Addictive behaviors最新文献_第7页

Medication for opioid use disorder among adolescents entering specialty treatment for opioid use disorder and trends in the US, 2017–2022 2017-2022年美国进入阿片类药物使用障碍专科治疗的青少年中阿片类药物使用障碍的药物治疗和趋势

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-10-29 DOI: 10.1016/j.addbeh.2025.108538

Jesse S. Boggis , Thadryan Sweeney , Lisa A. Marsch , Wesley J. Marrero , Kenneth A. Feder , Erika L. Moen

Background

Professional societies recommend that adolescents with opioid use disorder (OUD) receive medication for opioid use disorder (MOUD). This cross-sectional study examined the association between adolescent specialty treatment episodes for OUD with planned MOUD use compared to adults over time.

Methods

We used data on first episodes of specialty treatment for OUD (n = 671,183) from the Treatment Episode Data Set – Admissions, a national database of publicly funded treatment programs in the US Admissions occurred between 1/2017–12/2022. The primary exposure was being adolescent (15–17 years). The main outcome was planned MOUD use, defined as having MOUD in a treatment plan.

Results

Adolescent specialty treatment episodes for OUD were significantly less likely to have planned MOUD use than adults (aOR 0.05, 95% CI, 0.02–0.09). Linear combination tests of the interaction between age group and year confirmed that adolescent episodes were significantly less likely to have planned MOUD use than adults across all years. In 2021 and 2022 this disparity narrowed slightly. In 2021, adolescent episodes had 10% of the adjusted odds of planned MOUD use compared to adults in 2017 (95% CI, 0.07–0.15). In 2022, adolescent episodes had 9% of the adjusted odds of planned MOUD use compared to adults in 2017 (95% CI, 0.06–0.11).

Conclusion

Adolescents entering specialty treatment for OUD had significantly lower odds of planned MOUD use than adults. The relatively smaller difference between adolescents and adults in recent years suggests a potential trend toward greater MOUD access, though future research is needed to understand access barriers.

专业协会建议患有阿片类药物使用障碍（OUD）的青少年接受阿片类药物使用障碍（mod）的药物治疗。这项横断面研究调查了青少年OUD专科治疗发作与计划使用OUD的成年人之间的关系。方法：我们使用来自治疗集数据集-入院的首次特殊治疗的数据（n = 671,183），这是一个美国公共资助治疗项目的国家数据库，入院时间为2017年1月至2022年12月。主要接触者为青少年（15-17岁）。主要结果是计划的mod使用，定义为在治疗计划中使用mod。结果青少年OUD专科治疗发作计划使用mod的可能性显著低于成人（aOR 0.05, 95% CI, 0.02-0.09）。年龄组和年份之间相互作用的线性组合测试证实，在所有年份中，青少年发作计划使用mod的可能性明显低于成年人。2021年和2022年，这一差距略有缩小。与2017年的成年人相比，2021年青少年计划使用mod的调整后几率为10% （95% CI, 0.07-0.15）。与2017年的成年人相比，2022年青少年计划使用mod的调整几率为9% （95% CI, 0.06-0.11）。结论接受OUD专科治疗的青少年计划使用OUD的几率明显低于成人。近年来，青少年和成年人之间的差异相对较小，这表明了更多的mod访问的潜在趋势，尽管需要进一步的研究来了解访问障碍。

{"title":"Medication for opioid use disorder among adolescents entering specialty treatment for opioid use disorder and trends in the US, 2017–2022","authors":"Jesse S. Boggis , Thadryan Sweeney , Lisa A. Marsch , Wesley J. Marrero , Kenneth A. Feder , Erika L. Moen","doi":"10.1016/j.addbeh.2025.108538","DOIUrl":"10.1016/j.addbeh.2025.108538","url":null,"abstract":"<div><h3>Background</h3><div>Professional societies recommend that adolescents with opioid use disorder (OUD) receive medication for opioid use disorder (MOUD). This cross-sectional study examined the association between adolescent specialty treatment episodes for OUD with planned MOUD use compared to adults over time.</div></div><div><h3>Methods</h3><div>We used data on first episodes of specialty treatment for OUD (n = 671,183) from the Treatment Episode Data Set – Admissions, a national database of publicly funded treatment programs in the US Admissions occurred between 1/2017–12/2022. The primary exposure was being adolescent (15–17 years). The main outcome was planned MOUD use, defined as having MOUD in a treatment plan.</div></div><div><h3>Results</h3><div>Adolescent specialty treatment episodes for OUD were significantly less likely to have planned MOUD use than adults (aOR 0.05, 95% CI, 0.02–0.09). Linear combination tests of the interaction between age group and year confirmed that adolescent episodes were significantly less likely to have planned MOUD use than adults across all years. In 2021 and 2022 this disparity narrowed slightly. In 2021, adolescent episodes had 10% of the adjusted odds of planned MOUD use compared to adults in 2017 (95% CI, 0.07–0.15). In 2022, adolescent episodes had 9% of the adjusted odds of planned MOUD use compared to adults in 2017 (95% CI, 0.06–0.11).</div></div><div><h3>Conclusion</h3><div>Adolescents entering specialty treatment for OUD had significantly lower odds of planned MOUD use than adults. The relatively smaller difference between adolescents and adults in recent years suggests a potential trend toward greater MOUD access, though future research is needed to understand access barriers.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"173 ","pages":"Article 108538"},"PeriodicalIF":3.6,"publicationDate":"2025-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145464448","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

Youth cannabis and alcohol use expectancies mediate associations between pre-adolescent cognitive function and subsequent use initiation 青少年大麻和酒精使用预期介导青春期前认知功能与随后开始使用之间的关联

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-10-27 DOI: 10.1016/j.addbeh.2025.108533

Stephanie K. Jones , Rachel Tomko , Nolan Ramer , Bethany J. Wolf

Youth substance use increases risk for developing substance use disorders. Previous work using the longitudinal ABCD Study® found distinct neurocognitive factors contribute to youth tobacco and alcohol initiation. Using data for 7776 ABCD Study® participants, this study expands prior work to examine prospective associations between early neurocognitive factors (general ability, executive function, learning and memory, and visuospatial and mental rotation) at ages 9–10 years (sample enrolled 2016–2018) and cannabis use by ages 13–14 years. We also test whether positive and negative tobacco smoking, alcohol, and cannabis expectancies mediate associations between neurocognitive factors and substance use initiation. Higher performance in general ability was associated with increased risk [OR = 1.23, 95 % CI 1.07–1.42] for cannabis use; positive cannabis expectancies mediated 72.6 % (p-value = 0.003) of the effect [Indirect effect: OR = 1.16, 95 % CI 1.12–1.20] and negative expectancies mediated −10.2 % (p-value = 0.04) of the effect [Indirect effect: OR = 0.98, 95 % CI 0.97–0.99]. Accuracy in visuospatial reasoning was protective [OR = 0.83, 95 % CI 0.73–0.95)] for cannabis use; the effect was not mediated by expectancies. Positive alcohol use expectancy mediated 36.3 % of the association between general ability and early alcohol use [OR = 1.15, 95 % CI 1.05–1.25; Indirect effect: OR = 1.05, 95 % CI 1.03–1.07]. Associations with early tobacco use were independent of tobacco expectancies. Developmentally appropriate expectancy-based interventions lowering positive expectancies and bolstering negative expectancies may be effective for preventing youth cannabis initiation. Interventions lowering positive alcohol expectancies may help prevent youth alcohol use.

