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Toward the nature of automatic associations: item-level computational semantic similarity and IAT-based alcohol-valence associations 自动联想的本质:项目级计算语义相似度和基于ai的醇价联想
IF 2.9 3区 医学 Q2 SOCIAL ISSUES Pub Date : 2022-09-19 DOI: 10.1080/16066359.2022.2123474
T. Gladwin
Abstract Automatic associations involving alcohol have been proposed to play a role in drinking behavior. Such associations are often assessed using implicit measures such as the Implicit Association Test (IAT). Neural network language models provide computational measures of semantic relationships between words. These model-based measures could be related to behavioral alcohol-related associations as observed using the IAT. If so, this could provide a step toward better understanding of the nature of automatic associations and their relationship to behavior. The current study therefore aimed to test whether there is a systematic covariation over items between model-based and behavior-based associations. Analyses were performed for two single-target IATs from a previously published study. One task involved alcohol versus nonalcohol drinks and positive associates, and the other alcohol versus nonalcohol drinks and negative associates. The GenSim library and a pretrained word2vec model were used to calculate a relative computational association between specific items from the positive and negative categories, respectively, and the alcohol versus nonalcohol word sets. In both tasks, a significant covariance between items’ computational and behavioral measures of association was found over participants. The results thus add to the information on the relationship between neural network language models and psychological associations. They may provide methodological strategies for task design and data analysis. Models of semantic associations connect computational linguistics and social-cognitive psychology and may provide a theoretical link between measures of alcohol-related associations using verbal stimuli and alcohol-related cognition and behaviors.
涉及酒精的自动联想已被提出在饮酒行为中发挥作用。这种联系通常使用内隐测量来评估,如内隐联想测试(IAT)。神经网络语言模型提供了单词之间语义关系的计算度量。这些基于模型的措施可能与使用IAT观察到的与酒精相关的行为关联有关。如果是这样,这将为更好地理解自动联想的本质及其与行为的关系提供一步。因此,当前的研究旨在测试基于模型和基于行为的关联之间是否存在系统的共变。对先前发表的一项研究中的两个单靶点IATs进行了分析。一项任务涉及酒精和非酒精饮料以及积极的联想,另一项任务涉及酒精和非酒精饮料以及消极的联想。使用GenSim库和预训练的word2vec模型分别计算来自正面和负面类别的特定项目以及酒精与非酒精词集之间的相对计算关联。在这两个任务中,项目的计算和行为的关联措施之间的显著协方差被发现在参与者。因此,研究结果增加了神经网络语言模型与心理关联之间关系的信息。它们可以为任务设计和数据分析提供方法学策略。语义关联模型将计算语言学和社会认知心理学联系起来,并可能在使用言语刺激测量酒精相关关联与酒精相关认知和行为之间提供理论联系。
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引用次数: 1
Ontological diversity in gaming disorder measurement: a nationally representative registered report 游戏障碍测量中的本体多样性:一份具有全国代表性的注册报告
IF 2.9 3区 医学 Q2 SOCIAL ISSUES Pub Date : 2022-09-05 DOI: 10.1080/16066359.2022.2115033
Veli-Matti Karhulahti, Jukka Vahlo, Marcel Martončik, M. Munukka, R. Koskimaa, M. V. von Bonsdorff
Abstract Gaming-related health problems have been researched since the 1980s with numerous different ontologies as reference systems, from self-assessed ‘game addiction’ to ‘pathological gambling’ (in the Diagnostic and Statistical Manual of Mental Disorders [DSM]-IV), ‘internet gaming disorder’ (in the third section of the DSM-5) and most recently ‘gaming disorder’ (in the International Classification of Diseases [ICD]-11). Our goal was to investigate how screening instruments that derive from different ontologies differ in identifying associated problem groups. By using four central screening instruments, each representing a different ontological basis, we hypothesized differences and similarities in prevalence, overlap, and health. A nationally representative (N = 8217) sample of Finnish participants was collected. The screening instruments produced significantly different prevalence rates (from 0.4% to 6.9%) and the binomial probabilities of group overlap ranged from poor (0.419) to good (0.919). Expectedly, the problem groups had lower mental health than the general population, yet exploratory analyses implied equivalent or significantly higher physical health. We also found strong exploratory evidence for mischievous responding to complicate the measurement of gaming problems. Considering that several major differences were confirmed between the four gaming problem constructs, we recommend researchers to clearly define their construct of interest, i.e. whether they are studying the ICD-11 based official mental disorder, the DSM-5 proposed ‘internet gaming disorder’, or other gaming problems—especially in future meta-analyses.
