Addictive behaviors最新文献_第3页

Effectiveness of educational interventions in United States schools to prevent opioid-related harms: A systematic review

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-01-27 DOI: 10.1016/j.addbeh.2025.108268

Christina Hua-Nguyen , Ashley Harris , Micah E. Herrera , Jamison Falk , Me-Linh Le , Shweta Mital

Issues

The opioid crisis in North America has increased concerns about adolescent problematic opioid use. Schools are crucial in prevention efforts, but the effectiveness of school-based educational programs is debated. This review evaluates the effectiveness of school-based opioid education programs in preventing opioid-related harms, and improving knowledge, attitudes, and beliefs about opioids among youth.

Approach

Ovid MEDLINE, Ovid Embase, Ovid PsycInfo, ERIC, and Web of Science databases were searched in January 2025. Included studies met the following criteria: (1) were published in English; (2) conducted in a middle or high school setting; (3) the intervention related to opioid education; (4) randomized trials or observational studies; and (5) published between January 2000 and January 2025.

Key Findings

Among 1405 studies screened, eight met the inclusion criteria and evaluated seven school-based opioid education programs with participants aged between 11 and 18 years. Most studies used quasi-experimental designs, and only one was a randomized controlled trial. One study showed that combining classroom-based interventions in grade 7 with sessions that involved parents participating alongside students significantly reduced prescription opioid misuse, with effects lasting until grade 12. Four studies showed improved knowledge and attitudes towards opioid use and two showed increased understanding of opioid withdrawal and overdose management.

Implications and Conclusion

This review is the first to evaluate school-based opioid education programs for adolescents. Findings indicate that these programs effectively increase opioid knowledge and reduce problematic opioid use, though further randomized trials among diverse participant samples are needed to confirm efficacy and generalizability of findings.

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引用次数: 0

A qualitative analysis of people who died by suicide and had gambling documented in their coronial file

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-01-26 DOI: 10.1016/j.addbeh.2025.108267

Ciara ME Reynolds , Gemma Cox , Suzi Lyons , Helen McAvoy , Louise O’Connor , Katerina Kavalidou

Background

Gambling related harms are vast and varied. There is evidence that gambling is associated with increased risk of suicidal ideation and attempts. Our aim was to identify and profile individuals who died by suicide and had gambling documented in their coronial file.

Methodology

The Irish Probable Suicide Death Study dataset contains all (n = 3,625) coroner and research-determined suicide deaths between 2015 and 2020. It was systematically searched to identify all deaths where gambling was recorded in coroner’s files. Relevant data were extracted and included in a new database for further qualitative-driven analysis. Long-term distal (or chronic) and short-term proximal (or acute) risk factors were used as a framework for the analysis of the data.

Results

Gambling was recorded in 23 coroners’ files, representing 0.6% of all suicides during the six-year period. Males were overrepresented and less than half were in employment at the time of death. Distal risk factors included co-occurring mental health conditions (notably mood disorders), a history of drug and alcohol dependency, past suicide intent and/or behaviour, and exposure to suicide. Key proximal risk factors included acute mental health symptoms, financial issues, interpersonal problems, intoxication, and recent stressful life events.

Conclusions

We found that 23 people who died by suicide had gambling documented in their coronial file between 2015 and 2020. Numerous socioeconomic factors, interpersonal issues, and mental health conditions including addiction were also present at the time of death. The numbers in this study are likely an underrepresentation and support the need for improvements in data collection.

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引用次数: 0

Predictors of treatment attrition among individuals in substance use disorder treatment: A machine learning approach

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-01-25 DOI: 10.1016/j.addbeh.2025.108265

Jill A. Rabinowitz , Jonathan L. Wells , Geoffrey Kahn , Jennifer D. Ellis , Justin C. Strickland , Martin Hochheimer , Andrew S. Huhn

Background

Early treatment discontinuation in substance use disorder treatment settings is common and often difficult to predict. We leveraged a machine learning approach (i.e., random forest) to identify individuals at risk for treatment attrition, and specific factors associated with treatment discontinuation.