青少年药物使用增加了发生药物使用障碍的风险。先前使用纵向ABCD研究®的工作发现，不同的神经认知因素有助于青少年吸烟和饮酒。本研究使用7776名ABCD研究®参与者的数据，扩展了先前的工作，以检查9-10岁（2016-2018年入组的样本）早期神经认知因素（一般能力、执行功能、学习和记忆、视觉空间和心理旋转）与13-14岁大麻使用之间的前瞻性关联。我们还测试了积极和消极的吸烟、饮酒和大麻预期是否介导神经认知因素和物质使用开始之间的关联。一般能力的提高与使用大麻的风险增加相关[OR = 1.23, 95% CI 1.07-1.42]；积极的大麻预期介导了72.6% （p值= 0.003）的效应[间接效应：OR = 1.16, 95% CI 1.12-1.20]，消极的大麻预期介导了- 10.2% （p值= 0.04）的效应[间接效应：OR = 0.98, 95% CI 0.97-0.99]。使用大麻对视觉空间推理的准确性有保护作用[OR = 0.83, 95% CI 0.73-0.95)]；这种效应不受预期的影响。积极的酒精使用预期介导了一般能力与早期酒精使用之间36.3%的关联[OR = 1.15, 95% CI 1.05-1.25；间接效应：OR = 1.05, 95% CI 1.03-1.07]。与早期烟草使用的关联与烟草预期无关。与发展相适应的基于预期的干预措施，降低积极预期和加强消极预期，可能对预防青少年开始吸食大麻有效。降低积极饮酒预期的干预措施可能有助于预防青少年饮酒。

{"title":"Youth cannabis and alcohol use expectancies mediate associations between pre-adolescent cognitive function and subsequent use initiation","authors":"Stephanie K. Jones , Rachel Tomko , Nolan Ramer , Bethany J. Wolf","doi":"10.1016/j.addbeh.2025.108533","DOIUrl":"10.1016/j.addbeh.2025.108533","url":null,"abstract":"<div><div>Youth substance use increases risk for developing substance use disorders. Previous work using the longitudinal ABCD Study® found distinct neurocognitive factors contribute to youth tobacco and alcohol initiation. Using data for 7776 ABCD Study® participants, this study expands prior work to examine prospective associations between early neurocognitive factors (general ability, executive function, learning and memory, and visuospatial and mental rotation) at ages 9–10 years (sample enrolled 2016–2018) and cannabis use by ages 13–14 years. We also test whether positive and negative tobacco smoking, alcohol, and cannabis expectancies mediate associations between neurocognitive factors and substance use initiation. Higher performance in general ability was associated with increased risk [OR = 1.23, 95 % CI 1.07–1.42] for cannabis use; positive cannabis expectancies mediated 72.6 % (p-value = 0.003) of the effect [Indirect effect: OR = 1.16, 95 % CI 1.12–1.20] and negative expectancies mediated −10.2 % (p-value = 0.04) of the effect [Indirect effect: OR = 0.98, 95 % CI 0.97–0.99]. Accuracy in visuospatial reasoning was protective [OR = 0.83, 95 % CI 0.73–0.95)] for cannabis use; the effect was not mediated by expectancies. Positive alcohol use expectancy mediated 36.3 % of the association between general ability and early alcohol use [OR = 1.15, 95 % CI 1.05–1.25; Indirect effect: OR = 1.05, 95 % CI 1.03–1.07]. Associations with early tobacco use were independent of tobacco expectancies. Developmentally appropriate expectancy-based interventions lowering positive expectancies and bolstering negative expectancies may be effective for preventing youth cannabis initiation. Interventions lowering positive alcohol expectancies may help prevent youth alcohol use.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"173 ","pages":"Article 108533"},"PeriodicalIF":3.6,"publicationDate":"2025-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145415051","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

Measuring cannabis use and cannabis-related consequences among college students who engage in simultaneous alcohol and cannabis use: Associations by type of cannabis product and mode of use on weekend days with cannabis 测量同时使用酒精和大麻的大学生的大麻使用情况和与大麻有关的后果：按大麻产品类型和周末使用大麻方式分列的关联

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-10-26 DOI: 10.1016/j.addbeh.2025.108534

Jennifer L. Shipley , Shou-Chun Chiang , Ashley N. Linden-Carmichael

Introduction

Patterning of cannabis use behavior is evolving as legalization of recreational use increases across the US, with rates highest among young adults. Modalities (e.g., vaping) for using cannabis are increasing in prevalence. Importantly, certain types (e.g., cannabis concentrates) and modes (e.g., bong use) of cannabis are associated with increased cannabis-related risks. Previous research in young adult samples has predominately used cross-sectional studies, limiting our understanding of within-individual differences in use behaviors and outcomes. The current study aimed to describe the type and modes of cannabis used and to examine within-individual differences in number of hits and negative consequences by type and mode of cannabis use.

Methods

Participants (n = 88) were current college students, ages 18–25 years (M_age = 20.49, SD = 1.22) who endorsed weekly simultaneous alcohol and cannabis use and enrolled in a 4-weekend ecological momentary assessment study. Cannabis use behavior (type, mode, number of hits, and substance use consequences) was assessed during each morning prompt.

Results

Plant was the most endorsed type of cannabis used and bongs were the most endorsed mode used. Multilevel models revealed that participants reported more hits on days when they used a joint, vape, blunt, or other modes of use compared to bong use and greater odds of experiencing negative consequences on days when they used a joint or blunt, compared to bong use.

Conclusion

Findings suggest that select modes are linked with heavier use and more consequences. Findings may be used to inform just-in-time interventions that target higher-risk cannabis use and select cannabis use behaviors.

