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Exploring the interplay of substance use, mental health, and help-seeking behavior in college student populations 探索大学生群体中物质使用、心理健康和寻求帮助行为的相互作用
IF 2.8 Q1 Psychology Pub Date : 2025-10-19 DOI: 10.1016/j.abrep.2025.100636
Fares Qeadan, Jamie Egbert

Background

This study examines the intricate relationship between substance use, mental health, and help-seeking behavior, past and future, among United States (U.S.) college students.

Methods

Data consisting of n = 238,118 students’ responses to the National College Health Assessment from fall 2019 through fall 2022 were employed. Unadjusted and adjusted incidence rate ratios representing the relationship between substance classifications and the number of mental health diagnoses were calculated. Unadjusted and adjusted odds ratios for willingness to seek mental health support, past and future, by substance class were also evaluated. Finally, we assessed unadjusted and adjusted odds of having sought and being willing to seek mental health support by substance risk score among students with varying counts of mental health diagnoses.

Results

About 12.66 % (n = 30,001) of students reported three or more mental health diagnoses, 54.01 % (n = 128,286) reported past mental health help utilization, while 82.00 % (n = 193,744) reported that they would seek help from a mental health provider in the future if needed. We found a pronounced correlation between the severity of substance use and the prevalence of mental health diagnoses. Notably, intense use of substances such as prescription opioids, heroin, and cocaine correlates with decreased past mental health support utilization. In contrast, substances more socially accepted, like tobacco, alcohol, and cannabis, are associated with increased help-seeking behavior. The research highlights a significant discrepancy between students’ stated willingness to seek future help and actual past help utilization.

Conclusion

Interventions should particularly address students dealing with the dual challenges of substance use and mental health issues.
本研究探讨了美国大学生过去和未来的药物使用、心理健康和寻求帮助行为之间的复杂关系。方法采用2019年秋季至2022年秋季参加全国大学生健康评估的n = 238,118名学生的数据。计算未调整和调整的发病率比,代表物质分类与精神健康诊断数量之间的关系。按物质类别评估过去和未来寻求心理健康支持意愿的未调整和调整的比值比。最后,我们通过不同心理健康诊断计数的学生的物质风险评分来评估未调整和调整的寻求和愿意寻求心理健康支持的几率。结果12.66% (n = 30001)的学生有3次或3次以上的心理健康诊断,54.01% (n = 128,286)的学生曾使用过心理健康帮助,82.00% (n = 193,744)的学生表示将来会向心理健康服务提供者寻求帮助。我们发现物质使用的严重程度与精神健康诊断的流行程度之间存在明显的相关性。值得注意的是,大量使用处方类阿片、海洛因和可卡因等物质与过去心理健康支持的使用率下降有关。相比之下,更被社会接受的物质,如烟草、酒精和大麻,与寻求帮助的行为增加有关。该研究强调了学生陈述的寻求未来帮助的意愿与过去实际的帮助利用之间的显著差异。结论干预措施应特别针对处理药物使用和心理健康问题双重挑战的学生。
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引用次数: 0
Does living near a tobacco retailer impact the efficacy of smoking cessation treatments?: Analysis from a randomized trial 住在烟草零售商附近会影响戒烟治疗的效果吗?:随机试验分析
IF 2.8 Q1 Psychology Pub Date : 2025-10-18 DOI: 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.
居住在烟草零售商附近是否会影响戒烟治疗的效果仍不得而知。我们使用了一项随机试验的数据,比较了2415名成年人中两款戒烟应用程序:基于接受和承诺疗法的iCanQuit和基于标准美国临床实践指南的QuitGuide。我们检查了烟草零售商密度是否影响治疗对12个月戒烟结果的疗效。方法每1000人(即“一个单位”)的烟草零售商密度数据与每个参与者的居住邮政编码相关联。戒烟结果包括吸烟30天点流行戒断(PPA)、长期戒断、30天尼古丁/烟草制品戒断和复发。我们检查了12个月30天PPA的密度和治疗组之间的相互作用,并分别比较了各组的戒烟结果。结果戒烟时密度与治疗组的交互作用无统计学意义(P = 0.09)。密度每增加一个单位,iCanQuit组的戒烟率没有变化(P = 0.62)。在QuitGuide组中,较高的密度与较低的戒烟率相关(OR = 0.54; 95% CI, 0.27-1.06; P = 0.07),尽管没有统计学意义。密度与治疗组对延长戒烟有显著的交互作用(P = 0.03)。我们发现iCanQuit组的长期戒断没有变化(P = 0.44)。在QuitGuide组中,较高的密度与较短的禁欲时间相关(OR = 0.27; 95% CI, 0.07-1.02; P = 0.054),尽管没有统计学意义。结论:住在烟草零售商附近可能会削弱标准行为治疗的有效性,但似乎对基于接受的戒烟治疗的有效性没有影响。
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引用次数: 0
Functional magnetic resonance imaging in adolescent Internet gaming disorder: A systematic review 青少年网络游戏障碍的功能磁共振成像:系统回顾
IF 2.8 Q1 Psychology Pub Date : 2025-10-17 DOI: 10.1016/j.abrep.2025.100637
Mo Zhu , Mingzhu Liu , Xingchen Wang , Chunli Li , Juntao Ba , Xiaojuan Liu , Wen Yang , Shaoyuan Wu , Jingmei Zhong

