Addictive behaviors最新文献_第7页

Witnessed overdose history and response among overdose survivors who use non-prescribed opioids in an overdose prevention trial 在过量预防试验中，使用非处方阿片类药物的过量幸存者见证了过量的历史和反应。

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2026-02-01 Epub Date: 2025-11-11 DOI: 10.1016/j.addbeh.2025.108558

Nicole C. McCann , Shapei Yan , Vanessa M. McMahan , Zachary C. Rich , Emily Pope , Andrew Rolles , Sarah Brennan , Xochitl Luna Marti , Sarah Kosakowski , Tim Matheson , Phillip O. Coffin , Alexander Y. Walley

Background

The REpeated-dose Behavioral intervention to reduce Opioid Overdose Trial (REBOOT) evaluated motivational interviewing for overdose prevention, focusing partly on witnessed overdose response. We assessed participants’ witnessed overdose history and REBOOT’s impact on overdose response among opioid overdose survivors using non-prescribed opioids in Boston and San Francisco.

Methods

We described participants’ witnessed overdose and naloxone administration history over the four months preceding enrollment and the number and characteristics of witnessed overdoses reported during the study. We then used generalized estimating equations to test if the intervention affected if participants responded “me” to who, if anyone, responded to a witnessed overdose by assessing responsiveness, calling 911, performing rescue breathing, doing chest compressions, or administering naloxone during 16-month follow-up.

Results

Of 265 participants, most (83 %) witnessed at least one overdose in the four months preceding enrollment; 68 % of these participants had administered naloxone. In the 16-month post-enrollment follow-up, 250 (94 %) participants witnessed 597 overdoses. In 94 % of these, participants reported that somebody (themselves or others) responded. REBOOT had no significant impact on whether participants personally responded to overdoses: 67 % of control and 72 % of intervention participants personally responded pre-enrollment (p = 0.39), versus 63 % and 62 % post-enrollment (p = 0.97).

Conclusion

Most REBOOT participants witnessed a recent opioid overdose preceding enrollment. After enrollment, nearly all witnessed overdoses were responded to; the intervention had no effect on whether the participant personally responded. Given near-universal response, there was little room for improving overdose response. Future research should test similar interventions in communities with less prior overdose prevention exposure.

背景：重复剂量行为干预减少阿片类药物过量试验（REBOOT）评估了动机性访谈对过量预防的作用，部分关注了目睹的过量反应。我们评估了参与者的用药过量史，以及REBOOT对波士顿和旧金山使用非处方阿片类药物的阿片类药物过量幸存者用药过量反应的影响。方法：我们描述了参与者在入组前4个月的用药过量和纳洛酮用药史，以及研究期间报告的用药过量的数量和特征。在16个月的随访中，我们使用广义估计方程来测试干预是否会影响参与者对谁做出“我”的反应，如果有人对目睹的过量药物做出反应，通过评估反应性、拨打911、进行抢救呼吸、做胸外按压或服用纳洛酮。结果：在265名参与者中，大多数（83%）在入组前4个月内至少发生一次过量用药；68%的参与者服用了纳洛酮。在入组后16个月的随访中，250名（94%）参与者发现597例过量用药。在其中的94%，参与者报告说有人（他们自己或其他人）回应了。REBOOT对参与者个人是否对过量用药有反应没有显著影响：67%的对照组和72%的干预参与者在入组前有反应（p = 0.39），而63%和62%的入组后有反应（p = 0.97）。结论：大多数REBOOT参与者在入组前都经历过阿片类药物过量。入组后，几乎所有的过量用药都有反应；干预对参与者是否亲自回应没有影响。鉴于几乎普遍的反应，几乎没有改善过量反应的空间。未来的研究应该在用药过量预防暴露较少的社区中测试类似的干预措施。

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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 : 2026-02-01 Epub 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。

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引用次数: 0

AAT-App+: A double-blind, pilot randomised controlled trial of a novel personalised smartphone intervention to reduce hazardous and harmful alcohol consumption among middle–older adults AAT-App+：一项双盲、试点随机对照试验，旨在通过一种新的个性化智能手机干预来减少中老年人的有害酒精消费。

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2026-02-01 Epub Date: 2025-11-13 DOI: 10.1016/j.addbeh.2025.108560

G.L. Bolt , B. Rowland , H. Piercy , J. Bradshaw , D.I. Lubman , V. Manning

Background

Given increased rates of problematic alcohol use among middle-older age adults, novel, accessible alcohol interventions are needed. This pilot RCT explored the feasibility, acceptability, and preliminary effectiveness of personalised smartphone-delivered alcohol approach bias modification (ApBM) in Australians (≥55 years) drinking at hazardous/harmful levels (AUDIT ≥ 8).

