Addictive behaviors最新文献

{"title":"The impact of cannabis co-use and cannabis use disorder on interest in and barriers to tobacco cessation","authors":"Francis Julian L. Graham ,&nbsp;Vira Pravosud ,&nbsp;Salomeh Keyhani ,&nbsp;Katherine J. Hoggatt ,&nbsp;Pamela Ling ,&nbsp;Deborah Hasin ,&nbsp;Nhung Nguyen ,&nbsp;Beth E. Cohen","doi":"10.1016/j.addbeh.2026.108609","DOIUrl":"10.1016/j.addbeh.2026.108609","url":null,"abstract":"<div><h3>Background</h3><div>Co-use of cannabis and tobacco is increasing, but its impact on smoking cessation is not completely understood. It is unclear whether any cannabis use, or only problematic use such as cannabis use disorder (CUD), impacts smoking cessation.</div></div><div><h3>Method</h3><div>In 2023, we conducted an online, national survey of US adults (n = 2,271) currently smoking cigarettes. We examined the association of past 30-day cannabis use (divided into three groups: co-use with CUD, co-use without CUD, and no cannabis use) with outcomes that can impact smoking cessation: self-rated importance, readiness, and confidence in quitting, barriers to cessation (Barriers to Cessation Scale, score range 0 to 57), and specific types of barriers (Addiction, Internal, and External barriers subscales).</div></div><div><h3>Results</h3><div>Interest in quitting smoking and self-rated importance was lowest in those with co-use without CUD, but self-rated readiness and confidence did not significantly differ among the three groups. Those with CUD reported the highest levels of barriers overall (total score of 20.3 for co-use with CUD, 15.2 for co-use use without CUD, and 16.4 for no cannabis use) and across all subscales. Adjusted subscale scores were higher for adults with CUD vs. cannabis use without CUD (Addiction: p = 0.03, External: p= 0&lt;.001, Internal: &lt;.001) and vs. no cannabis use (Addiction: p = 0.03, External: p = 0.02, Internal: p &lt; 0.001).</div></div><div><h3>Conclusions</h3><div>Adults who smoke cigarettes and use cannabis (vs. those smoking without cannabis co-use) report similar levels of readiness and confidence in quitting smoking. However, interest in and importance of quitting smoking was lowest in those reporting co-use without CUD and barriers were greatest in those reporting co-use with CUD. These populations may benefit from targeted interventions to address their unique challenges and improve smoking cessation.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"175 ","pages":"Article 108609"},"PeriodicalIF":3.6,"publicationDate":"2026-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145960882","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}

{"title":"The role of cumulative adverse childhood experiences in the interrelationships among addictive behaviors: A network analysis study","authors":"Giorgio Veneziani ,&nbsp;Emanuele Giraldi ,&nbsp;Giulia Panagini ,&nbsp;Giuseppe Marano ,&nbsp;Giuseppe Manuel Festa ,&nbsp;Marianna Mazza ,&nbsp;Carlo Lai","doi":"10.1016/j.addbeh.2026.108610","DOIUrl":"10.1016/j.addbeh.2026.108610","url":null,"abstract":"<div><h3>Background</h3><div>Adverse childhood experiences have been identified as important risk factors for addictive behaviors, particularly when cumulatively occurring. The present cross-sectional study aimed to investigate the differences and interrelationships of addictive behaviors (both substance and behavior-related, such as gaming and overeating) according to adverse childhood experiences.</div></div><div><h3>Method</h3><div>A total of 802 participants recruited from the Italian general population completed the brief Screener for Substance and Behavioral Addiction and Childhood Traumatic Events Scale. Based on reported adverse childhood experiences, participants were divided into three groups: no adverse experience, single adverse experience, and multiple adverse experiences. The interrelationships among addictive behaviors in the groups were assessed using a network analysis approach.</div></div><div><h3>Results</h3><div>The multiple adverse experiences group reported significantly higher levels of addictive behaviors related to tobacco, overeating, and sex. Network analysis showed that in the multiple adverse experiences group, addictive behaviors were more interrelated, displaying a greater number of associations among each other than in the no adverse experience and single adverse experience groups. Particularly, in the multiple adverse experiences group, substance-related addictive behaviors (alcohol, tobacco, cannabis, cocaine) showed strong interrelationships, suggesting a pattern of polysubstance use. Moreover, in the multiple adverse experiences group, overeating showed associations with the other types of addictive behaviors. Lastly, in each group, compulsive sex was associated with most of the other types of addictive behaviors, and, specifically, in the multiple adverse experiences group, it showed connections with shopping and overworking, while in the no adverse experience group, with cannabis, videogaming, and overeating.</div></div><div><h3>Conclusions</h3><div>The main findings of the study showed that individuals with cumulative adverse childhood experiences not only reported higher severity of single addictive behaviors, but also greater interrelationships among each other, highlighting in these individuals a potential pattern of mutual reinforcement and links between several addictive behaviors.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"175 ","pages":"Article 108610"},"PeriodicalIF":3.6,"publicationDate":"2026-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145968038","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}

