Pub Date : 2022-08-01DOI: 10.1080/16066359.2022.2101639
M. Kohli, Vanessa Serrano, Jessica L. Montoya, B. Gouaux, J. Atkinson, D. Moore
Abstract Methamphetamine use is highly prevalent among people with HIV (PWH). Substance use is difficult to assess accurately and is often evaluated using a timeline follow-back interview (TLFB). One significant limitation of the TLFB is its long retrospective recall period (e.g. remembering use over a 30-day period). Self-report via text messaging offers a remote and potentially efficacious method of assessing methamphetamine use at a time closer to actual use. The aim of this secondary analysis is to evaluate the concordance between TLFB- and text message-reported methamphetamine use in a sample of 57 PWH; and by neurocognitive impairment status. Daily text messages evaluated methamphetamine use in the previous 24 h. Participants completed a TLFB covering the past 30 days to assess methamphetamine use frequency. There was a significant correlation between TLFB and daily text message reports (ρ = 0.617, p < .001). Results of matched paired t-tests showed comparability in mean reports of methamphetamine use between assessment methods (text-based frequency = 28%, TLFB frequency = 31%; p = .328). Although results approached significance, there were no differences in the neurocognitively impaired group between assessment methods (text message reported frequency = 28%, TLFB reported frequency = 39%; p = .062). Results reveal strong correspondence between TLFB and text message assessment of methamphetamine use. There may be benefits to using text messaging for substance use assessment and opportunities for interventions to improve important health behaviors (e.g. antiretroviral therapy adherence) that are strongly linked to substance use behaviors.
{"title":"Daily self-report of substance use via text message corresponds to retrospective assessment in people with HIV who use methamphetamine","authors":"M. Kohli, Vanessa Serrano, Jessica L. Montoya, B. Gouaux, J. Atkinson, D. Moore","doi":"10.1080/16066359.2022.2101639","DOIUrl":"https://doi.org/10.1080/16066359.2022.2101639","url":null,"abstract":"Abstract Methamphetamine use is highly prevalent among people with HIV (PWH). Substance use is difficult to assess accurately and is often evaluated using a timeline follow-back interview (TLFB). One significant limitation of the TLFB is its long retrospective recall period (e.g. remembering use over a 30-day period). Self-report via text messaging offers a remote and potentially efficacious method of assessing methamphetamine use at a time closer to actual use. The aim of this secondary analysis is to evaluate the concordance between TLFB- and text message-reported methamphetamine use in a sample of 57 PWH; and by neurocognitive impairment status. Daily text messages evaluated methamphetamine use in the previous 24 h. Participants completed a TLFB covering the past 30 days to assess methamphetamine use frequency. There was a significant correlation between TLFB and daily text message reports (ρ = 0.617, p < .001). Results of matched paired t-tests showed comparability in mean reports of methamphetamine use between assessment methods (text-based frequency = 28%, TLFB frequency = 31%; p = .328). Although results approached significance, there were no differences in the neurocognitively impaired group between assessment methods (text message reported frequency = 28%, TLFB reported frequency = 39%; p = .062). Results reveal strong correspondence between TLFB and text message assessment of methamphetamine use. There may be benefits to using text messaging for substance use assessment and opportunities for interventions to improve important health behaviors (e.g. antiretroviral therapy adherence) that are strongly linked to substance use behaviors.","PeriodicalId":47851,"journal":{"name":"Addiction Research & Theory","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74759376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-24DOI: 10.1080/16066359.2022.2101640
Michael J. Broman, E. Pasman, Suzanne Brown, Jamey J. Lister, Elizabeth Agius, Stella M. Resko
Abstract Background Social support from family, friends, and others promotes retention, decreased substance use, and other positive outcomes for people in substance use treatment. Methadone treatment-related stigma makes social support vital for clients. Little is known about the relationships between stigma, shame, and social support for methadone treatment clients in rural and small urban communities. This study examines these relationships among such clients at an opioid treatment program (OTP) in Michigan. Methods Adults (N = 267) at the OTP completed a web-based survey, including measures of general social support, friend support, demographic variables, opioid use-related shame, frequency of hearing negative comments about methadone treatment, past-year opioid use, and other variables not included in the present analysis. Multiple regression was used to examine associations between general social support (model 1), friend support (model 2) and other included variables. Results Half of the participants (48.3%) reported past-year opioid use. In multiple regression analyses, male gender was inversely associated with general social support. Opioid use-related shame and experiencing treatment-related stigma were inversely associated with general social support and friend support. Conclusions This study adds to the methadone treatment literature by highlighting how shame and stigma might be reduced amongst methadone treatment clients. Greater social support may reduce shame and stigma, making favorable treatment outcomes more likely. Clients with greater opioid-use-related shame and who more frequently experience treatment-related stigma may be particularly vulnerable and need additional supports to maintain recovery. Interventions to enhance support should thus address shame and stigma.
