked how likely respondents would be to purchase a single dose of kratom across the same price range. Logistic regression was used to determine the association of demand indices with the likelihood of meeting KUD criteria.</div></div><div><h3>Results</h3><div>For the Quantity version, higher demand intensity (OR = 2.16, <em>p</em> = 0.01) and lower demand elasticity (OR = 0.45, <em>p</em> = 0.01) were significantly associated with past year but not lifetime KUD (<em>p</em>’s > 0.10). For the Likelihood version, demand intensity, demand elasticity, and Pmax were not associated with KUD (<em>p</em>’s > 0.10); higher breakpoint was associated with past year, but not lifetime KUD (OR = 1.44, <em>p</em> = 0.04).</div></div><div><h3>Conclusions</h3><div>This study is the first to demonstrate that purchase tasks can quantify the reinforcing efficacy of kratom and emphasizes the temporal specificity of the association between purchase tasks and problem behaviors. These findings also suggest that demand indices from Quantity- and Likelihood-based tasks differentially relate to KUD, emphasizing the importance of task and outcome selection.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"22 ","pages":"Article 100638"},"PeriodicalIF":2.8,"publicationDate":"2025-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145465134","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}

引用次数: 0

Assessment of alcohol and tobacco use in psychotherapy: validation of the german self-report ASSIST alcohol and tobacco subscales in an outpatient setting 心理治疗中酒精和烟草使用的评估：门诊环境中德国自我报告ASSIST酒精和烟草亚量表的验证

IF 2.8 Q1 Psychology

Addictive Behaviors Reports

Pub Date : 2025-10-20 DOI: 10.1016/j.abrep.2025.100634

Esra Sünkel, Alla Machulska, Marie Neubert, Tobias Stalder, Tim Klucken

Background

Alcohol and tobacco use are leading causes of preventable mortality and transdiagnostic risk factors for poor health, especially in comorbid mental disorders. Identification and treatment in German healthcare remain inadequate. The WHO ASSIST is a brief screening tool for substance use, but the German self-report version has not been systematically validated for alcohol and tobacco. Methods: In a psychotherapeutic outpatient sample (N = 553; mean age 34.9, SD = 13.4, range 18–74; 60 % female), we evaluated (i) concurrent, (ii) construct, (iii) discriminative validity, and (iv) diagnostic accuracy of the alcohol (ASSIST_A) and tobacco (ASSIST_T) subscales. Results: Regarding concurrent validity, ASSIST_A strongly correlated with AUDIT and showed weak correlation with clinical judgement, whereas ASSIST_T correlated with FTND but not with clinical judgement. Construct validity was demonstrated by acceptable internal consistency and small correlations with ICD-10 alcohol and tobacco diagnoses. Discriminative validity was good for both subscales. Diagnostic accuracy analyses indicated that optimal cutoff values were substantially lower than the manual thresholds (alcohol 3.5/8.5 vs. 11/27, tobacco 5.5 vs. 27). Discussion: Our results support the validity of the German ASSIST_A/T subscales. Comparison with established measures highlights clinical utility. ASSIST_T‘s lack of correlation with clinical judgement suggests smoking might be under-recognized without standardized screening. We propose empirically derived cutoff values to improve sensitivity for detecting clinically relevant substance use in outpatient psychotherapy settings.

背景：酒精和烟草使用是可预防死亡的主要原因，也是健康状况不佳的跨诊断风险因素，特别是在共病性精神障碍中。德国医疗机构的诊断和治疗仍然不足。世卫组织ASSIST是一种药物使用的简短筛查工具，但德国的自我报告版本尚未对酒精和烟草进行系统验证。方法：在一份心理治疗门诊样本中（N = 553，平均年龄34.9,SD = 13.4，范围18-74,60%为女性），我们评估了酒精（ASSISTA）和烟草（ASSISTT）亚量表的(i)同期、（ii）结构、（iii）判别效度和（iv）诊断准确性。结果：在并发效度方面，ASSISTA与AUDIT呈强相关，与临床判断呈弱相关，而ASSISTA与FTND呈不相关。结构效度通过可接受的内部一致性和与ICD-10酒精和烟草诊断的小相关性来证明。两个分量表的判别效度均较好。诊断准确性分析表明，最佳临界值大大低于手动阈值（酒精3.5/8.5 vs 11/27，烟草5.5 vs 27）。讨论：我们的研究结果支持德国ASSISTA/T量表的有效性。与既定措施的比较突出了临床效用。ASSISTT与临床判断缺乏相关性表明，如果没有标准化的筛查，吸烟可能被低估。我们提出经验推导的截止值，以提高灵敏度检测临床相关的物质使用在门诊心理治疗设置。

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引用次数: 0