{"title":"Problematic cannabis use and attachment insecurities as Joint predictors of Depression: Cross-Sectional and longitudinal models","authors":"Or Gliksberg ,&nbsp;Dvora Shmulewitz ,&nbsp;Vera Skvirsky ,&nbsp;Maor Daniel Levitin ,&nbsp;Daniel Feingold ,&nbsp;Ariel Kor ,&nbsp;Shaul Lev-Ran ,&nbsp;Mario Mikulincer","doi":"10.1016/j.addbeh.2026.108604","DOIUrl":"10.1016/j.addbeh.2026.108604","url":null,"abstract":"<div><div><em>Cannabis</em> use, depression, and attachment insecurities (anxiety, avoidance) have been previously linked, though typically examined using bivariate methods. This study tested cross-sectional and longitudinal associations among these constructs, assessing whether problematic cannabis use contributes to depression, and whether attachment insecurities exacerbate this effect. Data were collected from 1,745 Jewish Israeli adults at two timepoints (2024 = T1; 2025 = T2) of whom 412 reported lifetime cannabis use. Problematic cannabis use, depression, and attachments insecurities were assessed with the ASSIST, PHQ-9 and ECR ,respectively. Analyses in the full sample examined the full range of cannabis involvement, including no use, and in the lifetime-user subsample the impact of problematic use severity. Cross-sectional models at T1 and T2 tested whether depressive symptoms were predicted by problematic cannabis use and moderated by attachment anxiety and avoidance. A longitudinal model examined whether problematic cannabis use and attachment insecurities at T1 predicted changes in depression from T1 to T2. At both timepoints, attachment anxiety significantly moderated the cannabis-depression association (<em>p</em> = 0.013 at T1, <em>p</em> = 0.002 at T2), with a stronger link at higher anxiety levels. Similar patterns appeared in the lifetime-user subsample. Longitudinally, a significant three-way interaction (p = 0.014) indicated that increases in depression were greatest among individuals high in both anxiety and avoidance, while avoidance buffered this effect among users. Attachment insecurities are key vulnerability factors that intensify the depressive impact of problematic cannabis use. These findings underscore the importance of developing clinical interventions targeting both substance use and attachment-related vulnerabilities and emotional dysregulation.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"175 ","pages":"Article 108604"},"PeriodicalIF":3.6,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145922170","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}

{"title":"Investigating the impact of loss accumulation periods on the predictive relationship between loss chasing and potential gambling harms","authors":"Timothy C. Edson,&nbsp;Matthew A. Tom,&nbsp;Debi A. LaPlante","doi":"10.1016/j.addbeh.2026.108605","DOIUrl":"10.1016/j.addbeh.2026.108605","url":null,"abstract":"<div><div>This study builds on a growing body of research seeking to define multidimensional loss chasing. Analyzing data from 36,325 online sports bettors, the focus was to identify which <em>loss accumulation period</em> (<em>loss period</em>; i.e., immediate losses vs. daily, weekly, monthly, and total cumulative losses) maximizes the predictive relationship between loss chasing and diverse potential harm outcomes. We found that the daily loss period yielded the best predictive efficacy for two harm outcomes (loss trajectory and voluntary self-exclusion [VSE]). Loss chasing was not associated with a third harm outcome (percent change in net loss) for any loss period. Overall, the findings suggest that the loss accumulation period for loss chasing matters for predicting harms, with daily losses presenting the most potential importance and relevance to potential gambling harm. These findings can be used to inform new predictive models for identifying risk for gambling harm from betting records.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"175 ","pages":"Article 108605"},"PeriodicalIF":3.6,"publicationDate":"2026-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145973475","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}

