International Journal of Mental Health and Addiction最新文献

{"title":"How Does Poverty Stigma Affect Depression Symptoms for Women Living with HIV? Longitudinal Mediating and Moderating Mechanisms.","authors":"Bulent Turan, Mirjam-Colette Kempf, Deborah Konkle-Parker, Tracey E Wilson, Phyllis C Tien, Gina Wingood, Torsten B Neilands, Mallory O Johnson, Carmen H Logie, Sheri D Weiser, Janet M Turan","doi":"10.1007/s11469-023-01147-2","DOIUrl":"10.1007/s11469-023-01147-2","url":null,"abstract":"<p><strong>Purpose: </strong>In a sample of women living with HIV, we examined whether individual traits fear of negative evaluation and resilience moderate the internalization of poverty stigma that these women experience from others. We also examined the downstream effects of these processes on depression symptoms using moderated serial mediation analyses.</p><p><strong>Methods: </strong>Data were collected annually for 4 years (2016-2020; T1, T2, T3, and T4) from 369 women living with HIV at 4 US cities using validated measures. Moderation effects were evaluated examining simple slopes at one standard deviation above and below the mean of the moderator. In all mediation analyses utilizing bootstrapping, we used the independent variable measured at T1, the mediators measured at subsequent visits (T2 and T3), and the outcome at the last visit (T4) to preserve the temporal sequence among the independent variable, mediators, and outcome variable. We also adjusted for T1 values of all mediators and outcome variables in analyses.</p><p><strong>Results: </strong>Women with stronger fears of negative evaluation by others or lower dispositional resilience had stronger associations between experienced poverty stigma and internalized poverty stigma. Internalized poverty stigma (T2) mediated the association between experienced poverty stigma (T1) and depression symptoms (T4); this mediated association was moderated by fear of negative evaluation and resilience (T1). Finally, internalized poverty stigma (T2) and avoidance coping (T3) were serial mediators in the association between experienced poverty stigma (T1) and depression symptoms (T4), moderated by fear of negative evaluation and resilience.</p><p><strong>Conclusions: </strong>Understanding factors that minimize internalization of stigma and buffer its negative effects on mental health can inform interventions to improve health outcomes of individuals with stigmatized conditions.</p>","PeriodicalId":14083,"journal":{"name":"International Journal of Mental Health and Addiction","volume":" ","pages":"946-963"},"PeriodicalIF":2.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12311801/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42329527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hazardous Drinking and Cannabis Use in Military Veterans: Comparative Associations with Risk for Suicidal and Non-Suicidal Self-Injury.","authors":"Jeremy L Grove, Jean C Beckham, Patrick S Calhoun, Eric A Dedert, Mary J Pugh, Nathan A Kimbrel","doi":"10.1007/s11469-025-01453-x","DOIUrl":"https://doi.org/10.1007/s11469-025-01453-x","url":null,"abstract":"<p><strong>Objective: </strong>Alcohol and cannabis use are each associated with suicidal thoughts and behaviors and nonsuicidal self-injury (NSSI) in military veterans, but less is known with regard to concurrent use. The present study compared U.S. veterans (<i>N</i> = 1098; 78% male, 67% White) who in the past year engaged in hazardous drinking (HD only), cannabis use (CU only), or concurrent use (HD + CU), or used neither substance (comparison group), on past-year suicidal ideation, elevated risk for suicidal behavior, and past-year NSSI.</p><p><strong>Method: </strong>Veterans completed questionnaires on sociodemographics, psychiatric and substance use history, and self-directed violence via a mailed self-report survey.</p><p><strong>Results: </strong>Independent of covariates, HD + CU related to greater odds of past-year suicidal ideation relative to the CU only and comparison group, and greater odds of elevated risk for suicidal behavior relative to all groups. The HD only group related to greater odds of past-year suicidal ideation relative to the comparison group. Contrary to expectations, CU only did not relate to greater odds of any suicide-related outcomes. As for NSSI, both CU only and HD + CU related to greater odds of past-year NSSI relative to the HD only and comparison group.</p><p><strong>Conclusions: </strong>Concurrent use may increase odds of suicide-related outcomes in veterans relative to single use alone, whereas cannabis use may confer risk for NSSI regardless of if used concurrently with alcohol. These differential associations may suggest distinct mechanisms of risk for self-directed violence in veterans based on substance type (e.g., alcohol vs. cannabis) and use practice (single vs. concurrent use).