随着美国娱乐性大麻使用合法化的增加，大麻使用行为的模式正在演变，其中年轻人的比例最高。使用大麻的方式（如吸电子烟）越来越普遍。重要的是，某些类型的大麻（如大麻浓缩物）和方式的大麻（如bong使用）与大麻相关的风险增加有关。以前对年轻人样本的研究主要使用横断面研究，限制了我们对使用行为和结果的个体内差异的理解。目前的研究旨在描述使用大麻的类型和方式，并根据使用大麻的类型和方式检查个体内的击中数量差异和负面后果。方法参与者（n = 88）为18-25岁的在校大学生（Mage = 20.49, SD = 1.22），他们认可每周同时使用酒精和大麻，并参加了一项为期4周的生态瞬时评估研究。在每个早晨提示期间评估大麻使用行为（类型，模式，点击次数和物质使用后果）。结果植物是最受认可的大麻使用类型，而烟斗是最受认可的使用方式。多层模型显示，与使用烟枪相比，参与者在使用关节、电子烟、钝器或其他使用方式的日子里报告了更多的打击，而在使用关节或钝器的日子里，与使用烟枪相比，他们经历负面后果的可能性更大。结论研究结果表明，选择的模式与使用更频繁和更严重的后果有关。研究结果可用于告知针对高风险大麻使用和选择大麻使用行为的及时干预措施。

{"title":"Measuring cannabis use and cannabis-related consequences among college students who engage in simultaneous alcohol and cannabis use: Associations by type of cannabis product and mode of use on weekend days with cannabis","authors":"Jennifer L. Shipley , Shou-Chun Chiang , Ashley N. Linden-Carmichael","doi":"10.1016/j.addbeh.2025.108534","DOIUrl":"10.1016/j.addbeh.2025.108534","url":null,"abstract":"<div><h3>Introduction</h3><div>Patterning of cannabis use behavior is evolving as legalization of recreational use increases across the US, with rates highest among young adults. Modalities (e.g., vaping) for using cannabis are increasing in prevalence. Importantly, certain types (e.g., cannabis concentrates) and modes (e.g., bong use) of cannabis are associated with increased cannabis-related risks. Previous research in young adult samples has predominately used cross-sectional studies, limiting our understanding of within-individual differences in use behaviors and outcomes. The current study aimed to describe the type and modes of cannabis used and to examine within-individual differences in number of hits and negative consequences by type and mode of cannabis use.</div></div><div><h3>Methods</h3><div>Participants (<em>n</em> = 88) were current college students, ages 18–25 years (<em>M</em><sub>age</sub> = 20.49, <em>SD</em> = 1.22) who endorsed weekly simultaneous alcohol and cannabis use and enrolled in a 4-weekend ecological momentary assessment study. Cannabis use behavior (type, mode, number of hits, and substance use consequences) was assessed during each morning prompt.</div></div><div><h3>Results</h3><div>Plant was the most endorsed type of cannabis used and bongs were the most endorsed mode used. Multilevel models revealed that participants reported more hits on days when they used a joint, vape, blunt, or other modes of use compared to bong use and greater odds of experiencing negative consequences on days when they used a joint or blunt, compared to bong use.</div></div><div><h3>Conclusion</h3><div>Findings suggest that select modes are linked with heavier use and more consequences. Findings may be used to inform just-in-time interventions that target higher-risk cannabis use and select cannabis use behaviors.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"173 ","pages":"Article 108534"},"PeriodicalIF":3.6,"publicationDate":"2025-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145384506","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

Longitudinal bidirectional relations between perceived stress and Internet gaming disorder among adolescents: The mediating role of depressive symptoms 青少年感知压力与网络游戏障碍的纵向双向关系：抑郁症状的中介作用

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-10-25 DOI: 10.1016/j.addbeh.2025.108532

Xiaoyu Li , Liying Luo , Yinqiu Zhao , Chi Yang , Yingchao Zhang , Ziyan Zhou , Guanxing Xiong , Wenqing Li

Perceived stress is considered a significant risk factor for Internet gaming disorder (IGD). However, the longitudinal dynamics and the underlying mechanisms of this relation remain underexplored. Drawing on the Compensatory Internet Use Theory, this study examined the mediating role of depressive symptoms in the longitudinal relation between perceived stress and IGD among adolescents. A total of 1567 Chinese adolescents (44.9 % boys; M_age = 15.41, SD = 0.51 at baseline) participated in a three-wave longitudinal study with a six-month interval. Cross-lagged panel modeling revealed that: (a) significant bidirectional relations were observed between perceived stress and depressive symptoms (βs ranged from 0.19 to 0.22, ps < 0.001); (b) depressive symptoms positively predicted subsequent IGD (βs ranged from 0.14 to 0.16, ps < 0.001); and (c) depressive symptoms mediated the relation between perceived stress and IGD (indirect effect = 0.032, 95 % CI [0.007, 0.062]). These findings highlight the critical role of depressive symptoms in the progression from perceived stress to IGD. Addressing depressive symptoms may be crucial for preventing and intervening with adolescent IGD.

感知压力被认为是网络游戏障碍（IGD）的重要风险因素。然而，这种关系的纵向动力学和潜在机制仍未得到充分探讨。利用代偿性网络使用理论，本研究考察了抑郁症状在青少年感知压力与IGD之间的纵向关系中的中介作用。共有1567名中国青少年（44.9%为男孩；基线时，Mage = 15.41, SD = 0.51）参加了为期6个月的三波纵向研究。交叉滞后面板模型显示：(a)感知压力与抑郁症状之间存在显著的双向关系（βs范围为0.19至0.22,ps < 0.001）；(b)抑郁症状正预测随后的IGD (βs范围从0.14到0.16,ps < 0.001)；(c)抑郁症状介导应激感知与IGD之间的关系（间接效应= 0.032,95% CI[0.007, 0.062]）。这些发现强调了抑郁症状在从感知压力到IGD进展中的关键作用。解决抑郁症状可能是预防和干预青少年IGD的关键。