Background

Internet Gaming Disorder (IGD), recognized as a non-substance addictive behavior, has been incorporated into the diagnostic frameworks of DSM-5 and ICD-11. Its high prevalence rate (approximately 10 %) and widespread harmful consequences position it as a significant global public health challenge. Functional Magnetic Resonance Imaging (fMRI) technology offers a powerful tool for elucidating the neural mechanisms underlying addictive behaviors. This is particularly relevant during adolescence, a period characterized by high neurobiological plasticity, enabling a deeper understanding of the neurobiological basis of IGD.

Objective

This review aims to systematically synthesize the application of fMRI techniques in adolescent IGD research. It integrates empirical findings from resting-state fMRI (rs-fMRI), task-based fMRI (tb-fMRI), and Diffusion Tensor Imaging (DTI) to clarify IGD-associated abnormalities in brain function and structure, and explores their potential for clinical translation.

Methods

Relevant literature published between January 2015 and February 2025 was retrieved from PubMed, Web of Science, and Science Direct databases using keyword searches. Twenty-one studies meeting the inclusion criteria (employing fMRI techniques, utilizing defined IGD diagnostic criteria, focusing on adolescent samples aged 10–20 years) were selected. The risk of bias for included studies was assessed using a standardized tool. The analysis encompassed investigations of resting-state functional connectivity (FC), task-based activation patterns, and white matter microstructure.

Conclusion

Adolescents with IGD exhibit functional dysregulation within the prefrontal-striatal circuit, hyperactivation of the reward system, and white matter microstructural impairments. These neural abnormalities are closely associated with behavioral disinhibition and cognitive deficits. fMRI research provides a neuroimaging foundation for the objective diagnosis and targeted intervention of IGD. Future research necessitates the integration of multimodal data to optimize clinical applications.
网络游戏障碍(IGD)被认为是一种非物质成瘾行为,已被纳入DSM-5和ICD-11的诊断框架。其高患病率(约10%)和广泛的有害后果使其成为一项重大的全球公共卫生挑战。功能磁共振成像(fMRI)技术为阐明成瘾行为背后的神经机制提供了强有力的工具。这在青春期尤其重要,因为这一时期具有高度的神经生物学可塑性,可以更深入地了解IGD的神经生物学基础。目的系统综述功能磁共振成像技术在青少年IGD研究中的应用。该研究整合了静息状态功能磁共振成像(rs-fMRI)、任务型功能磁共振成像(tb-fMRI)和弥散张量成像(DTI)的实证研究结果,以阐明igd相关的脑功能和结构异常,并探索其临床转化的潜力。方法采用关键词检索方法从PubMed、Web of Science和Science Direct数据库中检索2015年1月~ 2025年2月发表的相关文献。21项符合纳入标准的研究(采用功能磁共振成像技术,利用定义的IGD诊断标准,重点关注10-20岁的青少年样本)被选中。使用标准化工具评估纳入研究的偏倚风险。分析包括静息状态功能连接(FC)、基于任务的激活模式和白质微观结构的调查。结论青少年IGD表现为前额叶-纹状体回路功能失调,奖励系统过度激活,白质微结构损伤。这些神经异常与行为去抑制和认知缺陷密切相关。fMRI研究为IGD的客观诊断和针对性干预提供了神经影像学基础。未来的研究需要整合多模式数据来优化临床应用。
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引用次数: 0
Using decision trees to examine risk profiles for cannabis use among large samples of underage youth before and after cannabis legalization in Canada 使用决策树检查在加拿大大麻合法化前后大量未成年青少年样本中使用大麻的风险概况
IF 2.8 Q1 Psychology Pub Date : 2025-10-10 DOI: 10.1016/j.abrep.2025.100632
Scott T. Leatherdale , Katelyn Battista , Karen A Patte , James MacKillop , Richard Bélanger