{"title":"Social support is associated with reduced stigma and shame in a sample of rural and small urban adults in methadone treatment","authors":"Michael J. Broman, E. Pasman, Suzanne Brown, Jamey J. Lister, Elizabeth Agius, Stella M. Resko","doi":"10.1080/16066359.2022.2101640","DOIUrl":"https://doi.org/10.1080/16066359.2022.2101640","url":null,"abstract":"Abstract Background Social support from family, friends, and others promotes retention, decreased substance use, and other positive outcomes for people in substance use treatment. Methadone treatment-related stigma makes social support vital for clients. Little is known about the relationships between stigma, shame, and social support for methadone treatment clients in rural and small urban communities. This study examines these relationships among such clients at an opioid treatment program (OTP) in Michigan. Methods Adults (N = 267) at the OTP completed a web-based survey, including measures of general social support, friend support, demographic variables, opioid use-related shame, frequency of hearing negative comments about methadone treatment, past-year opioid use, and other variables not included in the present analysis. Multiple regression was used to examine associations between general social support (model 1), friend support (model 2) and other included variables. Results Half of the participants (48.3%) reported past-year opioid use. In multiple regression analyses, male gender was inversely associated with general social support. Opioid use-related shame and experiencing treatment-related stigma were inversely associated with general social support and friend support. Conclusions This study adds to the methadone treatment literature by highlighting how shame and stigma might be reduced amongst methadone treatment clients. Greater social support may reduce shame and stigma, making favorable treatment outcomes more likely. Clients with greater opioid-use-related shame and who more frequently experience treatment-related stigma may be particularly vulnerable and need additional supports to maintain recovery. Interventions to enhance support should thus address shame and stigma.","PeriodicalId":47851,"journal":{"name":"Addiction Research & Theory","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2022-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78217908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-21DOI: 10.1080/16066359.2022.2101641
Katherine A. Berry, N. Livingston, A. Looby
Abstract Background Simultaneous alcohol and cannabis (i.e. marijuana; [SAM]) use is prevalent among college students. There is limited research on expectancy effects for SAM use, which are known correlates of use frequency and mediators of treatment outcomes. We examined the unique associations of both positive and negative alcohol and cannabis expectancies with frequency of SAM use among college students. Method Participants were 1012 college students (70.9% female, 51.8% white, M age = 19.63) from seven US universities who reported past-month alcohol and cannabis use (77.2% of the sample reported SAM use). Students completed measures of past-month typical weekly alcohol and cannabis frequency and quantity, alcohol and cannabis expectancies, and SAM frequency through an online self-reported survey. Results A negative binomial regression revealed that higher-order positive, but not negative, alcohol and cannabis expectancies were significant predictors of SAM frequency above and beyond frequency of alcohol and cannabis use, biological sex, and whether the survey was completed pre- or post-COVID-19 campus closures. Specifically, higher frequency SAM use was associated with weaker positive alcohol and stronger positive cannabis expectancies. A second negative binomial regression including lower-order expectancies found that SAM frequency was associated with weaker social and cognitive and behavioral impairment alcohol expectancies and stronger sexual and social facilitation cannabis and liquid courage alcohol expectancies, specifically. Conclusions Results highlight the importance of comprehensively examining both higher- and lower-order alcohol and cannabis expectancies when examining SAM frequency, and provide avenues of targeted intervention to reduce SAM use among dual users.