{"title":"Longitudinal bidirectional relations between perceived stress and Internet gaming disorder among adolescents: The mediating role of depressive symptoms","authors":"Xiaoyu Li , Liying Luo , Yinqiu Zhao , Chi Yang , Yingchao Zhang , Ziyan Zhou , Guanxing Xiong , Wenqing Li","doi":"10.1016/j.addbeh.2025.108532","DOIUrl":"10.1016/j.addbeh.2025.108532","url":null,"abstract":"<div><div>Perceived stress is considered a significant risk factor for Internet gaming disorder (IGD). However, the longitudinal dynamics and the underlying mechanisms of this relation remain underexplored. Drawing on the Compensatory Internet Use Theory, this study examined the mediating role of depressive symptoms in the longitudinal relation between perceived stress and IGD among adolescents. A total of 1567 Chinese adolescents (44.9 % boys; <em>M</em><sub>age</sub> = 15.41, <em>SD</em> = 0.51 at baseline) participated in a three-wave longitudinal study with a six-month interval. Cross-lagged panel modeling revealed that: (a) significant bidirectional relations were observed between perceived stress and depressive symptoms (<em>β</em>s ranged from 0.19 to 0.22, <em>p</em>s < 0.001); (b) depressive symptoms positively predicted subsequent IGD (<em>β</em>s ranged from 0.14 to 0.16, <em>p</em>s < 0.001); and (c) depressive symptoms mediated the relation between perceived stress and IGD (indirect effect = 0.032, 95 % CI [0.007, 0.062]). These findings highlight the critical role of depressive symptoms in the progression from perceived stress to IGD. Addressing depressive symptoms may be crucial for preventing and intervening with adolescent IGD.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"173 ","pages":"Article 108532"},"PeriodicalIF":3.6,"publicationDate":"2025-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145384505","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

Sexual diversity, adolescent mental health, and adult cannabis use: Longitudinal associations through cannabis use motives 性多样性、青少年心理健康和成人大麻使用：通过大麻使用动机的纵向关联

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-10-25 DOI: 10.1016/j.addbeh.2025.108530

Kira London-Nadeau , Nina Pocuca , Charlie Rioux , Nicholas Chadi , Sylvana M. Côté , Jean-Sébastien Fallu , Marie-Claude Geoffroy , Christophe Huynh , Robert-Paul Juster , Jean R. Séguin , Natalie Castellanos-Ryan

Purpose

We examined prospective pathways between adolescent mental health and early adulthood cannabis use (CU) by sexual diversity, and the potential explanatory role of CU motives, accounting for confounders (demographics, CU frequency in adolescence).

Methods

Participants from the Quebec Longitudinal Study of Child Development self-reported at 17 years on depressive symptoms, anxiety symptoms, and CU frequency, and at 23 years on CU motives, frequency and problems (471 participants total; 425 heterosexual; 46 sexually diverse).

Results

Depression – but not anxiety – symptoms at 17 years predicted CU problems at 23 years among sexually diverse participants only. This association was fully explained through coping motives, which were strongly predicted by depression symptoms in sexually diverse youth. While coping motives also predicted CU problems in heterosexual participants, coping motives were not predicted by mental health at 17 in this group. Depression symptoms at 17 also predicted social motives for CU among sexually diverse participants only, but this was not associated with CU frequency and problems. Finally, enhancement motives predicted CU problems at 23 years in both heterosexual and sexually diverse participants, but were not predicted by mental health at 17 years.

Conclusions

Among sexually diverse youth, depression symptoms in adolescence may confer particular risk for later CU problems through CU for coping purposes. Increasing coping resources for sexually diverse adolescents experiencing psychological distress could help prevent later CU problems.

目的：我们通过性别多样性研究青少年心理健康与成年早期大麻使用（CU）之间的前瞻性途径，以及考虑混杂因素（人口统计学、青春期大麻使用频率）的CU动机的潜在解释作用。方法魁北克儿童发展纵向研究的参与者在17岁时自我报告抑郁症状、焦虑症状和性交频率，在23岁时自我报告性交动机、频率和问题（总共471名参与者，425名异性恋者，46名性取向不同者）。结果17岁时的抑郁症状（而非焦虑症状）仅在性别不同的参与者中预测23岁时的CU问题。这种关联完全可以通过应对动机来解释，而应对动机是由性取向不同的青少年的抑郁症状所强烈预测的。虽然应对动机也能预测异性恋参与者的CU问题，但在这一组中，17岁时的心理健康状况无法预测应对动机。17岁时的抑郁症状也仅能预测性别不同的参与者自杀的社会动机，但这与自杀频率和问题无关。最后，增强动机预测异性恋和性取向不同的参与者在23岁时的CU问题，但在17岁时的心理健康不能预测。结论在性取向不同的青少年中，青春期的抑郁症状可能会通过以CU为应对目的而增加日后CU问题的风险。增加对经历心理困扰的性取向不同的青少年的应对资源有助于预防以后的CU问题。

{"title":"Sexual diversity, adolescent mental health, and adult cannabis use: Longitudinal associations through cannabis use motives","authors":"Kira London-Nadeau , Nina Pocuca , Charlie Rioux , Nicholas Chadi , Sylvana M. Côté , Jean-Sébastien Fallu , Marie-Claude Geoffroy , Christophe Huynh , Robert-Paul Juster , Jean R. Séguin , Natalie Castellanos-Ryan","doi":"10.1016/j.addbeh.2025.108530","DOIUrl":"10.1016/j.addbeh.2025.108530","url":null,"abstract":"<div><h3>Purpose</h3><div>We examined prospective pathways between adolescent mental health and early adulthood cannabis use (CU) by sexual diversity, and the potential explanatory role of CU motives, accounting for confounders (demographics, CU frequency in adolescence).</div></div><div><h3>Methods</h3><div>Participants from the Quebec Longitudinal Study of Child Development self-reported at 17 years on depressive symptoms, anxiety symptoms, and CU frequency, and at 23 years on CU motives, frequency and problems (471 participants total; 425 heterosexual; 46 sexually diverse).</div></div><div><h3>Results</h3><div>Depression – but not anxiety – symptoms at 17 years predicted CU problems at 23 years among sexually diverse participants only. This association was fully explained through coping motives, which were strongly predicted by depression symptoms in sexually diverse youth. While coping motives also predicted CU problems in heterosexual participants, coping motives were not predicted by mental health at 17 in this group. Depression symptoms at 17 also predicted social motives for CU among sexually diverse participants only, but this was not associated with CU frequency and problems. Finally, enhancement motives predicted CU problems at 23 years in both heterosexual and sexually diverse participants, but were not predicted by mental health at 17 years.</div></div><div><h3>Conclusions</h3><div>Among sexually diverse youth, depression symptoms in adolescence may confer particular risk for later CU problems through CU for coping purposes. Increasing coping resources for sexually diverse adolescents experiencing psychological distress could help prevent later CU problems.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"173 ","pages":"Article 108530"},"PeriodicalIF":3.6,"publicationDate":"2025-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145415050","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 emotional distress tolerance negatively predict problematic smartphone use or vice versa? Evidence from a longitudinal study and a daily diary study 情绪困扰容忍度是否会对智能手机的使用产生负面影响，反之亦然？来自纵向研究和每日日记研究的证据。

