Addictive behaviors最新文献

Alcohol and cannabis as sleep aids among adolescents and associations with sleep quality and problematic use

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-02-21 DOI: 10.1016/j.addbeh.2025.108304

Clara Sancho-Domingo, José Luis Carballo, Ainhoa Coloma-Carmona, Antonia Pelegrín Muñoz, Carlos van-der Hofstadt

Background

Using alcohol and cannabis as sleep aids is a growing concern among adolescents due to associated health risks. This study examined the prevalence of alcohol and cannabis self-medication practices among adolescents and explored the concurrent (Study I) and prospective (Study II) association with sleep quality and problematic use. Methods: One cross-sectional and one longitudinal (6-m onth interval) study were conducted. Participants comprised 1,121 Spanish adolescents aged 15 to 18 (57.1 % female) for Study I, and 221 for Study II (55.7 % female). Measures included sleep quality, pre-sleep cognitive and physical arousal, daytime sleepiness, and use of alcohol, cannabis, and self-medication. Multivariate analyses and Generalized Linear Mixed Models were applied. Results: In Study I, 8.6 % (n = 96) of adolescents reported past-m onth self-medication, which correlated with poor sleep, sleepiness, and higher pre-sleep physical arousal. Likewise, cannabis self-medication was associated with greater number of joints and problematic use. Study II showed a significant increase in self-medication rates after six months (from 6.3 % to 9.5 %). Regarding sleep, pre-sleep cognitive (OR = 1.3; 95 %CI = 1.0–1.8; p = 0.035) and physical arousal (OR = 1.1; 95 %CI = 1.0–1.1; p < 0.001) predicted alcohol self-medication. Poor sleep predicted cannabis self-medication (OR = 1.9; 95 %CI = 1.0–3.5; p = 0.047), which in turn increased the probability of poor sleep (OR = 2.2; 95 %CI = 1.0–4.8; p = 0.045) and problematic use (OR = 1.9; 95 %CI = 1.2–2.9; p = 0.003). Conclusions: Self-medication practices are common among adolescents, with increasing trends over time. Adolescents rely on substances as sleep aids, worsening their sleep and increasing problematic use. Findings underscore the need for preventive strategies to enhance sleep quality and reduce substance use.

背景由于相关的健康风险，使用酒精和大麻作为助眠药物在青少年中日益受到关注。本研究调查了青少年使用酒精和大麻自我治疗的普遍程度，并探讨了同时（研究 I）和前瞻性（研究 II）使用酒精和大麻与睡眠质量和问题性使用之间的关系。研究方法进行了一项横断面研究和一项纵向研究（间隔 6 个月）。研究 I 的参与者包括 1,121 名 15 至 18 岁的西班牙青少年（57.1% 为女性），研究 II 的参与者包括 221 名 15 至 18 岁的西班牙青少年（55.7% 为女性）。测量指标包括睡眠质量、睡前认知和身体唤醒、白天嗜睡、饮酒、吸食大麻和自我药疗。研究采用了多变量分析和广义线性混合模型。研究结果在研究 I 中，8.6%（n = 96）的青少年报告了过去一个月的自我药物治疗情况，这与睡眠质量差、嗜睡和睡前较高的身体唤醒度有关。同样，大麻自我药疗也与吸食大麻数量增多和吸食问题大麻有关。研究二显示，六个月后，自我药疗率大幅上升（从 6.3% 上升至 9.5%）。在睡眠方面，睡前认知（OR = 1.3; 95 %CI = 1.0-1.8; p = 0.035）和身体唤醒（OR = 1.1; 95 %CI = 1.0-1.1; p < 0.001）预示着自我药用酒精。睡眠不佳预示着大麻自我药疗（OR = 1.9; 95 %CI = 1.0-3.5; p = 0.047），这反过来又增加了睡眠不佳（OR = 2.2; 95 %CI = 1.0-4.8; p = 0.045）和有问题使用（OR = 1.9; 95 %CI = 1.2-2.9; p = 0.003）的概率。结论自我药疗在青少年中很常见，而且随着时间的推移呈上升趋势。青少年依赖药物作为睡眠辅助工具，导致睡眠质量下降，并增加了问题药物的使用。研究结果表明，有必要采取预防性策略来提高睡眠质量和减少药物使用。

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引用次数: 0

Factors influencing perceptions of electronic cigarette and nicotine replacement therapy use among French smokers experiencing socioeconomic disadvantage: A latent class analysis

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-02-19 DOI: 10.1016/j.addbeh.2025.108290

Marie Noel Al Zayat , Maria Melchior , Judith van der Waerden , Sarah Mahdjoub , Gladys Ibanez , Fabienne El-Khoury

Background

Smokers experiencing socioeconomic disadvantage have higher smoking rates and lower quit success compared to the general population. While nicotine replacement therapy (NRT) and electronic cigarettes (e-cigarettes) are effective smoking cessation aids, their use in this population is limited. We examine perceptions of NRT and e-cigarettes among low-income smokers.