{"title":"Relations between higher- and lower-order alcohol and cannabis expectancies and simultaneous use frequency among undergraduate dual users","authors":"Katherine A. Berry, N. Livingston, A. Looby","doi":"10.1080/16066359.2022.2101641","DOIUrl":"https://doi.org/10.1080/16066359.2022.2101641","url":null,"abstract":"Abstract Background Simultaneous alcohol and cannabis (i.e. marijuana; [SAM]) use is prevalent among college students. There is limited research on expectancy effects for SAM use, which are known correlates of use frequency and mediators of treatment outcomes. We examined the unique associations of both positive and negative alcohol and cannabis expectancies with frequency of SAM use among college students. Method Participants were 1012 college students (70.9% female, 51.8% white, M age = 19.63) from seven US universities who reported past-month alcohol and cannabis use (77.2% of the sample reported SAM use). Students completed measures of past-month typical weekly alcohol and cannabis frequency and quantity, alcohol and cannabis expectancies, and SAM frequency through an online self-reported survey. Results A negative binomial regression revealed that higher-order positive, but not negative, alcohol and cannabis expectancies were significant predictors of SAM frequency above and beyond frequency of alcohol and cannabis use, biological sex, and whether the survey was completed pre- or post-COVID-19 campus closures. Specifically, higher frequency SAM use was associated with weaker positive alcohol and stronger positive cannabis expectancies. A second negative binomial regression including lower-order expectancies found that SAM frequency was associated with weaker social and cognitive and behavioral impairment alcohol expectancies and stronger sexual and social facilitation cannabis and liquid courage alcohol expectancies, specifically. Conclusions Results highlight the importance of comprehensively examining both higher- and lower-order alcohol and cannabis expectancies when examining SAM frequency, and provide avenues of targeted intervention to reduce SAM use among dual users.","PeriodicalId":47851,"journal":{"name":"Addiction Research & Theory","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2022-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86855591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-18DOI: 10.1080/16066359.2022.2099544
J. Morris, S. Cox, A. Moss, P. Reavey
Abstract Narratives around alcohol are important in determining how people decide who or what qualifies as problematic alcohol use. Narratives draw on common representations that are subject to influences including historical and normative influences. We argue that there are two dominant narratives that relate to how alcohol use disorder (AUD) is identified and addressed. The first is the historically embedded narrative of alcoholism as disease, and the second is the more recent narrative of positive or new sobriety. We present an argument that these two dominant narratives alone do not capture the wide and heterogeneous experience of alcohol harms, and as such a more diverse range of relatable narratives are required to reach and resonate with the broader community of people with AUDs. In particular, we reflect on the fact that these dominant narratives are both abstinence focused and therefore exclude many drinkers who are not willing and may not need, to consider lifelong sobriety to reduce their risk or experience of harms. We ask that alcohol policy professionals, researchers and lived experience advocates consider these issues and support diversifying the range of lived experiences, to support goals including public health outcomes, stigma reduction and alternative routes to recovery.