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-10-25 DOI: 10.1016/j.addbeh.2025.108531

Siyan Chen, Lu Yang, Yun Qu, Ningning Zhou

Low emotional distress tolerance (EDT) is a risk factor for problematic smartphone use (PSU). While theoretical and preliminary empirical considerations suggest that PSU may impair EDT, no studies have directly examined their bidirectional relationship. To address this gap, in this research, the bidirectional relationship between PSU and EDT is investigated through two studies among young adults. Study 1 employed a two-wave longitudinal design. A total of 901 young adults (61.7 % women) completed questionnaires three months apart. A cross-lagged regression analysis revealed a significant bidirectional predictive relationship between EDT and PSU. Study 2 used a daily diary design (N = 77; 39.0 % women) to examine the day-to-day directional relationship between EDT and PSU. Participants completed daily assessments over 14 consecutive days. Multilevel linear models with time lag analyses indicated that PSU predicted next-day EDT, whereas EDT did not predict next-day PSU. Study 1 revealed a reciprocal negative association between EDT and PSU, offering empirical support for Compensatory Internet Use Theory (CIUT) and the reinforcing cycle of the Interaction of Person-Affect-Cognition-Execution (I-PACE) model. Moreover, on a daily timescale, only PSU was found to predict next-day EDT. These findings have implications for interventions aiming to break the cycle between PSU and low EDT.

低情绪痛苦容忍度（EDT）是智能手机使用问题（PSU）的一个风险因素。虽然理论和初步的经验考虑表明PSU可能损害EDT，但没有研究直接检查它们的双向关系。为了解决这一差距，在本研究中，PSU和EDT之间的双向关系通过两项研究调查了年轻人。研究1采用双波纵向设计。共有901名年轻人（61.7%为女性）间隔三个月完成问卷调查。交叉滞后回归分析显示，EDT与PSU之间存在显著的双向预测关系。研究2采用每日日记设计（N = 77； 39.0%女性）来检查EDT和PSU之间的每日方向关系。参与者在连续14天内完成每日评估。具有时滞分析的多水平线性模型表明，PSU可以预测第二天的EDT，而EDT不能预测第二天的PSU。研究1揭示了EDT与PSU之间的负相关关系，为补偿性网络使用理论（CIUT）和人-情感-认知-执行互动（I-PACE）模型的强化循环提供了实证支持。此外，在每日时间尺度上，只有PSU被发现可以预测第二天的美国东部时间。这些发现对旨在打破PSU和低EDT之间循环的干预措施具有启示意义。

{"title":"Does emotional distress tolerance negatively predict problematic smartphone use or vice versa? Evidence from a longitudinal study and a daily diary study","authors":"Siyan Chen, Lu Yang, Yun Qu, Ningning Zhou","doi":"10.1016/j.addbeh.2025.108531","DOIUrl":"10.1016/j.addbeh.2025.108531","url":null,"abstract":"<div><div>Low emotional distress tolerance (EDT) is a risk factor for problematic smartphone use (PSU). While theoretical and preliminary empirical considerations suggest that PSU may impair EDT, no studies have directly examined their bidirectional relationship. To address this gap, in this research, the bidirectional relationship between PSU and EDT is investigated through two studies among young adults. Study 1 employed a two-wave longitudinal design. A total of 901 young adults (61.7 % women) completed questionnaires three months apart. A cross-lagged regression analysis revealed a significant bidirectional predictive relationship between EDT and PSU. Study 2 used a daily diary design (<em>N</em> = 77; 39.0 % women) to examine the day-to-day directional relationship between EDT and PSU. Participants completed daily assessments over 14 consecutive days. Multilevel linear models with time lag analyses indicated that PSU predicted next-day EDT, whereas EDT did not predict next-day PSU. Study 1 revealed a reciprocal negative association between EDT and PSU, offering empirical support for Compensatory Internet Use Theory (CIUT) and the reinforcing cycle of the Interaction of Person-Affect-Cognition-Execution (I-PACE) model. Moreover, on a daily timescale, only PSU was found to predict next-day EDT. These findings have implications for interventions aiming to break the cycle between PSU and low EDT.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"172 ","pages":"Article 108531"},"PeriodicalIF":3.6,"publicationDate":"2025-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145410962","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

Growing Concerns: A systematic review and Meta-Analysis of cannabis use and mental health risks in youth 日益关注：大麻使用与青少年心理健康风险的系统审查和荟萃分析。

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-10-24 DOI: 10.1016/j.addbeh.2025.108528

A. Sanz-Pérez , D.R. Serrano , A.I. Fraguas-Sánchez , M.C. Pardo , J.M.Ruiz Sánchez de León , F.J. Estupiñá , T. Pérez , E. González-Burgos

Cannabis is the most widely consumed illicit drug globally. In 2021, 46 % of countries identified cannabis as the predominant substance associated with drug abuse disorders, with 34 % indicating it as the primary cause for seeking treatment. Young individuals represent the largest consumer demographic, experiencing substantial negative health effects. Despite extensive research on its mental health impacts, many aspects remain unclear. This study examines cannabis use among young people including anxiety, depression, and suicidal behavior. Studies involving individuals aged 15–30 were included. Data sources included PubMed, Mendeley, Embase, WOS, CINAHL, and Scopus. After screening 6466 articles, 36 met the inclusion criteria, with 18 included in the meta-analysis. These studies were published between 2013 and 2025. The results indicated that the odds of depression were 51 % higher in young cannabis users (OR = 1.51, 95 %CI = 1.23–1.86), decreasing to 28 % after adjustment (aOR = 1.28, 95 %CI = 1.10–1.50). Anxiety showed a 58 % increase (OR = 1.58, 95 %CI = 1.15–2.15). For suicidal ideation, the increase ranged from 50 % in unadjusted models (OR = 1.50, 95 %CI = 1.05–2.14) to 65 % in adjusted models (aOR = 1.65 95 %CI = 1.40–1.93). Finally, the odds of suicide attempt were 87 % higher (OR = 1.87, 95 %CI = 1.25–2.80), remaining elevated at 80 % after adjustment (aOR = 1.80, 95 %CI = 1.30–2.49).

