Models based on substance use criteria have been employed to classify maladaptive engagement in various everyday activities as genuine addictions. However, symptom-based models have potential limitations, which includes in some cases reduced clinical utility and an increased risk of diagnostic inflation. The current article presents an alternative psychodynamic theoretical framework to elucidate the psychological processes underlying the development of putative behavioral addictions. According to this framework, behavioral addictions are conceptualized as strategies for regulating overwhelming feelings rooted in childhood trauma. Exposure to childhood trauma may lead to the segregation of unbearable trauma-related mental states from awareness through persistent dissociative processes. Thus, behavioral addictions may provide individuals with an illusory sense of control over unbearable feelings while simultaneously reinforcing the segregation of trauma-related mental states. The compulsive engagement in such activities can be seen as an attempt at self-medication, though it ultimately exacerbates discontinuities in self-experience. This theoretical framework is further illustrated through a clinical vignette, highlighting its implications for both assessment and treatment.
{"title":"Self-discontinuity in behavioral addictions: A psychodynamic framework","authors":"Gianluca Santoro , Alessandro Musetti , Antonino Costanzo , Adriano Schimmenti","doi":"10.1016/j.abrep.2025.100601","DOIUrl":"10.1016/j.abrep.2025.100601","url":null,"abstract":"<div><div>Models based on substance use criteria have been employed to classify maladaptive engagement in various everyday activities as genuine addictions. However, symptom-based models have potential limitations, which includes in some cases reduced clinical utility and an increased risk of diagnostic inflation. The current article presents an alternative psychodynamic theoretical framework to elucidate the psychological processes underlying the development of putative behavioral addictions. According to this framework, behavioral addictions are conceptualized as strategies for regulating overwhelming feelings rooted in childhood trauma. Exposure to childhood trauma may lead to the segregation of unbearable trauma-related mental states from awareness through persistent dissociative processes. Thus, behavioral addictions may provide individuals with an illusory sense of control over unbearable feelings while simultaneously reinforcing the segregation of trauma-related mental states. The compulsive engagement in such activities can be seen as an attempt at self-medication, though it ultimately exacerbates discontinuities in self-experience. This theoretical framework is further illustrated through a clinical vignette, highlighting its implications for both assessment and treatment.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"21 ","pages":"Article 100601"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143681438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-06-01Epub Date: 2025-02-02DOI: 10.1016/j.abrep.2025.100588
Nahiyan Bin Noor , George Pro , Mahip Acharya , Hari Eswaran , Corey J. Hayes
Objective
This study assessed the impact of different modalities of delivery of opioid use disorder (OUD)-related care on several patient outcomes.
Methods
This study was conducted among patients newly diagnosed with OUD and receiving OUD-related care between March 2020 and March 2022, using data from Epic Cosmos. We examined the association between the most common modality of OUD-related care delivery (audio-only vs. audiovisual vs. in-person) and the number of emergency department (ED) visits for any overdose and opioid-specific overdose and receipt of medication treatment for OUD (MOUD; primary). We also examined the association between the most common modality of OUD-related care delivery and all-cause ED visits, hospitalizations, and psychiatric-related hospitalizations (secondary outcomes). We estimated logistic regression for receipt of MOUD and negative binomial for all other outcomes.
Results
Most patients primarily received OUD-related care in person (87.6 %, n = 159,351), followed by audiovisual visits (11.3 %, n = 20,629) and audio-only visits (1.1 %, n = 1,869). The mean (SD) ages for these groups were 51.7 (15.9), 47.1 (15.0), and 51.1 (15.8) years, respectively. Compared to receiving OUD-related care primarily in-person, receiving care predominantly through audio-only or audiovisual visits was associated with a modest decrease in number of all-cause ED visits. Receiving OUD-related care primarily through audiovisual visits, compared to in-person care, was associated with a slight increase in the odds of receiving MOUD. No statistically significant differences were found between the care delivery modalities and the other outcomes we examined.
Conclusion
Telehealth, delivered via audio-only or audiovisual methods, appears to provide care of similar quality to in-person OUD care and may modestly reduce OUD-related ED visits while slightly increasing MOUD receipt. These findings support continued delivery of OUD-related care through telehealth and continuation of COVID-19-related policies.