</p>","PeriodicalId":14083,"journal":{"name":"International Journal of Mental Health and Addiction","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12382343/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144953297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patterns of Substance Use Among Street-Involved Children and Youth in Kenya: the Roles of Street-Exposure, Migratory Factors, Family Deprivation, and Geographic Sub-location.","authors":"Michael L Goodman, Sarah Seidel, Andrew Springer, Christine Markham, Aaron Godoy, Lauren Raimer-Goodman, Kelvin Munene, Stanley Gitari","doi":"10.1007/s11469-023-01115-w","DOIUrl":"10.1007/s11469-023-01115-w","url":null,"abstract":"<p><p>Substance use among street-involved children and youth (SICY) in low- and middle-income countries is common. Using data abstracted from program intake forms (2016-2022) for an intervention to reintegrate SICY with their communities, we assess which individual, family, and geographic characteristics are predictive of substance use, and specifically inhalant use and non-inhalant use among a sample of 227 SICY in Meru County, Kenya. Assessed determinants include age, geographic location of home community, years on street, family deprivation prior to street-migrating, motivation for street migrating, abuse experiences on the street, and activities on the street. Number of years lived on the street, experiencing abuse on the street, and citing peer-self relations as the reason for street migration were all associated with significantly higher odds of reporting substance use, and inhalant use specifically. Inhalant use was also significantly associated with peer socialization and specific street activities. Further research should explore the role of peer-self dynamics in substance use among SICY and how it can inform approaches to reintegrating children from street situations and sustaining their development in non-street environments.</p>","PeriodicalId":14083,"journal":{"name":"International Journal of Mental Health and Addiction","volume":" ","pages":"329-343"},"PeriodicalIF":3.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11957461/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44049759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Technology-based substance use interventions for emerging adults and college students: A systematic review and meta-analysis.","authors":"Audrey Hang Hai, Laura Curran, Jocelyn N Simons, Kate B Carey, Patrick S Bordnick","doi":"10.1007/s11469-024-01433-7","DOIUrl":"10.1007/s11469-024-01433-7","url":null,"abstract":"<p><strong>Objective: </strong>To synthesize randomized controlled trial evidence on technology-based interventions' (TBIs) effectiveness for substance use among emerging adults (EA)/college students (CS).</p><p><strong>Methods: </strong>Nine electronic databases were searched. Two reviewers independently screened studies, extracted data, and assessed evidence quality. We used robust variance estimation in meta-regression for effect size synthesis and moderator analysis.</p><p><strong>Results: </strong>Based on 130 studies, the overall between-group effect size was 0.23 (95% CI= 0.18, 0.28). The effect sizes for comparing TBIs with no treatment, standard care, and non-technology interventions were 0.25 (CI=0.19, 0.31), 0.23 (CI=0.15, 0.32), and 0.12 (CI= -0.02, 0.25), respectively. Older participants showed significantly larger effect sizes, and interventions using multiple technologies had larger effects than smartphone-based ones.</p><p><strong>Conclusion: </strong>TBIs are effective in reducing substance use in EA/CS, with outcomes comparable to non-technology interventions and advantages over no treatment and standard care. Future research should address drug-related outcomes, multi-technology approaches, age-appropriate designs, and cultural diversity.</p>","PeriodicalId":14083,"journal":{"name":"International Journal of Mental Health and Addiction","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12456661/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145137437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Differences in smoking cessation behaviors and vaping status among adult daily smokers with and without depression, anxiety, and alcohol use: Findings from the 2018 and 2020 International Tobacco Control Four Country Smoking and Vaping (ITC 4CV) Surveys.","authors":"Pongkwan Yimsaard, Shannon Gravely, Gang Meng, Geoffrey T Fong, K Michael Cummings, Andrew Hyland, Ron Borland, David Hammond, Karin A Kasza, Lin Li, Anne C K Quah","doi":"10.1007/s11469-023-01058-2","DOIUrl":"10.1007/s11469-023-01058-2","url":null,"abstract":"<p><p>This study examined differences in quit attempts, 1-month quit success, and vaping status at follow-up among a cohort of 3709 daily smokers with and without depression, anxiety, and regular alcohol use who participated in both the 2018 and 2020 International Tobacco Control Four Country Smoking and Vaping (ITC 4CV) Surveys. At baseline, a survey with validated screening tools was used to classify respondents as having no, or one or more of the following: 1) depression, 2) anxiety, and 3) regular alcohol use. Multivariable adjusted regression analyses were used to examine whether baseline (2018) self-report conditions were associated with quit attempts; quit success; and vaping status by follow-up (2020). Results showed that respondents who reported depressive symptoms were more likely than those without to have made a quit attempt (aOR=1.32, 95% CI:1.03-1.70, <i>p</i>=0.03), but were less likely to have quit (aOR=0.55, 95% CI:0.34-0.89, <i>p</i>=0.01). There were no differences in quit attempts or quit success between those with and without self-reported anxiety diagnoses or regular alcohol use. Among successful quitters, respondents with baseline depressive symptoms and self-reported anxiety diagnoses were more likely than those without to report vaping at follow-up (aOR=2.58, 95% CI:1.16-5.74, <i>p</i>=0.02, and aOR=3.35 95% CI:1.14-9.87, <i>p</i>=0.03). In summary, it appears that smokers with depression are motivated to quit smoking but were less likely to manage to stay quit, and more likely to be vaping if successfully quit. As smoking rates are higher among people with mental health conditions, it is crucial for healthcare professionals to identify these vulnerable groups and offer tailored smoking cessation support and continued support during their quit attempt.