大麻是全球消费最广泛的非法药物。2021年，46%的国家将大麻确定为与药物滥用疾病相关的主要物质，34%的国家表示大麻是寻求治疗的主要原因。年轻人是最大的消费者群体，他们的健康受到严重的负面影响。尽管对其心理健康影响进行了广泛的研究，但许多方面仍不清楚。这项研究调查了年轻人使用大麻的情况，包括焦虑、抑郁和自杀行为。研究对象为15-30岁的个体。数据来源包括PubMed、Mendeley、Embase、WOS、CINAHL和Scopus。筛选6466篇文章后，36篇符合纳入标准，其中18篇纳入meta分析。这些研究发表于2013年至2025年之间。结果显示，青少年大麻使用者患抑郁症的几率高出51% (OR = 1.51, 95% CI = 1.23-1.86)，调整后降至28% （aOR = 1.28, 95% CI = 1.10-1.50）。焦虑增加58% （OR = 1.58, 95% CI = 1.15-2.15）。对于自杀意念，未调整模型的增加幅度从50% （OR = 1.50, 95% CI = 1.05-2.14）到调整模型的65% （aOR = 1.65, 95% CI = 1.40-1.93）。最后，自杀企图的几率高出87% (OR = 1.87, 95% CI = 1.25-2.80)，调整后仍高于80% （aOR = 1.80, 95% CI = 1.30-2.49）。

{"title":"Growing Concerns: A systematic review and Meta-Analysis of cannabis use and mental health risks in youth","authors":"A. Sanz-Pérez , D.R. Serrano , A.I. Fraguas-Sánchez , M.C. Pardo , J.M.Ruiz Sánchez de León , F.J. Estupiñá , T. Pérez , E. González-Burgos","doi":"10.1016/j.addbeh.2025.108528","DOIUrl":"10.1016/j.addbeh.2025.108528","url":null,"abstract":"<div><div>Cannabis is the most widely consumed illicit drug globally. In 2021, 46 % of countries identified cannabis as the predominant substance associated with drug abuse disorders, with 34 % indicating it as the primary cause for seeking treatment. Young individuals represent the largest consumer demographic, experiencing substantial negative health effects. Despite extensive research on its mental health impacts, many aspects remain unclear. This study examines cannabis use among young people including anxiety, depression, and suicidal behavior. Studies involving individuals aged 15–30 were included. Data sources included PubMed, Mendeley, Embase, WOS, CINAHL, and Scopus. After screening 6466 articles, 36 met the inclusion criteria, with 18 included in the <em>meta</em>-analysis. These studies were published between 2013 and 2025. The results indicated that the odds of depression were 51 % higher in young cannabis users (OR = 1.51, 95 %CI = 1.23–1.86), decreasing to 28 % after adjustment (aOR = 1.28, 95 %CI = 1.10–1.50). Anxiety showed a 58 % increase (OR = 1.58, 95 %CI = 1.15–2.15). For suicidal ideation, the increase ranged from 50 % in unadjusted models (OR = 1.50, 95 %CI = 1.05–2.14) to 65 % in adjusted models (aOR = 1.65 95 %CI = 1.40–1.93). Finally, the odds of suicide attempt were 87 % higher (OR = 1.87, 95 %CI = 1.25–2.80), remaining elevated at 80 % after adjustment (aOR = 1.80, 95 %CI = 1.30–2.49).</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"172 ","pages":"Article 108528"},"PeriodicalIF":3.6,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145380154","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

The association between cannabis use and cardiovascular outcomes among U.S. Adults, 2020–2023 2020-2023年美国成年人大麻使用与心血管疾病之间的关系

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-10-24 DOI: 10.1016/j.addbeh.2025.108529

Ruoyan Sun , Suzanne E. Judd , Prabal K. De

Objective

The effect of cannabis use on cardiovascular disease is mixed in the literature. This study assessed the association between cannabis use and multiple cardiovascular outcomes using recent national data from the U.S. Potential heterogenous effects by age and sex were also examined.

Methods

Using a national sample of 436,949 adults who were interviewed between 2020 and 2023 in BRFSS, we employed multivariable logistic regressions to determine the association between cannabis use and cardiovascular health outcomes, adjusting for sociodemographics, health status, other substance use behaviors, and state-level cannabis laws. State and year fixed effects were also included to adjust for time-invariant state characters and trends in cardiovascular outcomes.

Results

The weighted prevalence was 4.4 % for coronary heart disease, 4.5 % for myocardial infarction, 3.6 % for stroke, and 9.3 % for the composite measure of any cardiovascular outcome. Non-daily cannabis use, compared to no cannabis use in the past 30 days, was associated with increased odds of stroke (aOR = 1.28, 95 % CI, 1.06–1.54) and the composite measure (aOR = 1.16, 95 % CI, 1.03–1.29). Daily cannabis use was also associated with increased odds of stroke and the composite measure, with aORs at 1.29 (95 % CI, 1.07–1.54) and 1.20 (95 % CI, 1.06–1.36), respectively. Subgroup analyses revealed that cannabis use was associated with more cardiovascular outcomes among middle-aged adults and females.

Conclusions

We found cannabis use to be associated with increased odds of several cardiovascular outcomes. Some population groups who use cannabis, such as middle-aged adults and females, may be at higher cardiovascular risk.

目的：大麻使用对心血管疾病的影响在文献中是混合的。本研究利用美国最近的国家数据评估了大麻使用与多种心血管结果之间的关系，并研究了年龄和性别的潜在异质性效应。方法：采用BRFSS在2020年至2023年期间采访的436,949名成年人的全国样本，我们采用多变量logistic回归来确定大麻使用与心血管健康结局之间的关系，并调整社会人口统计学、健康状况、其他物质使用行为和州一级大麻法律。还包括状态和年份固定效应，以调整心血管结果的时不变状态特征和趋势。结果：冠心病的加权患病率为4.4%，心肌梗死为4.5%，中风为3.6%，任何心血管结果的综合测量为9.3%。与过去30天内不使用大麻相比，非每日使用大麻与中风的几率增加相关（aOR = 1.28, 95% CI, 1.06-1.54）和综合测量（aOR = 1.16, 95% CI, 1.03-1.29）。每日使用大麻也与中风和综合测量的几率增加有关，aor分别为1.29 （95% CI, 1.07-1.54）和1.20 （95% CI, 1.06-1.36）。亚组分析显示，在中年成年人和女性中，大麻的使用与更多的心血管疾病有关。结论：我们发现大麻的使用与几种心血管结局的几率增加有关。一些使用大麻的人群，如中年人和女性，患心血管疾病的风险可能更高。