{"title":"Association between different modalities of opioid use disorder-related care delivery and opioid use disorder-related patient outcomes: A retrospective cohort study","authors":"Nahiyan Bin Noor , George Pro , Mahip Acharya , Hari Eswaran , Corey J. Hayes","doi":"10.1016/j.abrep.2025.100588","DOIUrl":"10.1016/j.abrep.2025.100588","url":null,"abstract":"<div><h3>Objective</h3><div>This study assessed the impact of different modalities of delivery of opioid use disorder (OUD)-related care on several patient outcomes.</div></div><div><h3>Methods</h3><div>This study was conducted among patients newly diagnosed with OUD and receiving OUD-related care between March 2020 and March 2022, using data from Epic Cosmos. We examined the association between the most common modality of OUD-related care delivery (audio-only vs. audiovisual vs. in-person) and the number of emergency department (ED) visits for any overdose and opioid-specific overdose and receipt of medication treatment for OUD (MOUD; primary). We also examined the association between the most common modality of OUD-related care delivery and all-cause ED visits, hospitalizations, and psychiatric-related hospitalizations (secondary outcomes). We estimated logistic regression for receipt of MOUD and negative binomial for all other outcomes.</div></div><div><h3>Results</h3><div>Most patients primarily received OUD-related care in person (87.6 %, n = 159,351), followed by audiovisual visits (11.3 %, n = 20,629) and audio-only visits (1.1 %, n = 1,869). The mean (SD) ages for these groups were 51.7 (15.9), 47.1 (15.0), and 51.1 (15.8) years, respectively. Compared to receiving OUD-related care primarily in-person, receiving care predominantly through audio-only or audiovisual visits was associated with a modest decrease in number of all-cause ED visits. Receiving OUD-related care primarily through audiovisual visits, compared to in-person care, was associated with a slight increase in the odds of receiving MOUD. No statistically significant differences were found between the care delivery modalities and the other outcomes we examined.</div></div><div><h3>Conclusion</h3><div>Telehealth, delivered via audio-only or audiovisual methods, appears to provide care of similar quality to in-person OUD care and may modestly reduce OUD-related ED visits while slightly increasing MOUD receipt. These findings support continued delivery of OUD-related care through telehealth and continuation of COVID-19-related policies.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"21 ","pages":"Article 100588"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143210131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-06-01Epub Date: 2025-01-26DOI: 10.1016/j.abrep.2025.100587
Marvin A. Schilt-Solberg , Lisa M. Blair , Julie A.M.J. Kurzer
Objective
This study examines the impact of the intersection of gender, racial/ethnic identity, and sexual orientation among adults on substance use disorders (SUDs) from 2021 to 2022.
Method
We conducted an analysis of persons (ages 18 and older) who responded to the 2021 and 2022 National Survey on Drug Use and Health (NSDUH). Logistic regression models were constructed to examine odds of past-year SUDs at the intersection of gender, sexuality, and race/ethnicity. All analyses were design-corrected to enhance population representativeness and generalizability.
Results
Prevalence varied by race/ethnicity and sexual orientation across both sexes (total n = 83,722). Non-Hispanic multiracial lesbian/gay individuals had the highest prevalence of any SUD in both sexes (46.6 % in women, 52.3 % in men). Bisexual women showed consistently elevated odds of SUD across most racial/ethnic groups (aORs 1.48–2.99) compared to White heterosexual women. Men had higher prevalence of SUD than women (21.1 % compared to 15.0 %, p < 0.0001). Only White gay and bisexual men had significantly increased odds for any SUD compared to heterosexual White men (aOR 1.73 and 1.57, respectively). White bisexual men had higher odds of reporting cannabis use disorder (CUD; aOR 1.87). Hispanic men demonstrated lower odds of any SUD or CUD (aORs 0.85 and 0.71, respectively).
Conclusion
Women demonstrated more pronounced SUD disparities between intersectional identity. While men had higher SUD prevalence overall, few disparities were observed between intersectional identities. To effectively address these disparities and their consequences (e.g., differential minority stress and mental/physical health outcomes), prevention and intervention efforts should prioritize an intersectionality approach.