Method

Double-blinded parallel two-arm pilot RCT in Victoria, Australia (July 2022–January 2023). Community-based ≥ 55-year-olds received ‘AAT-App+’ (n = 96) or sham training (n = 92) over four-weeks. Feasibility was defined as recruitment of ≥ 100 participants within the recruitment window and 50 % adherence to four sessions. Acceptability was defined as User Version Mobile Application Rating Scale (uMARS) mean scores ≥ 3. The primary preliminary effectiveness outcome was past-week standard drinks at week four relative to baseline.

Results

Feasibility and acceptability were good, with n = 188 recruited, 69 % training adherence, and ‘good’ uMARS functionality/aesthetics and ‘acceptable’ quality ratings among responders (n = 94). Retention rates were 56 % for primary effectiveness outcome. Linear mixed modelling using intention-to-treat analysis showed a significant mean reduction of 6.9 past-week standard drinks relative to baseline overall (p<.001), but no significant group-by-time interaction at the primary endpoint (β = −1.90, p=.43, 95 %CI [−6.62, 2.82]). The groups differed significantly favouring ApBM after two-weeks of training (β = -5.28, p=.03, 95 %CI [−10.01;−0.56]). There were no adverse events throughout the training window.

Conclusion

Personalised smartphone ApBM is feasible and acceptable to middle-to-older adults, but we found no evidence to suggest it reduced alcohol consumption any more than sham-training beyond the acute period. Further work is needed prior to large-scale RCT progression to mitigate attrition and optimise study design.

背景：考虑到中老年成人中问题酒精使用率的增加，需要新的、可获得的酒精干预措施。该试点RCT探讨了在澳大利亚（≥55岁）饮酒达到危险/有害水平（AUDIT≥8）的人群中，使用个性化智能手机提供的酒精方法偏差修正（ApBM）的可行性、可接受性和初步有效性。方法：在澳大利亚维多利亚进行双盲平行双臂先导随机对照试验（2022年7月- 2023年1月）。社区≥55岁的患者接受为期四周的“AAT-App+”（n = 96）或假训练（n = 92）。可行性定义为在招募窗口内招募≥100名参与者，并有50%的依从性参加4个疗程。可接受性定义为用户版移动应用评定量表（uMARS）平均分≥3分。主要的初步有效性结果是在第四周相对于基线的过去一周的标准饮酒量。结果：可行性和可接受性良好，招募了n = 188人，69%的培训依从性，响应者的uMARS功能/美学和质量评分为“良好”（n = 94）。主要疗效的保留率为56%。使用意向治疗分析的线性混合模型显示，相对于基线总体而言，过去一周的标准饮酒量平均减少了6.9。结论：个性化智能手机ApBM对于中老年人来说是可行和可接受的，但我们没有发现证据表明，在急性期之后，它比假训练更能减少饮酒量。在大规模的随机对照试验进展之前，需要进一步的工作来减轻损耗和优化研究设计。

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引用次数: 0

Disconnected emotions, connected behaviors: Symptom network features of problematic mobile phone use across different alexithymia profiles 断开的情绪，连接的行为：不同述情障碍档案中问题手机使用的症状网络特征。

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2026-02-01 Epub Date: 2025-11-01 DOI: 10.1016/j.addbeh.2025.108537

Jie Gu , Weilong Xiao , Xinwei Li , Hanyu Liang

Problematic mobile phone use (PMPU) has been associated with individual-level psychological traits, notably alexithymia—a personality construct characterized by difficulty identifying and describing emotions, and a tendency toward externally oriented thinking. However, the heterogeneity of alexithymia in relation to PMPU remains insufficiently explored. In this study, 2345 university students completed the Toronto Alexithymia Scale and the Mobile Phone Addiction Index. Latent profile analysis identified four distinct alexithymia subtypes: Healthy Expression, Typical Alexithymia, Mild Emotional Processing Difficulties, and High Externally Oriented Thinking. Within each subgroup, psychological network analysis was used to examine the structural interconnections of PMPU symptoms. Core PMPU symptoms varied across profiles, with distraction, inability to reduce use, and feeling lost without the phone emerging as central nodes in most networks. Bridge symptoms linking emotional and behavioral dimensions also differed by profile. Network comparison tests revealed significant differences in overall structure and connectivity between groups. These findings underscore the complexity and heterogeneity of emotional processing mechanisms in PMPU and suggest the value of personalized, profile-specific intervention strategies.