{"title":"The association between cannabis use and cardiovascular outcomes among U.S. Adults, 2020–2023","authors":"Ruoyan Sun , Suzanne E. Judd , Prabal K. De","doi":"10.1016/j.addbeh.2025.108529","DOIUrl":"10.1016/j.addbeh.2025.108529","url":null,"abstract":"<div><h3>Objective</h3><div>The effect of cannabis use on cardiovascular disease is mixed in the literature. This study assessed the association between cannabis use and multiple cardiovascular outcomes using recent national data from the U.S. Potential heterogenous effects by age and sex were also examined.</div></div><div><h3>Methods</h3><div>Using a national sample of 436,949 adults who were interviewed between 2020 and 2023 in BRFSS, we employed multivariable logistic regressions to determine the association between cannabis use and cardiovascular health outcomes, adjusting for sociodemographics, health status, other substance use behaviors, and state-level cannabis laws. State and year fixed effects were also included to adjust for time-invariant state characters and trends in cardiovascular outcomes.</div></div><div><h3>Results</h3><div>The weighted prevalence was 4.4 % for coronary heart disease, 4.5 % for myocardial infarction, 3.6 % for stroke, and 9.3 % for the composite measure of any cardiovascular outcome. Non-daily cannabis use, compared to no cannabis use in the past 30 days, was associated with increased odds of stroke (aOR = 1.28, 95 % CI, 1.06–1.54) and the composite measure (aOR = 1.16, 95 % CI, 1.03–1.29). Daily cannabis use was also associated with increased odds of stroke and the composite measure, with aORs at 1.29 (95 % CI, 1.07–1.54) and 1.20 (95 % CI, 1.06–1.36), respectively. Subgroup analyses revealed that cannabis use was associated with more cardiovascular outcomes among middle-aged adults and females.</div></div><div><h3>Conclusions</h3><div>We found cannabis use to be associated with increased odds of several cardiovascular outcomes. Some population groups who use cannabis, such as middle-aged adults and females, may be at higher cardiovascular risk.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"172 ","pages":"Article 108529"},"PeriodicalIF":3.6,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145395985","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

Effect of graphic warning label on acute changes in waterpipe tobacco smoking behavior, biomarkers of exposure and harm, and subjective effects in a randomized trial 在一项随机试验中，图形警示标签对水烟吸烟行为的急性变化、暴露和危害的生物标志物以及主观效应的影响。

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-10-21 DOI: 10.1016/j.addbeh.2025.108520

Marielle C. Brinkman , Toral Mehta , Michael L. Pennell , David Angeles , Soliana Kahassai , Chieh-Ming Wu , Hayley Curran , Brittney Keller-Hamilton , Elizabeth G. Klein , Megan E. Roberts , Paul Nini , Olorunfemi Adetona , Joanne G. Patterson , Darren Mays , Lucia Mandarano , Emma Jankowski , Annabelle Thomas , Amy K. Ferketich

Introduction

Waterpipe (WP) smoking is commonly misperceived as less harmful than cigarette smoking. Graphic warning labels (GWLs) may correct misperceptions and reduce WP smoking. We determined the impact of a GWL placed on a WP on short-term smoking behaviors and other outcomes among young adults who smoke WP.

Methods

Young adults, ages 21–35 years, who smoke WP were randomized to a control (Visit1 = Blank, Visit2 = Blank label) or experimental (Visit1 = Blank, Visit2 = GWL, Visit3 = GWL) group. Participants smoked a research-grade WP in the lab ad lib to satiation, for a maximum of 60 min, for up to 3 visits, each separated by a week. Puffing topography was measured continuously throughout the session. Exhaled CO, harm perceptions, and subjective effects were measured before and after each smoking session. Outcome data were analyzed using linear mixed models to account for incomplete, repeated measurements.

Results

There were no significant differences in study outcomes within and between assigned groups, except for the following from Visit1 and Visit3 in the GWL group: 1) a reduction in puff volume (p = 0.048); 2) a reduction in good taste and calmness (p = 0.027 and 0.007, respectively); and 3) a reduction in being confused after smoking (p = 0.042).

Conclusions

GWLs on WPs may not be the sole effective tool for reducing the harm from WP smoking. More research is needed to determine if WP interventions aimed at improving population health should include a wider variety of tools, such as education, cessation services, and product standards that limit the appealing aspects of WP tobacco.

导读：水烟（WP）吸烟通常被误认为比吸烟危害小。图形警告标签（gwl）可以纠正误解，减少WP吸烟。我们确定了GWL对吸烟WP的年轻人的短期吸烟行为和其他结果的影响。方法：将21 ~ 35岁吸烟白蜡粉的年轻人随机分为对照组（Visit1 =空白，Visit2 =空白标签）和试验组（Visit1 =空白，Visit2 = GWL, Visit3 = GWL）。参与者在实验室里随意抽了一根研究级的WP，最多抽60分钟，最多抽3次，每次间隔一周。在整个疗程中连续测量膨化地形。在每次吸烟前后测量呼出的一氧化碳、危害感知和主观影响。使用线性混合模型分析结果数据，以解释不完整的重复测量。结果：研究结果在指定组内和组间无显著差异，除了GWL组Visit1和Visit3的以下结果：1)吸烟量减少（p = 0.048）；2)品味和冷静的降低（p分别= 0.027和0.007）；3)吸烟后困惑的减少（p = 0.042）。结论：对WP的gwl可能不是减少WP吸烟危害的唯一有效工具。需要更多的研究来确定旨在改善人群健康的无烟性烟草干预措施是否应包括更广泛的工具，如教育、戒烟服务和限制无烟性烟草吸引方面的产品标准。