{"title":"Intersectionality in substance use disorders: Examining gender, race/ethnicity, and sexual orientation in the 2021–2022 National Survey on Drug Use and Health","authors":"Marvin A. Schilt-Solberg , Lisa M. Blair , Julie A.M.J. Kurzer","doi":"10.1016/j.abrep.2025.100587","DOIUrl":"10.1016/j.abrep.2025.100587","url":null,"abstract":"<div><h3>Objective</h3><div>This study examines the impact of the intersection of gender, racial/ethnic identity, and sexual orientation among adults on substance use disorders (SUDs) from 2021 to 2022.</div></div><div><h3>Method</h3><div>We conducted an analysis of persons (ages 18 and older) who responded to the 2021 and 2022 National Survey on Drug Use and Health (NSDUH). Logistic regression models were constructed to examine odds of past-year SUDs at the intersection of gender, sexuality, and race/ethnicity. All analyses were design-corrected to enhance population representativeness and generalizability.</div></div><div><h3>Results</h3><div>Prevalence varied by race/ethnicity and sexual orientation across both sexes (total <em>n</em> = 83,722). Non-Hispanic multiracial lesbian/gay individuals had the highest prevalence of any SUD in both sexes (46.6 % in women, 52.3 % in men). Bisexual women showed consistently elevated odds of SUD across most racial/ethnic groups (aORs 1.48–2.99) compared to White heterosexual women. Men had higher prevalence of SUD than women (21.1 % compared to 15.0 %, <em>p < 0</em>.0001). Only White gay and bisexual men had significantly increased odds for any SUD compared to heterosexual White men (aOR 1.73 and 1.57, respectively). White bisexual men had higher odds of reporting cannabis use disorder (CUD; aOR 1.87). Hispanic men demonstrated lower odds of any SUD or CUD (aORs 0.85 and 0.71, respectively).</div></div><div><h3>Conclusion</h3><div>Women demonstrated more pronounced SUD disparities between intersectional identity. While men had higher SUD prevalence overall, few disparities were observed between intersectional identities. To effectively address these disparities and their consequences (e.g., differential minority stress and mental/physical health outcomes), prevention and intervention efforts should prioritize an intersectionality approach.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"21 ","pages":"Article 100587"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143137810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-06-01Epub Date: 2025-01-07DOI: 10.1016/j.abrep.2025.100584
Sylvia A. Okon , Tourna N. Khan , Nora J. Duffy , Carson C. Roan , Rachel A. Hoopsick
Work-related stress has been well-examined among physicians, but little is known about how it might affect drug use or healthcare workers in lower-wage occupations characterized by high job demands and low occupational autonomy (e.g., medical assistants, nursing assistants). We collected data from a diverse sample of healthcare workers (N = 200) and separately examined the cross-sectional relationships between several work-related experiences (i.e., compassion satisfaction, burnout, and secondary traumatic stress) and measures of current drug use (i.e., non-medical use of prescription drugs [NMUPD], cannabis use, and illicit drug use). We then examined for differences in these relationships by occupational level (i.e., prescriber/administrator vs. other healthcare worker). In main effects models, greater burnout and secondary traumatic stress were both associated with higher odds of NMUPD, cannabis use, and illicit drug use (ps < 0.01). Greater compassion satisfaction was associated with lower odds of illicit drug use (p < 0.05), but not with NMUPD or cannabis use (ps > 0.05). There was a significant interaction between secondary traumatic stress and occupational level on NMUPD (p < 0.05) such that there was no relationship among prescribers/administrators, but the likelihood of NMUPD increased with greater secondary traumatic stress among other healthcare workers. Similar trend-level interactions were observed between secondary traumatic stress and occupational level on cannabis use (p < 0.10) and between burnout and occupational level on NMUPD. Burnout and secondary traumatic stress may contribute to drug use, and lower-wage healthcare workers may be especially vulnerable.