Methods

We analyzed baseline data from 167 low-income smokers interested in reducing or quitting smoking but not currently using e-cigarettes, enrolled in the French STOP trial, a randomized controlled trial evaluating a preference-based smoking cessation intervention. Baseline measures included demographics, smoking habits, mental health, and perceptions of NRT and e-cigarettes. Latent Class Analysis (LCA) identified subgroups based on perceptions, and multinomial logistic regression examined associations between subgroup membership and predictors.

Results

Three subgroups emerged: “adopters” (44 %) with positive views of both aids, “doubters of e-cigarettes” (35 %) who found the tools easy to use but questioned the effectiveness of e-cigarettes, and “resistors” (21 %) with negative perceptions of both aids. Older age, not receiving social benefits, and absence of depressive symptoms were linked to being a “doubter of e-cigarettes”, while heavy smoking was associated with being a “resistor”. Previous NRT use increased the probability of being a “doubter of e-cigarettes”, whereas prior e-cigarettes use decreased the likelihood of belonging to the “doubters of e-cigarettes” and “resistors” groups.

Conclusion

Low-income smokers hold diverse perceptions of NRT and e-cigarettes influenced by age, financial difficulties, mental health, and previous quit attempts. Tailored cessation interventions addressing these factors into account may improve quit rates in this population.

背景与普通人群相比，处于社会经济劣势的吸烟者吸烟率更高，戒烟成功率更低。虽然尼古丁替代疗法（NRT）和电子烟（e-cigarettes）是有效的戒烟辅助工具，但它们在这一人群中的使用却很有限。我们分析了 167 名有意减少或戒烟但目前未使用电子烟的低收入吸烟者的基线数据，他们参加了法国 STOP 试验，这是一项评估基于偏好的戒烟干预的随机对照试验。基线测量包括人口统计学、吸烟习惯、心理健康以及对 NRT 和电子烟的看法。潜类分析（LCA）确定了基于认知的亚组，多项式逻辑回归检验了亚组成员与预测因素之间的关联："采用者"（44%）对这两种辅助工具持积极态度，"电子烟怀疑者"（35%）认为这些工具易于使用，但对电子烟的有效性表示怀疑，"抵制者"（21%）对这两种辅助工具持消极态度。年龄较大、未享受社会福利和无抑郁症状与 "电子烟质疑者 "有关，而大量吸烟与 "抵制者 "有关。曾经使用过 NRT 的人成为 "电子烟怀疑者 "的可能性增加，而曾经使用过电子烟的人成为 "电子烟怀疑者 "和 "抵制者 "的可能性降低。考虑到这些因素而量身定制的戒烟干预措施可能会提高这一人群的戒烟率。

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引用次数: 0

Adolescent extraversion and agreeableness predict adult alcohol use: A 22-Year prospective study

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-02-18 DOI: 10.1016/j.addbeh.2025.108303

Ingmar H.A. Franken , Peter Prinzie

The Five Factor Model (FFM or Big 5) traits of extraversion, agreeableness, conscientiousness, neuroticism and openness, have all been associated with alcohol use. However, the vast majority of these studies have used cross-sectional designs, limiting the ability to evaluate the temporal relationships between childhood personality traits in adult alcohol use patterns.

In the current prospective community cohort study (N = 329), we examine the predictive value of FFM traits measured in childhood and adolescence (starting at 6–9 years of age; well before the typical age at which adolescents begin drinking) for alcohol use in adulthood (27–30 years of age), spanning an average of 22 years. Personality was assessed with the Hierarchical Personality Inventory for Children (HiPIC) across 5 consecutive waves utilizing multiple informants (child, mother, father, and teachers). Alcohol use was measured by the self-report Quantity-Frequency Variability Index (QFV).

