Pub Date : 2024-11-16DOI: 10.1016/j.addbeh.2024.108214
Carlotta Olivari , Giovanni Mansueto , Claudia Marino , Giulio Candellari , Jessica Cericola , Jon Binnie , Marcantonio M. Spada , Gabriele Caselli
Using the Elaborated Intrusion Theory of Desire and the Self-Regulatory Executive Function model of psychopathology as bases, this study explored whether metacognitive beliefs and desire thinking (DT) are associated with higher levels of Compulsive Sexual Behavior (CSB). A total of 1185 participants from the general population were included in the study (mean ± SD age = 25.32 years ± 5.58; age range = 18–19 years; females = 76.7 %). Metacognitive beliefs, DT, CSB, anxiety and depressive symptoms were assessed. Correlation analyses and path analyses were run. Results of the path analysis showed that positive metacognitive beliefs about DT were associated with DT-Imaginal Prefiguration (DT-IP), which in turn was positively associated with DT-Verbal Perseveration (DT-VP). The latter was strongly and positively associated with negative metacognitive beliefs about DT, which in turn was linked to CSB. Moreover, DT-VP was also found to be directly linked to the outcome variable and positive metacognitive beliefs about DT were also directly linked to DT-VP and negative metacognitive beliefs about DT. The total Coefficient of Determination (0.45) indicated a good fit to the observed data. Metacognitive beliefs and DT may be potential maintenance factors in CSB. Metacognitive beliefs and DT could also be considered as potential therapeutic targets in clinical interventions aimed at reducing the severity of CSB.
{"title":"Metacognitive beliefs and desire thinking as potential maintenance factors of compulsive sexual behavior","authors":"Carlotta Olivari , Giovanni Mansueto , Claudia Marino , Giulio Candellari , Jessica Cericola , Jon Binnie , Marcantonio M. Spada , Gabriele Caselli","doi":"10.1016/j.addbeh.2024.108214","DOIUrl":"10.1016/j.addbeh.2024.108214","url":null,"abstract":"<div><div>Using the Elaborated Intrusion Theory of Desire and the Self-Regulatory Executive Function model of psychopathology as bases, this study explored whether metacognitive beliefs and desire thinking (DT) are associated with higher levels of Compulsive Sexual Behavior (CSB). A total of 1185 participants from the general population were included in the study (mean ± SD age = 25.32 years ± 5.58; age range = 18–19 years; females = 76.7 %). Metacognitive beliefs, DT, CSB, anxiety and depressive symptoms were assessed. Correlation analyses and path analyses were run. Results of the path analysis showed that positive metacognitive beliefs about DT were associated with DT-Imaginal Prefiguration (DT-IP), which in turn was positively associated with DT-Verbal Perseveration (DT-VP). The latter was strongly and positively associated with negative metacognitive beliefs about DT, which in turn was linked to CSB. Moreover, DT-VP was also found to be directly linked to the outcome variable and positive metacognitive beliefs about DT were also directly linked to DT-VP and negative metacognitive beliefs about DT. The total Coefficient of Determination (0.45) indicated a good fit to the observed data. Metacognitive beliefs and DT may be potential maintenance factors in CSB. Metacognitive beliefs and DT could also be considered as potential therapeutic targets in clinical interventions aimed at reducing the severity of CSB.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"161 ","pages":"Article 108214"},"PeriodicalIF":3.7,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142694005","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}
Pub Date : 2024-11-16DOI: 10.1016/j.addbeh.2024.108215
Tingting Gao , Yan Chen , Qian Gai , Carl D’Arcy , Yingying Su
Although there is a growing awareness of the co-occurrence of internet gaming disorder (IGD) with other mental health problems, the specific patterns of how these symptoms interact over time, especially across different age groups, remain unclear. The current study utilizes cross-lagged panel network modeling (CLPN) to investigate the dynamic, longitudinal relationships among symptoms of IGD, depression and anxiety among adolescents across time, and how these connections change with different developmental stages. A total of 3296 middle and late adolescents who have finished 3-time points research were included in the present study. Significant differences were found between middle and late adolescents in the structures and strengths of the contemporaneous and longitudinal networks. For middle adolescents, symptoms tended to predict subsequent symptoms within the same disorder. However, late adolescents showed a stronger trend of symptoms being interconnected across comorbid conditions. Feelings of worthlessness & hopelessness were the most impactful symptoms for middle adolescents in the short term and they continued to significantly affect late adolescents in the long term. In addition, restless and suicide or self-harm were the most important bridge symptoms for middle and late adolescents, respectively. This study emphasizes the importance of developing targeted intervention strategies focusing on both central and bridging symptoms of the comorbid conditions of IGD, depression, and anxiety in adolescence. Recognizing distinct adolescents’ needs, interventions should be tailored to effectively address the unique challenges at different developmental stages.