{"title":"Drinkers like us? The availability of relatable drinking reduction narratives for people with alcohol use disorders","authors":"J. Morris, S. Cox, A. Moss, P. Reavey","doi":"10.1080/16066359.2022.2099544","DOIUrl":"https://doi.org/10.1080/16066359.2022.2099544","url":null,"abstract":"Abstract Narratives around alcohol are important in determining how people decide who or what qualifies as problematic alcohol use. Narratives draw on common representations that are subject to influences including historical and normative influences. We argue that there are two dominant narratives that relate to how alcohol use disorder (AUD) is identified and addressed. The first is the historically embedded narrative of alcoholism as disease, and the second is the more recent narrative of positive or new sobriety. We present an argument that these two dominant narratives alone do not capture the wide and heterogeneous experience of alcohol harms, and as such a more diverse range of relatable narratives are required to reach and resonate with the broader community of people with AUDs. In particular, we reflect on the fact that these dominant narratives are both abstinence focused and therefore exclude many drinkers who are not willing and may not need, to consider lifelong sobriety to reduce their risk or experience of harms. We ask that alcohol policy professionals, researchers and lived experience advocates consider these issues and support diversifying the range of lived experiences, to support goals including public health outcomes, stigma reduction and alternative routes to recovery.","PeriodicalId":47851,"journal":{"name":"Addiction Research & Theory","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2022-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91379665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-12DOI: 10.1080/16066359.2022.2081839
H. Shaffer, H. Gray, John M. Slabczynski, Taylor G. Lee, Debi A. LaPlante
Abstract To mitigate alcohol-related harm, various stakeholders have advanced the construct of ‘responsible drinking.’ However, clarity regarding ‘responsible drinking’ in evaluation research is limited. Additionally, the alcohol industry often uses the term without any mention of clear limits or meaning. At this point it is unclear whether stakeholders are adopting a shared understanding of the ‘responsible drinking’ concept; such a shared understanding is essential for the development, implementation, and evaluation of consumer protection strategies that rest on individual responsibility. Therefore, we sought to describe 6 stakeholders’ use of the construct. Stakeholder sectors included (1) academics, (2) government organizations, (3) alcohol industry, (4) alcohol treatment centers, (5) U.S. higher education institutions, and (6) addiction professionals’ organizations. We searched a total of 133 sources representing these stakeholder sectors. Despite frequent use of the term ‘responsible drinking’ or a close derivative, only 17 sources provided an explicit definition. Coding revealed that the ‘responsible drinking’ message is still ambiguous, which means that consumers are not being provided clear harm avoidance guidance. Future research should create a shared conceptualization of responsible drinking to include all dimensions relevant to the construct. Furthermore, alternative phrases such as ‘safe drinking’ or ‘moderate drinking’ may be used to emphasize different dimensions of responsible drinking and may warrant further study. Like responsible drinking, other terms will require careful development, as well, but might benefit in terms of acceptability and reception from the absence of a positive connotation.
{"title":"Stakeholder definitions of responsible drinking: a call to define an ambiguous construct","authors":"H. Shaffer, H. Gray, John M. Slabczynski, Taylor G. Lee, Debi A. LaPlante","doi":"10.1080/16066359.2022.2081839","DOIUrl":"https://doi.org/10.1080/16066359.2022.2081839","url":null,"abstract":"Abstract To mitigate alcohol-related harm, various stakeholders have advanced the construct of ‘responsible drinking.’ However, clarity regarding ‘responsible drinking’ in evaluation research is limited. Additionally, the alcohol industry often uses the term without any mention of clear limits or meaning. At this point it is unclear whether stakeholders are adopting a shared understanding of the ‘responsible drinking’ concept; such a shared understanding is essential for the development, implementation, and evaluation of consumer protection strategies that rest on individual responsibility. Therefore, we sought to describe 6 stakeholders’ use of the construct. Stakeholder sectors included (1) academics, (2) government organizations, (3) alcohol industry, (4) alcohol treatment centers, (5) U.S. higher education institutions, and (6) addiction professionals’ organizations. We searched a total of 133 sources representing these stakeholder sectors. Despite frequent use of the term ‘responsible drinking’ or a close derivative, only 17 sources provided an explicit definition. Coding revealed that the ‘responsible drinking’ message is still ambiguous, which means that consumers are not being provided clear harm avoidance guidance. Future research should create a shared conceptualization of responsible drinking to include all dimensions relevant to the construct. Furthermore, alternative phrases such as ‘safe drinking’ or ‘moderate drinking’ may be used to emphasize different dimensions of responsible drinking and may warrant further study. Like responsible drinking, other terms will require careful development, as well, but might benefit in terms of acceptability and reception from the absence of a positive connotation.","PeriodicalId":47851,"journal":{"name":"Addiction Research & Theory","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2022-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78103044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-04DOI: 10.1080/16066359.2021.2003787
Sophia De Seranno, C. Colman
Abstract Purpose Photovoice, a community-based participatory research strategy, allows participants to take up an active role in data collection by discussing their views and life (conditions) based on the photographs they have taken. In this methodological article, we present a case study in which photovoice was used to unravel the meaning of recovery capital. Recovery capital is an overarching concept to understand the personal, social and community resources helping people to recover. Method Seven participants in recovery from drug use and desistance from offending took photographs of their lived experiences related to recovery capital. During face-to-face interviews, these photographs were discussed, focusing on recovery capital components. Results The case study led to in-depth insights into the photographs’ meanings and stories from the point of view of the participants. Conclusion This contribution investigates the role of photovoice in expanding our understanding of recovery capital. By means of a case study we highlight the several steps taken by the researcher and the advantages and shortcomings of this method. It appears that photovoice offers great value for eliciting insights in the lived experiences of participants and for participants to grow empowerment and agency. This article hopes to inspire researchers to consider photovoice for their (future) research projects.