自20世纪80年代以来,与游戏相关的健康问题已经研究了许多不同的本体作为参考系统,从自我评估的“游戏成瘾”到“病态赌博”(在精神疾病诊断和统计手册[DSM]-IV),“网络游戏障碍”(在DSM-5的第三部分)和最近的“游戏障碍”(在国际疾病分类[ICD]-11)。我们的目标是调查来自不同本体的筛选工具在识别相关问题组方面的差异。通过使用四种中心筛选工具,每种工具代表不同的本体论基础,我们假设患病率、重叠和健康方面的差异和相似之处。收集了具有全国代表性(N = 8217)的芬兰参与者样本。筛查工具产生的患病率差异显著(从0.4%到6.9%),群体重叠的二项概率从差(0.419)到好(0.919)不等。意料之中的是,问题群体的心理健康状况低于一般人群,但探索性分析表明,他们的身体健康状况相当或明显更高。我们还发现了强有力的探索性证据,证明恶作剧反应会使游戏问题的测量复杂化。考虑到四个游戏问题结构之间存在几个主要差异,我们建议研究人员清楚地定义他们感兴趣的结构,即他们是研究基于ICD-11的官方精神障碍,DSM-5提出的“网络游戏障碍”,还是其他游戏问题-特别是在未来的元分析中。
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引用次数: 9
High five! – the big 5 personality traits, locus of control, and impulsivity and their relationship to substance use in a large cohort of university students in Berlin 高5 !在柏林的一群大学生中,研究了五大人格特征、控制点和冲动性及其与药物使用的关系
IF 2.9 3区 医学 Q2 SOCIAL ISSUES Pub Date : 2022-08-26 DOI: 10.1080/16066359.2022.2114075
Felicitas Ernst-Linke, S. Enge, Leonard Viohl, M. Petzold, F. Betzler
Abstract Background Research suggests that university students are at high risk of using licit and illicit substances and that there has been an increase over the last decade in substance use among university students in Berlin, Germany. The present study aims to investigate the relationship between personality and substance use among university students in the city of Berlin. Method A sample of 8778 students from 17 Berlin universities completed an online questionnaire. Short versions of the Big Five Inventory and the Barratt Impulsivity Scale as well as the SOEP-scale (German socioeconomic panel) for the concept of locus of control were used to assess personality traits. Four different user groups and six specific substances were studied using multinomial logistic and logistic regression models. Results Participants regularly using substances scored higher on impulsivity and openness and lower on conscientiousness compared to the other user groups. Further, they scored higher on extraversion and external locus of control compared to participants not using substances or exclusively drinking alcohol. Out of the personality dimensions examined, the relationship between substance use and impulsivity was strongest and had the highest effect size (medium) in our sample. Conclusions Despite increasing prevalence among the high-risk group of university students in Berlin, universities have not yet sufficiently adopted prevention programs. These programs should be adapted to meet the needs of the target group which may be complemented with the findings of the study (e.g. emotional regulation training and goal management training).
摘要背景研究表明,大学生使用合法和非法物质的风险很高,在过去十年中,德国柏林的大学生使用物质的情况有所增加。本研究旨在探讨柏林市大学生人格与物质使用的关系。方法对来自柏林17所大学的8778名学生进行在线问卷调查。短版的大五人格量表和Barratt冲动性量表以及控制点概念的soep量表(德国社会经济小组)被用来评估人格特征。采用多项逻辑和逻辑回归模型对四种不同的用户群体和六种特定物质进行了研究。结果与其他使用者组相比,经常使用药物的参与者在冲动性和开放性方面得分较高,而在责任心方面得分较低。此外,与不使用药物或只喝酒的参与者相比,他们的外向性和外部控制点得分更高。在被检查的人格维度中,物质使用和冲动之间的关系是最强的,并且在我们的样本中具有最高的效应大小(中等)。结论:尽管柏林大学高危人群的患病率有所上升,但大学尚未充分采用预防方案。这些项目应适应目标群体的需要,并可与研究结果相辅相成(如情绪调节培训和目标管理培训)。
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引用次数: 0
Frameworks of gambling harms: a comparative review and synthesis 赌博危害的框架:比较回顾和综合
IF 2.9 3区 医学 Q2 SOCIAL ISSUES Pub Date : 2022-08-26 DOI: 10.1080/16066359.2022.2113071
V. Marionneau, M. Egerer, S. Raisamo
Abstract Background A public health approach to gambling has been accompanied by a wide understanding of gambling harms. This has led to the creation of conceptual frameworks to understand and itemize different gambling-related harms, dimensions of harms, and subjects of harms. The current paper presents a comparative review and synthesis of existing harm frameworks. Method Following the PRISMA guidelines, we conducted a systematic literature review on existing harm frameworks in five scientific databases across the years 2000–2021. We included studies that aimed at creating a conceptual framework or synthesis of different level gambling harms at a population level. The final sample consists of seven papers that present four different models. Results Gambling-related harms span health, psychological, relationship, financial, cultural, work, and crime-related issues. Harms accrue to individuals (heavy gamblers, non-problem gamblers and nongamblers), but also to families, communities, and societies. Harms form a spectrum in terms of severity and temporality. Risk factors or determinants of gambling are often similar to the harmful consequences of gambling. Conclusions The results are discussed in terms of gaps in current understanding of gambling harms, including increased communication between models, increased focus on severity levels and issues of causality, and a better incorporation of harms that stem from gambling provision rather than harmful gambling consumption. We conclude that framing harms as consequences of individual behavior remains predominant, and a shift of focus to the social and commercial determinants of gambling harms is needed. This also includes the development of societal level harm screening.