与工作有关的压力已经在医生中得到了充分的研究，但关于它如何影响药物使用或从事低工资职业的保健工作者（例如，医疗助理、护理助理），这些职业的特点是工作要求高，职业自主权低。我们收集了来自不同医疗工作者样本的数据（N = 200），并分别检查了几种与工作相关的经历（即同情满意度、倦怠和继发性创伤压力）和当前药物使用测量（即处方药的非医疗使用[NMUPD]、大麻使用和非法药物使用）之间的横断面关系。然后，我们根据职业水平（即，处方者/管理员与其他医护人员）检查这些关系的差异。在主效应模型中，更大的倦怠和继发性创伤应激均与NMUPD、大麻使用和非法药物使用的高几率相关（ps p ps > 0.05）。继发性创伤应激与职业水平之间存在显著的交互作用（p < 0.05）
{"title":"Effects of compassion satisfaction, burnout, and secondary traumatic stress on current drug use among healthcare workers: Differences by occupational level","authors":"Sylvia A. Okon , Tourna N. Khan , Nora J. Duffy , Carson C. Roan , Rachel A. Hoopsick","doi":"10.1016/j.abrep.2025.100584","DOIUrl":"10.1016/j.abrep.2025.100584","url":null,"abstract":"<div><div>Work-related stress has been well-examined among physicians, but little is known about how it might affect drug use or healthcare workers in lower-wage occupations characterized by high job demands and low occupational autonomy (e.g., medical assistants, nursing assistants). We collected data from a diverse sample of healthcare workers (<em>N</em> = 200) and separately examined the cross-sectional relationships between several work-related experiences (i.e., compassion satisfaction, burnout, and secondary traumatic stress) and measures of current drug use (i.e., non-medical use of prescription drugs [NMUPD], cannabis use, and illicit drug use). We then examined for differences in these relationships by occupational level (i.e., prescriber/administrator vs. other healthcare worker). In main effects models, greater burnout and secondary traumatic stress were both associated with higher odds of NMUPD, cannabis use, and illicit drug use (<em>ps</em> < 0.01). Greater compassion satisfaction was associated with lower odds of illicit drug use (<em>p</em> < 0.05), but not with NMUPD or cannabis use (<em>ps</em> > 0.05). There was a significant interaction between secondary traumatic stress and occupational level on NMUPD (<em>p</em> < 0.05) such that there was no relationship among prescribers/administrators, but the likelihood of NMUPD increased with greater secondary traumatic stress among other healthcare workers. Similar trend-level interactions were observed between secondary traumatic stress and occupational level on cannabis use (<em>p</em> < 0.10) and between burnout and occupational level on NMUPD. Burnout and secondary traumatic stress may contribute to drug use, and lower-wage healthcare workers may be especially vulnerable.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"21 ","pages":"Article 100584"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11774798/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-06-01Epub Date: 2025-02-10DOI: 10.1016/j.abrep.2025.100589
Zsuzsanna Viktória Pesthy , Krisztina Berta , Teodóra Vékony , Dezső Németh , Bernadette Kun
Work addiction (WA) is characterized by excessive and compulsive working patterns that detrimentally affect the individual’s health and functioning. While prior studies have indicated an overreliance on habit learning in various addictions, this study is the first to examine its role in WA. 104 adults were categorized into low-risk and high-risk groups for WA based on their scores on the Work Addiction Risk Test. We used a probabilistic sequence learning task designed to assess habit learning through the implicit acquisition of structured patterns characterized by alternating sequences. No significant differences were observed between the groups, both in terms of accuracy and reaction time. These findings suggest that individuals with WA exhibit intact habit learning, indicating that the addictive nature of work behavior may not solely stem from habitual processes. This highlights the unique features of WA compared to other addictions, potentially contributing to the relatively better overall functioning observed in affected individuals.