Method

Participants (N = 29,809) were individuals ≥ 18 years who attended substance use disorder treatment facilities in the United States. Using random forest, we aimed to predict three outcomes (1) leaving against medical advice (AMA), (2) discharging involuntarily, and (3) discharging early for any reason. Predictors included participant demographics, substance use the month before and at intake, indices of mental and physical health, as well as treatment center and program type.

Findings

We observed low to moderate area under the curve (range = 0.631–0.671), high negative predictive values (range = 0.853–0.965), and low positive predictive values (0.088–0.336) across the three treatment attrition outcomes. The most robust predictors of the three outcomes included treatment center, treatment type, and participant age. Additional predictors of the three outcomes included employment status; reason for treatment; primary drug at intake and frequency of use; prescription opioid, benzodiazepine, or heroin use at intake; living status at intake; and driving under the influence prior to treatment.

Conclusions

Our models were able to accurately identify individuals who remained in treatment, but not those who left treatment prematurely. The most robust predictors of treatment discontinuation were treatment center and program type, suggesting that targeting treatment facility features may have a significant impact on reducing treatment attrition and improving long-term recovery.

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引用次数: 0

Examining the Relationship of Cannabis use Patterns, Mental Health, and Sociodemographic Factors: A Focus on Cannabis Vaping, Smoking and Dual-Use 研究大麻使用模式、心理健康和社会人口因素之间的关系：重点关注大麻雾化、吸烟和双重用途。

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-01-19 DOI: 10.1016/j.addbeh.2025.108263

Jack Y.C. Chung , Carmen C.W. Lim , Jason P. Connor , Wayne Hall , Daniel Stjepanović , Gary C.K. Chan

Background

Cannabis vaping, and co-use with cannabis smoking, can exacerbate the risks of developing respiratory diseases and cannabis dependence. This study aims to examine the mental health profiles and sociodemographic correlates of adults who vape cannabis and engage in dual cannabis use (vaping/ smoking), compared to those who smoke cannabis.

Methods

The most recent, cross-sectional wave of the Population Assessment of Tobacco and Health Study (Wave 6) was used in this study. Data were restricted to adults (18 + years) who currently use cannabis (n = 7,178). Participants were classified as ‘cannabis smoking only,’ ‘cannabis vaping only,’ ‘dual-use,’ or ‘other cannabis use methods only.’ Multinomial logistic regression was used to examine the sociodemographic, internalizing and externalizing symptom factors of cannabis vaping and dual-use compared to cannabis smoking.

Results

Over 56 % of participants currently smoked cannabis only, 9.1 % vaped cannabis only, while 20.0 % were engaging in dual-use. Adults experiencing severe externalizing symptoms (vs. mild symptoms) had higher odds of engaging in dual-use than smoking cannabis only (OR = 1.89, 99.5 %CI: 1.48, 2.40). Those with White racial background (vs. African-American background) (OR = 3.90, 99.5 %CI: 2.31, 6.58) and earning a higher income (vs. lower income) (OR = 2.56, 99.5 %CI: 1.79, 3.66) had higher odds of currently vaping cannabis only, compared to smoking cannabis only.

Conclusions

Our study has identified that mental health plays a significant role in cannabis use patterns, particularly with externalizing symptoms which are related to aggression and diagnoses of attention deficit disorders. This highlights the need for healthcare and mental health providers to address mental health symptoms when managing adult cannabis use.