摘要背景:随着人们对赌博危害的广泛认识,人们开始从公共卫生的角度来看待赌博。这导致了概念框架的创建,以理解和逐项列出不同的赌博相关危害、危害的维度和危害的主体。本文对现有的危害框架进行了比较回顾和综合。方法根据PRISMA指南,我们对2000-2021年间五个科学数据库中现有的危害框架进行了系统的文献综述。我们纳入的研究旨在建立一个概念框架,或在人口水平上综合不同程度的赌博危害。最后的样本包括七篇论文,它们提出了四种不同的模型。结果与赌博有关的危害包括健康、心理、人际关系、经济、文化、工作和与犯罪有关的问题。危害不仅对个人(重度赌徒、非问题赌徒和非赌徒),而且对家庭、社区和社会也有影响。危害在严重性和时效性方面形成了一个范围。赌博的危险因素或决定因素往往与赌博的有害后果相似。研究结果讨论了目前对赌博危害的理解差距,包括增加模型之间的沟通,增加对严重程度和因果关系问题的关注,以及更好地纳入赌博提供而不是有害赌博消费的危害。我们得出的结论是,将危害作为个人行为的后果仍然占主导地位,并且需要将重点转移到赌博危害的社会和商业决定因素上。这也包括发展社会层面的危害筛查。
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引用次数: 7
Gambling among LGBTQIA2S + populations: a scoping review LGBTQIA2S +人群中的赌博:范围审查
IF 2.9 3区 医学 Q2 SOCIAL ISSUES Pub Date : 2022-08-24 DOI: 10.1080/16066359.2022.2113070
Cyril Devault-Tousignant, Nicolas Lavoie, Sophie Audette-Chapdelaine, Anne-Marie Auger, M. Côté, Julie-Christine Cotton, Magaly Brodeur
Abstract Gambling disorder (GD) is a major public health issue around the world. Even though prior studies have shown that the prevalence of problem gambling varies depending on certain sociodemographic factors, we know very little about gambling and sexual and gender minorities (i.e. LGBTQIA2S + populations). The objective of this scoping review was to summarize the available literature on gambling among LGBTQIA2S + populations and to underline future avenues of research. We conducted an electronic search using keywords related to gambling and sexual and gender minorities in 10 databases: Academic Search Complete, CINAHL Plus with Full Text, Education Source, ERIC, MEDLINE with Full Text, APA Psyc Articles, Psychology and Behavioral Sciences Collection, APA Psych Info, Social Work Abstracts, and SocINDEX. Studies eligible for this review had to meet the following criteria: discuss gambling and LGBTQIA2S + populations as the primary theme and be published in English in a peer-reviewed journal. After selecting the articles, the information was collated, analyzed, summarized, and reported using narrative synthesis. The search yielded 629 articles, and 476 remained following the removal of duplicates. Upon title and abstract review, 12 articles were retained for full-text reading, after which 6 articles were included in this review. We analyzed the data and revealed conflicting results on the associations between gambling and LGBTQIA2S + populations. Therefore, further research is needed on this population, which is known to be at risk for addictions.