有问题的手机使用（PMPU）与个人层面的心理特征有关，尤其是述情障碍——一种以难以识别和描述情绪为特征的人格结构，以及倾向于外部导向的思维。然而，与PMPU相关的述情障碍的异质性仍未得到充分探讨。在本研究中，2345名大学生完成了多伦多述情障碍量表和手机成瘾指数。潜在谱分析确定了四种不同的述情障碍亚型：健康表达型、典型述情障碍型、轻度情绪处理困难型和高度外向型思维型。在每个亚组中，使用心理网络分析来检查PMPU症状的结构相互联系。核心PMPU症状因个人情况而异，在大多数网络中，如果没有手机作为中心节点，就会出现注意力分散、无法减少使用和迷失感。连接情感和行为维度的桥梁症状也因个人特征而异。网络比较测试揭示了组间整体结构和连通性的显著差异。这些发现强调了PMPU中情绪加工机制的复杂性和异质性，并提示了个性化、特定档案干预策略的价值。

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引用次数: 0

Relationship between Problematic Internet Use and emotional variables in childhood and adolescence: systematic review of longitudinal evidence 儿童期和青春期有问题的互联网使用与情绪变量的关系：纵向证据的系统回顾。

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2026-02-01 Epub Date: 2025-11-13 DOI: 10.1016/j.addbeh.2025.108561

Víctor José Villanueva-Blasco , Mariel García-Guerra , Antonio Rial-Boubeta

Purpose

Problematic Internet Use (PIU) has been associated with emotional difficulties in childhood and adolescence. However, the directionality of this relationship remains unclear due to the lack of terminological consensus and wide variability in prevalence estimates. This systematic review aims to synthesize the longitudinal evidence on the directionality of the relationship between emotional variables (depression, anxiety, emotional dysregulation) and PIU in children and adolescents.

Method

Following PRISMA guidelines, five databases were consulted (Scopus, Web of Science, PsycNet, ProQuest Central, PubMed). After the screening process, 31 longitudinal studies met the inclusion criteria. Methodological quality was assessed using QualSyst. Registered in PROSPERO (CRD42024627122). The search strategy did not impose limits by year of publication.

Results

Most studies support a bidirectional relationship between emotional distress and PIU, although some identify unidirectional patterns depending on the conceptualization used. Advanced analyses (such as cross-lagged panel models and latent class analyses) reveal persistent comorbidity trajectories and highlight key mediators such as low self-esteem and maladaptive emotional regulation strategies.

Conclusions

Emotional problems and PIU tend to mutually reinforce each other over time. Greater conceptual clarity, culturally sensitive assessment tools, and early interventions focused on developing emotional skills and healthy digital habits are needed.

目的：有问题的互联网使用（PIU）与儿童和青少年的情绪困难有关。然而，由于缺乏术语共识和流行率估计的广泛差异，这种关系的方向性仍然不清楚。本系统综述旨在综合儿童和青少年情绪变量（抑郁、焦虑、情绪失调）与PIU之间关系的纵向证据。方法：按照PRISMA指南，查阅5个数据库（Scopus, Web of Science, PsycNet, ProQuest Central, PubMed）。经过筛选，31项纵向研究符合纳入标准。采用QualSyst评估方法学质量。在普洛斯彼罗注册（CRD42024627122）。搜索策略没有按出版年份施加限制。结果：大多数研究支持情绪困扰和PIU之间的双向关系，尽管一些研究认为单向模式取决于所使用的概念化。高级分析（如交叉滞后面板模型和潜在类别分析）揭示了持续的共病轨迹，并强调了关键的中介因素，如低自尊和适应不良的情绪调节策略。结论：随着时间的推移，情绪问题与PIU呈相互强化的趋势。需要更清晰的概念、具有文化敏感性的评估工具，以及侧重于发展情感技能和健康数字习惯的早期干预措施。

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引用次数: 0

Characterizing sociodemographic differences in substance use treatment need and receipt among pregnant women in the U.S. 描述美国孕妇在药物使用治疗需求和接受方面的社会人口差异

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2026-02-01 Epub Date: 2025-11-14 DOI: 10.1016/j.addbeh.2025.108562

Lourah M. Kelly, Megan M. Kelly, Kathryn A. Sabella, Caridad C. Ponce Martinez, Kimberly A. Yonkers

Objective

Sociodemographic disparities in SUD treatment need and receipt among women inform public health initiatives. While rates of SUD among pregnant women are lower than those who are not pregnant, an investigation of whether and how sociodemographic disparities of SUD treatment need and receipt among pregnant women can further accelerate SUD related risk prevention for both mothers and babies.