背景：吸食大麻并与吸食大麻同时使用，可加剧患呼吸道疾病和大麻依赖的风险。本研究旨在研究与吸食大麻的成年人相比，吸食大麻和双重使用大麻（吸电子烟/吸烟）的成年人的心理健康状况和社会人口统计学相关性。方法：本研究采用烟草与健康研究人口评估的最新横断面波（波6）。数据仅限于目前使用大麻的成年人（18岁以上）（n = 7178）。参与者被分为“只吸大麻”、“只吸大麻”、“两用”或“只使用其他大麻方法”。采用多项logistic回归分析了吸食大麻与吸食大麻相比，吸食大麻和军民两用的社会人口学、内化和外化症状因素。结果：超过56%的参与者目前只吸食大麻，9.1%的参与者只吸食大麻，而20.0%的参与者从事双重用途。经历严重外化症状（与轻度症状相比）的成年人从事双重用途的几率高于只吸食大麻（OR = 1.89, 99.5% CI: 1.48, 2.40）。白人种族背景（相对于非裔美国人背景）（OR = 3.90, 99.5% CI: 2.31, 6.58）和收入较高（相对于收入较低）（OR = 2.56, 99.5% CI: 1.79, 3.66）的人目前只吸大麻的几率高于只吸大麻的几率。结论：我们的研究已经确定，心理健康在大麻使用模式中起着重要作用，特别是与攻击和注意力缺陷障碍诊断相关的外化症状。这突出表明，保健和心理健康提供者在管理成人大麻使用时需要处理心理健康症状。

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引用次数: 0

Longitudinal impact of impulsivity and sensation-seeking on vaping initiation: The moderating role of peer vaping 冲动性和感觉寻求对电子烟起始的纵向影响：同伴电子烟的调节作用。

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-01-17 DOI: 10.1016/j.addbeh.2025.108264

Caroline North , Keryn E. Pasch , Miguel Pinedo , Anna V. Wilkinson , Alexandra Loukas

Limited research indicates impulsivity and sensation-seeking are associated with electronic nicotine delivery systems (ENDS) use in young adulthood, however, no study has examined the moderating effect of peer ENDS use on these associations. We examined the impacts of impulsivity and sensation-seeking on ENDS use initiation and determined if peer ENDS use moderates these associations. Participants were 2,590 ENDS naïve (i.e., never used ENDS) young adults involved in multi-wave, 4.5-year longitudinal study (Fall, 2014 – Spring, 2019). At baseline, participants were 18–25 years old (M = 20.1; SD = 1.8), 66.5 % female, 34.2 % non-Hispanic white, 28.1 % Hispanic/Latino, 8.6 % Black, 21.6 % Asian, and 7.4 % identified as another race/ethnicity. Cox’s regression models were used to test hypotheses. Predictors were time-varying impulsivity and sensation-seeking, and the moderator was time-varying peer ENDS use. The outcome, ENDS use initiation, was assessed by querying ever ENDS use over 7 follow-up waves. Covariates included socio-demographic characteristics, past 30-day other tobacco use, cannabis use, and binge drinking. Nearly 29% of participants initiated ENDS use during the study period. Sensation-seeking predicted an increased risk of initiating ENDS use (HR = 1.12, 95 %CI:1.03,1.22), but impulsivity did not. Although peer ENDS use directly predicted an increased risk for initiating ENDS use (HR = 1.57, 95 %CI:1.46, 1.68), peer ENDS use did not moderate the associations of impulsivity and sensation-seeking on ENDS use initiation. The role of sensation-seeking on ENDS use initiation is independent of peer use. Prevention programs tailored to those high in sensation-seeking may consider changing attitudes about how desires for novel experiences can be achieved through healthier behaviors.

有限的研究表明，冲动性和寻求感觉与年轻人使用电子尼古丁传递系统（ENDS）有关，然而，没有研究检验同伴使用电子尼古丁传递系统对这些关联的调节作用。我们研究了冲动性和感觉寻求对终端使用的影响，并确定同伴终端使用是否会调节这些关联。参与者为2590名ENDS naïve（即从未使用过ENDS）年轻人，参与了一项为期4.5年的多波纵向研究（2014年秋季至2019年春季）。在基线时，参与者年龄为18-25岁(M = 20.1；SD = 1.8)， 66.5%为女性，34.2%为非西班牙裔白人，28.1%为西班牙裔/拉丁裔，8.6%为黑人，21.6%为亚洲人，7.4%为其他种族/族裔。采用Cox回归模型对假设进行检验。预测因子为时变冲动性和感觉寻求，调节因子为时变同伴终端使用。结果，ENDS使用起始，通过查询7个随访期的ENDS使用情况来评估。协变量包括社会人口统计学特征、过去30天的其他烟草使用、大麻使用和酗酒。近29%的参与者在研究期间开始使用终端。感觉寻求预示着终端使用的风险增加（HR = 1.12, 95% CI:1.03,1.22），但冲动性没有。虽然同伴使用终端直接预测终端使用的风险增加（HR = 1.57, 95% CI:1.46, 1.68），但同伴使用终端并没有调节冲动和感觉寻求对终端使用启动的关联。感觉寻求在终端使用启动中的作用与同伴使用无关。针对那些高度寻求刺激的人量身定制的预防项目可能会考虑改变人们对如何通过更健康的行为来实现对新奇体验的渴望的态度。