摘要赌博障碍(GD)是一个全球性的重大公共卫生问题。尽管先前的研究表明,问题赌博的流行程度取决于某些社会人口因素,但我们对赌博和性少数群体(即LGBTQIA2S +人群)知之甚少。这一范围审查的目的是总结LGBTQIA2S +人群中赌博的现有文献,并强调未来的研究途径。我们使用与赌博和性少数相关的关键词在10个数据库中进行了电子检索:Academic search Complete, CINAHL Plus全文,Education Source, ERIC, MEDLINE全文,APA Psyc Articles, Psychology and Behavioral Sciences Collection, APA Psych Info, Social Work Abstracts,和SocINDEX。符合本综述的研究必须满足以下标准:以讨论赌博和LGBTQIA2S +人群为主要主题,并在同行评审的期刊上以英文发表。选择文章后,对信息进行整理、分析、总结,并采用叙事综合的方法进行报道。搜索得到了629篇文章,在删除重复的文章后,还剩下476篇。经标题和摘要审阅后,有12篇文章被保留供全文阅读,随后有6篇文章被纳入本综述。我们分析了数据,并揭示了赌博与LGBTQIA2S +人群之间关系的矛盾结果。因此,需要对这一已知有成瘾风险的人群进行进一步研究。
{"title":"Gambling among LGBTQIA2S + populations: a scoping review","authors":"Cyril Devault-Tousignant, Nicolas Lavoie, Sophie Audette-Chapdelaine, Anne-Marie Auger, M. Côté, Julie-Christine Cotton, Magaly Brodeur","doi":"10.1080/16066359.2022.2113070","DOIUrl":"https://doi.org/10.1080/16066359.2022.2113070","url":null,"abstract":"Abstract Gambling disorder (GD) is a major public health issue around the world. Even though prior studies have shown that the prevalence of problem gambling varies depending on certain sociodemographic factors, we know very little about gambling and sexual and gender minorities (i.e. LGBTQIA2S + populations). The objective of this scoping review was to summarize the available literature on gambling among LGBTQIA2S + populations and to underline future avenues of research. We conducted an electronic search using keywords related to gambling and sexual and gender minorities in 10 databases: Academic Search Complete, CINAHL Plus with Full Text, Education Source, ERIC, MEDLINE with Full Text, APA Psyc Articles, Psychology and Behavioral Sciences Collection, APA Psych Info, Social Work Abstracts, and SocINDEX. Studies eligible for this review had to meet the following criteria: discuss gambling and LGBTQIA2S + populations as the primary theme and be published in English in a peer-reviewed journal. After selecting the articles, the information was collated, analyzed, summarized, and reported using narrative synthesis. The search yielded 629 articles, and 476 remained following the removal of duplicates. Upon title and abstract review, 12 articles were retained for full-text reading, after which 6 articles were included in this review. We analyzed the data and revealed conflicting results on the associations between gambling and LGBTQIA2S + populations. Therefore, further research is needed on this population, which is known to be at risk for addictions.","PeriodicalId":47851,"journal":{"name":"Addiction Research & Theory","volume":"31 1","pages":"60 - 68"},"PeriodicalIF":2.9,"publicationDate":"2022-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89356816","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}
引用次数: 3
Drinking during social isolation: investigating associations between stress, inhibitory control, boredom, drinking motives, and alcohol use 在社会隔离期间饮酒:调查压力、抑制控制、无聊、饮酒动机和酒精使用之间的关系
IF 2.9 3区 医学 Q2 SOCIAL ISSUES Pub Date : 2022-08-23 DOI: 10.1080/16066359.2022.2099543
James M. Clay, B. D. Fontana, C. Proserpio, E. Fernandez, E. Pagliarini, Fernando Lopes, J. A. López-Moreno, J. Canales, L. Loyant, Ravid Doron, L. Stafford, M. O. Parker
Abstract Background: We aimed to assess whether stress, boredom, drinking motives, and/or inhibitory control were related to alcohol use during a period of social isolation. Method: Analyses were carried out on questionnaire data (N = 337) collected during the first wave of the COVID-19 pandemic (7 April–3 May 2020). We first assessed changes in drinking behavior, stress and boredom. We then regressed drinking behavior on drinking motives, inhibitory control, stress, and boredom. We also investigated interactions between change in stress/boredom and inhibitory control. Results: A minority of respondents reported increased alcohol use (units = 23.52%, drinking days = 20.73%, heavy days = 7.06%), alcohol-related problems (9.67%), and stress (36.63%). Meanwhile, most respondents reported increased boredom (67.42%). Similarly, boredom significantly increased (B = 21.22, p < .001), on average, while alcohol-related problems decreased (B = −1.43 p < .001). Regarding drinking motives, decreased alcohol-related problems were associated with social drinking motives (B = −0.09, p = .005). Surprisingly, risk-taking was associated with decreased alcohol-related problems (B = −0.02, p = .008) and neither stress nor boredom independently predicted changes in alcohol use. Finally, several significant interactions suggested that those who were more impulsive and less bored were more likely to report increased alcohol use and vice versa. Conclusions: These data provide a nuanced overview of changes in drinking-related behavior during the COVID-19-induced period of social isolation. While most people reduced their drinking, there was evidence of complex interactions between impulsivity and boredom that may be explored in future studies.