{"title":"Intact habit learning in work addiction: Evidence from a probabilistic sequence learning task","authors":"Zsuzsanna Viktória Pesthy , Krisztina Berta , Teodóra Vékony , Dezső Németh , Bernadette Kun","doi":"10.1016/j.abrep.2025.100589","DOIUrl":"10.1016/j.abrep.2025.100589","url":null,"abstract":"<div><div>Work addiction (WA) is characterized by excessive and compulsive working patterns that detrimentally affect the individual’s health and functioning. While prior studies have indicated an overreliance on habit learning in various addictions, this study is the first to examine its role in WA. 104 adults were categorized into low-risk and high-risk groups for WA based on their scores on the Work Addiction Risk Test. We used a probabilistic sequence learning task designed to assess habit learning through the implicit acquisition of structured patterns characterized by alternating sequences. No significant differences were observed between the groups, both in terms of accuracy and reaction time. These findings suggest that individuals with WA exhibit intact habit learning, indicating that the addictive nature of work behavior may not solely stem from habitual processes. This highlights the unique features of WA compared to other addictions, potentially contributing to the relatively better overall functioning observed in affected individuals.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"21 ","pages":"Article 100589"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143395451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-06-01Epub Date: 2025-04-17DOI: 10.1016/j.abrep.2025.100609
Maèva Flayelle , Mélina Andronicos , Daniel L. King , Joël Billieux
{"title":"Understanding the interplay between video game design features and dysregulated gaming patterns: A call to anchor future research directions in interactionist frameworks","authors":"Maèva Flayelle , Mélina Andronicos , Daniel L. King , Joël Billieux","doi":"10.1016/j.abrep.2025.100609","DOIUrl":"10.1016/j.abrep.2025.100609","url":null,"abstract":"","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"21 ","pages":"Article 100609"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143850619","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 : 2025-06-01Epub Date: 2025-01-09DOI: 10.1016/j.abrep.2024.100582
Liza A. Kolbasov , Arryn A. Guy , Cara M. Murphy
Stigma is the state of social devaluation due to a trait or group identity; weight and smoking-based self-, felt-, and enacted stigma may have detrimental health effects and pose barriers to smoking cessation. This study examined associations between stigma, discrimination, and health for people with overweight or obesity (body mass index [BMI] ≥ 25) who smoke cigarettes (cigarettes smoked/day ≥ 5) who reported interest in quitting smoking and minimizing weight gain. Participants (N = 63; predominantly women (81.0 %), White (63.5 %) or Black/African American (31.7 %), and heterosexual (85.7 %) with 50 % having a yearly income below $50,000) completed the measures of stigma (i.e., Weight Bias Internalization Scale and Internalized Stigma of Smoking Inventory), discrimination (i.e., Everyday Discrimination Scale), and symptoms of depression, weight, smoking, nicotine dependence, and concerns about gaining weight while quitting smoking were measured. Those who reported more internalization of weight bias and more everyday discrimination reported greater depressive symptomatology and greater concern about gaining weight while quitting smoking, with depressive symptomatology fully mediating both internalization of weight bias and everyday discrimination’s relation with concern about gaining weight while quitting smoking. There was also an association of smoking felt-stigma, but not self- or enacted-stigma, with symptoms of depression. Stigma’s associations with symptoms of depression and post-cessation weight concern suggest barriers to effective behavior change, and interventions may consider targeting processes for coping with stigma experienced by this population.