{"title":"Effect of graphic warning label on acute changes in waterpipe tobacco smoking behavior, biomarkers of exposure and harm, and subjective effects in a randomized trial","authors":"Marielle C. Brinkman , Toral Mehta , Michael L. Pennell , David Angeles , Soliana Kahassai , Chieh-Ming Wu , Hayley Curran , Brittney Keller-Hamilton , Elizabeth G. Klein , Megan E. Roberts , Paul Nini , Olorunfemi Adetona , Joanne G. Patterson , Darren Mays , Lucia Mandarano , Emma Jankowski , Annabelle Thomas , Amy K. Ferketich","doi":"10.1016/j.addbeh.2025.108520","DOIUrl":"10.1016/j.addbeh.2025.108520","url":null,"abstract":"<div><h3>Introduction</h3><div>Waterpipe (WP) smoking is commonly misperceived as less harmful than cigarette smoking. Graphic warning labels (GWLs) may correct misperceptions and reduce WP smoking. We determined the impact of a GWL placed on a WP on short-term smoking behaviors and other outcomes among young adults who smoke WP.</div></div><div><h3>Methods</h3><div>Young adults, ages 21–35 years, who smoke WP were randomized to a control (Visit1 = Blank, Visit2 = Blank label) or experimental (Visit1 = Blank, Visit2 = GWL, Visit3 = GWL) group. Participants smoked a research-grade WP in the lab <em>ad lib</em> to satiation, for a maximum of 60 min, for up to 3 visits, each separated by a week. Puffing topography was measured continuously throughout the session. Exhaled CO, harm perceptions, and subjective effects were measured before and after each smoking session. Outcome data were analyzed using linear mixed models to account for incomplete, repeated measurements.</div></div><div><h3>Results</h3><div>There were no significant differences in study outcomes within and between assigned groups, except for the following from Visit1 and Visit3 in the GWL group: 1) a reduction in puff volume (p = 0.048); 2) a reduction in good taste and calmness (p = 0.027 and 0.007, respectively); and 3) a reduction in being confused after smoking (p = 0.042).</div></div><div><h3>Conclusions</h3><div>GWLs on WPs may not be the sole effective tool for reducing the harm from WP smoking. More research is needed to determine if WP interventions aimed at improving population health should include a wider variety of tools, such as education, cessation services, and product standards that limit the appealing aspects of WP tobacco.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"172 ","pages":"Article 108520"},"PeriodicalIF":3.6,"publicationDate":"2025-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145350399","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

Patterns, persistence, and changes of subtypes of internet gaming disorder among young gamers 青少年网络游戏障碍亚型的模式、持续性和变化

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-10-20 DOI: 10.1016/j.addbeh.2025.108522

Xingcan Ye , Ted C.T. Fong , Paul S.F. Yip

Background

Internet gaming disorder (IGD) is prevalent and comorbid with psychiatric problems such as depression and hikikomori among young generation. However, existing studies have not examined the longitudinal pathways to IGD development over time.

Aims

This study aimed to extend the pathways model of IGD to the longitudinal setting and evaluate the patterns, persistence, and changes of IGD subtypes with varying comorbid problems and associated predictors.

Methods

The study included a sample of 601 young gamers (mean age = 23.8) in Hong Kong who completed surveys at two timepoints. Latent transition analysis was conducted based on scores of IGD, depression, hikikomori, and disruptor traits. Multinomial logistic regression models investigated the predictors.

Results

Four latent classes were identified: the healthy class, the socially low IGD class, the disruptive IGD subtype, and the socially depressed IGD subtype. They showed distinct transition patterns and the disruptive IGD subtype was less stable and more likely to recover than the socially depressed IGD type. Low real-world social support, escapism, and playing strategy and MOBA games were associated with the stability of disruptive and socially depressed IGD subtypes. Playing more MMORPGs was associated with transition from the socially low IGD group to other two vulnerable IGD subtypes.

Conclusions

Our findings supported the high comorbidity of IGD with other psychiatric problems rather than appearing alone. The persistence and heterogeneous profiles of two IGD subtypes inform personalized treatments to address the comorbid problems and highlight the importance of establishing real-world social support.

网络游戏障碍（IGD）在年轻一代中普遍存在，并与抑郁症和“隐蔽青年”等精神问题共病。然而，现有的研究并没有考察IGD发展的纵向途径。本研究旨在将IGD的通路模型扩展到纵向设置，并评估具有不同合并症和相关预测因素的IGD亚型的模式、持久性和变化。方法本研究以香港601名年轻游戏玩家（平均年龄23.8岁）为样本，在两个时间点完成调查。潜在转变分析是基于IGD、抑郁、隐蔽青年和破坏者特征的评分进行的。多项逻辑回归模型研究了预测因子。结果发现4种潜在类型：健康型、社会低IGD型、破坏性IGD亚型和社会抑郁型IGD亚型。他们表现出明显的过渡模式，破坏性IGD亚型比社交抑郁型IGD亚型更不稳定，更容易恢复。低现实世界社会支持、逃避现实、玩策略和MOBA游戏与破坏性和社交抑郁IGD亚型的稳定性有关。玩更多mmorpg与从社交低IGD群体向其他两种易患IGD亚型的转变有关。结论研究结果支持IGD与其他精神疾病的高合并症，而不是单独出现。两种IGD亚型的持久性和异质性为个性化治疗提供了信息，以解决合并症问题，并强调了建立现实世界社会支持的重要性。

{"title":"Patterns, persistence, and changes of subtypes of internet gaming disorder among young gamers","authors":"Xingcan Ye , Ted C.T. Fong , Paul S.F. Yip","doi":"10.1016/j.addbeh.2025.108522","DOIUrl":"10.1016/j.addbeh.2025.108522","url":null,"abstract":"<div><h3>Background</h3><div>Internet gaming disorder (IGD) is prevalent and comorbid with psychiatric problems such as depression and hikikomori among young generation. However, existing studies have not examined the longitudinal pathways to IGD development over time.</div></div><div><h3>Aims</h3><div>This study aimed to extend the pathways model of IGD to the longitudinal setting and evaluate the patterns, persistence, and changes of IGD subtypes with varying comorbid problems and associated predictors.</div></div><div><h3>Methods</h3><div>The study included a sample of 601 young gamers (mean age = 23.8) in Hong Kong who completed surveys at two timepoints. Latent transition analysis was conducted based on scores of IGD, depression, hikikomori, and disruptor traits. Multinomial logistic regression models investigated the predictors.</div></div><div><h3>Results</h3><div>Four latent classes were identified: the healthy class, the socially low IGD class, the disruptive IGD subtype, and the socially depressed IGD subtype. They showed distinct transition patterns and the disruptive IGD subtype was less stable and more likely to recover than the socially depressed IGD type. Low real-world social support, escapism, and playing strategy and MOBA games were associated with the stability of disruptive and socially depressed IGD subtypes. Playing more MMORPGs was associated with transition from the socially low IGD group to other two vulnerable IGD subtypes.</div></div><div><h3>Conclusions</h3><div>Our findings supported the high comorbidity of IGD with other psychiatric problems rather than appearing alone. The persistence and heterogeneous profiles of two IGD subtypes inform personalized treatments to address the comorbid problems and highlight the importance of establishing real-world social support.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"172 ","pages":"Article 108522"},"PeriodicalIF":3.6,"publicationDate":"2025-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145358664","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