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引用次数: 0

A network analysis of clinician-rated posttraumatic stress disorder and substance use disorder symptom clusters in a sample of veterans seeking outpatient treatment 寻求门诊治疗的退伍军人样本中临床评定的创伤后应激障碍和物质使用障碍症状群的网络分析。

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-01-16 DOI: 10.1016/j.addbeh.2025.108249

Rebecca E. Sistad Hall , Brittany Stevenson , Michelle J. Bovin , Sarah Kleiman , Dave Nelson , Hildi J. Hagedorn , Shannon Kehle-Forbes

The presentation of comorbid post-traumatic stress disorder (PTSD) and substance use disorder (SUD) differs by substance type. The current study applied network analysis to explore the relationships between diagnostic symptom clusters by examining the strength and direction of unique associations between PTSD and SUD. Network analyses were estimated using a sample of 422 veterans diagnosed with co-occurring PTSD/SUD initiating psychotherapy for PTSD while receiving concurrent outpatient SUD treatment as part of a randomized clinical trial. Separate network models were estimated for PTSD and the three most common SUD in the sample: alcohol use disorder (AUD), cannabis use disorder (CUD) and stimulant use disorder (StUD). Trauma-related intrusions and alcohol-related social impairment were the bridging symptom clusters that connected PTSD and AUD. Symptom clusters that connected PTSD and CUD were trauma-related intrusions and hyperarousal symptoms. Trauma-related alterations in cognition and mood and stimulant-related pharmacological symptoms were the bridging symptom clusters that connected PTSD and StUD. Each network of symptom clusters culminated in the trauma-related avoidance cluster, suggesting avoidance may represent a final outcome of the downstream effects of these symptoms. Across models, PTSD and SUD symptom clusters both served as sources of activation driving the comorbidity. There were also few and relatively weak bridging symptom clusters that connected PTSD/SUD, suggesting symptom change in one disorder may have minimal effect on the other disorder. Therefore, simultaneously treating PTSD and SUD as well as employing individualized treatment planning to target prominent symptoms may be most beneficial for veterans with PTSD/SUD.

创伤后应激障碍（PTSD）和物质使用障碍（SUD）的共病表现因物质类型而异。本研究应用网络分析，通过考察PTSD与SUD之间独特关联的强度和方向，探讨诊断症状群之间的关系。网络分析使用422名诊断为PTSD/SUD共存的退伍军人作为随机临床试验的一部分，在开始PTSD心理治疗的同时接受门诊SUD治疗。对PTSD和样本中三种最常见的SUD进行了单独的网络模型估计：酒精使用障碍（AUD）、大麻使用障碍（CUD）和兴奋剂使用障碍（StUD）。创伤相关侵入和酒精相关社交障碍是连接PTSD和AUD的桥接症状群。将PTSD和CUD联系起来的症状群是创伤相关侵入和过度觉醒症状。创伤相关的认知和情绪改变以及兴奋剂相关的药理学症状是连接PTSD和StUD的桥接症状群。每个症状集群网络在创伤相关回避集群中达到高潮，表明回避可能代表了这些症状下游效应的最终结果。在所有模型中，PTSD和SUD症状群都是驱动合并症的激活源。连接PTSD/SUD的桥接症状簇也很少且相对较弱，这表明一种障碍的症状改变可能对另一种障碍的影响很小。因此，同时治疗PTSD和SUD以及针对突出症状采用个性化治疗方案可能对PTSD/SUD退伍军人最有利。

