International Journal of Mental Health and Addiction最新文献

{"title":"Impact of Substance Use and Mood/Anxiety Disorders on the HIV Continuum of Care in British Columbia, Canada, from 2001 to 2019","authors":"Sara Shayegi-Nik, Lu Wang, Jenny Li, Michael Budu, Katherine Kooij, William G. Honer, Robert S. Hogg, Julio S. G. Montaner, Viviane D. Lima","doi":"10.1007/s11469-024-01272-6","DOIUrl":"https://doi.org/10.1007/s11469-024-01272-6","url":null,"abstract":"<p>People living with HIV (PLWH) are disproportionately affected by mood, anxiety, and substance use disorders that prevent their sustained engagement with HIV care. Comprehensive research on the impact of these disorders on the HIV continuum of care is lacking. This study aimed to assess the impact of the syndemic between substance use disorder (SUD) and mood/anxiety disorders on the HIV continuum of care for PLWH in British Columbia (BC), Canada, and identify the stage with the highest attrition in the continuum. This retrospective population-based cohort study utilized data from the Comparative Outcomes And Service Utilization Trends (COAST) study that contains data on all diagnosed PLWH in BC. Eligible individuals were ≥ 19 years of age and were followed during 2001–2019. Our exposure variable was SUD or mood/anxiety disorder diagnoses. Our outcomes were the achievement of the following stages of the HIV continuum of care: (1) antiretroviral therapy (ART) initiation, (2) on-ART, (3) ART adherence, (4) viral suppression, and (5) maintained suppression. We estimated attrition by estimating the proportion of PLWH who proceed to each stage. Generalized linear mixed-effect models assessed the association between SUD and mood/anxiety disorders and the achievement of each stage while controlling for sociodemographic and HIV-related confounders. For the 14,398 eligible PLWH, maintained suppression exhibited the highest attrition. Having SUD or both SUD and mood/anxiety disorder were significantly associated with reduced odds of achieving all stages of the HIV continuum of care except on-ART. SUD had the strongest association with reduced odds of ART adherence (adjusted odds ratio (aOR) 0.47; 95% CI, 0.42–0.53) and reduced odds of maintained suppression (aOR 0.58; 95% CI, 0.53–0.63). Having only mood/anxiety disorders was also associated with reduced odds of both adherence (aOR 0.78; 95% CI, 0.71–0.87) and maintained suppression (aOR 0.82; 95% CI, 0.77–0.88). Our findings indicate that SUD and mood/anxiety disorders contribute to attritions across the continuum, emphasizing the need for integrated mental health and substance use services to support HIV care.\u0000</p>","PeriodicalId":14083,"journal":{"name":"International Journal of Mental Health and Addiction","volume":"19 1","pages":""},"PeriodicalIF":8.0,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140199528","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":"Treatment of Behavioral Addictions and Substance Use Disorders: a Focus on the Effects of Theta-Burst Stimulation Over the Pre-SMA","authors":"Stefano Pallanti, Jonna Levola, Pantelis Lioumis, Tiina Paunio, Dubravko Kičić, Risto Ilmoniemi, Nikos Makris","doi":"10.1007/s11469-024-01261-9","DOIUrl":"https://doi.org/10.1007/s11469-024-01261-9","url":null,"abstract":"<p>Behavioral addictions (BA) and substance use disorders (SUDs) share core features, including impaired control and craving, leading to significant personal and societal impacts. Previous research has identified the pre-supplementary motor area (pre-SMA) as a critical node in GD-related neurocircuitry, making it a potential target for interventions also in SUDs. Theta-burst stimulation (TBS) offers a non-invasive method to modulate pre-SMA activity. This study included 58 participants diagnosed with GD or SUDs. They underwent bilateral pre-SMA continuous TBS (cTBS) sessions targeting craving, impulsivity, and addiction severity. Standardized scales and questionnaires were employed to assess the outcomes. cTBS parameters included 20 daily sessions with 80% resting motor threshold (RMT). Both GD and SUD groups exhibited significant reductions in addiction severity and craving following cTBS. Impulsivity decreased significantly in SUD but not in GD. The study’s findings underscore the potential of pre-SMA TBS as an adjunctive treatment for GD and SUDs. The observed improvements in addiction severity and craving emphasize the shared neuronal mechanisms underlying these disorders. However, the nuanced differences, especially in impulsivity, indicate the need for further research to tailor interventions precisely.\u0000</p>","PeriodicalId":14083,"journal":{"name":"International Journal of Mental Health and Addiction","volume":"80 1","pages":""},"PeriodicalIF":8.0,"publicationDate":"2024-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140168709","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":"Association Between Self-Reported Opioid Use and Behavioral/Social Health Characteristics—Arizona, 2020","authors":"","doi":"10.1007/s11469-024-01276-2","DOIUrl":"https://doi.org/10.1007/s11469-024-01276-2","url":null,"abstract":"<h3>Abstract</h3> <span> <h3>Background</h3> <p>Arizona observed a sharp increase in opioid overdose deaths between 2017 and 2021. Our objective was to better understand the relationship between behavioral/ social characteristics and self-reported opioid misuse among Arizona adults.