{"title":"The co-occurrence between symptoms of internet gaming disorder, depression, and anxiety in middle and late adolescence: A cross-lagged panel network analysis","authors":"Tingting Gao , Yan Chen , Qian Gai , Carl D’Arcy , Yingying Su","doi":"10.1016/j.addbeh.2024.108215","DOIUrl":"10.1016/j.addbeh.2024.108215","url":null,"abstract":"<div><div>Although there is a growing awareness of the co-occurrence of internet gaming disorder (IGD) with other mental health problems, the specific patterns of how these symptoms interact over time, especially across different age groups, remain unclear. The current study utilizes cross-lagged panel network modeling (CLPN) to investigate the dynamic, longitudinal relationships among symptoms of IGD, depression and anxiety among adolescents across time, and how these connections change with different developmental stages. A total of 3296 middle and late adolescents who have finished 3-time points research were included in the present study. Significant differences were found between middle and late adolescents in the structures and strengths of the contemporaneous and longitudinal networks. For middle adolescents, symptoms tended to predict subsequent symptoms within the same disorder. However, late adolescents showed a stronger trend of symptoms being interconnected across comorbid conditions. <em>Feelings of worthlessness</em> & <em>hopelessness</em> were the most impactful symptoms for middle adolescents in the short term and they continued to significantly affect late adolescents in the long term. In addition, <em>restless</em> and <em>suicide or self-harm</em> were the most important bridge symptoms for middle and late adolescents, respectively. This study emphasizes the importance of developing targeted intervention strategies focusing on both central and bridging symptoms of the comorbid conditions of IGD, depression, and anxiety in adolescence. Recognizing distinct adolescents’ needs, interventions should be tailored to effectively address the unique challenges at different developmental stages.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"161 ","pages":"Article 108215"},"PeriodicalIF":3.7,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683470","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}
Pub Date : 2024-11-10DOI: 10.1016/j.addbeh.2024.108213
Yifan Yu , Chengjie Zhang , Jiaojiao Wan , Yafei Zhang , Lili Ji , Chaoran Chen
Based on the Interaction of Person-Affect-Cognition-Execution model and the risk-buffering model, the current study explored how and when rumination increases problematic mobile phone use (PMPU) among Chinese female freshmen. Specifically, we investigated the underlying mechanism of PMPU by testing a moderated mediation model in which solitude capacity moderated the mediating role of fear of missing out (FoMO) in the relationship between rumination and PMPU. A sample of 1,389 female freshmen in China, with a mean age of 19.68 years (SD = 2.63), was surveyed using the Rumination Response Scale, Fear of Missing Out Scale, Solitude Capacity Scale, and Mobile Phone Addiction Index. Mediation analysis indicated that rumination increases female freshmen’s PMPU by heightening FoMO. Moderated mediation analysis further demonstrated that high capacity for solitude mitigated the adverse effects of FoMO on PMPU among female freshmen, whereas low capacity for solitude exacerbates the negative impact of FoMO on PMPU in this group. This study highlights the mediating and moderating mechanisms linking rumination to PMPU. More importantly, it has significant implications for the prevention and intervention of PMPU among female freshmen.
{"title":"The effect of rumination on problematic mobile phone use among female freshmen: A moderated mediation model","authors":"Yifan Yu , Chengjie Zhang , Jiaojiao Wan , Yafei Zhang , Lili Ji , Chaoran Chen","doi":"10.1016/j.addbeh.2024.108213","DOIUrl":"10.1016/j.addbeh.2024.108213","url":null,"abstract":"<div><div>Based on the Interaction of Person-Affect-Cognition-Execution model and the risk-buffering model, the current study explored how and when rumination increases problematic mobile phone use (PMPU) among Chinese female freshmen. Specifically, we investigated the underlying mechanism of PMPU by testing a moderated mediation model in which solitude capacity moderated the mediating role of fear of missing out (FoMO) in the relationship between rumination and PMPU. A sample of 1,389 female freshmen in China, with a mean age of 19.68 years (SD = 2.63), was surveyed using the Rumination Response Scale, Fear of Missing Out Scale, Solitude Capacity Scale, and Mobile Phone Addiction Index. Mediation analysis indicated that rumination increases female freshmen’s PMPU by heightening FoMO. Moderated mediation analysis further demonstrated that high capacity for solitude mitigated the adverse effects of FoMO on PMPU among female freshmen, whereas low capacity for solitude exacerbates the negative impact of FoMO on PMPU in this group. This study highlights the mediating and moderating mechanisms linking rumination to PMPU. More importantly, it has significant implications for the prevention and intervention of PMPU among female freshmen.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"161 ","pages":"Article 108213"},"PeriodicalIF":3.7,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142634293","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}
Pub Date : 2024-11-08DOI: 10.1016/j.addbeh.2024.108204
Shu Xu , Donna L. Coffman , George Luta , Andi Mai , Nan Jiang , Raymond S. Niaura
Objective
E-cigarette use is associated with subsequent cigarette smoking among youth. The current study examined the mediating role of social-cognitive factors in this association.