Method

We analyzed data from pregnant women who completed the 2015–2019 National Survey of Drug Use and Health (unweighted N = 3,461). We used logistic regression models to test odds of 1) past-year SUD treatment need and 2) SUD treatment receipt among pregnant women. Models included age, race and ethnicity, income, education, marital status, sexual orientation, mental illness, and survey year as independent variables; interactions between income and racial/ethnic group were also included.

Results

7.8% of pregnant women had a SUD and 1.2% (20% of those with treatment need) received SUD treatment. Unmarried, bisexual (vs heterosexual), non-Hispanic/Latina Black (vs non-Hispanic/Latina White), and women with mental illness showed increased odds of a SUD. An income by race interaction indicated Hispanic/Latina women of lower income were less likely to have SUD than White women of higher income. Of those with a treatment need, married women and women aged 18–25 (vs 26–34 and 35+) had lower odds of receiving treatment.

Conclusion

SUD treatment need differed among pregnant women by marital status, sexual orientation, race and ethnicity, and mental illness, as did treatment receipt by marital status and age. Specialized outreach and engagement strategies are needed to ensure equitable access to SUD treatment during pregnancy.

目的：妇女在SUD治疗需求和接受方面的社会人口差异为公共卫生举措提供信息。虽然妊娠妇女的SUD发生率低于未妊娠妇女，但调查妊娠妇女在SUD治疗需求和接受方面的社会人口差异是否以及如何可以进一步加快母婴SUD相关风险的预防。方法：我们分析完成2015-2019年全国药物使用与健康调查的孕妇数据（未加权N = 3,461）。我们使用logistic回归模型来检验1)过去一年的孕妇SUD治疗需求和2)接受SUD治疗的几率。模型包括年龄、种族、民族、收入、教育程度、婚姻状况、性取向、精神疾病和调查年份作为自变量；收入和种族/族裔群体之间的相互作用也包括在内。结果：7.8%的孕妇发生了SUD， 1.2%（占有治疗需求的20%）接受了SUD治疗。未婚、双性恋（vs异性恋）、非西班牙裔/拉丁裔黑人（vs非西班牙裔/拉丁裔白人）和患有精神疾病的女性患SUD的几率增加。种族相互作用的收入表明，收入较低的西班牙裔/拉丁裔女性患SUD的可能性低于收入较高的白人女性。在有治疗需求的人群中，已婚女性和年龄在18-25岁的女性（相对于26-34岁和35岁以上的女性）接受治疗的几率较低。结论：孕妇的婚姻状况、性取向、种族、民族、精神疾病等因素对SUD治疗需求存在差异，婚姻状况、年龄等因素对SUD治疗需求存在差异。需要专门的外展和参与战略，以确保在怀孕期间公平获得SUD治疗。

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引用次数: 0

The interacting role of fear of missing out in attentional bias dynamics during problematic social media use 在有问题的社交媒体使用过程中，害怕错过的注意力偏差动态的相互作用。

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2026-02-01 Epub Date: 2025-11-14 DOI: 10.1016/j.addbeh.2025.108550

Yang Wang , Lei Zhang , Jon D. Elhai , Christian Montag , Haibo Yang

Problematic social media use (PSMU) is increasingly conceptualized as a behavioral addiction involving attentional bias toward social media icons. Although fear of missing out (FoMO) contributes to PSMU maintenance, its dynamic interactive role in attentional bias dynamics remains unclear. Guided by the I-PACE model and attentional bias theory, this study examined whether and when FoMO modulates gaze-based attentional bias toward social media icons in PSMU. 912 university students completed online screening for PSMU and FoMO; 55 meeting PSMU criteria (M_age = 19.60) were categorized into high- or low-FoMO groups. Participants performed a visual dot-probe task with social/non-social app icons while eye-tracking recorded gaze behavior across four 500 ms time windows. Results revealed FoMO significantly interacted with attentional bias in two critical phases: During early processing (0–500 ms), the PSMU/high-FoMO group exhibited attentional orienting deceleration to social media icons, whereas PSMU/low-FoMO showed attentional maintenance. In later processing (1000–1500 ms), PSMU/high-FoMO demonstrated attentional vigilance-maintenance, while PSMU/low-FoMO displayed avoidance. These findings indicate FoMO exerts a temporally dynamic interaction effect on attentional bias in PSMU—characterized by initial orienting delays followed by sustained attentional engagement with social media icons. This supports reconceptualizing FoMO as a core psychological mechanism that reinforces PSMU through biased attentional dynamics, advancing theoretical alignment with the I-PACE framework.

