Addictive behaviors最新文献_第6页

Restricting choice of e-cigarette flavor and device type increases choices to use combusted cigarettes among adults who dual use both products: Results from a within-subjects randomized trial 限制电子烟口味和设备类型的选择增加了双重使用两种产品的成年人使用燃烧香烟的选择：一项受试者内随机试验的结果。

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2026-03-01 Epub Date: 2025-12-01 DOI: 10.1016/j.addbeh.2025.108578

Dana Rubenstein , Lauren R. Pacek , Michael J. Green , Maggie M. Sweitzer , Rachel Kozink , Alicia Holloway , Eric C. Donny , Tracy T. Smith , F. Joseph McClernon

Introduction

Data from real-world e-cigarette (EC) flavor bans suggest that such bans may increase combusted cigarette (CC) use. However, experimental data are needed to better understand how EC characteristics affect EC appeal and CC use.

Methods

Participants were adults who used both CC and flavored EC. They made 10 choices per session between taking two puffs from an EC or CC (supplied by study) or abstaining. EC type was unblinded and varied across three counterbalanced sessions: 1) own device and flavor, 2) study device with a non-tobacco-flavored e-liquid, and 3) study device with a tobacco-flavored e-liquid. Analyses evaluated EC appeal and choices to use EC, CC, or abstain.

Results

Participants (n = 41) reported using CCs on 22.1 days/month and ECs on 26.9 days/month. Appeal of study EC was lower than participants’ own EC, and participants made fewer choices for EC during tobacco-flavor EC versus own device sessions (p = 0.006). Relative to own device sessions, participants made a greater number of choices for CC when study EC were available (p’s < 0.05), regardless of flavor.

Discussion

Regulators and public health officials should be aware that restricting EC characteristics such as device type and flavor may increase consumption of CC among people who use both products, especially people who find restricted EC less appealing than their own device. Findings are consistent with real-world sales data following EC flavor bans.

导读：来自现实世界电子烟（EC）风味禁令的数据表明，此类禁令可能会增加燃烧香烟（CC）的使用。然而，需要实验数据来更好地了解EC特性如何影响EC的吸引力和CC的使用。方法：参与者是同时使用CC和调味EC的成年人。每个疗程中，他们在抽两口EC或CC（由研究提供）或不抽之间做出10个选择。EC类型是无盲的，并且在三个平衡阶段有所不同：1)自己的设备和风味，2)使用非烟草味电子液体的研究设备，以及3)使用烟草味电子液体的研究设备。分析评估了EC的吸引力和使用EC、CC或弃权的选择。结果：参与者（n = 41）报告使用CCs的时间为22.1天/月，使用ec的时间为26.9天/月。研究EC的吸引力低于参与者自己的EC，参与者在烟草味EC期间对EC的选择少于自己的设备会话（p = 0.006）。相对于自己的设备，当研究EC可用时，参与者对CC的选择更多(p讨论：监管机构和公共卫生官员应该意识到，限制EC的特征，如设备类型和风味，可能会增加使用两种产品的人对CC的消费，特别是那些发现限制EC不如自己的设备有吸引力的人。研究结果与欧盟香料禁令后的实际销售数据一致。

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引用次数: 0

The relationship between social media use, thin-ideal internalization, and college women’s use of electronic cigarettes for weight control: A mediation analysis 社交媒体使用、瘦型理想内化和大学女生使用电子烟控制体重之间的关系：一个中介分析

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2026-03-01 Epub Date: 2025-11-14 DOI: 10.1016/j.addbeh.2025.108555

Kyra V. Newcombe , Yu Lu , Taylor Zingg , Lois Coleman , Jinhee Seo , Glenn Leshner , Marshall K. Cheney

Purpose

Some college women report using electronic cigarettes (e-cigarettes) for weight control. Social media frequently promotes e-cigarettes for weight management and reinforces unrealistic body ideals, which may foster body dissatisfaction and unhealthy weight control behaviors. Given college women’s high rates of social media and e-cigarette use, this study examined the relationship between college women’s social media use, thin-ideal internalization, and e-cigarette use for weight control.

Methods

College women (N = 343, M_age = 20.88) who used e-cigarettes for weight control reasons participated in an online survey that measured their social media use, levels of thin-ideal internalization, and e-cigarette use behaviors. Mediation analysis was performed to test whether thin-ideal internalization mediated the relationship between social media use and e-cigarette use for weight control.