Background

This paper compares risk profiles for cannabis use among large samples of youth in the school years preceding (2017–18, T1) and four years following (2021–22, T2) cannabis legalization in Canada.

Methods

COMPASS Study data from students across 85 secondary schools that participated in both the T1 and T2 waves were used. A novel classification tree approach examined current cannabis use (past 30-day), modelling complex interactions among multiple risk factors simultaneously in the T1 and T2 samples.

Results

At T1, 15.0 % of students reported current cannabis use, compared to 12.3 % of students at T2. The classification tree at T1 identified six unique risk profiles. The highest risk group (Pr = 0.269) was large (30.4 % of the sample) and comprised students who placed lower value on getting good grades and spent 45 min or more per day texting. The classification tree at T2 identified 11 unique risk profiles. The highest risk group (Pr = 0.27) was large (18.8 % of the sample) and comprised students who again placed lower value on getting good grades but also reported not eating breakfast daily and having elevated anxiety.

Discussion

Cannabis never use increased and current cannabis use slightly decreased among underage youth in a 4-year period spanning cannabis legalization. The relative importance ranking of risk factors for predicting current cannabis use changed considerably from T1 to T2. This suggests that prevention efforts need to adapt over time to target the relevant risk factors associated with cannabis use.
本文比较了加拿大大麻合法化前(2017-18年,T1)和大麻合法化后四年(2021-22年,T2)大量青年样本中大麻使用的风险概况。方法使用来自85所中学参与T1和T2波的学生的compass研究数据。一种新的分类树方法检查了当前的大麻使用情况(过去30天),模拟了T1和T2样本中同时存在的多种风险因素之间的复杂相互作用。结果在T1阶段,15.0%的学生报告目前使用大麻,而在T2阶段,这一比例为12.3%。T1的分类树确定了六个独特的风险概况。风险最高的群体(Pr = 0.269)很大(占样本的30.4%),包括那些不太看重取得好成绩、每天花45分钟或更多时间发短信的学生。T2的分类树确定了11个独特的风险概况。最高风险组(Pr = 0.27)很大(占样本的18.8%),包括那些同样不太看重取得好成绩,但也报告不每天吃早餐和焦虑程度较高的学生。在大麻合法化的4年期间,未成年青少年中从未使用大麻的人数增加,目前使用大麻的人数略有下降。预测当前大麻使用的危险因素的相对重要性排名从T1到T2有很大变化。这表明,预防工作需要随着时间的推移进行调整,以针对与大麻使用有关的相关风险因素。
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引用次数: 0
Cross-sectional and longitudinal associations between adolescent vaping and physical and mental health problems 青少年吸电子烟与身心健康问题之间的横断面和纵向关联
IF 2.8 Q1 Psychology Pub Date : 2025-10-09 DOI: 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.
目的:鉴于有关吸烟对健康影响的经验证据有限,青少年吸烟令人担忧。我们在青少年样本中研究了电子烟与并发和新发的身体和精神健康状况之间的关系。方法数据来自马尼托巴省温尼伯的纵向幸福感和体验研究的第1至第3阶段(n = 1002名年龄在14-17岁的第1阶段)(第3阶段的总体保留率为66.4%)。过去30天的电子烟被评估为第一波。健康结果包括身体和精神健康状况。数据分析采用描述性统计和逻辑回归。研究人员还研究了联想的性别差异。结果在第1波中,超过30天吸电子烟的样本占27.8%(男性28.1%,女性27.4%);42.1%的青少年报告被诊断患有至少一种身体健康问题,22.9%被诊断患有至少一种精神健康问题。在未调整的模型中,在两年的随访期间,第1波的30天吸电子烟与并发情绪障碍、酒精/药物问题和任何精神健康状况(比值比分别为1.77、11.01和1.44)以及新发作的酒精/药物问题和任何精神障碍(比值比分别为5.02和1.70)有统计学意义上的显著相关。在完全调整后的模型中,只有第1波吸电子烟与新发病的酒精/药物问题之间的关联仍然具有统计学意义(调整后OR = 4.58)。男性和女性的关联相似。电子烟在青少年中很常见。向青少年提供有关潜在危害的循证数据,可能有助于他们在开始、减少和戒烟方面做出明智的决定。
{"title":"Cross-sectional and longitudinal associations between adolescent vaping and physical and mental health problems","authors":"Tamara L. Taillieu ,&nbsp;Samantha Salmon ,&nbsp;Janique Fortier ,&nbsp;Ashley Stewart-Tufescu ,&nbsp;Ana Osorio ,&nbsp;Harriet L. MacMillan ,&nbsp;Jitender Sareen ,&nbsp;Lil Tonmyr ,&nbsp;Marni Brownell ,&nbsp;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":"2025-10-09","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}
引用次数: 0
A latent profile analysis of drinking motives among graduate student heavy drinkers 研究生重度饮酒者饮酒动机的潜在特征分析
IF 2.8 Q1 Psychology Pub Date : 2025-09-13 DOI: 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.
以人为中心的分析已被用于根据饮酒者的饮酒动机和与有问题的饮酒行为的关联来确定饮酒者的亚群。研究生酗酒;然而,没有研究调查过研究生饮酒动机和饮酒模式之间的联系。目前的研究旨在:a)通过支持饮酒动机来确定研究生饮酒者的概况;b)探索概况与酒精使用和酒精相关后果之间的联系。参与者包括325名研究生,主要是白人(71.3%),54.9%是女性,平均年龄为26岁。一项潜在特征分析揭示了五种不同的特征:所有动机水平都很高;所有动机水平较低;所有动机的适度程度;高度的外部动机;动机也很复杂。负二项回归分析显示,在档案成员、每周饮酒量和酒精相关后果之间存在显著差异。这些发现可以用来告知干预措施,通过鼓励从业人员针对那些与高饮酒水平相关的个人资料会员来减少研究生中的问题饮酒行为。
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引用次数: 0
Does the unavailability of social media affect online gambling behavior? A behavioral tracking data study before and after the October 2021 Facebook outage 社交媒体的不可用性会影响在线赌博行为吗?2021年10月Facebook宕机前后的行为跟踪数据研究
IF 2.8 Q1 Psychology Pub Date : 2025-09-02 DOI: 10.1016/j.abrep.2025.100629
Andrea Czakó , Cristina Villalba-García , Tamás Ferenci , Laura Maldonado-Murciano , Carrie A. Shaw , Mark D. Griffiths , Zsolt Demetrovics