背景:我们旨在评估压力、无聊、饮酒动机和/或抑制控制是否与社会隔离期间的酒精使用有关。方法:对第一波COVID-19大流行(2020年4月7日- 5月3日)期间收集的问卷数据(N = 337)进行分析。我们首先评估了饮酒行为、压力和无聊的变化。然后,我们从饮酒动机、抑制控制、压力和无聊等方面对饮酒行为进行回归。我们还研究了压力/无聊变化和抑制控制之间的相互作用。结果:少数受访者报告酒精使用增加(单位= 23.52%,饮酒天数= 20.73%,重度天数= 7.06%),酒精相关问题(9.67%)和压力(36.63%)。与此同时,大多数受访者(67.42%)表示无聊感增加了。同样,无聊感显著增加(B = 21.22, p < .001),而酒精相关问题平均减少(B = - 1.43 p < .001)。关于饮酒动机,饮酒相关问题的减少与社交饮酒动机相关(B = - 0.09, p = 0.005)。令人惊讶的是,冒险行为与酒精相关问题的减少有关(B = - 0.02, p = 0.008),压力和无聊都不能独立预测酒精使用的变化。最后,几个重要的相互作用表明,那些更冲动、更不无聊的人更有可能报告饮酒增加,反之亦然。结论:这些数据为covid -19引起的社会隔离期间饮酒相关行为的变化提供了细微的概述。虽然大多数人减少了饮酒量,但有证据表明,冲动和无聊之间存在复杂的相互作用,这可能会在未来的研究中得到探索。
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引用次数: 1
Daily self-report of substance use via text message corresponds to retrospective assessment in people with HIV who use methamphetamine 每日通过短信自我报告药物使用情况与使用甲基苯丙胺的艾滋病毒感染者的回顾性评估相一致
IF 2.9 3区 医学 Q2 SOCIAL ISSUES Pub Date : 2022-08-01 DOI: 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.
甲基苯丙胺的使用在HIV感染者(PWH)中非常普遍。药物使用难以准确评估,通常使用时间轴跟踪访谈(TLFB)进行评估。TLFB的一个重要限制是它的回顾性回忆期很长(例如,记忆超过30天的使用情况)。通过短信进行自我报告提供了一种远程但可能有效的方法,可以在接近实际使用的时候评估甲基苯丙胺的使用情况。这项二级分析的目的是评估57名PWH样本中TLFB和短信报告的甲基苯丙胺使用情况之间的一致性;以及神经认知障碍状态。每日短信评估了过去24小时内甲基苯丙胺的使用情况。参与者完成了涵盖过去30天的TLFB,以评估甲基苯丙胺的使用频率。TLFB与每日短信报告有显著相关(ρ = 0.617, p < 0.001)。配对t检验结果显示,两种评估方法的平均甲基苯丙胺使用报告具有可比性(基于文本的频率= 28%,TLFB频率= 31%;P = .328)。尽管结果接近显著性,但在神经认知受损组中,不同评估方法之间没有差异(短信报告频率= 28%,TLFB报告频率= 39%;P = .062)。结果显示,TLFB与短信评估甲基苯丙胺使用之间有很强的相关性。使用短信进行药物使用评估可能有好处,并有机会采取干预措施,改善与药物使用行为密切相关的重要健康行为(例如坚持抗逆转录病毒治疗)。
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引用次数: 0
Social support is associated with reduced stigma and shame in a sample of rural and small urban adults in methadone treatment 在接受美沙酮治疗的农村和小城市成年人样本中,社会支持与减少耻辱和羞耻感有关
IF 2.9 3区 医学 Q2 SOCIAL ISSUES Pub Date : 2022-07-24 DOI: 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.