Results

Social media use positively predicted e-cigarette use for weight control purposes (B = 0.12, p < 0.001). Thin-ideal internalization fully mediated this relationship (indirect effect: B = 0.06, 95 % CI [.03, 0.10]) as the direct effect became non-significant when accounting for the mediator (direct effect: B = 0.06, p = 0.10). Greater social media use significantly increased thin-ideal internalization (B = 1.01, p < 0.001), which subsequently predicted greater e-cigarette use for weight control purposes (B = 0.06, p < 0.001).

Conclusion

Findings highlight that greater social media exposure among college women strengthens thin-ideal internalization, which drives e-cigarette use for weight control purposes. These findings signal the importance of regulating e-cigarette content on social media, as well as prevention efforts that address social media’s thin-ideal content and promote body positivity.

一些大学女生报告说，她们用电子烟来控制体重。社交媒体经常宣传电子烟用于体重管理，并强化不切实际的身体理想，这可能会助长对身体的不满和不健康的体重控制行为。鉴于大学女生使用社交媒体和电子烟的比例很高，本研究调查了大学女生使用社交媒体、瘦型理想内化和使用电子烟控制体重之间的关系。方法使用电子烟控制体重的大学女性（N = 343, Mage = 20.88）参加了一项在线调查，测量了她们的社交媒体使用情况、瘦型理想内化水平和电子烟使用行为。进行中介分析以检验瘦理想内化是否介导了社交媒体使用与电子烟使用体重控制之间的关系。社交媒体使用正预测电子烟用于控制体重（B = 0.12, p < 0.001）。薄理想内化完全介导了这种关系（间接效应：B = 0.06, 95% CI）。03, 0.10])，当考虑中介因素时，直接效应变得不显著（直接效应：B = 0.06, p = 0.10）。更多的社交媒体使用显著增加了瘦理想的内在化（B = 1.01, p < 0.001），这随后预示着更多的电子烟用于控制体重（B = 0.06, p < 0.001）。研究结果强调，大学女性更多的社交媒体曝光加强了苗条理想的内化，从而推动了电子烟的使用，以控制体重。这些发现表明了规范社交媒体上电子烟内容的重要性，以及解决社交媒体上的瘦身理想内容和促进身体积极性的预防工作。

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引用次数: 0

Application of the differential susceptibility to media effects model to comprehend emerging adults’ problematic smartphone use: A one-year longitudinal study 应用媒介效应差异敏感性模型理解新兴成人智能手机使用问题：一项为期一年的纵向研究

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2026-03-01 Epub Date: 2025-11-22 DOI: 10.1016/j.addbeh.2025.108568

Chun Feng , Hengyue Zhang , Ke Yu , Wen Zhao , Anise M.S. Wu

Considering the pervasive integration of smartphones into the daily lives and high prevalence of problematic smartphone phone use (PSU) among emerging adults, there is an urgency for an integrated perspective to understand their PSU for better intervention insights. This study aims to apply a multi-level theoretical framework, the Differential Susceptibility to Media Effects Model (DSMM), to PSU and evaluate not only the direct effects of dispositional (i.e., neuroticism), social (i.e., family adaptability), and developmental factors (i.e., inclusion of smartphone in the self [ISS]) on PSU but also the potential indirect effect of ISS. We obtained a sample of 801 Chinese emerging adults (559 females; M_age = 19.02 and SD_age = 0.88) through a one-year longitudinal study with two surveys (at wave 1 [W1] and wave 2 [W2]). Hierarchical regression analysis indicated that all baseline susceptibility factors (neuroticism [W1], family adaptability [W1], and ISS [W1]) significantly predicted PSU (W2) after controlling for both demographics and PSU (W2). The results of structural equation modeling further suggested that neuroticism (W1) and family adaptability (W1) were longitudinally associated with ISS (W2), which was in turn associated with PSU (W2). This study provided not only longitudinal evidence to support the application of DSMM to explain PSU but also insights into interventions using targeted approaches.