A series of regression analyses indicates that during adolescence, high levels of extraversion and low levels of agreeableness are both (independently) associated with heavier drinking. These associations are robust and consistent from the first adolescent wave (age 12–15 years) to the last adolescent wave. Notably, informant-dependent measures from early childhood waves (ages 6–9) were not significant predictors, highlighting the importance of considering developmental context and informant variability. By leveraging a longitudinal design with temporally separated measures of personality and alcohol use, this study minimizes concerns about reverse causality. The results highlight the long-term relevance of adolescent personality traits in understanding adult drinking behavior and suggest that targeted prevention strategies focusing on highly extraverted and low-agreeable adolescents may help reduce harmful drinking patterns later in life.

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引用次数: 0

Protective and risk factors in problematic mobile phone use among adolescents: A three-wave longitude study

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-02-16 DOI: 10.1016/j.addbeh.2025.108299

Xiaoqing Ji , Ningning Feng , Tong Zhao , Lijuan Cui

Adolescents’ problematic mobile phone use (PMPU) has become increasingly severe. This study examined the changes in relationships between dimensions of PMPU, protective (positive psychological capital, i.e., optimism, hope, resilience, core self-evaluation) and risk (psychological distress, i.e., anxiety, depression, loneliness, and stress) factors within the network, aiming to identify the most influential factors over time and find the longitudinal predictive relationships between the factors and PMPU. A total of 1,170 Chinese adolescents participated over three waves (T1: January 2023, T2: August 2023, T3: February 2024). Cross-section network analysis showed that “core self-evaluation”, “depression”, “hope”, “loss of control”, and “stress_P” were the central nodes. “Stress_N” (sense of losing control and negative affective reactions) in risk factors and “affect control” (ability to regulate emotions) in protective factors were the bridge symptoms in the network across three timepoints. As shown in network comparison, the global strength of the network remained stable from T1 to T2 but increased from T2 to T3. The edge strength between “family support”, “anxiety” and the nodes of PMPU weakened across the time. While, correlations between “loneliness”, “goal planning”, “positive thinking”, “affect control” and PMPU nodes strengthened. The relationship between “Stress_N” and PMPU initially increasing before decreasing. Longitudinal cross-lagged network analysis revealed that “negative life consequence” and “craving” in PMPU strongly predicted protective/risk factors, while “hope,” “affect control,” and “core self-evaluation” were most susceptible to prediction. The findings highlight the significant role of “core self-evaluation” and “stress_N” in the development of adolescents’ PMPU and the negative results of PMPU. Additionally, the changes in the network over time suggest that the factors influencing PMPU evolve, with various protective/risk factors gaining or losing significance at different stages. The results of CLPN emphasize the negative outcome of PMPU. Therefore, targeting interventions on the internalized symptoms may help alleviate the severity of PMPU among adolescents.

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引用次数: 0

Network analysis of adverse childhood experiences and problematic internet use among Chinese adolescents

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-02-16 DOI: 10.1016/j.addbeh.2025.108300

Lu Li , Xiuqiong Feng , Shengyu Luo , Jinghua Li , Dan Xu , Weiqing Chen , Vivian Yawei Guo

Background

The association between adverse childhood experiences (ACEs) and problematic internet use (PIU) in adolescents has received increasing attention. However, item-level associations between ACEs and PIU remained underexplored. This study utilized network analysis to explore these complex interactions and enhance understanding of the linking pathways.

Methods

From November to December 2021, 6685 Chinese adolescents aged 11–20 self-reported their internet use through the Young Diagnostic Questionnaire (YDQ). ACEs were assessed via the Childhood Trauma Questionnaire-Short Form and the Adverse Childhood Experiences-International Questionnaire. An ACE-PIU network was constructed based on the Ising model, with centrality and bridge centrality indices calculated. Network stability and accuracy were assessed using a case-dropping bootstrap procedure. The Network Comparison Test was applied to examine gender and age differences.

Results

Among participants, 52.2 % were boys and the mean age was 14.5 years. Network analysis identified PIU2 (“need for increased online time”), PIU5 (“staying online longer than intended”), and PIU6 (“risking significant relationships/opportunities due to internet use”) as central nodes in the ACE-PIU network model. Additionally, ACE6 (“household mental illness”) and ACE2 (“emotional abuse”) within the ACE cluster, along with PIU8 (“using the internet to escape problems”) and PIU7 (“lying about internet use”) within the PIU cluster, emerged as bridge nodes linking the ACE and PIU clusters. No significant differences in network structures or global strengths were observed across gender or age groups.