</p> </span> <span> <h3>Methods</h3> <p>A cross-sectional study design was done using data from the Arizona 2020 Behavioral Risk Factor Surveillance System (BRFSS) (<em>N</em> = 10,291). Confidence intervals and p-values were found using chi-square for respondents with and without a self-reported opioid misuse. Logistic regression models were developed for the association between adverse childhood experiences (ACEs), mental health, and risk-taking behaviors (RTBs) and opioid misuse.</p> </span> <span> <h3>Results</h3> <p>Respondents who reported 2–3 ACEs (OR_adjusted: 4.7; 95% CI: [2.8, 7.9]) and who reported 4 or more ACEs (OR_adjusted: 8.3; 95% CI: [5.0, 13.6]); respondents who reported poor mental health (OR_adjusted: 3.3; 95% CI: [2.1, 5.2]); and respondents who reported two or more RTBs (OR_adjusted: 3.9; 95% CI: [2.5, 6.1]) had higher odds of self-reported opioid misuse compared to those without self-reported opioid misuse.</p> </span> <span> <h3>Discussion</h3> <p>Opioid misuse was found to be associated with poor mental and physical health, increased RTBs, and history of at least two ACEs among Arizona adults in this study. These findings stress the importance of opportunities for targeted prevention in both Arizona adults and youth, including screening for ACEs and RTBs, in early stages of life.</p> </span>","PeriodicalId":14083,"journal":{"name":"International Journal of Mental Health and Addiction","volume":"140 1","pages":""},"PeriodicalIF":8.0,"publicationDate":"2024-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140168707","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":"Anxiety and Quality of Life in College Students with a Chronic Illness Compared to Those Without: The Mediational Roles of Experiential Avoidance and Committed Action","authors":"Zahir Vally, Rufaida AlKhanji, Mai Helmy","doi":"10.1007/s11469-024-01274-4","DOIUrl":"https://doi.org/10.1007/s11469-024-01274-4","url":null,"abstract":"<p>The presence of a chronic illness and the experience of anxiety are both factors that have been shown, separately, to negatively impact individuals’ self-reported quality of life (QoL). In an attempt to further understand the impact that a chronic illness places on experienced QoL, scholars have begun to propose that the constructs of experiential avoidance and committed action may potentially be implicated in this demonstrated association; however, this contention remains undetermined. This cross-sectional study examined the roles of experiential avoidance and committed action as potential mediators in the relationship between anxiety and QoL. It further compared the occurrence of these potential relationships in a sample of college-aged students with and without a self-reported chronic illness. A total of 547 participants recruited from university campuses resident in five Arab nations completed self-report assessments of anxious affect, QoL, experiential avoidance, and committed action. Analyses revealed a partial mediational relationship between anxiety and QoL that was almost entirely explained by experiential avoidance rather than committed action. This mediational effect, however, was only observed in the healthy cohort of students, not amongst those with a chronic illness. These results draw attention to the proposition that anxiety, a commonly occurring difficulty experienced by young adults, is associated with diminished QoL, but, moreover, that this relationship may be mediated by diminishing experiential avoidance and, potentially, greater engagement in committed actions. It further highlights that whilst anxious affect amongst students with a chronic illness appears more prevalent, compared to those without a chronic illness, there may be a number of other alternate factors that relate to their experienced QoL.</p>","PeriodicalId":14083,"journal":{"name":"International Journal of Mental Health and Addiction","volume":"133 1","pages":""},"PeriodicalIF":8.0,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140156578","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":"The Role of Sex and Coping Styles on the Relationship Between Depression and Cannabis Use","authors":"Víctor José Villanueva-Blasco, Joaquín Mateu-Mollá, Andrea Vázquez-Martínez, Antonio Rial-Boubeta, Fernando Rodríguez de Fonseca, Manuel Isorna Folgar","doi":"10.1007/s11469-024-01275-3","DOIUrl":"https://doi.org/10.1007/s11469-024-01275-3","url":null,"abstract":"<p>There is evidence for a relationship between problematic cannabis use and depression although the directionality is unclear. The role of coping strategies mediating this relationship is of interest to better understand the mechanisms involved. The aim was to analyze the relationship between cannabis use and depression and its directionality, considering the mediating role of coping styles and their dependence on sex. Correlational and cross-sectional design. There were 261 cannabis users aged 18–57 years (<i>M</i> = 31.04), 36.66% women. Sex, cannabis dependence, coping styles, and depressive symptomatology were analyzed. Women scored higher in depression and men reported higher cannabis use, with a higher prevalence for moderate addiction. Higher severity of depressive symptomatology was found in cannabis users with dependence compared to those with moderate addiction. Active coping strategies were more common in the non-addicted group, while avoidant coping strategies were more common in the dependent group. The role of coping styles was observed to differ according to sex. In men, the relationship between depression and cannabis use was bidirectional, but the predictive capacity of each variable with respect to the others disappeared when considering avoidant coping as a mediator. Passive coping style is key in the relationship between depression and cannabis use. These findings have important implications for prevention and treatment of both problems.