{"title":"Impacts of stigma and discrimination on people with obesity who smoke cigarettes","authors":"Liza A. Kolbasov , Arryn A. Guy , Cara M. Murphy","doi":"10.1016/j.abrep.2024.100582","DOIUrl":"10.1016/j.abrep.2024.100582","url":null,"abstract":"<div><div>Stigma is the state of social devaluation due to a trait or group identity; weight and smoking-based self-, felt-, and enacted stigma may have detrimental health effects and pose barriers to smoking cessation. This study examined associations between stigma, discrimination, and health for people with overweight or obesity (body mass index [BMI] ≥ 25) who smoke cigarettes (cigarettes smoked/day ≥ 5) who reported interest in quitting smoking and minimizing weight gain. Participants (<em>N</em> = 63; predominantly women (81.0 %), White (63.5 %) or Black/African American (31.7 %), and heterosexual (85.7 %) with 50 % having a yearly income below $50,000) completed the measures of stigma (i.e., Weight Bias Internalization Scale and Internalized Stigma of Smoking Inventory), discrimination (i.e., Everyday Discrimination Scale), and symptoms of depression, weight, smoking, nicotine dependence, and concerns about gaining weight while quitting smoking were measured. Those who reported more internalization of weight bias and more everyday discrimination reported greater depressive symptomatology and greater concern about gaining weight while quitting smoking, with depressive symptomatology fully mediating both internalization of weight bias and everyday discrimination’s relation with concern about gaining weight while quitting smoking. There was also an association of smoking felt-stigma, but not self- or enacted-stigma, with symptoms of depression. Stigma’s associations with symptoms of depression and post-cessation weight concern suggest barriers to effective behavior change, and interventions may consider targeting processes for coping with stigma experienced by this population.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"21 ","pages":"Article 100582"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11786092/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-06-01Epub Date: 2024-12-31DOI: 10.1016/j.abrep.2024.100580
S. Smith , K.M.A. Trayner , J. Campbell , A. McAuley , J. Craik , C. Hunter , S. Priyadarshi , S.J. Hutchinson
Background
To address high levels of drug-related harms among people who inject drugs (PWID) in Glasgow, a novel contingency management intervention was developed to engage high-risk PWID with four harm reduction measures (known as the WAND initiative: Wound care, Assessment of injecting, Naloxone, and Dried blood-spot test). Our aims were to assess if WAND engaged and re-engaged high-risk PWID.
Methods
Baseline data of WAND participants (n = 831) from 1st Sept-2020 to 30th Aug-2021 were analysed. For those who took part in the first six months, extent of re-engagement was determined and, among those re-engaged, intervention coverage was compared between baseline and final engagement.
Results
Among those who first engaged in WAND from Sept 2020-Feb 2021 (n = 546), 40 % re-engaged by Aug 2021. Compared to those who engaged once (n = 321), those who re-engaged (n = 215) within one year had higher baseline prevalence of injecting risk behaviours such as injecting daily (56 % vs 64 %, p = 0.032), injecting away from home (42 % vs 52 %, p = 0.0179), injecting cocaine (56 % vs 75 %, p < 0.001), having an SSTI (40 % vs 60 %, p < 0.001), and been prescribed naloxone (57 % vs 72 %, p < 0.001). For those who re-engaged six months to one year after initial engagement (n = 107), there was a significant increase in having a BBV test in the last six months (61 % to 81 %, p = 0.003) and carrying naloxone (22 % to 32 %, p = 0.011).
Conclusion
WAND was able to engage and re-engage large numbers of high-risk PWID with multiple harm reduction initiatives. These findings suggest contingency management could be a useful tool for harm reduction services.
{"title":"A novel, multi-component contingency management intervention in the context of a syndemic of drug-related harms in Glasgow, Scotland: First year of the ‘WAND’ initiative","authors":"S. Smith , K.M.A. Trayner , J. Campbell , A. McAuley , J. Craik , C. Hunter , S. Priyadarshi , S.J. Hutchinson","doi":"10.1016/j.abrep.2024.100580","DOIUrl":"10.1016/j.abrep.2024.100580","url":null,"abstract":"<div><h3>Background</h3><div>To address high levels of drug-related harms among people who inject drugs (PWID) in Glasgow, a novel contingency management intervention was developed to engage high-risk PWID with four harm reduction measures (known as the WAND initiative: <strong>W</strong>ound care, <strong>A</strong>ssessment of injecting, <strong>N</strong>aloxone, and <strong>D</strong>ried blood-spot test). Our aims were to assess if WAND engaged and re-engaged high-risk PWID.</div></div><div><h3>Methods</h3><div>Baseline data of WAND participants (n = 831) from 1st Sept-2020 to 30th Aug-2021 were analysed. For those who took part in the first six months, extent of re-engagement was determined and, among those re-engaged, intervention coverage was compared between baseline and final engagement.