有问题的社交媒体使用（PSMU）越来越被定义为一种行为成瘾，涉及对社交媒体图标的注意力偏见。虽然错失恐惧（fear of missing out, FoMO）有助于PSMU维持，但其在注意偏置动力学中的动态交互作用尚不清楚。在I-PACE模型和注意偏向理论的指导下，本研究考察了FoMO是否以及何时调节了PSMU中基于注视的对社交媒体图标的注意偏向。912名大学生完成PSMU和FoMO在线筛查；55名符合PSMU标准（Mage = 19.60）的患者被分为高fomo组和低fomo组。参与者使用社交/非社交应用程序图标进行视觉点探测任务，同时眼动追踪记录了四个500毫秒时间窗口内的凝视行为。结果表明，FoMO与注意偏向在两个关键阶段显著相互作用：在加工早期（0 ~ 500 ms）， PSMU/高FoMO组对社交媒体图标的注意定向减速，而PSMU/低FoMO组对社交媒体图标的注意保持。在加工后期（1000 ~ 1500 ms）， PSMU/高fomo表现为注意警戒维持，而PSMU/低fomo表现为回避。这些研究结果表明，FoMO对psmu的注意偏差具有时间动态交互作用，其特征是最初的定向延迟，随后是对社交媒体图标的持续注意参与。这支持将FoMO重新定义为一种核心心理机制，通过偏向性注意动力学加强PSMU，推进与I-PACE框架的理论一致性。

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引用次数: 0

Exploring adverse childhood experiences (ACEs) among those seeking treatment for gambling problems: A mixed-methods study 探索不良童年经历（ace）在那些寻求治疗赌博问题：一个混合方法的研究。

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2026-02-01 Epub Date: 2025-10-29 DOI: 10.1016/j.addbeh.2025.108535

Maria Moxey , Emma Dennie , Raffaello Rossi , Hannah Sallis , Annie Herbert

Study Overview

This mixed-methods study explores the relationship between Adverse Childhood Experiences (ACEs) and gambling-related harm among individuals seeking treatment in the UK.

Methodology

Drawing on survey data from 195 clients across two treatment providers and in-depth interviews with ten participants, the study investigates the prevalence of ACEs, perceived links to gambling behaviour, and treatment experiences.

Findings

Quantitative findings revealed that 81.1 % of treatment-seekers reported at least one ACE, and 40.5 % reported four or more − five times higher than national population estimates. Women reported significantly higher proportions of ACE exposure than men, particularly in relation to emotional and sexual abuse. Participants with the most severe gambling problems also had the highest ACE prevalence. Qualitative interviews highlighted three key themes: intergenerational transmission of addiction, gambling as a form of emotional regulation, and mixed experiences of treatment. Some participants described gambling as a way to escape distress rooted in childhood trauma, while others expressed the importance of trauma-informed, person-centred counselling.

Implications

Overall, the findings suggest that ACEs are highly relevant to the development and treatment of gambling harm. We argue for routine ACE screening in gambling treatment services and call for more consistent integration of trauma-informed care to better support recovery among those with complex needs.

研究概述：这项混合方法研究探讨了在英国寻求治疗的个人中不良童年经历（ace）和赌博相关伤害之间的关系。研究方法：利用来自两家治疗机构的195名客户的调查数据和对10名参与者的深入访谈，研究了ace的流行程度、与赌博行为的感知联系以及治疗经历。研究结果：定量研究结果显示，81.1%的寻求治疗者报告至少有一次ACE， 40.5%报告4次或4次以上，比全国人口估计高5倍。女性报告的ACE暴露比例明显高于男性，尤其是在情感虐待和性虐待方面。赌博问题最严重的参与者也有最高的ACE患病率。定性访谈强调了三个关键主题：成瘾的代际传播，赌博作为一种情绪调节形式，以及治疗的混合体验。一些参与者将赌博描述为一种逃避童年创伤带来的痛苦的方式，而另一些人则表达了了解创伤、以人为本的咨询的重要性。启示：总体而言，研究结果表明ace与赌博伤害的发展和治疗高度相关。我们主张在赌博治疗服务中进行常规ACE筛查，并呼吁更一致地整合创伤知情护理，以更好地支持那些有复杂需求的人的康复。

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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 : 2026-02-01 Epub 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。

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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 : 2026-02-01 Epub 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。

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引用次数: 0