{"title":"Capturing recovery capital: using photovoice to unravel recovery and desistance","authors":"Sophia De Seranno, C. Colman","doi":"10.1080/16066359.2021.2003787","DOIUrl":"https://doi.org/10.1080/16066359.2021.2003787","url":null,"abstract":"Abstract Purpose Photovoice, a community-based participatory research strategy, allows participants to take up an active role in data collection by discussing their views and life (conditions) based on the photographs they have taken. In this methodological article, we present a case study in which photovoice was used to unravel the meaning of recovery capital. Recovery capital is an overarching concept to understand the personal, social and community resources helping people to recover. Method Seven participants in recovery from drug use and desistance from offending took photographs of their lived experiences related to recovery capital. During face-to-face interviews, these photographs were discussed, focusing on recovery capital components. Results The case study led to in-depth insights into the photographs’ meanings and stories from the point of view of the participants. Conclusion This contribution investigates the role of photovoice in expanding our understanding of recovery capital. By means of a case study we highlight the several steps taken by the researcher and the advantages and shortcomings of this method. It appears that photovoice offers great value for eliciting insights in the lived experiences of participants and for participants to grow empowerment and agency. This article hopes to inspire researchers to consider photovoice for their (future) research projects.","PeriodicalId":47851,"journal":{"name":"Addiction Research & Theory","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2022-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91337581","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-04DOI: 10.1080/16066359.2022.2090543
Mia M. Ricardo, C. Henderson, Krystia Reed, Temilola K. Salami, Laura E. Drislane
Abstract The National Institute of Drug Addiction has promoted the Brain Disease Model of Addiction (BDMA) for several decades, believing it will have a positive impact on drug-related social policies. Per research, neither understanding nor accepting the BDMA positively influences social behavior and decision making related to decreased stigma or increased support for treatment and funding for substance use disorders. An alternative model, the Malleability Model, focuses on the changeability of psychopathology associated with psychiatric disorders, and is associated with decreased hopelessness and increased prognostic optimism. The Moral Weakness Model focuses on moral character as the reason for addiction and is associated with punitive responses to use disorders. The current study sought to identify whether Malleability values were more predictive of willingness to vote for harm reduction (HR) policies than BDMA and Moral values (H1); and if agreement with Malleability values were more predictive of willingness to fund such policies than agreement with BDMA and Moral values (H2). Contrary to hypotheses, results indicated the Malleability Model failed to predict votes and donations, while agreement with the Moral Weakness Model and conservative political affiliation was predictive of lower HR donations. Agreement with the BDMA did not reliably predict votes and donations to policies; the associations reflected were tenuous and should be interpreted with caution. Overall, results indicated the Malleability Model did not increase votes and donations to HR policies, while agreement with Moral Weakness Model and conservative affiliation consistently predicted votes and donations.