来自家庭、朋友和其他人的社会支持促进了药物使用治疗患者的保留、减少了药物使用和其他积极结果。与美沙酮治疗相关的耻辱使得社会支持对客户至关重要。对于农村和小城市社区美沙酮治疗客户的污名、羞耻感和社会支持之间的关系知之甚少。本研究考察了密歇根州阿片类药物治疗项目(OTP)中此类客户之间的这些关系。方法OTP的成人(N = 267)完成了一项基于网络的调查,包括一般社会支持、朋友支持、人口统计变量、阿片类药物使用相关羞耻感、听到美沙酮治疗负面评论的频率、过去一年的阿片类药物使用以及其他未包括在本分析中的变量。多元回归检验一般社会支持(模型1)、朋友支持(模型2)与其他纳入变量之间的关系。结果一半的参与者(48.3%)报告过去一年使用阿片类药物。在多元回归分析中,男性性别与一般社会支持呈负相关。阿片类药物使用相关的羞耻感和经历与治疗相关的耻辱与一般社会支持和朋友支持呈负相关。结论:本研究通过强调如何减少美沙酮治疗患者的羞耻感和耻辱感,增加了美沙酮治疗文献。更大的社会支持可能会减少羞耻感和污名,使良好的治疗结果更有可能。阿片类药物使用相关羞耻感更严重和更经常经历治疗相关耻辱的客户可能特别脆弱,需要额外的支持来维持康复。因此,加强支持的干预措施应解决羞耻和污名化问题。
{"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":"435 1","pages":"37 - 44"},"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}
引用次数: 4
Relations between higher- and lower-order alcohol and cannabis expectancies and simultaneous use frequency among undergraduate dual users 高阶和低阶酒精和大麻预期与大学生双重使用者同时使用频率之间的关系
IF 2.9 3区 医学 Q2 SOCIAL ISSUES Pub Date : 2022-07-21 DOI: 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.
背景同时饮酒和大麻(即大麻;[SAM]的使用在大学生中很普遍。关于SAM使用的预期效应的研究有限,这是已知的使用频率和治疗结果中介的相关因素。我们研究了大学生对酒精和大麻的积极和消极预期与SAM使用频率的独特关联。方法参与者是来自美国7所大学的1012名大学生(70.9%为女性,51.8%为白人,年龄19.63岁),他们报告了过去一个月的酒精和大麻使用情况(77.2%的样本报告了SAM使用情况)。学生们通过在线自我报告调查完成了过去一个月典型的每周酒精和大麻频率和数量、酒精和大麻预期以及SAM频率的测量。结果负二项回归显示,高阶正(而非负)酒精和大麻预期是SAM频率的重要预测因子,高于酒精和大麻使用频率、生物性别以及调查是在covid -19校园关闭之前还是之后完成的。具体而言,较高频率的SAM使用与较弱的阳性酒精和较强的阳性大麻预期有关。包括低阶期望在内的第二次负二项回归发现,SAM频率与较弱的社会、认知和行为障碍酒精预期以及更强的性和社会促进大麻和液体勇气酒精预期有关。结论:研究结果强调了在检查SAM频率时全面检查高阶和低阶酒精和大麻预期的重要性,并提供了有针对性的干预途径,以减少双重使用者的SAM使用。
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引用次数: 0
Drinkers like us? The availability of relatable drinking reduction narratives for people with alcohol use disorders 像我们这样的酒鬼?酒精使用障碍患者可获得相关的减少饮酒叙述
IF 2.9 3区 医学 Q2 SOCIAL ISSUES Pub Date : 2022-07-18 DOI: 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.
关于酒精的叙述对于决定人们如何决定谁或什么是有问题的酒精使用是很重要的。叙事利用受历史和规范影响的共同表征。我们认为,有两种主要的叙述与如何识别和解决酒精使用障碍(AUD)有关。第一个是将酗酒作为一种疾病在历史上根深蒂固的叙述,第二个是最近关于积极的或新的清醒的叙述。我们提出的论点是,这两种主要的叙述本身并不能反映酒精危害的广泛和异质性,因此需要更多样化的相关叙述,以达到更广泛的aud患者群体并与之产生共鸣。特别是,我们反思了这样一个事实,即这些主流叙述都以戒酒为重点,因此排除了许多不愿意也可能不需要的饮酒者,考虑终身戒酒以减少他们的风险或伤害。我们要求酒精政策专业人员、研究人员和生活经验倡导者考虑这些问题,并支持生活经验范围的多样化,以支持包括公共卫生结果、减少耻辱和替代康复途径在内的目标。
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引用次数: 4
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Addiction Research & Theory
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