{"title":"Risk of opioid overdose during buprenorphine treatment for opioid use disorder in the fentanyl era","authors":"Laura C. Chambers ,&nbsp;Benjamin D. Hallowell ,&nbsp;Andrew R. Zullo ,&nbsp;McClaren Rodriguez ,&nbsp;Marzan A. Khan ,&nbsp;Justin Berk ,&nbsp;Rachel Gaither ,&nbsp;Macy Daly ,&nbsp;Rachel S. Wightman ,&nbsp;Francesca L. Beaudoin","doi":"10.1016/j.addbeh.2026.108603","DOIUrl":"10.1016/j.addbeh.2026.108603","url":null,"abstract":"<div><h3>Background</h3><div>For patients who use fentanyl, higher than currently recommended maintenance doses of buprenorphine treatment for opioid use disorder (OUD) may be needed to prevent cravings and withdrawal, but some clinicians and regulators are concerned that higher doses may increase overdose risk. We evaluated buprenorphine effectiveness for overdose prevention in the fentanyl era.</div></div><div><h3>Methods</h3><div>We conducted a retrospective cohort study of Rhode Island residents initiating buprenorphine for OUD (October 2016‒September 2022) using statewide administrative data. On each of 365 follow-up days, patients were classified as having an active buprenorphine prescription (yes/no) and a non-fatal or fatal opioid overdose (yes/no). Follow-up was discontinued if patients died or initiated methadone or naltrexone. Generalized estimating equations compared opioid overdose risk for days with versus without an active buprenorphine prescription, controlling for potential confounders and clustering by patient.</div></div><div><h3>Results</h3><div>Among 8,676 patients initiating buprenorphine, most were aged 25–44 years (56.0 %) and male (61.3 %). In the 365 days following initiation, 52.6 % of person-days were covered by an active buprenorphine prescription, 1,069 patients (12.3 %) had follow-up discontinued due to methadone initiation, and 411 patients (4.7 %) experienced 545 opioid overdoses. Opioid overdose risk was 61 % lower for days with versus without an active buprenorphine prescription (adjusted risk ratio = 0.39, 95 % confidence interval = 0.31–0.49). Daily doses prescribed on days with and without an opioid overdose event were similar (P = 0.261).</div></div><div><h3>Conclusions</h3><div>Buprenorphine remains effective for overdose prevention in the fentanyl era among patients who remain in treatment. There was no evidence that higher doses were associated with greater overdose risk.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"175 ","pages":"Article 108603"},"PeriodicalIF":3.6,"publicationDate":"2026-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145922166","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}

{"title":"Alcohol consumption patterns and Long-Term Anxiety: The influence of Sex, Age, and income","authors":"Simon D’Aquino ,&nbsp;Benjamin Riordan ,&nbsp;Megan Cook ,&nbsp;Sarah Callinan","doi":"10.1016/j.addbeh.2026.108594","DOIUrl":"10.1016/j.addbeh.2026.108594","url":null,"abstract":"<div><h3>Objective</h3><div>Alcohol consumption patterns have been associated with long-term anxiety, but evidence on how these associations vary across population subgroups remains limited. This study examines longitudinal associations between alcohol consumption frequency and quantity and subsequent anxiety, and tests whether these relationships were moderated by sex, age, and income level.</div></div><div><h3>Methods</h3><div>Participants were from a nationally representative sample of Australian adults (<em>N</em> = 21,405) from the Household, Income, and Labour Dynamics in Australia (HILDA) survey between 2006 and 2021. Linear mixed-effects models predicted anxiety based on alcohol consumption one-year prior up to eight times per participant. Moderation by sex (male, female), age-group (18–25, 26–37, 38–50, 51 + years), and income quartile were examined. Anxiety was measured using the Kessler-10 anxiety subscale and alcohol consumption was measured using self-reported alcohol consumption frequency (alcohol consumption occasions per week) and alcohol consumption quantity (standard drinks consumed on alcohol consumption occasions).</div></div><div><h3>Results</h3><div>An adjusted model demonstrated a small effect of frequency (IRR[95 % CI] = 0.98[0.98, 0.99]) and quantity (IRR[95 % CI] = 1.02[1.01, 1.03]) on anxiety one-year later. Age, but not sex nor income, moderated the relationship between alcohol consumption and anxiety. Specifically, frequency was associated with slightly lower longitudinal anxiety for 51 + year-olds (β[95 % CI] = -0.04[-0.05, −0.03]), but showed no association for 18–50-year-olds. Conversely, quantity was associated with slightly greater longitudinal anxiety for 51 + year-olds (β[95 % CI] = 0.03[.02, 0.05]) and 26–50-year-olds (β[95 % CI] = 0.02[.01, 0.03]), but not 18–25-year-olds.</div></div><div><h3>Conclusions</h3><div>While the impact of alcohol consumption on anxiety appears very small, divergent relationships of drinking frequency versus quantity on long-term anxiety seem to emerge across the lifespan. Drinking larger amounts per occasion appears associated with slight increases in anxiety from early adulthood, while drinking more frequently but in smaller amounts appears associated with slight decreases in anxiety in older adulthood.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"175 ","pages":"Article 108594"},"PeriodicalIF":3.6,"publicationDate":"2026-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145922203","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}