{"title":"Increasing support for alternatives to incarceration for drug use: is the brain disease model of addiction effective?","authors":"Mia M. Ricardo, C. Henderson, Krystia Reed, Temilola K. Salami, Laura E. Drislane","doi":"10.1080/16066359.2022.2090543","DOIUrl":"https://doi.org/10.1080/16066359.2022.2090543","url":null,"abstract":"Abstract The National Institute of Drug Addiction has promoted the Brain Disease Model of Addiction (BDMA) for several decades, believing it will have a positive impact on drug-related social policies. Per research, neither understanding nor accepting the BDMA positively influences social behavior and decision making related to decreased stigma or increased support for treatment and funding for substance use disorders. An alternative model, the Malleability Model, focuses on the changeability of psychopathology associated with psychiatric disorders, and is associated with decreased hopelessness and increased prognostic optimism. The Moral Weakness Model focuses on moral character as the reason for addiction and is associated with punitive responses to use disorders. The current study sought to identify whether Malleability values were more predictive of willingness to vote for harm reduction (HR) policies than BDMA and Moral values (H1); and if agreement with Malleability values were more predictive of willingness to fund such policies than agreement with BDMA and Moral values (H2). Contrary to hypotheses, results indicated the Malleability Model failed to predict votes and donations, while agreement with the Moral Weakness Model and conservative political affiliation was predictive of lower HR donations. Agreement with the BDMA did not reliably predict votes and donations to policies; the associations reflected were tenuous and should be interpreted with caution. Overall, results indicated the Malleability Model did not increase votes and donations to HR policies, while agreement with Moral Weakness Model and conservative affiliation consistently predicted votes and donations.","PeriodicalId":47851,"journal":{"name":"Addiction Research & Theory","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2022-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83120311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-05-27DOI: 10.1080/16066359.2022.2074407
Paweł Ślęczka, B. Braun-Michl, L. Schwarzkopf, M. Spörrle, L. Kraus
Abstract Background Motives to gamble are important in the functional analysis of problematic gambling. This study examines the possibility of classifying young male gamblers based on their motives to gamble and compares the identified groups to validate the obtained classification. Method Based on a screening survey among 2,681 young men from Bavaria, n=170 frequent or problem gamblers (Mage = 22.3 years, SD = 2.5) were recruited to participate in a survey with a 2-year follow-up. Latent class analyses (LCA) were conducted based on baseline answers to 10 items measuring five domains of gambling motives: enhancement, coping, self-gratification, and social and financial motives. The identified classes were compared regarding baseline gambling attitudes and impulsiveness as well as gambling behavior and gambling disorder (GD) criteria at baseline and follow-up. Results Analyses revealed a four-class solution based on reported motives: ‘primarily fun-motivated gamblers’ (n=100, 58.8%), who gambled mostly for fun; ‘asset and self-gratification seekers’ (n=19, 11.2%) with a high risk of GD at baseline; ‘thrill seekers’ (n=42, 24.7%) with high impulsiveness; and ‘polymotivated coping gamblers’ (n=9, 5.3%) with a higher risk of GD than the ‘primarily fun-motivated gamblers’ in cross-sectional and longitudinal analyses. Conclusions The identified group differences support the validity of the classification. ‘Thrill seekers’ and ‘polymotivated coping gamblers’ correspond to the impulsive and emotionally vulnerable pathways described by Blaszczynski and Nower (2002) respectively. The two other groups appear to be subtypes of the behaviorally conditioned type. Motivation-based classification offers a promising approach to identifying individuals with an elevated risk of GD.