Background and aims

Social media platforms have become important in both individuals’ personal lives and for commercial organizations (e.g., online gambling operators). However, no previous study has examined how the unavailability of social media affects online gambling. A 6-hour-long worldwide outage of Facebook on October 4, 2021 created a unique possibility to investigate this relationship. The present study examined whether patterns of online gambling were different during the time of the social media outage from what could be expected during that time based on historical behavioral tracking data.

Methods

The study used a dataset provided by Fortuna Entertainment Group that included information on the gambling behavior of 232,037 individuals from Croatia, Czechia, Poland, Romania, and Slovakia on five consecutive Mondays, including the day of the social media outage, on two different types of gambling activity: gaming (such as online casino games) and sports betting. A linear regression was estimated for several outcome variables (number of people gambling, amount of stake, number of bets) separately for each country and gambling type, while gender, age, time, and date were included as control variables.

Results

Most of the regressions showed a non-significant impact of the outage, and only a few significant (but small) differences were identified where the outage was associated with a lower outcome. In the case of the examined countries, the Facebook outage only had a marginal impact on gambling behavior.

Discussion and Conclusions

Further research and analysis are needed to explore the relationship between social media use and online gambling behavior.
背景和目的社交媒体平台在个人生活和商业组织(如在线赌博运营商)中都变得很重要。然而,之前没有研究调查社交媒体的不可用性如何影响在线赌博。2021年10月4日,Facebook在全球范围内中断了6个小时,这为调查这种关系创造了独特的可能性。目前的研究调查了在社交媒体中断期间,在线赌博的模式是否与基于历史行为跟踪数据的预期不同。该研究使用了Fortuna Entertainment Group提供的数据集,其中包括来自克罗地亚、捷克、波兰、罗马尼亚和斯洛伐克的232,037人在连续五个星期一(包括社交媒体中断的那一天)的赌博行为信息,涉及两种不同类型的赌博活动:游戏(如在线赌场游戏)和体育博彩。对每个国家和赌博类型的几个结果变量(赌博人数、赌注金额、赌注数量)分别进行线性回归估计,而性别、年龄、时间和日期被作为控制变量。结果大多数回归显示停机的影响不显著,只有少数显著(但很小)的差异被确定,其中停机与较低的结果相关。在被调查的国家中,Facebook的中断对赌博行为的影响微乎其微。讨论与结论社交媒体使用与网络赌博行为之间的关系需要进一步的研究和分析。
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引用次数: 0
Associations between past-year receipt of government assistance, Medicaid, and substance use treatment utilization among adults with substance use disorder in the United States 美国成人药物使用障碍患者过去一年接受政府援助、医疗补助和药物使用治疗利用之间的关系
IF 2.8 Q1 Psychology Pub Date : 2025-08-30 DOI: 10.1016/j.abrep.2025.100628
Sarah Gutkind , Morgan M. Philbin , Emilie Bruzelius , Silvia S. Martins , Pia M. Mauro

Aim

Most people who need substance use disorder (SUD) treatment do not receive care, often due to costs and lack of health insurance. We investigated whether receipt of government assistance and Medicaid among people with SUDs was associated with past-year SUD treatment use.

Methods

We included working-age adults (ages 18–64) with any SUD from the 2015–2019 National Survey of Drug Use and Health (n = 21,461). Government assistance was categorized as past-year receipt of ≥1 assistance programs (e.g., SSI, SNAP, welfare, cash assistance). We estimated the adjusted odds of past-year SUD treatment in a) any or b) specialty settings by government assistance or Medicaid receipt using separate logistic regressions among people with past-year SUD. We controlled for socio-demographics (sex, age, race/ethnicity, marital status, education, poverty, urbanicity, employment, private insurance) and survey-year.

Results

Among people with SUD, approximately 23 % received government assistance and 19.6 % received Medicaid. Receiving both (12 %) was associated with increased adjusted odds of SUD treatment use in any (aOR = 2.30, 95 % CI: 1.78, 2.97) and specialty (aOR = 2.72, 95 % CI: 2.05, 3.62) treatment settings. Receiving assistance from one or more government programs was associated with approximately 50–60 % higher odds of SUD treatment in any setting and 70–90 % higher odds in specialty settings.

Conclusion

Medicaid and government assistance receipt were associated with higher SUD treatment use among people SUD, potentially lowering barriers to treatment access. Receiving at least one government assistance program also increased the likelihood of treatment utilization. Future research should examine which specific government assistance programs may drive associations.
大多数需要药物使用障碍(SUD)治疗的人没有得到治疗,通常是由于费用和缺乏健康保险。我们调查了SUD患者接受政府援助和医疗补助是否与过去一年的SUD治疗使用有关。方法纳入2015-2019年全国药物使用与健康调查中患有任何SUD的工作年龄成年人(18-64岁)(n = 21,461)。政府援助被归类为过去一年收到的≥1个援助项目(例如,SSI, SNAP,福利,现金援助)。我们通过对过去一年SUD患者进行单独的logistic回归,估计了a)任何或b)专业设置中过去一年SUD治疗的调整几率。我们控制了社会人口统计(性别、年龄、种族/民族、婚姻状况、教育、贫困、城市化、就业、私人保险)和调查年份。结果在患有SUD的人群中,大约23%的人接受了政府援助,19.6%的人接受了医疗补助。接受这两种治疗(12%)与在任何治疗环境(aOR = 2.30, 95% CI: 1.78, 2.97)和专业(aOR = 2.72, 95% CI: 2.05, 3.62)中使用SUD治疗的调整几率增加相关。接受一个或多个政府项目的援助,在任何情况下,SUD治疗的几率都要高出约50 - 60%,在专业情况下,SUD治疗的几率要高出70 - 90%。结论医疗补助和政府援助与SUD患者使用SUD治疗相关,可能降低了获得治疗的障碍。接受至少一项政府援助计划也增加了治疗利用的可能性。未来的研究应该检查哪些具体的政府援助计划可能会推动协会。
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引用次数: 0
Exploring agency, communion and narrative foreclosure in cognitive behavioural therapy for substance use disorders 探索物质使用障碍认知行为疗法中的代理、共融和叙事丧失
Q1 Psychology Pub Date : 2025-07-24 DOI: 10.1016/j.abrep.2025.100626
Mark de Lange , Job van der Palen , Hein de Haan