Conclusion

The identification of central and bridge nodes within the ACE-PIU network provides insights regarding the potential pathways linking ACEs to PIU among Chinese adolescents.

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引用次数: 0

Distinct roles of specific metacognitive beliefs in adolescent problematic mobile phone use: A Cross-Lagged panel network analysis

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-02-14 DOI: 10.1016/j.addbeh.2025.108291

Lingfeng Gao , Xiaoru Zhu , Gabriele Caselli , Yunfei Wang , Xiaowei Chu , Haide Chen

Problematic mobile phone use (PMPU) among adolescents is increasingly recognized as a significant behavioral health concern. Previous studies have found general metacognitive beliefs can positively predict PMPU. However, the longitudinal relationship between specific metacognitive beliefs and addictive behaviors has not been fully explored. This study aimed to explore the longitudinal relationship between metacognitions about mobile phone use, metacognitions about desire thinking, and PMPU among adolescents using cross-lagged panel network analysis. A sample of 993 adolescents were surveyed at two points over six months. Findings indicated that negative metacognitions about mobile phone use and positive metacognitions about desire thinking emerged as two prominent bridge nodes. Negative metacognitions about mobile phone use were strongly associated with withdrawal and relapse symptoms, while positive metacognitions about desire thinking correlated with tolerance and relapse. These results suggest that interventions aimed at addressing PMPU should consider the distinct impacts of different metacognitive beliefs and tailor their approaches accordingly.

{"title":"Distinct roles of specific metacognitive beliefs in adolescent problematic mobile phone use: A Cross-Lagged panel network analysis","authors":"Lingfeng Gao , Xiaoru Zhu , Gabriele Caselli , Yunfei Wang , Xiaowei Chu , Haide Chen","doi":"10.1016/j.addbeh.2025.108291","DOIUrl":"10.1016/j.addbeh.2025.108291","url":null,"abstract":"<div><div>Problematic mobile phone use (PMPU) among adolescents is increasingly recognized as a significant behavioral health concern. Previous studies have found general metacognitive beliefs can positively predict PMPU. However, the longitudinal relationship between specific metacognitive beliefs and addictive behaviors has not been fully explored. This study aimed to explore the longitudinal relationship between metacognitions about mobile phone use, metacognitions about desire thinking, and PMPU among adolescents using cross-lagged panel network analysis. A sample of 993 adolescents were surveyed at two points over six months. Findings indicated that negative metacognitions about mobile phone use and positive metacognitions about desire thinking emerged as two prominent bridge nodes. Negative metacognitions about mobile phone use were strongly associated with withdrawal and relapse symptoms, while positive metacognitions about desire thinking correlated with tolerance and relapse. These results suggest that interventions aimed at addressing PMPU should consider the distinct impacts of different metacognitive beliefs and tailor their approaches accordingly.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"165 ","pages":"Article 108291"},"PeriodicalIF":3.7,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143463702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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: 0

Does cannabis and electronic nicotine delivery system (ENDS) use interfere with cigarette smoking cessation in young adulthood?

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-02-11 DOI: 10.1016/j.addbeh.2025.108289

Sarah Danzo , Marina Epstein , Rick Kosterman , Max A. Halvorson , Justin D. Caouette , Karryn Satchell , Margaret R. Kuklinski , Sabrina Oesterle

Aims

Reducing combustible cigarette smoking is a major public health concern. Research identifies both electronic nicotine delivery systems (ENDS) and cannabis use as factors that are related to combustible cigarette cessation. The current study examined whether using substances in similar ways (e.g., inhaling them) triggers the urge to smoke, thereby undermining attempts to quit.

Design

Analyses examined how using ENDS and smoking or vaping cannabis, both separately and together, were associated with reductions in daily combustible cigarette smoking among young adult smokers.

Participants

Three waves of data from the Community Youth Development Study, including 909 participants who reported daily cigarette smoking at age 23, 26, and/or 28, were included in analyses.

Setting

Participants were dispersed throughout 48 US states.

Measurements

Latent growth modeling was used to model daily cigarette smoking over time. Models using past-month ENDS use, past-month smoking/vaping cannabis, and past-month co-use of ENDS and cannabis (using ENDS and smoking/vaping cannabis within the past month) as time-varying covariates were tested.