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引用次数: 0

Evidence update on e-cigarette dependence: A systematic review and meta-analysis 电子烟依赖的最新证据：系统回顾和荟萃分析。

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-01-16 DOI: 10.1016/j.addbeh.2024.108243

Anasua Kundu , Sherald Sanchez , Siddharth Seth , Anna Feore , Megan Sutton , Kyran Sachdeva , Nada Abu-Zarour , Michael Chaiton , Robert Schwartz

Introduction

We conducted this review to examine the risk of e-cigarette dependence in different populations by updating the review on this topic by the National Academies of Science, Engineering, and Medicine.

Methods

Six academic databases were searched for studies published between September 2017 and December 2023. We included peer-reviewed human, animal, cell/in vitro original studies examining associations of e-cigarette use and dependence but excluded qualitative studies. Three types of e-cigarette exposure were examined: acute, short-to-medium term, and long-term. Meta-analysis were conducted when possible. Different risk of bias tools were used for assessing quality of the included human studies.

Results

We included 107 studies, of which 34 studies were included in the subgroup analysis. Meta-analyses showed that non-smoker current vapers had no statistically significant difference in level or prevalence of dependence compared to non-vaper current smokers and dual users. However, never smoker current vapers had a lower level of dependence (SMD −0.723, p < 0.01) compared to dual users, which was also supported by ANOVA test. Narrative review findings suggest that nicotine vapers had higher level of dependence than non-nicotine vapers and e-cigarette dependence is positively associated with nicotine concentration, frequency, and duration of use. No strong relationship was found between dependence and product types or features. Socio-demographic factor-based subgroup findings were inconclusive.

Conclusions

The level and prevalence of e-cigarette dependence is similar to cigarette dependence. There was high variability in the definitions and methods used for defining populations and assessing dependence. Further research and monitoring are crucial.

引言：我们通过更新美国国家科学院、工程院和医学院关于这一主题的综述，进行了本综述，以检查不同人群对电子烟依赖的风险。方法：检索6个学术数据库，检索2017年9月至2023年12月发表的研究。我们纳入了同行评议的人类、动物、细胞/体外原始研究，研究了电子烟使用和依赖之间的关系，但排除了定性研究。研究人员检查了三种类型的电子烟暴露：急性、中短期和长期。尽可能进行meta分析。使用不同的偏倚风险工具来评估纳入的人类研究的质量。结果：我们纳入107项研究，其中34项研究纳入亚组分析。荟萃分析显示，目前不吸烟的电子烟使用者与目前不吸烟的电子烟使用者和双重使用者相比，在依赖程度或流行程度上没有统计学上的显著差异。然而，从不吸烟的吸烟者的依赖水平较低（SMD -0.723, p）。结论：电子烟依赖的水平和流行程度与香烟依赖相似。在定义种群和评估依赖性所使用的定义和方法方面存在很大的可变性。进一步的研究和监测至关重要。

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引用次数: 0

Influence of positive consequences on subsequent incentive ratings and drinking quantity 积极后果对后续激励等级和饮酒量的影响。

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-01-13 DOI: 10.1016/j.addbeh.2025.108261

Lindy K. Howe , Polly F. Ingram , Rachel L. Gunn , Patrick D. Quinn , Peter R. Finn

Alcohol use is prevalent among young adults, with significant rates of binge drinking and frequent reports of both positive and negative consequences. The current study investigates how positive drinking consequences influence subsequent incentives ratings and drinking behavior. Utilizing mobile daily diary data from 104 young adults over two weeks (event N = 507), we assessed the impact of event-specific positive consequences on future incentive ratings and drinking quantity. Findings revealed that positive consequences were not consistently associated with higher sensitivity to incentives, opposing hypotheses. Specifically, positive alcohol consequences were associated with a slight decrease in next-event alcohol incentive ratings, contrary to the expected positive feedback loop (b = -0.13, p = 0.03). While previous event experiences did not significantly moderate the relationship between incentive ratings and drinking quantities, within-subject increases in incentive ratings for social/party (IRR = 0.45, p < 0.001) and alcohol (IRR = 0.39, p < 0.001) incentives were linked to changes in drinking quantity. Results underscore the complexity of the relationship between positive consequences and drinking behavior, indicating that individual differences, experienced consequences, and salient rewards (i.e., incentives) may play crucial roles in future drinking behavior. Future research should explore additional mechanisms of learning and diverse populations to expand on these findings and enhance strategies for reducing risky drinking behaviors.