考虑到智能手机在日常生活中的普遍融入以及新兴成年人中智能手机使用问题（PSU）的高患病率，迫切需要从综合的角度来了解他们的PSU，以获得更好的干预见解。本研究旨在将媒介效应差异敏感性模型（DSMM）这一多层次理论框架应用于PSU，不仅评估性格因素（如神经质）、社会因素（如家庭适应性）和发展因素（如将智能手机纳入自我[ISS]）对PSU的直接影响，还评估其潜在的间接影响。我们通过为期一年的两次调查（第1波[W1]和第2波[W2]），获得了801名中国新兴成年人（559名女性，Mage = 19.02, SDage = 0.88）的样本。分层回归分析表明，在控制人口统计学和PSU （W2）后，所有基线易感因素（神经质[W1]、家庭适应性[W1]和ISS [W1]）均显著预测PSU （W2）。结构方程模型结果进一步表明，神经质（W1）和家庭适应性（W1）与ISS （W2）呈纵向相关，ISS （W2）与PSU （W2）呈纵向相关。这项研究不仅提供了纵向证据来支持应用DSMM来解释PSU，而且还提供了使用有针对性的方法进行干预的见解。

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引用次数: 0

Does the apple fall far from the tree? when parenting styles disrupt the intergenerational pattern of substance use 苹果掉在离树很远的地方吗？当父母的教养方式破坏了代际物质使用模式

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2026-03-01 Epub Date: 2025-11-19 DOI: 10.1016/j.addbeh.2025.108567

Zila Sanchez , Sheila Caetano , Juliana Y. Valente , Luis Eduardo Soares-Santos , Hugo Cogo-Moreira

This study investigates whether parenting styles can buffer the intergenerational transmission of substance use. Using a person-centered analytic strategy with 4,280 adolescent–parent dyads in Brazil, we applied Latent Class Analysis to identify substance use profiles in both generations and modeled their association using Latent Transition Analysis. Parental and adolescent profiles were strongly aligned, especially among abstainers. However, this similarity was not deterministic: authoritative parenting significantly reduced adolescents’ likelihood of polysubstance use – even among high-risk parents. Authoritarian parenting also reduced this risk but increased alcohol-specific transmission. Permissive and neglectful styles showed no protective effects. These findings underscore the role of parenting style and highlight the value of family-based interventions to disrupt intergenerational substance use patterns.

本研究探讨父母教养方式是否能缓冲物质使用的代际传递。我们采用以人为中心的分析策略，对巴西的4280对青少年父母进行分析，应用潜在类别分析来确定两代人的物质使用情况，并使用潜在转变分析对其关联进行建模。父母和青少年的情况非常一致，尤其是在戒酒者中。然而，这种相似性并不是决定性的：权威型父母显著降低了青少年使用多种物质的可能性——即使在高风险父母中也是如此。专制教育也降低了这种风险，但增加了酒精特异性传播。纵容型和忽视型没有保护作用。这些发现强调了养育方式的作用，并强调了以家庭为基础的干预措施对破坏代际物质使用模式的价值。

引用次数: 0

Nicotine and cannabis vaping among U.S. emerging young adults: Findings from 2022 and 2023 National Survey on Drug Use and Health 美国新兴年轻人吸食尼古丁和大麻：来自2022年和2023年全国药物使用和健康调查的结果。

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2026-03-01 Epub Date: 2025-11-30 DOI: 10.1016/j.addbeh.2025.108577

Nayoung Kim , Joy Haizelden , Gracie Avery , Mercy Mumba

Objectives

With recent rise in nicotine and cannabis vaping and growing evidence of their negative health effects, especially when co-vaped, understanding vaping patterns is important. This study examined national prevalence and factors associated with nicotine and cannabis vaping among U.S. emerging young adults.

Methods

Cross-sectional data from the 2022 and 2023 National Survey on Drug Use and Health were used to assess past-month rates of exclusive nicotine vaping, exclusive cannabis vaping, and co-vaping (versus no vaping) and examine its associations with sociodemographic characteristics, mental health, other substance use (e.g., tobacco, alcohol, binge drinking), substance use disorders (nicotine dependence, alcohol use disorder), and cannabis legalization.

Results

Among emerging adults, 16.0% reported exclusive nicotine vaping, 4.3% exclusive cannabis vaping, and 8.1% co-vaping in the past month. Non-Hispanic White individuals, those with lower education, and those identified as sexual minorities reported higher rates of vaping. Severe psychological distress, tobacco and alcohol co-use, and alcohol use disorder increased odds of all vaping behaviors. Medical cannabis legalization significantly increased odds of exclusive cannabis vaping and co-vaping, but not exclusive nicotine vaping.