</div></div><div><h3>Results</h3><div>Among those who first engaged in WAND from Sept 2020-Feb 2021 (n = 546), 40 % re-engaged by Aug 2021. Compared to those who engaged once (n = 321), those who re-engaged (n = 215) within one year had higher baseline prevalence of injecting risk behaviours such as injecting daily (56 % vs 64 %, p = 0.032), injecting away from home (42 % vs 52 %, p = 0.0179), injecting cocaine (56 % vs 75 %, p < 0.001), having an SSTI (40 % vs 60 %, p < 0.001), and been prescribed naloxone (57 % vs 72 %, p < 0.001). For those who re-engaged six months to one year after initial engagement (n = 107), there was a significant increase in having a BBV test in the last six months (61 % to 81 %, p = 0.003) and carrying naloxone (22 % to 32 %, p = 0.011).</div></div><div><h3>Conclusion</h3><div>WAND was able to engage and re-engage large numbers of high-risk PWID with multiple harm reduction initiatives. These findings suggest contingency management could be a useful tool for harm reduction services.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"21 ","pages":"Article 100580"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11761270/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-06-01Epub Date: 2025-04-13DOI: 10.1016/j.abrep.2025.100607
Yi Wang , Brian J. Hall , Yuran Chen , Chun Chen
Objective
Problematic Internet Use (PIU) has many adverse effects on youth mental health, including heightened risks of depression and anxiety. However, few studies have systematically investigated the internal heterogeneity of PIU symptoms among rural Chinese adolescents. Data was collected from 5,271 rural Chinese adolescents from two secondary schools in Guizhou and Sichuan at two waves. This study aimed to identify PIU profiles at T1 and examine their relationships with subsequent anxiety, depression, and stress after six months at T2.
Methods
A Latent Profile Analysis (LPA) was conducted to first identify PIU symptom profiles. Then, a “three-step” logistic regression mixed model was conducted to explore the association between PIU patterns and demographic correlates. Anxiety, depression, and stress symptoms collected at the second wave were compared across PIU profiles by using a Bolck-Croon-Hagenaars (BCH) approach.
Results
The study found that (1) The patterns of PIU among rural adolescents could be divided into four subgroups: low PIU group (57.18%), medium PIU group (15.65%), high PIU group (9.01%), and self-blame group (18.16%), which is a uniquely identified group. (2) Being female, an ethnic minority, living off-campus, having left-behind experiences, and having fewer siblings were risk factors for high PIU group membership. (3) The order of severity for anxiety, depression, and stress was as follows: high PIU, medium PIU, self-blame, and low PIU groups. (4) The self-blame group had relatively lower anxiety, depression, and stress scores than the medium PIU group, despite the fact that the self-blame group had higher PIU scores than the medium PIU group, which further strengthens the importance of using a person-centered approach.
Conclusions
Addressing the profiles of PIU is vital for rural Chinese adolescent mental health, necessitating tailored interventions.
{"title":"Latent profiles of problematic internet use and their six-month subsequent psychopathology outcomes","authors":"Yi Wang , Brian J. Hall , Yuran Chen , Chun Chen","doi":"10.1016/j.abrep.2025.100607","DOIUrl":"10.1016/j.abrep.2025.100607","url":null,"abstract":"<div><h3>Objective</h3><div>Problematic Internet Use (PIU) has many adverse effects on youth mental health, including heightened risks of depression and anxiety. However, few studies have systematically investigated the internal heterogeneity of PIU symptoms among rural Chinese adolescents. Data was collected from 5,271 rural Chinese adolescents from two secondary schools in Guizhou and Sichuan at two waves. This study aimed to identify PIU profiles at T1 and examine their relationships with subsequent anxiety, depression, and stress after six months at T2.</div></div><div><h3>Methods</h3><div>A Latent Profile Analysis (LPA) was conducted to first identify PIU symptom profiles. Then, a “three-step” logistic regression mixed model was conducted to explore the association between PIU patterns and demographic correlates. Anxiety, depression, and stress symptoms collected at the second wave were compared across PIU profiles by using a Bolck-Croon-Hagenaars (BCH) approach.</div></div><div><h3>Results</h3><div>The study found that (1) The patterns of PIU among rural adolescents could be divided into four subgroups: low PIU group (57.18%), medium PIU group (15.65%), high PIU group (9.01%), and self-blame group (18.16%), which is a uniquely identified group. (2) Being female, an ethnic minority, living off-campus, having left-behind experiences, and having fewer siblings were risk factors for high PIU group membership. (3) The order of severity for anxiety, depression, and stress was as follows: high PIU, medium PIU, self-blame, and low PIU groups. (4) The self-blame group had relatively lower anxiety, depression, and stress scores than the medium PIU group, despite the fact that the self-blame group had higher PIU scores than the medium PIU group, which further strengthens the importance of using a person-centered approach.