Findings

Over time, there was a tendency towards cessation of daily combustible cigarette use among this smoking sample. Smoking/vaping cannabis was associated with a decreased rate of daily combustible cigarette cessation among the sample, whereas ENDS use was associated with an increased rate of daily smoking cessation. The predicted additive effect of using ENDS and smoking/vaping cannabis was not significant.

Conclusions

Among young adult daily cigarette smokers, smoking cannabis, on its own, poses a risk to quitting combustible cigarettes, while using ENDS may promote cigarette cessation, possibly through substitution.

{"title":"Does cannabis and electronic nicotine delivery system (ENDS) use interfere with cigarette smoking cessation in young adulthood?","authors":"Sarah Danzo , Marina Epstein , Rick Kosterman , Max A. Halvorson , Justin D. Caouette , Karryn Satchell , Margaret R. Kuklinski , Sabrina Oesterle","doi":"10.1016/j.addbeh.2025.108289","DOIUrl":"10.1016/j.addbeh.2025.108289","url":null,"abstract":"<div><h3>Aims</h3><div>Reducing combustible cigarette smoking is a major public health concern. Research identifies both electronic nicotine delivery systems (ENDS) and cannabis use as factors that are related to combustible cigarette cessation. The current study examined whether using substances in similar ways (e.g., inhaling them) triggers the urge to smoke, thereby undermining attempts to quit.</div></div><div><h3>Design</h3><div>Analyses examined how using ENDS and smoking or vaping cannabis, both separately and together, were associated with reductions in daily combustible cigarette smoking among young adult smokers.</div></div><div><h3>Participants</h3><div>Three waves of data from the Community Youth Development Study, including 909 participants who reported daily cigarette smoking at age 23, 26, and/or 28, were included in analyses.</div></div><div><h3>Setting</h3><div>Participants were dispersed throughout 48 US states.</div></div><div><h3>Measurements</h3><div>Latent growth modeling was used to model daily cigarette smoking over time. Models using past-month ENDS use, past-month smoking/vaping cannabis, and past-month co-use of ENDS and cannabis (using ENDS and smoking/vaping cannabis within the past month) as time-varying covariates were tested.</div></div><div><h3>Findings</h3><div>Over time, there was a tendency towards cessation of daily combustible cigarette use among this smoking sample. Smoking/vaping cannabis was associated with a decreased rate of daily combustible cigarette cessation among the sample, whereas ENDS use was associated with an increased rate of daily smoking cessation. The predicted additive effect of using ENDS and smoking/vaping cannabis was not significant.</div></div><div><h3>Conclusions</h3><div>Among young adult daily cigarette smokers, smoking cannabis, on its own, poses a risk to quitting combustible cigarettes, while using ENDS may promote cigarette cessation, possibly through substitution.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"164 ","pages":"Article 108289"},"PeriodicalIF":3.7,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143387148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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: 0

Modes of cannabis use, frequency of use, and cannabis use problems: A latent profile analysis of modes of cannabis use

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-02-11 DOI: 10.1016/j.addbeh.2025.108285

Christina Dyar , Elise Green , Isaac C. Rhew

Background

While studies have linked different modes of cannabis use (CU) with CU problems and consequences, they have typically focused on unique effects of individual modes. Few studies have examined more complex patterns (e.g., using multiple modes). Studies that have typically combine modes and frequency of use, making it impossible to determine whether differences between patterns of use result from differing modes or differing frequencies of use.

Methods

We used data from 338 sexual minority women and gender diverse individuals (18–25 years old) who used cannabis (populations at high risk for CU disorder) to identify groups based on their modes of CU and examine associations between mode-based groups on CU frequency and consequences.

Results

Four groups were identified: smoking [reference], vaping concentrates, edible use, and multiple modes of use. Those who predominately used edibles tended to engage in less frequent CU and reported fewer problems compared to those who predominately smoked cannabis. Individuals who predominately vaped concentrates experienced more problems and more frequent CU at follow-up compared to those who predominately smoked cannabis, controlling for CU problems and frequency at baseline. Using multiple modes per day was not associated with frequency or problems.

Conclusions

Lower CU problems identified among those who predominately used edibles were attributed to their lower frequency CU. Findings also indicate that vaping concentrates may be associated with increasing cannabis frequency and consequences. As the study sample was comprised of sexual minority women and gender diverse young adults, future research should determine whether results generalize to other populations.