Conclusions

Vaping patterns vary by certain sociodemographic characteristics and cannabis policy. Mental health challenges and substances co-use consistently elevated risks of all forms of vaping among this vulnerable population.

目的：随着最近尼古丁和大麻电子烟的增加，以及越来越多的证据表明它们对健康的负面影响，特别是当共同吸电子烟时，了解电子烟的模式很重要。这项研究调查了美国新兴年轻人中尼古丁和大麻电子烟的全国流行程度和相关因素。方法：使用2022年和2023年全国药物使用和健康调查的横断面数据来评估过去一个月纯尼古丁电子烟、纯大麻电子烟和共同电子烟（与不电子烟相比）的比率，并检查其与社会人口特征、心理健康、其他物质使用（如烟草、酒精、酗酒）、物质使用障碍（尼古丁依赖、酒精使用障碍）和大麻合法化的关系。结果：在刚刚成年的人群中，16.0%的人在过去一个月里只吸尼古丁电子烟，4.3%的人只吸大麻电子烟，8.1%的人同时吸电子烟。非西班牙裔白人、受教育程度较低的人以及被认定为性少数群体的人吸电子烟的比例更高。严重的心理困扰、烟酒混合使用以及酒精使用障碍增加了所有电子烟行为的几率。医用大麻合法化显著增加了吸食大麻和共同吸食大麻的几率，但没有增加吸食尼古丁的几率。结论：吸电子烟模式因某些社会人口特征和大麻政策而异。在这一弱势群体中，精神健康挑战和药物共同使用持续增加了各种形式的电子烟风险。

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引用次数: 0

Latent profiles of cannabis use patterns and associations with eating pathology outcomes 大麻使用模式的潜在概况及其与饮食病理结果的关联

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2026-03-01 Epub Date: 2025-11-16 DOI: 10.1016/j.addbeh.2025.108564

Taylor B. Stanley , Nathan T. Kearns , April R. Smith

As recreational cannabis increases among United States adults, there is growing interest in understanding potential health co-morbidities. Although past work supports cannabis use and eating disorder comorbidity, and cannabis enhances appetite and reward responses to food, little is known about how specific cannabis use patterns may relate to binge eating and other eating disorder symptoms. The purpose of this study is to identify distinct subgroups of recreational cannabis users based on several use characteristics, including subjective changes to appetite and hedonic properties of food using latent profile analysis, and to examine differences across profiles in binge eating, other eating disorder symptoms, and emotion regulation. Participants (N = 435, male = 189) were adults recruited through Prolific who endorsed past-month cannabis use and completed a battery of self-report measures assessing cannabis use characteristics, eating changes while using cannabis, eating disorder symptoms, and emotion regulation. Results identified four profiles: “Infrequent Users, Moderate Eating Changes, Low Risk,” “Intense Users, Low Eating Changes, Mild Risk,” “High-Risk Coping Users, Strong Eating Changes,” and “Frequent Users, Slight Eating Changes, Mild Risk.” All profiles reported more binge eating symptoms while under the influence of cannabis; the “High Risk Coping Users, Strong Eating Changes” profile reported the most severe sober binge eating, eating disorder, and emotion regulation difficulties. Findings highlight the utility of person-centered approaches for capturing co-morbidity risk and may help guide screening and intervention tools for determining eating disorder risk among those using cannabis.

随着娱乐性大麻在美国成年人中越来越多，人们对了解潜在的健康合并症越来越感兴趣。虽然过去的工作支持大麻使用和饮食失调共病，并且大麻增强食欲和对食物的奖励反应，但对于具体的大麻使用模式与暴饮暴食和其他饮食失调症状之间的关系知之甚少。本研究的目的是根据几种使用特征（包括使用潜在特征分析对食欲和食物享乐特性的主观变化）确定娱乐性大麻使用者的不同亚组，并检查暴饮暴食、其他饮食失调症状和情绪调节的不同特征。参与者（N = 435，男性= 189）是通过多产招募的成年人，他们认可过去一个月的大麻使用，并完成了一系列自我报告措施，评估大麻使用特征、使用大麻时的饮食变化、饮食失调症状和情绪调节。结果确定了四种情况：“不经常使用，饮食变化中等，风险低”，“频繁使用，饮食变化低，风险轻度”，“高风险应对用户，饮食变化强烈”和“频繁使用，饮食变化轻微，风险轻度”。在大麻的影响下，所有档案都报告了更多的暴食症状；“高风险应对使用者，强烈的饮食变化”报告了最严重的清醒暴饮暴食，饮食失调和情绪调节困难。研究结果强调了以人为中心的方法在捕获合并症风险方面的效用，并可能有助于指导筛选和干预工具，以确定大麻使用者的饮食失调风险。