</div></div><div><h3>Conclusions</h3><div>Addressing the profiles of PIU is vital for rural Chinese adolescent mental health, necessitating tailored interventions.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"21 ","pages":"Article 100607"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143843897","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 : 2025-06-01Epub Date: 2025-02-25DOI: 10.1016/j.abrep.2025.100591
Astrid Müller , Patrick Trotzke , Patricia Schaar , Tobias A. Thomas , Ekaterini Georgiadou , Sabine Steins-Loeber
Aim The aim of this position paper is to address the question of how psychotherapy research for compulsive buying-shopping disorder (CBSD) should develop further. Method: After a brief summary of existing psychotherapy research, this paper concentrates on the advantages and shortcomings of previous psychotherapy studies and offers recommendations for future psychotherapy research in the domain of CBSD. Results: Systematic reviews indicate that cognitive behavioural therapy is the most researched form of psychotherapy and presents a helpful intervention for reducing the symptom severity of CBSD. Notwithstanding the positive outcomes, the psychotherapy studies to date are limited by methodological shortcomings, which reduce their validity and generalizability. While research into the psychological mechanisms of offline and online CBSD has expanded considerably, psychotherapy research has not kept pace with this growth. Although the majority of individuals with CBSD engage in online shopping, the problematic usage of shopping websites has not been considered in any of the treatment studies to date. Conclusion: The application of the experimental medicine framework to psychotherapy research for CBSD may enhance the integration of findings on psychological mechanisms of CBSD with existing treatment concepts for CBSD. Moreover, it is necessary to consider the impact of technological factors and e-marketing in the context of treatment. There is a need for 1) proof-of-concept studies to test specific interventions that target specific psychological processes and mechanisms of CBSD, and 2) high-quality psychotherapy studies to test the efficacy and effectiveness of new treatment approaches in accordance with the scientific standards for randomised controlled trials
{"title":"Psychotherapy research for compulsive buying-shopping disorder: Quo vadis?","authors":"Astrid Müller , Patrick Trotzke , Patricia Schaar , Tobias A. Thomas , Ekaterini Georgiadou , Sabine Steins-Loeber","doi":"10.1016/j.abrep.2025.100591","DOIUrl":"10.1016/j.abrep.2025.100591","url":null,"abstract":"<div><div>Aim The aim of this position paper is to address the question of how psychotherapy research for compulsive buying-shopping disorder (CBSD) should develop further. <em>Method:</em> After a brief summary of existing psychotherapy research, this paper concentrates on the advantages and shortcomings of previous psychotherapy studies and offers recommendations for future psychotherapy research in the domain of CBSD. <em>Results:</em> Systematic reviews indicate that cognitive behavioural therapy is the most researched form of psychotherapy and presents a helpful intervention for reducing the symptom severity of CBSD. Notwithstanding the positive outcomes, the psychotherapy studies to date are limited by methodological shortcomings, which reduce their validity and generalizability. While research into the psychological mechanisms of offline and online CBSD has expanded considerably, psychotherapy research has not kept pace with this growth. Although the majority of individuals with CBSD engage in online shopping, the problematic usage of shopping websites has not been considered in any of the treatment studies to date. <em>Conclusion:</em> The application of the experimental medicine framework to psychotherapy research for CBSD may enhance the integration of findings on psychological mechanisms of CBSD with existing treatment concepts for CBSD. Moreover, it is necessary to consider the impact of technological factors and e-marketing in the context of treatment. There is a need for 1) proof-of-concept studies to test specific interventions that target specific psychological processes and mechanisms of CBSD, and 2) high-quality psychotherapy studies to test the efficacy and effectiveness of new treatment approaches in accordance with the scientific standards for randomised controlled trials</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"21 ","pages":"Article 100591"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143509243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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