{"title":"Why do they gamble and what does it mean? Latent class analysis of gambling motives among young male gamblers","authors":"Paweł Ślęczka, B. Braun-Michl, L. Schwarzkopf, M. Spörrle, L. Kraus","doi":"10.1080/16066359.2022.2074407","DOIUrl":"https://doi.org/10.1080/16066359.2022.2074407","url":null,"abstract":"Abstract Background Motives to gamble are important in the functional analysis of problematic gambling. This study examines the possibility of classifying young male gamblers based on their motives to gamble and compares the identified groups to validate the obtained classification. Method Based on a screening survey among 2,681 young men from Bavaria, n=170 frequent or problem gamblers (Mage = 22.3 years, SD = 2.5) were recruited to participate in a survey with a 2-year follow-up. Latent class analyses (LCA) were conducted based on baseline answers to 10 items measuring five domains of gambling motives: enhancement, coping, self-gratification, and social and financial motives. The identified classes were compared regarding baseline gambling attitudes and impulsiveness as well as gambling behavior and gambling disorder (GD) criteria at baseline and follow-up. Results Analyses revealed a four-class solution based on reported motives: ‘primarily fun-motivated gamblers’ (n=100, 58.8%), who gambled mostly for fun; ‘asset and self-gratification seekers’ (n=19, 11.2%) with a high risk of GD at baseline; ‘thrill seekers’ (n=42, 24.7%) with high impulsiveness; and ‘polymotivated coping gamblers’ (n=9, 5.3%) with a higher risk of GD than the ‘primarily fun-motivated gamblers’ in cross-sectional and longitudinal analyses. Conclusions The identified group differences support the validity of the classification. ‘Thrill seekers’ and ‘polymotivated coping gamblers’ correspond to the impulsive and emotionally vulnerable pathways described by Blaszczynski and Nower (2002) respectively. The two other groups appear to be subtypes of the behaviorally conditioned type. Motivation-based classification offers a promising approach to identifying individuals with an elevated risk of GD.","PeriodicalId":47851,"journal":{"name":"Addiction Research & Theory","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2022-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84852577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-05-18DOI: 10.1080/16066359.2022.2074406
Aleksander H. Erga, Sverre Nesvåg, Ingrid Elin Dahlberg, J. McKay
Abstract Background The aims of this study are to examine the one-year trajectory of sleep problems, identify clinical correlates, and describe subjective experiences related to persistent sleep problems during recovery from substance use disorders (SUD). Methods This study builds on a sequential mixed method design. The quantitative component features data from a prospective longitudinal study of 127 poly-SUD patients in the Stavanger area in Norway, while the qualitative component describes a thematic analysis of interviews with 16 persons from this study still experiencing sleep problems after at least one year of abstinence. Results The prevalence of sleep problems at baseline for the whole cohort was 79%. Among the 59 patients who were abstinent after one year, N = 20 (33.9%) had moderate and N = 11 (18.6%) had severe sleep problems. Persistent sleep problems were associated with psychological distress and were experienced as a major challenge in the struggle to stay drug free. Establishing daily routines related to work, school, and care for children were coping strategies for participants with persistent sleep problems. Conclusions Persistent sleep problems are often overlooked in a clinical setting. Based on our findings, these issues pose a major challenge in the struggle to stay drug free. For patients with psychological distress, and lack of responsibilities that established daily routines, sleep difficulties may result in increased risk of drug use episodes that result in relapse. These results argue that screening and evidence-based methods for insomnia and sleep health-programs should be commonplace adjunct intervention for patients with SUDs.
{"title":"Persistent sleep problems among people in recovery from substance use disorders: a mixed methods study","authors":"Aleksander H. Erga, Sverre Nesvåg, Ingrid Elin Dahlberg, J. McKay","doi":"10.1080/16066359.2022.2074406","DOIUrl":"https://doi.org/10.1080/16066359.2022.2074406","url":null,"abstract":"Abstract Background The aims of this study are to examine the one-year trajectory of sleep problems, identify clinical correlates, and describe subjective experiences related to persistent sleep problems during recovery from substance use disorders (SUD). Methods This study builds on a sequential mixed method design. The quantitative component features data from a prospective longitudinal study of 127 poly-SUD patients in the Stavanger area in Norway, while the qualitative component describes a thematic analysis of interviews with 16 persons from this study still experiencing sleep problems after at least one year of abstinence. Results The prevalence of sleep problems at baseline for the whole cohort was 79%. Among the 59 patients who were abstinent after one year, N = 20 (33.9%) had moderate and N = 11 (18.6%) had severe sleep problems. Persistent sleep problems were associated with psychological distress and were experienced as a major challenge in the struggle to stay drug free. Establishing daily routines related to work, school, and care for children were coping strategies for participants with persistent sleep problems. Conclusions Persistent sleep problems are often overlooked in a clinical setting. Based on our findings, these issues pose a major challenge in the struggle to stay drug free. For patients with psychological distress, and lack of responsibilities that established daily routines, sleep difficulties may result in increased risk of drug use episodes that result in relapse. These results argue that screening and evidence-based methods for insomnia and sleep health-programs should be commonplace adjunct intervention for patients with SUDs.","PeriodicalId":47851,"journal":{"name":"Addiction Research & Theory","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2022-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85803417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：