酒精使用在年轻人中很普遍，酗酒率很高，而且经常有正面和负面后果的报告。目前的研究调查了积极的饮酒后果如何影响随后的激励评级和饮酒行为。利用104名年轻人在两周内的移动日记数据（事件N = 507），我们评估了事件特定的积极后果对未来激励评级和饮酒量的影响。研究结果显示，积极的结果并不总是与对激励的更高敏感性相关，这与假设相反。具体来说，积极的酒精后果与下一事件酒精激励评级的轻微下降有关，与预期的正反馈循环相反（b = -0.13, p = 0.03）。虽然先前的事件经历并没有显著调节激励评级和饮酒量之间的关系，但受试者内部对社交/派对的激励评级的增加(IRR = 0.45, p

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引用次数: 0

An Examination of predictors of prospective changes in self-reported drinker identity and changes in drinker identity as a predictor of changes in alcohol use and associated consequences 对自述饮酒者身份变化的预测因素和饮酒者身份变化作为酒精使用变化及其相关后果的预测因素的研究。

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-01-12 DOI: 10.1016/j.addbeh.2025.108262

Angelo M. DiBello , Clayton Neighbors , Kristen P. Lindgren , Melissa Hatch , Kate B. Carey

Purpose

Self-reported drinker identity, the extent to which one views oneself as a drinker, is associated with alcohol consumption and related harms in young adults. The current study examined changes in self-reported drinker identity, theoretically relevant factors associated with drinker identity development, and drinker identity’s association with changes in drinking and alcohol-related consequences. We hypothesized that drinker identity would increase over time; theoretically relevant factors would be significantly and positively associated with that increase, and increases in drinking identity would be associated with elevated drinking and related consequences.

Method

Participants were 588 heavy-drinking college students (63 % female, 50.5 % White, Mean_age = 19.87, from two universities) reporting recent heavy episodic drinking and experiencing alcohol-related consequences in the previous month. Students completed baseline and follow-up assessments at 1-, 3-, and 6-months related to theoretically relevant factors, drinker identity, and drinking/related consequences.

Results

Using parallel process latent growth curve modeling, we examined changes in drinker identity as a function of initial levels and changes in theoretically relevant factors. We also examined changes in alcohol use and related consequences as a function of changes in drinker identity. Results indicated that a more favorable initial attitude toward heavy drinking and an increase in favorable attitude toward heavy drinking were associated with an increase in drinker identity. Overall, alcohol use and associated consequences diminished over time, but increases in drinker identity were associated with smaller reductions in alcohol outcomes.

Conclusions

The study highlights the importance of attitudes as a potential contributing factor to drinker identity development, particularly among college students who drink heavily. This work further demonstrates a link between changes in drinker identity and changes in drinking and associated consequences. This work can inform future interventions aimed at targeting drinking identity.