Methods
Data from four waves of the Population Assessment of Tobacco and Health study (2013/4 – 2017/8) were analyzed. Among youth who had heard about e-cigarettes at Wave 1 but never used cigarettes before Wave 2, we conducted both causal and traditional mediation analyses to examine the mediated effect of social-cognitive factors (including relative harm perception of e-cigarettes versus cigarettes, harm perception of e-cigarette use, perceptions of addictiveness of e-cigarette use, and e-cigarette use among best friends) in the association between e-cigarette use and subsequent cigarette ever or current smoking, adjusting for covariates. We included sampling weights in all analyses; hence, results are generalizable to the U.S. youth (12 – 14 years) from the 2013–2014 cohort.
Results
Results from causal mediation analyses indicated that the total effect of e-cigarette use, compared to no use, increased the risk of cigarette ever smoking (20.9 %) and current smoking (4.6 %). A portion of this effect (4.2 % − 15.1 % for ever smoking; less than 10.6 % for current smoking) can be attributed to changes in social-cognitive factors induced by e-cigarette use. However, these mediated effects were small in magnitude relative to their standard errors and not statistically significant. Results from the traditional mediation analyses largely aligned with these findings, except for a few small sized pathways.
Conclusions
For the U.S. youth population, social-cognitive factors may only minimally or not at all mediate the association between e-cigarette use and subsequent cigarette smoking. Further investigation into the mediation role of social-cognitive factors is warranted. Tobacco control interventions that focus on cigarette smoking initiation among youth should target other mediating factors.
{"title":"Role of social-cognitive factors in the relationship between e-cigarette use and subsequent cigarette smoking among U.S. youth: A causal mediation analysis","authors":"Shu Xu , Donna L. Coffman , George Luta , Andi Mai , Nan Jiang , Raymond S. Niaura","doi":"10.1016/j.addbeh.2024.108204","DOIUrl":"10.1016/j.addbeh.2024.108204","url":null,"abstract":"<div><h3>Objective</h3><div>E-cigarette use is associated with subsequent cigarette smoking among youth. The current study examined the mediating role of social-cognitive factors in this association.</div></div><div><h3>Methods</h3><div>Data from four waves of the Population Assessment of Tobacco and Health study (2013/4 – 2017/8) were analyzed. Among youth who had heard about e-cigarettes at Wave 1 but never used cigarettes before Wave 2, we conducted both causal and traditional mediation analyses to examine the mediated effect of social-cognitive factors (including relative harm perception of e-cigarettes versus cigarettes, harm perception of e-cigarette use, perceptions of addictiveness of e-cigarette use, and e-cigarette use among best friends) in the association between e-cigarette use and subsequent cigarette ever or current smoking, adjusting for covariates. We included sampling weights in all analyses; hence, results are generalizable to the U.S. youth (12 – 14 years) from the 2013–2014 cohort.</div></div><div><h3>Results</h3><div>Results from causal mediation analyses indicated that the total effect of e-cigarette use, compared to no use, increased the risk of cigarette ever smoking (20.9 %) and current smoking (4.6 %). A portion of this effect (4.2 % − 15.1 % for ever smoking; less than 10.6 % for current smoking) can be attributed to changes in social-cognitive factors induced by e-cigarette use. However, these mediated effects were small in magnitude relative to their standard errors and not statistically significant. Results from the traditional mediation analyses largely aligned with these findings, except for a few small sized pathways.</div></div><div><h3>Conclusions</h3><div>For the U.S. youth population, social-cognitive factors may only minimally or not at all mediate the association between e-cigarette use and subsequent cigarette smoking. Further investigation into the mediation role of social-cognitive factors is warranted. Tobacco control interventions that focus on cigarette smoking initiation among youth should target other mediating factors.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"161 ","pages":"Article 108204"},"PeriodicalIF":3.7,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142634289","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}
Adolescents and young adults continue to access e-cigarettes despite regulatory efforts to prevent sales to those under 21. Prior research on sources of acquiring e-cigarettes excludes key online sources. This study aims to update evidence on where and how different age groups (adolescents, young adults, and adults) access e-cigarettes.
Methods
A cross-sectional, online survey of 13–40 year-olds who used e-cigarettes in the past 30 days was conducted from November-December 2021. Study outcomes: where past 30-day users obtained and bought e-cigarettes (retail stores; online, including e-cigarette company and multi-brand websites; social media; home delivery applications; and someone they know); and whether and how age was verified.