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引用次数: 0

Performing identity and risk: chemsex, misogyny, and algorithmic exclusion in queer Reddit spaces 表演身份和风险：酷儿Reddit空间中的化学性、厌女症和算法排斥

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2026-03-01 Epub Date: 2025-12-08 DOI: 10.1016/j.addbeh.2025.108582

Sezai Tunca

This study examines how LGBTQ+ identities, chemsex experiences, and digital misogyny intersect and are discursively negotiated within Anglophone Reddit spaces. Adopting an integrative mixed-methods design, it analyzes 509,327 posts and comments drawn from four LGBTQ+ -oriented subreddits through semantic co-occurrence mapping, sentiment and subjectivity profiling, lexical diversity metrics, and qualitative thematic coding. The analytical framework connects three mutually constitutive axes—identity performance, affective discourse, and platform/algorithmic dynamics—to capture how individual narratives are shaped by both cultural hierarchies and sociotechnical infrastructures. Findings show that identity expressions cluster around themes of community belonging, family disclosure, and self-recognition, while trans and nonbinary users remain disproportionately exposed to hypersexualization and digital exclusion. Chemsex discourse is predominantly marked by negative affect—loneliness, shame, and stigma—but also includes solidarity and harm-reduction dialogue, revealing ambivalent forms of care within digital queer cultures. Digital misogyny and algorithmic silencing appear as layered phenomena, manifesting both in external harassment and intra-community norm enforcement. The study contributes theoretically by integrating critical chemsex scholarship with digital queer theory, demonstrating that affective harm is simultaneously interpersonal and infrastructural. Methodologically, it adapts a transparent computational–qualitative triad suitable for analyzing large-scale online discourse. Practically, the results inform platform governance (bias audits, transparent moderation) and public health communication (embedding community-based, empathetic language in harm-reduction outreach). While limited to English-language Reddit data, the framework offers transferable insights into how LGBTQ+ users negotiate vulnerability, resilience, and belonging in digital environments.

本研究探讨了LGBTQ+身份、化学性经历和数字厌女症是如何在英语Reddit空间中相交和讨论的。采用综合混合方法设计，通过语义共现映射、情感和主观性分析、词汇多样性指标和定性主题编码，分析了来自四个LGBTQ+的子reddit的509,327篇帖子和评论。分析框架连接了三个相互构成的轴——身份表现、情感话语和平台/算法动态——以捕捉文化等级和社会技术基础设施如何塑造个人叙事。研究结果表明，身份表达集中在社区归属、家庭披露和自我认可的主题上，而跨性别和非二元用户仍然不成比例地暴露于过度性化和数字排斥之中。Chemsex话语主要以负面影响为特征——孤独、羞耻和耻辱——但也包括团结和减少伤害的对话，揭示了数字酷儿文化中相互矛盾的关怀形式。数字厌女症和算法沉默似乎是分层现象，既表现在外部骚扰中，也表现在社区内部规范的执行中。该研究通过将批判性化学性研究与数字酷儿理论相结合，在理论上做出了贡献，证明了情感伤害同时是人际和基础设施造成的。在方法上，它采用了一种透明的计算-定性三位一体，适合于分析大规模的在线话语。实际上，这些结果为平台治理（偏见审计、透明调节）和公共卫生沟通（在减少伤害的外展活动中嵌入基于社区的同情语言）提供了信息。虽然仅限于英文Reddit数据，但该框架提供了关于LGBTQ+用户如何在数字环境中协商脆弱性、弹性和归属感的可转移见解。

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引用次数: 0

Clinical outcomes of addictive disorders six months after ADHD Diagnosis: Insights from the START study ADHD诊断后6个月成瘾性障碍的临床结果：来自START研究的见解。