</p>","PeriodicalId":14083,"journal":{"name":"International Journal of Mental Health and Addiction","volume":" ","pages":"3433-3450"},"PeriodicalIF":3.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11670891/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47231818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Emotion Dysregulation as a Risk Factor for Posttraumatic Stress Disorder Stemming from Opioid Overdose Responding Among Community Laypeople.","authors":"Nicole H Weiss, Shannon R Forkus, Alexa M Raudales, Reina Kiefer, Emmanuel D Thomas, Silvi C Goldstein, Nelson Lin, Elizabeth A Samuels, Brandon D L Marshall, Brendan P Jacka","doi":"10.1007/s11469-023-01063-5","DOIUrl":"10.1007/s11469-023-01063-5","url":null,"abstract":"<p><strong>Objective: </strong>Efforts to prevent opioid overdose mortality have rapidly expanded, including community-based distribution of naloxone to laypeople. In turn, responding to the opioid overdose crisis has increasingly fallen on the shoulders of community laypeople. Yet, little attention has been given to studying the mental health consequences of responding to an opioid overdose for community laypeople. This study examined emotion dysregulation as a risk factor for posttraumatic stress disorder (PTSD) stemming from opioid overdose responding among community laypeople.</p><p><strong>Methods: </strong>Participants were 80 community laypeople who had responded to an opioid overdose (<i>M</i> _age = 39.10, 59.5% women, 86.3% white).</p><p><strong>Results: </strong>Elevated emotion dysregulation was found in community laypeople with versus without PTSD stemming from opioid overdose responding. Limited access to effective emotion regulation strategies was uniquely associated with PTSD stemming from opioid overdose responding.</p><p><strong>Conclusions: </strong>Opioid overdose trainings may benefit from the addition of trauma first aid to bolster emotion regulation skills.</p>","PeriodicalId":14083,"journal":{"name":"International Journal of Mental Health and Addiction","volume":" ","pages":"3510-3519"},"PeriodicalIF":3.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11784992/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48372967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychosocial Effects of Frequent Cannabis Smoking in Adolescent Women of Color: Results from a Prospective Cohort of Inner-City Youth.","authors":"Nathalie Duroseau, Li Niu, Karen Wilson, Anne Nucci-Sack, Robert D Burk, Angela Diaz, Nicolas F Schlecht","doi":"10.1007/s11469-023-01043-9","DOIUrl":"10.1007/s11469-023-01043-9","url":null,"abstract":"<p><p>Frequent or chronic cannabis use can have negative effects on the adolescent and young adult (AYA) brain and psychosocial development. This study investigated the psychosocial impact of frequent cannabis use in a prospective study of sexually active female AYA patients. Participants completed questionnaires at three separate visits over a period of one year. A total of 545 AYA women were included in our analysis. Most (94%) identified as individuals of color, including 37% as non-Black Hispanic, 16% as Hispanic Black, and 41% as non-Hispanic Black. Multivariable regression analyses showed that using cannabis 20 or more times in the prior month was significantly associated with a higher likelihood of being suspended (OR=2.71, 95%CI:1.48, 4.57; p<.001), as well as with increased number of depressive symptoms (β=0.48, 95%CI:0.23-0.75; p<.001) and delinquent behaviors (β=0.81, 95%CI:0.56-1.06; p<.001). Cross-lagged models showed that frequent cannabis use was associated with increased depressive symptoms six months later (β=0.09, p<.05), and higher levels of delinquency six months (β=0.20, p<.001) and 12 months later (β=0.12, p<.05). This study demonstrated that frequent cannabis use was prospectively associated with negative psychosocial outcomes for AYA women of color, including depression and delinquency.</p>","PeriodicalId":14083,"journal":{"name":"International Journal of Mental Health and Addiction","volume":" ","pages":"3197-3210"},"PeriodicalIF":2.