Results
In our sample, 55.0% reported obtaining e-cigarettes from retail stores, 44.9% online, and 24.0% from someone they know (n = 2,256), although most 13–17-year-olds obtained their e-cigarettes from someone they know. Double the proportion of 21–40-year-olds (7.0%) and higher than 18–20-year-olds (9.8%), 13.4% of 13–17-year-olds obtained e-cigarettes through social media. Social media, Snapchat, Instagram, and TikTok were common platforms to buy e-cigarettes among those under 21; common sources on social media included friends their age, store/company accounts, and influencers. Approximately 20.0% of those under 21 bought e-cigarettes from internet vendors (including multi-brand websites) and 10.4–15.5% used home delivery applications. Across participants, 14.2% reported that their age was not verified, and 17.8% reported that their age was rarely verified.
Conclusions
A sizeable proportion of adolescents and young adults under 21 years and adults above 21 acquired e-cigarettes from retail and online sources. Less than a quarter of those underage reported having their age verified all the time, warranting enforcement of existing age verification regulation and development of strategies to prevent underage access online.
{"title":"E-cigarette access and age verification among adolescents, young adults, and adults","authors":"Shivani Mathur Gaiha , Lauren Kass Lempert , Crystal Lin , Bonnie Halpern-Felsher","doi":"10.1016/j.addbeh.2024.108193","DOIUrl":"10.1016/j.addbeh.2024.108193","url":null,"abstract":"<div><h3>Background</h3><div>Adolescents and young adults continue to access e-cigarettes despite regulatory efforts to prevent sales to those under 21. Prior research on sources of acquiring e-cigarettes excludes key online sources. This study aims to update evidence on where and how different age groups (adolescents, young adults, and adults) access e-cigarettes.</div></div><div><h3>Methods</h3><div>A cross-sectional, online survey of 13–40 year-olds who used e-cigarettes in the past 30 days was conducted from November-December 2021. Study outcomes: where past 30-day users obtained and bought e-cigarettes (retail stores; online, including e-cigarette company and multi-brand websites; social media; home delivery applications; and someone they know); and whether and how age was verified.</div></div><div><h3>Results</h3><div>In our sample, 55.0% reported obtaining e-cigarettes from retail stores, 44.9% online, and 24.0% from someone they know (n = 2,256), although most 13–17-year-olds obtained their e-cigarettes from someone they know. Double the proportion of 21–40-year-olds (7.0%) and higher than 18–20-year-olds (9.8%), 13.4% of 13–17-year-olds obtained e-cigarettes through social media. Social media, Snapchat, Instagram, and TikTok were common platforms to buy e-cigarettes among those under 21; common sources on social media included friends their age, store/company accounts, and influencers. Approximately 20.0% of those under 21 bought e-cigarettes from internet vendors (including multi-brand websites) and 10.4–15.5% used home delivery applications. Across participants, 14.2% reported that their age was not verified, and 17.8% reported that their age was rarely verified.</div></div><div><h3>Conclusions</h3><div>A sizeable proportion of adolescents and young adults under 21 years and adults above 21 acquired e-cigarettes from retail and online sources. Less than a quarter of those underage reported having their age verified all the time, warranting enforcement of existing age verification regulation and development of strategies to prevent underage access online.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"161 ","pages":"Article 108193"},"PeriodicalIF":3.7,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142607593","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}
Pub Date : 2024-11-06DOI: 10.1016/j.addbeh.2024.108211
Neal Doran , Natasha E. Wade , Kelly E. Courtney , Ryan M. Sullivan , Joanna Jacobus
Introduction
There is ongoing concern about the impact of increasing use of social media and digital devices on unhealthy behaviors such as substance use in youth. Mobile phone and social media use have been associated with substance use in adolescent and young adult samples, but few studies have evaluated these relationships in younger samples.
Methods
This secondary analysis of data drawn from the ABCD Study examined associations between youth-reported mobile phone ownership and social media use at age 11–12 and use of alcohol, nicotine/tobacco, and cannabis over the next 18 months.
Results
Longitudinal logistic regression was used to test the hypothesis that phone ownership and social media use at age 11–12 would predict substance use over time. Phone ownership was associated with greater odds of alcohol and nicotine/tobacco use, and social media use was associated with greater odds of using nicotine/tobacco and cannabis.
Conclusions
These findings suggest that pre-teen youth who own mobile phones and those who use social media may be at greater risk for substance use. Further research is needed to specify mechanisms by which this association occurs and thus inform prevention and intervention efforts.