Introduction

Substance use disorders (SUDs) are a significant societal concern, negatively impacting self-worth, hope, and interpersonal connectedness. SUD recovery involves a transformation of one’s ‘life-story’ or ‘narrative identity’. ‘Narrative foreclosure’ (NF) impedes this process by disconnecting past, present, and future narratives, hindering the rewriting of SUD-related identities. We investigate the impact of SUD-based cognitive behavioural therapy (CBT) on narrative identity transformation and hypothesise NF as a potential factor in post-treatment relapse.

Methods

107 patients referred to an outpatient clinic for adults with SUDs in the Netherlands were included. Participants completed the “Agency and Communion Inventory” (translated and validated in Dutch), the Narrative Foreclosure Scale (NFS) and the “Measurement of Addiction for Triage and Evaluation” (MATE), including the Depression, Anxiety, and Stress-Scale (DASS-21). Data collection occurred at the start of treatment, post-treatment (+3 months), and during a follow-up measure (+6 months).

Results

While participants showed a substantial reduction in substance use frequency and DASS-21 sum scores during CBT-treatment, no such differences were found in narrative themes. Multivariate models revealed that baseline communion and past-directed NF predicted ’substance-use reduction’ during treatment, while ’cannabis use,’ communion and future directed NF were predictors of ’DASS-21 sum score reduction’. Baseline communion showed a moderate positive relation to post-treatment relapse, while ’NFS: Future’ exhibited a moderate inverse relation. These findings remained robust even when altering the criteria for defining ’post-treatment relapse.’ They indicate that a stronger identification with communal themes serve as a protective factor against relapse, while future directed NF is associated with higher relapse rates.