{"title":"ADHD symptoms and problematic digital media use in emerging adults: Investigating the role of cognitive deficits as mediators","authors":"Luka Todorovic,&nbsp;Janina Baumer,&nbsp;Helle Larsen","doi":"10.1016/j.addbeh.2026.108608","DOIUrl":"10.1016/j.addbeh.2026.108608","url":null,"abstract":"<div><div>This study examined the relationship between ADHD symptoms and problematic social media use (PSMU) and problematic gaming (PG) in a community sample of emerging adults. Cognitive deficits underlying ADHD – inhibitory control deficits, reward sensitivity, and temporal processing deficits – were investigated as potential mechanisms linking ADHD symptoms to PSMU and PG. In a sample of 111 emerging adults (<em>M</em>_age = 21.2, <em>SD</em> = 2.7; 84% female), ADHD symptoms, PSMU, and PG were assessed using self-report scales, while cognitive deficits were evaluated through both self-report scales and behavioural tasks. Parallel mediation analyses revealed significant positive direct effects between ADHD symptoms and both PSMU and PG, but found no significant mediating effects of the hypothesised mechanisms. Exploratory analyses suggested that inhibitory control and temporal processing deficits may play a role in linking hyperactivity/impulsivity symptoms to PSMU, and inhibitory control deficits emerged as a possible transdiagnostic factor for concurrent ADHD symptoms and PSMU. Nonetheless, the main analyses did not support mediation by cognitive deficits, indicating no evidence that they explained the associations between ADHD symptoms and problematic digital media use. Future research may explore such prospective mechanisms in longitudinal designs with representative samples to inform interventions which may reduce problematic digital media use in individuals with elevated ADHD symptoms.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"175 ","pages":"Article 108608"},"PeriodicalIF":3.6,"publicationDate":"2026-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146013839","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}

{"title":"PTSD symptoms and substance use problems in traumatic injury patients: A 24-month follow-up","authors":"Michael Fendrich ,&nbsp;Kevin Petranu ,&nbsp;Lauren Nickel ,&nbsp;Christine L. Larson ,&nbsp;Terri A. deRoon-Cassini","doi":"10.1016/j.addbeh.2026.108596","DOIUrl":"10.1016/j.addbeh.2026.108596","url":null,"abstract":"<div><h3>Background</h3><div>People who experience traumatic injuries may be at risk for a variety of post-injury emotional and behavioral sequalae. In particular, the level of trauma experienced in relation to those injuries may place individuals at increased risk for substance use-related problems. Given the lack of research directly investigating the impact of injury-related PTSD on substance use problems post-injury, we conducted a secondary analysis of a study of injured patients to explore this issue.</div></div><div><h3>Methods</h3><div>To address the hypothesis that those experiencing more trauma at baseline were at increased risk for substance use problems at follow-up, this study utilized a prospective longitudinal design to investigate the relationship between traumatic injury, PTSD symptoms, and drug use problems over a 24-month follow-up period in 215 patients with traumatic injuries admitted for treatment to an urban Level 1 trauma center. The main study aim was to investigate whether the baseline major of trauma was associated with higher levels of substance use problems at follow-up, controlling for key background variables. Accordingly, we conducted mixed model longitudinal regression analysis where the 10-item DAST was regressed on time, demographic variables (age, sex, race, and income), and initial post-injury PTSD symptoms (as measured by the PCL-5 assessed two weeks post-injury). Separate analyses were conducted using continuous and binary measures of the DAST-10.</div></div><div><h3>Results</h3><div>Forty-two percent of the sample exceeded the clinical threshold for PTSD. Elevated PTSD symptoms increased the risk for the emergence of substance use problems over the follow-up period. The impact of PTSD symptoms remained when we looked at continuous and binary indicators of substance use problems, and when we controlled for retrospectively reported substance use problems. Male sex, older age, and lower income were also associated with the emergence of substance use problems.</div></div><div><h3>Conclusion</h3><div>PTSD symptoms occurring immediately post-injury, when elevated, lead to an increased risk for the emergence of substance use problems at follow-up. Substance use problems at follow-up are not merely a continuation of problems experienced before the injury. These findings underscore the importance of screening and of psychologically focused interventions soon after the traumatic injury experience.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"175 ","pages":"Article 108596"},"PeriodicalIF":3.6,"publicationDate":"2026-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146074139","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}