{"title":"Mobile phone ownership, social media use, and substance use at ages 11–13 in the ABCD study","authors":"Neal Doran , Natasha E. Wade , Kelly E. Courtney , Ryan M. Sullivan , Joanna Jacobus","doi":"10.1016/j.addbeh.2024.108211","DOIUrl":"10.1016/j.addbeh.2024.108211","url":null,"abstract":"<div><h3>Introduction</h3><div>There is ongoing concern about the impact of increasing use of social media and digital devices on unhealthy behaviors such as substance use in youth. Mobile phone and social media use have been associated with substance use in adolescent and young adult samples, but few studies have evaluated these relationships in younger samples.</div></div><div><h3>Methods</h3><div>This secondary analysis of data drawn from the ABCD Study examined associations between youth-reported mobile phone ownership and social media use at age 11–12 and use of alcohol, nicotine/tobacco, and cannabis over the next 18 months.</div></div><div><h3>Results</h3><div>Longitudinal logistic regression was used to test the hypothesis that phone ownership and social media use at age 11–12 would predict substance use over time. Phone ownership was associated with greater odds of alcohol and nicotine/tobacco use, and social media use was associated with greater odds of using nicotine/tobacco and cannabis.</div></div><div><h3>Conclusions</h3><div>These findings suggest that pre-teen youth who own mobile phones and those who use social media may be at greater risk for substance use. Further research is needed to specify mechanisms by which this association occurs and thus inform prevention and intervention efforts.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"161 ","pages":"Article 108211"},"PeriodicalIF":3.7,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142634284","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}
Pub Date : 2024-11-06DOI: 10.1016/j.addbeh.2024.108202
Orrin D. Ware , Maxine L. Stitzer , Annie Umbricht , Kelly E. Dunn
Smoking is prevalent among individuals receiving methadone treatment. Reducing smoking among this population is needed as smoking is a leading cause of morbidity and preventable death. Smoking cessation interventions for persons receiving medication for opioid use disorder have yielded small changes in abstinence. Bupropion-SR was developed as an anti-depressant medication and is a first-line medication for smoking cessation. There is limited research on the effectiveness of bupropion-SR on smoking cessation among individuals receiving medication for opioid use disorder. This study is a secondary analysis of N = 72 adults enrolled in methadone treatment who endorsed smoking cigarettes. Participants were randomized to receive bupropion-SR 150 mg twice-daily (n = 35) or placebo (n = 37) in the primary study that examined bupropion-SR on cocaine use outcomes over a 30-weeks. Mixed model analyses examined secondary changes in self-reported cigarettes smoked, a self-reported measure of nicotine dependence, and quantitative urinary cotinine values. The longitudinal analysis of self-reported daily cigarettes identified no main effects of group and week however a significant interaction between group and week revealed that persons receiving bupropion-SR group reported less smoking early in the intervention. Longitudinal evaluation of changes in urinary cotinine revealed a significant main effect of week but no main effect of group or group x week interaction. Data suggest that bupropion-SR significantly decreased the number of self-reported cigarettes smoked relative to placebo and reduced nicotine dependence severity by the end of the study. Follow-up studies are needed as these decreases were not identified throughout the full study period or at termination.
在接受美沙酮治疗的人群中，吸烟现象十分普遍。由于吸烟是发病和可预防死亡的主要原因，因此需要减少这一人群的吸烟率。对接受阿片类药物使用障碍药物治疗的患者进行戒烟干预后，戒烟率略有下降。安非他酮-SR 是作为抗抑郁药物开发的，也是戒烟的一线药物。关于安非他酮-SR 对接受阿片类药物使用障碍治疗的患者戒烟效果的研究十分有限。本研究是对 N = 72 名接受美沙酮治疗且认可吸烟的成年人进行的二次分析。参与者被随机分配到接受安非他酮-SR 150 毫克，每天两次（35 人）或安慰剂（37 人）的主要研究中，该研究考察了安非他酮-SR 在 30 周内对可卡因使用结果的影响。混合模型分析检查了自我报告的吸烟量、自我报告的尼古丁依赖程度和尿可替宁定量值的次要变化。对自我报告的每日吸烟量进行的纵向分析没有发现组别和周数的主效应，但组别和周数之间存在显著的交互作用，这表明接受安非他酮-SR组的患者在干预初期吸烟量较少。对尿可替宁变化的纵向评估显示，周的主效应很明显，但没有组的主效应或组 x 周的交互效应。数据表明，与安慰剂相比，安非他酮-SR能显著减少自我报告的吸烟数量，并在研究结束时降低尼古丁依赖的严重程度。由于在整个研究期间或研究结束时均未发现这些减少，因此需要进行后续研究。