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2026-02-01 Epub Date: 2025-11-08 DOI: 10.1016/j.addbeh.2025.108557

Aude Begnaud , Clémence Cabelguen , Gaëlle Challet-Bouju , Juliette Leboucher , Benoit Schreck , Marie Grall-Bronnec

Introduction

Attention-Deficit/Hyperactivity Disorder (ADHD) is overrepresented in patients with addictive disorders but remains underdiagnosed. This comorbidity complicates clinical presentations and worsens prognosis. We aimed to evaluate addictive disorder outcomes six months after ADHD diagnosis in patients undergoing addiction treatment and to identify factors associated with a favorable outcome. Secondary objectives explored patient characteristics and therapeutic strategies.

Method

The START study (Study on the Treatment of ADHD and addiction comorbidity: a ReTrospective analysis of medical records) was an observational, retrospective analysis of electronic medical records from patients recently diagnosed with ADHD using the DIVA. Included patients had either substance use disorders (SUD) or behavioral addictions (eating, sex, gambling, gaming/screen use, shopping, and physical exercise), with diagnoses established by the referring physician according to clinical judgment, and attended at least two consultations six months apart. Descriptive analyses were conducted for the total sample and by clinical outcome, followed by multivariate logistic regression to identify predictors of improvement.

Results

Tobacco and cannabis use disorders were the most common (61.3 % each). Psychiatric comorbidities were frequent (lifetime 84.6 %, current 34.1 %). Methylphenidate initiation was delayed in 29 % of cases, primarily due to current psychiatric comorbidities or ongoing addiction. Improvement in addictive disorders was observed in 61.3 % of patients. Favorable outcomes were associated with older age (OR = 1.13, 95 % CI [1.04–1.23], p = 0.006) and living as a couple (OR = 3.84, 95 % CI [1.10–13.42], p = 0.035), whereas poorer outcomes were associated with the ADHD combined presentation (reference group), compared with the predominantly inattentive and hyperactive/impulsive presentations (OR = 0.16, 95 % CI [0.03–0.90], p = 0.037).

Conclusion

The study highlights socio-demographic and clinical predictors of outcome, advancing our understanding of ADHD-addiction comorbidity. Findings warrant confirmation in prospective longitudinal research.

注意缺陷/多动障碍（ADHD）在成瘾性疾病患者中比例过高，但仍未得到充分诊断。这种合并症使临床表现复杂化，并使预后恶化。我们的目的是评估接受成瘾治疗的患者在ADHD诊断后6个月的成瘾障碍结果，并确定与有利结果相关的因素。次要目的探讨患者特征和治疗策略。方法：START研究（ADHD和成瘾合并症治疗研究：病历回顾性分析）是一项观察性的回顾性分析，使用DIVA对最近诊断为ADHD的患者的电子病历进行分析。纳入有物质使用障碍（SUD）或行为成瘾（饮食、性、赌博、游戏/屏幕使用、购物和体育锻炼）的患者，由转诊医生根据临床判断确定诊断，并且间隔6个月至少参加两次咨询。对总样本和临床结果进行描述性分析，然后进行多变量逻辑回归以确定改善的预测因素。结果：烟草和大麻使用障碍最为常见（各占61.3%）。精神合并症很常见（终生84.6%，目前34.1%）。29%的病例延迟了哌醋甲酯的起始，主要是由于当前的精神合并症或持续的成瘾。61.3%的患者成瘾性障碍得到改善。较好的结果与年龄较大（OR = 1.13, 95% CI [1.04-1.23], p = 0.006）和夫妻生活（OR = 3.84, 95% CI [1.10-13.42], p = 0.035）有关，而较差的结果与ADHD合并表现（参照组）有关，而主要表现为注意力不集中和多动/冲动（OR = 0.16, 95% CI [0.03-0.90], p = 0.037）。结论：该研究强调了结果的社会人口学和临床预测因素，促进了我们对adhd成瘾合并症的理解。研究结果在前瞻性纵向研究中得到证实。

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引用次数: 0

Problematic social media use, boredom proneness, and psychological distress among university students in China and Japan: A cross-national network analysis 中国和日本大学生的社交媒体使用问题、无聊倾向和心理困扰：一项跨国网络分析