{"title":"Tobacco and cannabis co-use by route of administration in the United States, 2022/2023","authors":"Laurel P. Gibson ,&nbsp;Michael J. Parks ,&nbsp;Heather L. Kimmel ,&nbsp;Carlos Blanco ,&nbsp;Joseph T. Ciccolo ,&nbsp;MeLisa R. Creamer ,&nbsp;Colm Everard ,&nbsp;Neal D. Freedman ,&nbsp;Melissa Garcia ,&nbsp;John H. Kingsbury ,&nbsp;Youn Ok Lee ,&nbsp;Daniela Marshall ,&nbsp;Wilson M. Compton ,&nbsp;Annette Kaufman","doi":"10.1016/j.addbeh.2026.108595","DOIUrl":"10.1016/j.addbeh.2026.108595","url":null,"abstract":"<div><div>Given recent increases in cannabis and tobacco co-use, alongside the rapidly evolving cannabis and tobacco use landscapes in the United States (US), updated national estimates of current co-use that account for route of administration are needed. Using data from Wave 7 (2022/2023) of the nationally representative Population Assessment of Tobacco and Health (PATH) Study (<em>N</em> = 39,947), this study estimates the prevalence of current co-use among US youth and adults aged 12 years and older and examines the specific routes (e.g., combustible, vaping, oral) through which individuals co-use both substances. Data were weighted to produce representative estimates. An estimated 8.2 % of US youth and adults reported current (past 30-day) co-use between 2022 and 2023. Co-use of combustible tobacco and combustible cannabis products was the most common form of co-use, accounting for nearly one third of all co-using individuals. Co-use involving combustible tobacco and combustible cannabis was most common among co-using individuals aged 25–39 and 40+, while co-use involving nicotine vaping was most common among those aged 12–24. Use of multiple tobacco and/or cannabis administration routes was also common. These findings provide the first nationally representative estimates of co-use that account for specific administration routes for both tobacco and cannabis. Findings highlight the need for surveillance and intervention strategies that account for the full range of tobacco and cannabis administration routes available today.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"175 ","pages":"Article 108595"},"PeriodicalIF":3.6,"publicationDate":"2026-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145922169","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}

{"title":"Protective behavioral strategies and planned drinking relate to high intensity drinking and consequences at the day level","authors":"Jennifer E. Merrill ,&nbsp;Roselyn Peterson ,&nbsp;Christian C. Garcia ,&nbsp;Lindy K. Howe ,&nbsp;Kate B. Carey ,&nbsp;Nancy P. Barnett ,&nbsp;Kristina M. Jackson ,&nbsp;Mary Beth Miller","doi":"10.1016/j.addbeh.2025.108591","DOIUrl":"10.1016/j.addbeh.2025.108591","url":null,"abstract":"<div><h3>Background</h3><div>Heavy episodic drinking (HED; 4 + [females]/5 + [males] drinks/occasion), high-intensity drinking (HID; 8 + [females]/10 + [males] drinks/occasion), and drinking events that are planned are all associated with negative consequences. Protective behavioral strategies (PBS) are techniques to minimize alcohol-related consequences. In this day-level study, we hypothesized (1) PBS use would be associated with safer same-day drinking (lower odds of HID and negative consequences), and (2) risks of HID and consequences associated with planned drinking would be reduced on days with higher PBS use. Additionally, (3) on HID days, having planned to engage in HID was hypothesized to relate to use of fewer PBS.</div></div><div><h3>Method</h3><div>Young adults (<em>n</em> = 203, 57 % female) completed a baseline assessment and 28-day ecological momentary assessment of drinking intentions, and number of drinks.</div></div><div><h3>Results</h3><div>In total, 2,467 drinking days were captured (52% planned, 27% HID). Using more PBS was associated with lower odds of HID (relative to HED but not moderate drinking), and fewer consequences, partially supporting our first hypothesis. PBS did not moderate effects of planned drinking on HID or negative consequence odds. On planned (vs unplanned) HID days, fewer PBS were used, supporting our third hypothesis.</div></div><div><h3>Conclusion</h3><div>Planning to drink is linked reliably to heavier drinking and negative consequences, but day-level associations between PBS and risky drinking are complex. PBS appear to have less impact on consequences when drinking is planned. When HID in particular is planned, fewer PBS are used. For days when HID is planned, real-time reminders of PBS may add value to intervention efforts.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"175 ","pages":"Article 108591"},"PeriodicalIF":3.6,"publicationDate":"2025-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145919344","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}