{"title":"Exposure to Bupropion-SR vs. Placebo is associated with reductions in smoking among persons receiving methadone with no stated interest in smoking cessation","authors":"Orrin D. Ware , Maxine L. Stitzer , Annie Umbricht , Kelly E. Dunn","doi":"10.1016/j.addbeh.2024.108202","DOIUrl":"10.1016/j.addbeh.2024.108202","url":null,"abstract":"<div><div>Smoking is prevalent among individuals receiving methadone treatment. Reducing smoking among this population is needed as smoking is a leading cause of morbidity and preventable death. Smoking cessation interventions for persons receiving medication for opioid use disorder have yielded small changes in abstinence. Bupropion-SR was developed as an anti-depressant medication and is a first-line medication for smoking cessation. There is limited research on the effectiveness of bupropion-SR on smoking cessation among individuals receiving medication for opioid use disorder. This study is a secondary analysis of N = 72 adults enrolled in methadone treatment who endorsed smoking cigarettes. Participants were randomized to receive bupropion-SR 150 mg twice-daily (n = 35) or placebo (n = 37) in the primary study that examined bupropion-SR on cocaine use outcomes over a 30-weeks. Mixed model analyses examined secondary changes in self-reported cigarettes smoked, a self-reported measure of nicotine dependence, and quantitative urinary cotinine values. The longitudinal analysis of self-reported daily cigarettes identified no main effects of group and week however a significant interaction between group and week revealed that persons receiving bupropion-SR group reported less smoking early in the intervention. Longitudinal evaluation of changes in urinary cotinine revealed a significant main effect of week but no main effect of group or group x week interaction. Data suggest that bupropion-SR significantly decreased the number of self-reported cigarettes smoked relative to placebo and reduced nicotine dependence severity by the end of the study. Follow-up studies are needed as these decreases were not identified throughout the full study period or at termination.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"161 ","pages":"Article 108202"},"PeriodicalIF":3.7,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142593204","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}
Pub Date : 2024-11-06DOI: 10.1016/j.addbeh.2024.108212
Alessandra Guarriello , Tim Fleckenstein , Leila M. Soravia , Raphaela M. Tschuemperlin , Hallie M. Batschelet , Joshua Jaeger , Reinout W. Wiers , Franz Moggi , Maria Stein
Background
A cognitively demanding, alcohol-specific inhibition training (Alc-IT) might enhance treatment success in patients with severe alcohol use disorder (AUD; Stein et al., 2023). An inhibitory working mechanism for Alc-IT has been discussed, but compelling evidence supporting this hypothesis is yet lacking. The present study investigates inhibitory performance during Alc-IT and examines whether inhibitory parameters mediate drinking outcome.
Methods
Patients with AUD (N = 232) completed six sessions of either a standard or improved Alc-IT, differing in their inhibitory demands determined by Go/NoGo-ratios in a modified Go-NoGo-task, or a control training. During these training sessions, data on inhibitory performance was collected. To assess differences in inhibitory performance and its improvement, alcohol-related errors of commission and relative performance, integrating accuracy and speed, were analyzed with hierarchical linear contrast models. Mediation analyses tested whether inhibitory performance predicted drinking outcome (percent days abstinent at 3-month follow-up).
Results
Patients in improved Alc-IT started with higher errors of commission (γ01(standard) = −2.74, p < 0.001, R2 = 0.885) and a lower relative performance in the first training session compared to standard Alc-IT (γ01(standard) = 0.51, p = 0.004). They showed a steeper increase in relative performance until the final sixth session (γ1(s6),(standard) = −0.37, p = 0.024, R2 = 0.882). The effect of improved Alc-IT on drinking outcome was mediated by relative performance increase (bootstrap-CI [0.15, 7.11]).
Conclusion
Higher inhibitory demands enable larger improvements across sessions. Mediation analysis supports an inhibitory working mechanism. Tailoring inhibitory demands to individual performance capacity could optimize future Alc-IT.