目的：自我报告的饮酒者身份，即一个人将自己视为饮酒者的程度，与年轻人的酒精消费及其相关危害有关。目前的研究调查了自我报告的饮酒者身份的变化，与饮酒者身份发展相关的理论相关因素，以及饮酒者身份与饮酒变化和酒精相关后果的关系。我们假设饮酒者身份会随着时间的推移而增加；从理论上讲，相关因素将与这种增加显著正相关，而饮酒身份的增加将与饮酒增加及其相关后果相关。方法：参与者为来自两所大学的588名重度饮酒大学生（63%为女性，50.5%为白人，平均年龄为19.87人），报告最近的重度间歇性饮酒和上个月经历的酒精相关后果。学生在1个月、3个月和6个月完成了与理论相关因素、饮酒者身份和饮酒/相关后果相关的基线和随访评估。结果：利用平行过程潜在增长曲线模型，我们考察了饮酒者身份的变化作为初始水平和理论相关因素变化的函数。我们还研究了饮酒者身份变化对酒精使用的影响及其相关后果。结果表明，对大量饮酒的更有利的初始态度和对大量饮酒的有利态度的增加与饮酒者身份的增加有关。总体而言，随着时间的推移，酒精的使用及其相关后果会减少，但饮酒者身份的增加与酒精后果的减少程度较小相关。结论：该研究强调了态度对饮酒者身份发展的潜在影响因素的重要性，尤其是在酗酒的大学生中。这项工作进一步证明了饮酒者身份的变化与饮酒行为的变化及其相关后果之间的联系。这项工作可以为未来针对饮酒身份的干预提供信息。

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引用次数: 0

The association between screen time trajectories and the comorbidity of depression and anxiety 屏幕时间轨迹与抑郁和焦虑共病之间的关系。

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-01-11 DOI: 10.1016/j.addbeh.2025.108260

Jie Zhang , Xinyi Feng , Qin Zhang , Di Wu , Wenhe Wang , Shudan Liu , Qin Liu

Depression and anxiety are often comorbid among adolescents. Adolescent screen time changes over time. This study investigates the association between screen time trajectories and the comorbidity of depression and anxiety from a longitudinal perspective. The data were collected from an ongoing prospective puberty cohort which was established in 2014 from Chongqing, China. 838 participants (52.03 % female; wave 1 mean age = 8.62, SD = 1.15) were followed up from 2014 to 2020. Questions about screen time were administered every six months. Trajectories of screen time were identified using latent class growth analysis. Children’s Depression Inventory (CDI) and Screen for Child Anxiety Related Disorders (SCARED) were used to measure depression and anxiety. Latent profile analysis was used to identify the subtypes of comorbidity of depression and anxiety. Logistic regression was used to explore the association between screen time trajectory and the comorbidity of depression and anxiety. Three distinct trajectories of screen time were identified: Group Low (68.26 %) had consistently low screen time, Group High (26.37 %) had high screen time and Group Increasing (5.37 %) was characterized by an increasing screen time. Four subtypes of the comorbidity of depression and anxiety were fitted (“High comorbidity”, “Low comorbidity”, “Low depression symptoms” and “No symptoms”). Group Increasing and Group High were associated with “Low comorbidity” and “Low depression symptoms”. Group Increasing was more likely to be the “high comorbidity” both boys and girls. However, Group High was associated with “high comorbidity” only in girls. The results of this study may inform future research and provide possible intervention targets.

抑郁和焦虑常常在青少年中并存。青少年的屏幕时间随着时间的推移而变化。本研究从纵向角度探讨屏幕时间轨迹与抑郁、焦虑共病之间的关系。数据来自2014年在中国重庆建立的一项正在进行的前瞻性青春期队列研究，共有838名参与者(52.03%为女性；第一波平均年龄为8.62岁，SD = 1.15)，随访时间为2014 - 2020年。有关屏幕时间的问题每六个月进行一次。使用潜在类别增长分析确定屏幕时间的轨迹。使用儿童抑郁量表（CDI）和儿童焦虑相关障碍筛查量表（SCARED）来测量抑郁和焦虑。潜在特征分析用于确定抑郁和焦虑共病的亚型。采用Logistic回归探讨屏幕时间轨迹与抑郁、焦虑共病的关系。三种不同的屏幕时间轨迹：低组（68.26%）持续低屏幕时间，高组（26.37%）持续高屏幕时间，增加组（5.37%）以屏幕时间增加为特征。抑郁和焦虑共病的四种亚型被拟合（“高共病”、“低共病”、“低抑郁症状”和“无症状”）。增加组和高组与“低合并症”和“低抑郁症状”相关。增加组更可能是男孩和女孩的“高合并症”。然而，高组仅在女孩中与“高合并症”相关。本研究结果可为未来的研究提供参考，并提供可能的干预目标。

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