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2026-02-01 Epub Date: 2025-11-09 DOI: 10.1016/j.addbeh.2025.108553

Zeyang Yang , Zhixian Lian , Zhihao Yan , Tianyi Chen , Meiting Liu , Xue Dou

Problematic social media use (PSMU) has been associated with negative effects such as depression and anxiety across different countries and cultures. However, research on specific symptoms of PSMU and its correlates across nations remains limited. The present study aimed to compare the relationships of PSMU, boredom proneness, and psychological distress symptoms in China and Japan using network analysis. Questionnaire surveys were conducted among undergraduates in China and Japan. Participants included 822 students in China (mean age = 18.36, SD = 0.80) and 698 in Japan (mean age = 19.66, SD = 2.16). Network analysis was employed to estimate the symptom network structures, identify the most central symptoms, and compare the networks across the two countries. Results show that the core PSMU symptoms were Craving/tolerance in China and Relapse/loss of control in Japan. In the comorbidity networks, the most influential symptoms in China were agitation, panic, frequent inactivity, and downheartedness. The most central ones in Japan were not looking forward, downhearted, touchy, and a pervasive lack of motivation. The present study improves understanding of the links between symptoms of PSMU, boredom proneness, and psychological distress in both countries, which can be helpful for the development of potential nationally specific interventions.

在不同的国家和文化中，有问题的社交媒体使用（PSMU）与抑郁和焦虑等负面影响有关。然而，各国对PSMU的具体症状及其相关因素的研究仍然有限。本研究旨在利用网络分析比较中国和日本的PSMU、无聊倾向和心理困扰症状之间的关系。对中国和日本的大学生进行问卷调查。参与者包括822名中国学生（平均年龄= 18.36,SD = 0.80）和698名日本学生（平均年龄= 19.66,SD = 2.16）。网络分析用于估计症状网络结构，识别最核心的症状，并比较两国的网络。结果表明，PSMU的核心症状在中国是渴望/耐受，在日本是复发/失控。在共病网络中，中国最具影响力的症状是躁动、恐慌、频繁不活动和情绪低落。在日本，最核心的是不向前看，情绪低落，易怒，普遍缺乏动力。本研究提高了对两国PSMU症状、无聊倾向和心理困扰之间联系的理解，这可能有助于制定潜在的国家特定干预措施。

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引用次数: 0

Cannabis use among new mothers. A feasibility mixed-method study to investigate motives and perceptions 新妈妈使用大麻。可行性混合方法研究，以调查动机和看法

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2026-02-01 Epub Date: 2025-11-10 DOI: 10.1016/j.addbeh.2025.108554

Samantha A. Chuisano , Paul Miriani , Omayma Alshaarawy

Objective

To assess the feasibility of recruiting new mothers (0–12 months postpartum) who use cannabis through social media and conducting a mixed-methods study to characterize their cannabis use. This pilot study aimed to gather preliminary data on use motives, behaviors, and objective toxicology to inform future large-scale research.

Methods

We employed a cross-sectional, mixed-methods design. Participants were recruited via targeted Facebook advertisements in the Greater Lansing area, Michigan (mid-sized metropolitan region). Eligible participants completed a self-administered quantitative survey on cannabis use and beliefs during a clinic visit, where urine and breastmilk samples were also collected for toxicology analysis. Subsequently, a subset of participants completed a virtual, semi-structured qualitative interview. Interview transcripts were analyzed using an inductive thematic approach.

Results

Social media recruitment reached 196 individuals who completed screening; 21 (11 %) were eligible. Of these, 12 mothers (57 % of eligible) completed the clinic visit and provided biospecimens. Participants reported frequent cannabis use (mean of 24 out of the previous 30 days), primarily via smoking. Toxicology analysis confirmed significant concentrations of delta-9 tetrahydrocannabinol (THC) metabolites in urine and breastmilk. Qualitative analysis (n = 9) identified four key themes: 1) Cannabis use as therapy or treatment, 2) Influences on discussion of cannabis, 3) Risk determination of cannabis use, and 4) Individual risk mitigation behaviors. Interviews revealed predominantly negative interactions with healthcare providers regarding cannabis use and a perceived lack of evidence-based guidelines. Mixed methods integration demonstrated agreement between quantitative and qualitative findings.