{"title":"Mediation of beneficial effects of an alcohol-specific inhibition training on drinking of patients with alcohol use disorder: The role of cognitive demands and inhibitory performance","authors":"Alessandra Guarriello , Tim Fleckenstein , Leila M. Soravia , Raphaela M. Tschuemperlin , Hallie M. Batschelet , Joshua Jaeger , Reinout W. Wiers , Franz Moggi , Maria Stein","doi":"10.1016/j.addbeh.2024.108212","DOIUrl":"10.1016/j.addbeh.2024.108212","url":null,"abstract":"<div><h3>Background</h3><div>A cognitively demanding, alcohol-specific inhibition training (Alc-IT) might enhance treatment success in patients with severe alcohol use disorder (AUD; Stein et al., 2023). An inhibitory working mechanism for Alc-IT has been discussed, but compelling evidence supporting this hypothesis is yet lacking. The present study investigates inhibitory performance during Alc-IT and examines whether inhibitory parameters mediate drinking outcome.</div></div><div><h3>Methods</h3><div>Patients with AUD (<em>N</em> = 232) completed six sessions of either a standard or improved Alc-IT, differing in their inhibitory demands determined by Go/NoGo-ratios in a modified Go-NoGo-task, or a control training. During these training sessions, data on inhibitory performance was collected. To assess differences in inhibitory performance and its improvement, <em>alcohol-related errors of commission</em> and <em>relative performance,</em> integrating accuracy and speed, were analyzed with hierarchical linear contrast models. Mediation analyses tested whether inhibitory performance predicted drinking outcome (percent days abstinent at 3-month follow-up).</div></div><div><h3>Results</h3><div>Patients in improved Alc-IT started with higher <em>errors of commission</em> (γ<sub>01(standard)</sub> = −2.74, <em>p</em> < 0.001, R<sup>2</sup> = 0.885) and a lower <em>relative performance</em> in the first training session compared to standard Alc-IT (γ<sub>01(standard)</sub> = 0.51, <em>p</em> = 0.004). They showed a steeper increase in <em>relative performance</em> until the final sixth session (γ<sub>1(s6),(standard)</sub> = −0.37, <em>p</em> = 0.024, R<sup>2</sup> = 0.882). The effect of improved Alc-IT on drinking outcome was mediated by <em>relative performance</em> increase (bootstrap-CI [0.15, 7.11]).</div></div><div><h3>Conclusion</h3><div>Higher inhibitory demands enable larger improvements across sessions. Mediation analysis supports an inhibitory working mechanism. Tailoring inhibitory demands to individual performance capacity could optimize future Alc-IT.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"161 ","pages":"Article 108212"},"PeriodicalIF":3.7,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-05DOI: 10.1016/j.addbeh.2024.108206
Ruschelle M. Leone , Rachel L. Tomko , Chandni Hindocha , Loren Hardeman , Jade Tuttle , Kevin M. Gray
Cannabis is the most used federally illicit drug in the United States (U.S). Understanding how accurate adolescents and emerging adults are at estimating their cannabis use quantity is important, as this lays the groundwork for understanding and studying the outcomes associated with cannabis use. This study aimed to assess the accuracy of cannabis quantity in grams for a typical joint and identify predictors of accuracy among U.S. adolescents and emerging adults. Participants (n = 50; aged 14–21) who reported using joints in the past 30 days completed measures of cannabis use characteristics and problems, were asked to “eyeball” the amount of cannabis in their average joint using a cannabis substitute and estimated the number of grams. The cannabis substitute was then weighed in grams. Paired samples t-tests indicated that participants estimated significantly more grams in a joint (M=.82; SD = 0.46) than the actual amount of the surrogate substance (M=.47; SD = 0.21; t(49) = 6.32, p < 0.001, d = 0.89). A linear regression analysis indicated that the age of cannabis initiation (B = -0.13, p=.002) and cannabis use problems (B = -0.03, p=.009) were negatively and significantly associated with discrepancies in estimated grams. Specifically, being older when first using cannabis and reporting more cannabis use problems were linked to less overestimation of grams per joint. These findings align with previous research demonstrating a tendency to overestimate cannabis quantity and contribute novel insights by identifying predictors of estimation accuracy. This study underscores the importance of considering age and cannabis-related problems when assessing the reliability of self-reported cannabis use quantities among adolescents and emerging adults.