Conclusion

this study provides valuable insights into the interplay between narrative themes and treatment outcome(s) in SUD recovery. Notably, our findings underscore the significance of future-directed narrative foreclosure in the recovery process and found that CBT for SUDs does not appear to significantly facilitate narrative identity transformation. These results suggest that existing addiction treatments could be enhanced through the integration of narrative-focused interventions.
物质使用障碍(SUDs)是一个重要的社会问题,对自我价值、希望和人际关系产生负面影响。SUD的恢复涉及到一个人的“生活故事”或“叙事身份”的转变。“叙事止赎”(NF)通过断开过去、现在和未来的叙述来阻碍这一过程,阻碍了与sud相关的身份的重写。我们研究了基于sud的认知行为疗法(CBT)对叙事身份转换的影响,并假设NF是治疗后复发的潜在因素。方法纳入107例荷兰成人SUDs门诊患者。参与者完成了“代理和交流量表”(荷兰语翻译和验证),叙述丧失抵押品赎回权量表(NFS)和“成瘾分类和评估测量”(MATE),包括抑郁,焦虑和压力量表(DASS-21)。数据收集发生在治疗开始、治疗后(+3个月)和随访期间(+6个月)。结果在cbt治疗期间,受试者在药物使用频率和DASS-21总分方面均有显著降低,但在叙事主题方面没有发现这种差异。多变量模型显示,基线交流和过去指向性NF预测治疗期间“物质使用减少”,而“大麻使用”,交流和未来指向性NF是“DASS-21总评分降低”的预测因子。基线共融与治疗后复发呈中度正相关,而NFS: Future呈中度负相关。即使改变了定义“治疗后复发”的标准,这些发现仍然是强有力的。“他们指出,对共同主题的强烈认同是防止复发的保护因素,而面向未来的NF则与更高的复发率有关。”结论本研究为SUD康复中叙事主题与治疗结果之间的相互作用提供了有价值的见解。值得注意的是,我们的研究结果强调了未来导向的叙事止赎在恢复过程中的重要性,并发现对sud的CBT似乎并没有显著促进叙事身份的转变。这些结果表明,现有的成瘾治疗可以通过整合以叙事为中心的干预措施来加强。
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引用次数: 0
A mediation analysis of Autistic-like traits and gaming motivations on problem gaming symptoms: Are the effects of social and escape motives the same? 自闭症特征和游戏动机对问题游戏症状的中介分析:社交动机和逃避动机的影响是否相同?
Q1 Psychology Pub Date : 2025-07-18 DOI: 10.1016/j.abrep.2025.100625
Jake D. Slack , Ben Mctigue , Heather Mackenzie , Mal Flack , Kim M. Caudwell
There are higher rates of video game use and potentially gaming disorder among individuals with autism spectrum disorder (ASD). However, the association between subthreshold autistic-like traits (ALTs) and gaming behaviour remains relatively unexplored. The present study assessed whether gaming motives may mediate the relationship between ALTs and gaming disorder symptoms. A total of 378 (Mage = 31.41, SD = 8.84) respondents completed an online survey, which included measures of gaming disorder symptoms, gaming motives, and ALTs. Findings indicated that social and escape motives mediated relationship between ALTs and gaming disorder symptoms, after controlling for time gaming. However, ALTs displayed a negative association with social motives and a positive association with escape and both social and escape motives were positively associated with gaming disorder symptoms. These findings indicate that individuals with higher levels of ALTs may game primarily for escape from real-life challenges and less so for social reasons, potentially exacerbating problem gaming symptoms. These results underscore the importance of understanding gaming motives, as they can inform targeted interventions for reducing problematic gaming. This study contributes to the growing body of literature on gaming behaviour, emphasising the need for motives to be considered in educational and problem gaming support initiatives.