{"title":"Modes of cannabis use, frequency of use, and cannabis use problems: A latent profile analysis of modes of cannabis use","authors":"Christina Dyar , Elise Green , Isaac C. Rhew","doi":"10.1016/j.addbeh.2025.108285","DOIUrl":"10.1016/j.addbeh.2025.108285","url":null,"abstract":"<div><h3>Background</h3><div>While studies have linked different modes of cannabis use (CU) with CU problems and consequences, they have typically focused on unique effects of individual modes. Few studies have examined more complex patterns (e.g., using multiple modes). Studies that have typically combine modes and frequency of use, making it impossible to determine whether differences between patterns of use result from differing modes or differing frequencies of use.</div></div><div><h3>Methods</h3><div>We used data from 338 sexual minority women and gender diverse individuals (18–25 years old) who used cannabis (populations at high risk for CU disorder) to identify groups based on their modes of CU and examine associations between mode-based groups on CU frequency and consequences.</div></div><div><h3>Results</h3><div>Four groups were identified: smoking [reference], vaping concentrates, edible use, and multiple modes of use. Those who predominately used edibles tended to engage in less frequent CU and reported fewer problems compared to those who predominately smoked cannabis. Individuals who predominately vaped concentrates experienced more problems and more frequent CU at follow-up compared to those who predominately smoked cannabis, controlling for CU problems and frequency at baseline. Using multiple modes per day was not associated with frequency or problems.</div></div><div><h3>Conclusions</h3><div>Lower CU problems identified among those who predominately used edibles were attributed to their lower frequency CU. Findings also indicate that vaping concentrates may be associated with increasing cannabis frequency and consequences. As the study sample was comprised of sexual minority women and gender diverse young adults, future research should determine whether results generalize to other populations.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"164 ","pages":"Article 108285"},"PeriodicalIF":3.7,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143378863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Predictors and consequences of unplanned drinking among young adults

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-02-10 DOI: 10.1016/j.addbeh.2025.108286

Brian Suffoletto , Tammy Chung

Objective

Unplanned drinking, or drinking that violates intentions to limit alcohol consumption, has been linked to significant alcohol-related consequences in college students; however, predictors and outcomes remain incompletely understood among other populations of young adults. This study identified person- and event-level predictors of unplanned drinking and explore the association of unplanned drinking with negative alcohol-related consequences in a racially and educationally diverse cohort of young adults.

Method

A total of 938 young adults (aged 18–25; 70 % female; 60 % non-college; 37 % Black) participating in a randomized trial testing text-message alcohol interventions completed ecological momentary assessments (EMA) reporting drinking intentions and alcohol consumption twice weekly for at least 4 weeks over a 14 week period. Controlling for intervention effects, mixed-effects models examined predictors of unplanned drinking days, and zero-inflated negative binomial regression models assessed the relationship between frequency of unplanned drinking and negative alcohol consequences at a 14-week follow-up.

Results

Participants reported alcohol consumption on 16.9 % of days when they had no plan to drink. Odds of unplanned drinking was higher for older age (adjusted Odds Ratio [aOR] = 1.06, p < 0.01), Black race (aOR = 1.25, p < 0.01), higher AUDIT-C score (aOR = 1.14, p < 0.001), and higher negative urgency score (aOR = 1.05, p < 0.01), weekends (aOR = 1.63, p < 0.001) and the presence of friends drinking (aOR = 9.37, p < 0.001). Compared to participants in the lowest unplanned drinking day category, those in the highest category showed a 26 % higher negative alcohol consequence rate ratio (RR = 1.26, 95 % CI [1.07, 1.48]).

Conclusions

Unplanned drinking in young adults is strongly influenced by social context and individual risk factors. This behavior, when extreme, was associated with increased negative alcohol-related consequences. Interventions targeting impulsivity and peer influence may reduce unplanned drinking and mitigate its harmful effects.