{"title":"Understanding US adolescents’ and emerging adults’ overestimation of their cannabis use quantity","authors":"Ruschelle M. Leone , Rachel L. Tomko , Chandni Hindocha , Loren Hardeman , Jade Tuttle , Kevin M. Gray","doi":"10.1016/j.addbeh.2024.108206","DOIUrl":"10.1016/j.addbeh.2024.108206","url":null,"abstract":"<div><div>Cannabis is the most used federally illicit drug in the United States (U.S). Understanding how accurate adolescents and emerging adults are at estimating their cannabis use quantity is important, as this lays the groundwork for understanding and studying the outcomes associated with cannabis use. This study aimed to assess the accuracy of cannabis quantity in grams for a typical joint and identify predictors of accuracy among U.S. adolescents and emerging adults. Participants (n = 50; aged 14–21) who reported using joints in the past 30 days completed measures of cannabis use characteristics and problems, were asked to “eyeball” the amount of cannabis in their average joint using a cannabis substitute and estimated the number of grams. The cannabis substitute was then weighed in grams. Paired samples t-tests indicated that participants <em>estimated</em> significantly more grams in a joint (<em>M=</em>.82; <em>SD</em> = 0.46) than the <em>actual</em> amount of the surrogate substance (<em>M=</em>.47; <em>SD</em> = 0.21; <em>t</em>(49) = 6.32, <em>p</em> < 0.001, <em>d</em> = 0.89). A linear regression analysis indicated that the age of cannabis initiation (<em>B =</em> -0.13<em>, p=</em>.002) and cannabis use problems (<em>B =</em> -0.03<em>, p=</em>.009) were negatively and significantly associated with discrepancies in estimated grams. Specifically, being older when first using cannabis and reporting more cannabis use problems were linked to less overestimation of grams per joint. These findings align with previous research demonstrating a tendency to overestimate cannabis quantity and contribute novel insights by identifying predictors of estimation accuracy. This study underscores the importance of considering age and cannabis-related problems when assessing the reliability of self-reported cannabis use quantities among adolescents and emerging adults.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"161 ","pages":"Article 108206"},"PeriodicalIF":3.7,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142694049","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}
Pub Date : 2024-11-04DOI: 10.1016/j.addbeh.2024.108205
Shérazade Kinouani , Héléna Da Cruz , Maximilien Simon , Maëlys Abraham , Garance Perret , Emmanuel Langlois , Christophe Tzourio
Background
Few studies have estimated the frequency of e-cigarette use by smoking status among French young adults, and how those who smoke tobacco start and continue to use e-cigarettes. Our aim was to describe e-cigarette use among students who smoked tobacco.
Methods
A multi-stage, mixed methods study was conducted at the University of Bordeaux between September 2018 and March 2020. The study consisted of three different sub-studies: 1) a cross-sectional study across five campuses (n = 211), 2) a qualitative study (n = 30), and 3) an online cross-sectional study (n = 415). These were combined to form an explanatory sequential design (stage 1) and then a convergent parallel design (stage 2).
Results
Although 41 % of students had tried e-cigarettes at least once in their lifetime, only 7 % were current users. Both e-cigarette experimentation and current use (i.e. occasional or daily use) were mainly found among current and former smokers. Student smokers started using e-cigarettes out of curiosity, with other vapers. Two main factors were identified as intervening in the transition from smoking to sustained vaping: the perception of smoking as problematic and personal commitment to e-cigarette use (i.e. by buying their own device, acquiring technical skills, and increasing the frequency of use). Among current vapers, exclusive vapers and dual users differed in terms of their smoking goals, the role they attributed to e-cigarettes, their identity development and their perceived social or personal benefits.
Conclusion
This study highlighted the complexity of the decision-making process for transitioning from smoking to sustained vaping among university students. This required a socially supportive environment and some intrinsic factors, of which the problematization of smoking and personal commitment to vaping were key factors.
{"title":"The transition from cigarette smoking to the exclusive or partial use of e-cigarettes: A multi-stage mixed methods study among French university students","authors":"Shérazade Kinouani , Héléna Da Cruz , Maximilien Simon , Maëlys Abraham , Garance Perret , Emmanuel Langlois , Christophe Tzourio","doi":"10.1016/j.addbeh.2024.108205","DOIUrl":"10.1016/j.addbeh.2024.108205","url":null,"abstract":"<div><h3>Background</h3><div>Few studies have estimated the frequency of e-cigarette use by smoking status among French young adults, and how those who smoke tobacco start and continue to use e-cigarettes. Our aim was to describe e-cigarette use among students who smoked tobacco.</div></div><div><h3>Methods</h3><div>A multi-stage, mixed methods study was conducted at the University of Bordeaux between September 2018 and March 2020. The study consisted of three different sub-studies: 1) a cross-sectional study across five campuses (n = 211), 2) a qualitative study (n = 30), and 3) an online cross-sectional study (n = 415). These were combined to form an explanatory sequential design (stage 1) and then a convergent parallel design (stage 2).</div></div><div><h3>Results</h3><div>Although 41 % of students had tried e-cigarettes at least once in their lifetime, only 7 % were current users. Both e-cigarette experimentation and current use (i.e. occasional or daily use) were mainly found among current and former smokers. Student smokers started using e-cigarettes out of curiosity, with other vapers. Two main factors were identified as intervening in the transition from smoking to sustained vaping: the perception of smoking as problematic and personal commitment to e-cigarette use (i.e. by buying their own device, acquiring technical skills, and increasing the frequency of use). Among current vapers, exclusive vapers and dual users differed in terms of their smoking goals, the role they attributed to e-cigarettes, their identity development and their perceived social or personal benefits.</div></div><div><h3>Conclusion</h3><div>This study highlighted the complexity of the decision-making process for transitioning from smoking to sustained vaping among university students. This required a socially supportive environment and some intrinsic factors, of which the problematization of smoking and personal commitment to vaping were key factors.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"161 ","pages":"Article 108205"},"PeriodicalIF":3.7,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142592291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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