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11906181/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46353217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Weight Control Patterns, Substance Use, and Mental Health in Korean Adolescents: A Latent Class Analysis","authors":"Serim Lee, Jiyoung Yoon, JongSerl Chun","doi":"10.1007/s11469-024-01385-y","DOIUrl":"https://doi.org/10.1007/s11469-024-01385-y","url":null,"abstract":"<p>This study aims to uncover distinctive patterns in weight control methods within latent classes among Korean adolescents. It explores how substance use (i.e., alcohol, traditional cigarettes, e-cigarettes, and heated tobacco products) and mental health (i.e., stress, depression, anxiety, and suicidal ideation) impact each class. Using the cross-sectional secondary dataset from the 2022 Korea Youth Risk Behavior Survey, which includes 26,942 Korean adolescents, latent class analysis categorizes weight control methods into three groups: “Class 1: Medication-Centered Weight Control Group,” “Class 2: Diet-Centered Group,” and “Class 3: Holistic Approach to Diet and Exercise Group.” The results indicate that substance use and mental health challenges both increase the risk of medication-centered or diet-centered weight control practices in male adolescents. In contrast, only mental health challenges heighten the risk in female adolescents. This study contributes to a more profound comprehension of the intricate relationship between substance use, mental health, and weight control practices in Korean adolescents.</p>","PeriodicalId":14083,"journal":{"name":"International Journal of Mental Health and Addiction","volume":"1 1","pages":""},"PeriodicalIF":8.0,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142248870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Demographic, Mental Health, and Substance Use Correlates of Self-Described Medicinal Use, Recreational Use, and Non-Use of Hallucinogenic Drugs","authors":"Sophie G. Coelho, Hyoun S. Kim, Matthew T. Keough, Samantha J. Dawson, Nassim Tabri, David C. Hodgins, N. Will Shead, Jeffrey D. Wardell","doi":"10.1007/s11469-024-01381-2","DOIUrl":"https://doi.org/10.1007/s11469-024-01381-2","url":null,"abstract":"<p>There is growing public interest in the use of hallucinogens to manage mental health symptoms (i.e., medicinal hallucinogen use). Yet, limited research has examined the correlates of hallucinogen use for self-described medicinal purposes––an important gap given that self-medication may confer increased risk for harm. Accordingly, this study examined the demographic, mental health, and substance use correlates of medicinal hallucinogen use relative to no hallucinogen use and to exclusively recreational hallucinogen use. Adults reporting no hallucinogen use (<i>n</i> = 4837), medicinal hallucinogen use (<i>n</i> = 110), and exclusively recreational hallucinogen use (<i>n</i> = 240) were recruited from across Canada via Prolific and from six Canadian universities. Participants completed an online questionnaire assessing demographic characteristics, mental health, hallucinogen use, and other substance use. Logistic regression analyses showed that greater depression severity; more frequent use of alcohol, cannabis, and nicotine; and using several illegal and prescription drugs were associated with an increased likelihood of medicinal hallucinogen use relative to no hallucinogen use. Greater depression severity was also associated with an increased likelihood of medicinal hallucinogen use relative to exclusively recreational hallucinogen use. Further, participants who used hallucinogens for medicinal reasons reported more frequent hallucinogen use relative to those who used hallucinogens for exclusively recreational reasons. Results suggest that poorer mental health and greater use of other substances differentiate people who use hallucinogens for medicinal reasons from people who do not use hallucinogens or who use hallucinogens for exclusively recreational reasons. Further, medicinal hallucinogen use, relative to exclusively recreational hallucinogen use, is associated with using hallucinogens more frequently. Findings may inform targeted preventive and harm reduction interventions for hallucinogen use.</p>","PeriodicalId":14083,"journal":{"name":"International Journal of Mental Health and Addiction","volume":"65 1","pages":""},"PeriodicalIF":8.0,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142248915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Brief Report: a Cross-Sectional Comparison of the Alcohol Use Disorders Identification Test with a Single Question to Assess Alcohol Use in Fishing Communities of Uganda","authors":"Teddy Nakaweesa, Kalonde Malama, Ali Ssetaala, Juliet Mpendo, Annet Nanvubya, Brenda Okech, Bernard Bagaya, Matt A. Price, Nancy Hills, Debbie Brickley","doi":"10.1007/s11469-023-01041-x","DOIUrl":"https://doi.org/10.1007/s11469-023-01041-x","url":null,"abstract":"<p>Rapid assessment for alcohol use in clinical practice and research is key to improved health and study participation. We assessed the correlation between Alcohol Use Disorders Identification Test (AUDIT) score and responses from a single question on frequency of alcohol use among people living in fishing communities of Uganda. Four hundred nineteen participants screened for a simulated vaccine efficacy trial completed the AUDIT and single question. Spearman’s correlation coefficients compared the two tools. There was significant correlation between the AUDIT score and the single question (rho = 0.824, <i>P</i> &lt; 0.001). The single question can be used as an alternative to the full AUDIT during screening.</p>","PeriodicalId":14083,"journal":{"name":"International Journal of Mental Health and Addiction","volume":"186 1","pages":""},"PeriodicalIF":8.0,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142248878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}