{"title":"Predictors and consequences of unplanned drinking among young adults","authors":"Brian Suffoletto , Tammy Chung","doi":"10.1016/j.addbeh.2025.108286","DOIUrl":"10.1016/j.addbeh.2025.108286","url":null,"abstract":"<div><h3>Objective</h3><div>Unplanned drinking, or drinking that violates intentions to limit alcohol consumption, has been linked to significant alcohol-related consequences in college students; however, predictors and outcomes remain incompletely understood among other populations of young adults. This study identified person- and event-level predictors of unplanned drinking and explore the association of unplanned drinking with negative alcohol-related consequences in a racially and educationally diverse cohort of young adults.</div></div><div><h3>Method</h3><div>A total of 938 young adults (aged 18–25; 70 % female; 60 % non-college; 37 % Black) participating in a randomized trial testing text-message alcohol interventions completed ecological momentary assessments (EMA) reporting drinking intentions and alcohol consumption twice weekly for at least 4 weeks over a 14 week period. Controlling for intervention effects, mixed-effects models examined predictors of unplanned drinking days, and zero-inflated negative binomial regression models assessed the relationship between frequency of unplanned drinking and negative alcohol consequences at a 14-week follow-up.</div></div><div><h3>Results</h3><div>Participants reported alcohol consumption on 16.9 % of days when they had no plan to drink. Odds of unplanned drinking was higher for older age (adjusted Odds Ratio [aOR] = 1.06, p < 0.01), Black race (aOR = 1.25, p < 0.01), higher AUDIT-C score (aOR = 1.14, p < 0.001), and higher negative urgency score (aOR = 1.05, p < 0.01), weekends (aOR = 1.63, p < 0.001) and the presence of friends drinking (aOR = 9.37, p < 0.001). Compared to participants in the lowest unplanned drinking day category, those in the highest category showed a 26 % higher negative alcohol consequence rate ratio (RR = 1.26, 95 % CI [1.07, 1.48]).</div></div><div><h3>Conclusions</h3><div>Unplanned drinking in young adults is strongly influenced by social context and individual risk factors. This behavior, when extreme, was associated with increased negative alcohol-related consequences. Interventions targeting impulsivity and peer influence may reduce unplanned drinking and mitigate its harmful effects.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"165 ","pages":"Article 108286"},"PeriodicalIF":3.7,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143420344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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: 0

Targeting craving with EMDR therapy: Future directions

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-02-09 DOI: 10.1016/j.addbeh.2025.108288

Junilla K. Larsen , Wiebren Markus , Reinout W. Wiers , Ad de Jongh

Eye movement desensitization and reprocessing (EMDR) therapy may be a promising approach when targeting addiction-related memory representations that trigger craving. We propose a link with cue-reactivity mechanisms targeted by both cognitive bias modification training and cue-exposure therapy, including increased cue-devaluation, reduction in cognitive biases, and violation of dysfunctional expectancies. In this commentary, we propose a framework explaining the effects of addiction-focused EMDR therapy based on insights from working memory and inferential processing accounts, empirical evidence of underlying EMDR mechanisms, and the broader cue-exposure literature. It points to new directions for future addiction-focused EMDR therapy, by optimizing procedures, by more strongly taxing working memory, better violate dysfunctional expectancies, inhibiting cue-reactive related memories and lowering craving and inhibiting addictive responses. We hope that this framework will inspire future research investigating the underlying mechanisms as well as potential boundary conditions (e.g., arousal) that may moderate these mechanisms across a wider set of addictive-like domains.

{"title":"Targeting craving with EMDR therapy: Future directions","authors":"Junilla K. Larsen , Wiebren Markus , Reinout W. Wiers , Ad de Jongh","doi":"10.1016/j.addbeh.2025.108288","DOIUrl":"10.1016/j.addbeh.2025.108288","url":null,"abstract":"<div><div>Eye movement desensitization and reprocessing (EMDR) therapy may be a promising approach when targeting addiction-related memory representations that trigger craving. We propose a link with cue-reactivity mechanisms targeted by both cognitive bias modification training and cue-exposure therapy, including increased cue-devaluation, reduction in cognitive biases, and violation of dysfunctional expectancies. In this commentary, we propose a framework explaining the effects of addiction-focused EMDR therapy based on insights from working memory and inferential processing accounts, empirical evidence of underlying EMDR mechanisms, and the broader cue-exposure literature. It points to new directions for future addiction-focused EMDR therapy, by optimizing procedures, by more strongly taxing working memory, better violate dysfunctional expectancies, inhibiting cue-reactive related memories and lowering craving and inhibiting addictive responses. We hope that this framework will inspire future research investigating the underlying mechanisms as well as potential boundary conditions (e.g., arousal) that may moderate these mechanisms across a wider set of addictive-like domains.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"164 ","pages":"Article 108288"},"PeriodicalIF":3.7,"publicationDate":"2025-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143387149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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: 0