Conclusions

This study demonstrates the feasibility of recruiting postpartum cannabis users via social media and collecting rich mixed-methods data, including objective biospecimens. The methodology and preliminary results provide a strong foundation for future larger studies on the impact of postpartum cannabis use on maternal and infant health.

目的评估通过社交媒体招募使用大麻的新妈妈（产后0-12个月）的可行性，并对其大麻使用特征进行混合方法研究。本初步研究旨在收集有关使用动机、行为和客观毒理学的初步数据，为未来的大规模研究提供信息。方法采用横截面混合方法设计。参与者是通过Facebook在密歇根州大兰辛地区（中等大都市区）的定向广告招募的。合格的参与者在诊所访问期间完成了一项关于大麻使用和信念的自我管理的定量调查，并收集了尿液和母乳样本进行毒理学分析。随后，一部分参与者完成了一个虚拟的、半结构化的定性访谈。访谈记录分析使用归纳主题的方法。结果社交媒体招募达到196人，完成筛选；21例（11%）符合条件。其中，12名母亲（57%的合格母亲）完成了门诊访问并提供了生物标本。参与者报告频繁使用大麻（过去30天中平均24天），主要是通过吸烟。毒理学分析证实，尿液和母乳中含有显著浓度的δ -9四氢大麻酚（THC）代谢物。定性分析（n = 9）确定了四个关键主题：1)使用大麻作为治疗或治疗，2)对讨论大麻的影响，3)确定使用大麻的风险，以及4)个人风险缓解行为。访谈显示，在大麻使用问题上，与医疗保健提供者的互动主要是负面的，而且缺乏基于证据的指导方针。混合方法的整合证明了定量和定性结果之间的一致性。结论本研究证明了通过社交媒体招募产后大麻使用者的可行性，并收集了丰富的混合方法数据，包括客观生物标本。该方法和初步结果为今后就产后使用大麻对母婴健康的影响进行更大规模的研究奠定了坚实的基础。

{"title":"Cannabis use among new mothers. A feasibility mixed-method study to investigate motives and perceptions","authors":"Samantha A. Chuisano , Paul Miriani , Omayma Alshaarawy","doi":"10.1016/j.addbeh.2025.108554","DOIUrl":"10.1016/j.addbeh.2025.108554","url":null,"abstract":"<div><h3>Objective</h3><div>To assess the feasibility of recruiting new mothers (0–12 months postpartum) who use cannabis through social media and conducting a mixed-methods study to characterize their cannabis use. This pilot study aimed to gather preliminary data on use motives, behaviors, and objective toxicology to inform future large-scale research.</div></div><div><h3>Methods</h3><div>We employed a cross-sectional, mixed-methods design. Participants were recruited via targeted Facebook advertisements in the Greater Lansing area, Michigan (mid-sized metropolitan region). Eligible participants completed a self-administered quantitative survey on cannabis use and beliefs during a clinic visit, where urine and breastmilk samples were also collected for toxicology analysis. Subsequently, a subset of participants completed a virtual, semi-structured qualitative interview. Interview transcripts were analyzed using an inductive thematic approach.</div></div><div><h3>Results</h3><div>Social media recruitment reached 196 individuals who completed screening; 21 (11 %) were eligible. Of these, 12 mothers (57 % of eligible) completed the clinic visit and provided biospecimens. Participants reported frequent cannabis use (mean of 24 out of the previous 30 days), primarily via smoking. Toxicology analysis confirmed significant concentrations of delta-9 tetrahydrocannabinol (THC) metabolites in urine and breastmilk. Qualitative analysis (n = 9) identified four key themes: 1) Cannabis use as therapy or treatment, 2) Influences on discussion of cannabis, 3) Risk determination of cannabis use, and 4) Individual risk mitigation behaviors. Interviews revealed predominantly negative interactions with healthcare providers regarding cannabis use and a perceived lack of evidence-based guidelines. Mixed methods integration demonstrated agreement between quantitative and qualitative findings.</div></div><div><h3>Conclusions</h3><div>This study demonstrates the feasibility of recruiting postpartum cannabis users via social media and collecting rich mixed-methods data, including objective biospecimens. The methodology and preliminary results provide a strong foundation for future larger studies on the impact of postpartum cannabis use on maternal and infant health.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"173 ","pages":"Article 108554"},"PeriodicalIF":3.6,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145527074","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}

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