在自闭症谱系障碍(ASD)患者中,电子游戏的使用和潜在的游戏障碍的比例更高。然而,阈下自闭症样特征(ALTs)和游戏行为之间的联系仍然相对未被探索。本研究评估了游戏动机是否可能介导alt与游戏障碍症状之间的关系。共有378名(Mage = 31.41, SD = 8.84)受访者完成了一项在线调查,其中包括游戏障碍症状、游戏动机和alt的测量。研究结果表明,在控制时间游戏后,社交动机和逃避动机介导了alt与游戏障碍症状之间的关系。然而,alt与社交动机呈负相关,与逃避呈正相关,社交动机和逃避动机均与游戏障碍症状呈正相关。这些发现表明,ALTs水平较高的个体玩游戏可能主要是为了逃避现实生活中的挑战,而不是出于社交原因,这可能会加剧问题游戏症状。这些结果强调了理解游戏动机的重要性,因为它们可以为减少问题游戏提供有针对性的干预措施。这项研究促进了关于游戏行为的文献的增长,强调了在教育和问题游戏支持倡议中考虑动机的必要性。
{"title":"A mediation analysis of Autistic-like traits and gaming motivations on problem gaming symptoms: Are the effects of social and escape motives the same?","authors":"Jake D. Slack ,&nbsp;Ben Mctigue ,&nbsp;Heather Mackenzie ,&nbsp;Mal Flack ,&nbsp;Kim M. Caudwell","doi":"10.1016/j.abrep.2025.100625","DOIUrl":"10.1016/j.abrep.2025.100625","url":null,"abstract":"<div><div>There are higher rates of video game use and potentially gaming disorder among individuals with autism spectrum disorder (ASD). However, the association between subthreshold autistic-like traits (ALTs) and gaming behaviour remains relatively unexplored. The present study assessed whether gaming motives may mediate the relationship between ALTs and gaming disorder symptoms. A total of 378 (Mage = 31.41, SD = 8.84) respondents completed an online survey, which included measures of gaming disorder symptoms, gaming motives, and ALTs. Findings indicated that social and escape motives mediated relationship between ALTs and gaming disorder symptoms, after controlling for time gaming. However, ALTs displayed a negative association with social motives and a positive association with escape and both social and escape motives were positively associated with gaming disorder symptoms. These findings indicate that individuals with higher levels of ALTs may game primarily for escape from real-life challenges and less so for social reasons, potentially exacerbating problem gaming symptoms. These results underscore the importance of understanding gaming motives, as they can inform targeted interventions for reducing problematic gaming. This study contributes to the growing body of literature on gaming behaviour, emphasising the need for motives to be considered in educational and problem gaming support initiatives.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"22 ","pages":"Article 100625"},"PeriodicalIF":0.0,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144702987","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
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Addictive Behaviors Reports
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