</p>","PeriodicalId":14083,"journal":{"name":"International Journal of Mental Health and Addiction","volume":"56 1","pages":""},"PeriodicalIF":8.0,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140152264","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":"Associations Between Academic Motivation, Academic Stress, and Mobile Phone Addiction: Mediating Roles of Wisdom","authors":"Abolghasem Yaghoobi, Kambiz Karimi, Maryam Asoudeh, Sahar Mohammadi","doi":"10.1007/s11469-024-01269-1","DOIUrl":"https://doi.org/10.1007/s11469-024-01269-1","url":null,"abstract":"<p>This research aimed to examine the impact of academic motivation and academic stress on mobile phone addiction, with a focus on the mediating role of wisdom. Employing a descriptive-correlational approach within an applied research framework, the study surveyed 375 female high school students from two institutions in Hamedan district using convenience sampling. Utilizing instruments including Ardelt’s wisdom questionnaire (2003), Gadzella’s academic stress questionnaire (1991), Koo Hy’s phone addiction scale (2009), and Harter’s academic motivation questionnaire (1981), data were analyzed through structural equation modeling. The results revealed that wisdom significantly mediated the relationships between academic stress, motivation, and mobile phone addiction. Notably, the direct effects of stress on wisdom and mobile phone addiction were statistically significant, as were the indirect effects of stress and motivation on mobile phone addiction. While the direct effect of motivation on mobile phone addiction was not significant, wisdom demonstrated a substantial direct influence on mobile phone addiction. This investigation sheds light on the intricate dynamics of these variables and underscores the vital role of wisdom in understanding and addressing mobile phone addiction.</p>","PeriodicalId":14083,"journal":{"name":"International Journal of Mental Health and Addiction","volume":"83 1","pages":""},"PeriodicalIF":8.0,"publicationDate":"2024-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140116284","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":"Validation of Alcohol Use Disorders Identification Test (AUDIT) in Brazilian Colleges: Network Analysis, Measurement Invariance and Screening Efficiency","authors":"Felipe Anselmo Pereira, Lucio Garcia de Oliveira, Gabriel Teixeira da Silva, Adriana Scatena, Hyoun S Kim, André Luiz Monezi Andrade","doi":"10.1007/s11469-024-01268-2","DOIUrl":"https://doi.org/10.1007/s11469-024-01268-2","url":null,"abstract":"<p>This study examined the psychometric properties of the Alcohol Use Disorders Identification Test (AUDIT) among a diverse sample of Brazilian college students. Specifically, the objectives of the present study were; (i) to examine the factor structure of AUDIT through confirmatory factor analysis and network analysis, (ii) to assess invariance of gender, sexual orientation and university (private vs. public, field of study), and relationship status; using multigroup confirmatory factor analysis, and (iii) to evaluate convergent, criterion, discriminant, and predictive validity. A total of 2,252 college students completed a sociodemographic questionnaire, the AUDIT, and additional measures of harmful alcohol consumption. The findings revealed that the three-factor AUDIT structure demonstrated the most robust fit and internal consistency across various student subgroups. Invariance was observed in all analyzed subgroups, with network analysis revealing consistent patterns of item clustering. The AUDIT also exhibited strong reliability (α = 0.817; ω = 0.827). The receiver operating characteristic curve analysis indicated that the optimal cutoff for harmful use was &gt; 6, while it was &gt; 7 for alcohol dependence, with the scores remaining consistent across diverse student subgroups. The AUDIT demonstrated robust correlations with the CAGE Questionnaire and total <i>DSM-5</i> symptom scores (criterion validity), as well as with other measures of frequency of alcohol use (weekday and weekend) using timeline follow-back (convergent validity). A moderate correlation was observed for discriminant validity with attitudes towards alcohol use. The findings suggest that the AUDIT serves as a suitable instrument for screening potentially harmful alcohol use among diverse student subgroups.</p>","PeriodicalId":14083,"journal":{"name":"International Journal of Mental Health and Addiction","volume":"23 1","pages":""},"PeriodicalIF":8.0,"publicationDate":"2024-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140152288","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":"Examining the Influence of Narcissism and Some Demographic Variables on Online Shopping Addiction via the Exhaustive CHAID Method","authors":"Cansu Emin, Murat Kayri, Ezgi Doğan","doi":"10.1007/s11469-024-01273-5","DOIUrl":"https://doi.org/10.1007/s11469-024-01273-5","url":null,"abstract":"<p>The literature posits that narcissism may theoretically influence online shopping addiction, with materialism being regarded as a consequence of narcissistic tendencies that subsequently exacerbate shopping addiction. Additionally, it is stated in the literature that age and gender are also associated with online shopping addiction. So, the present study aims to examine the effect of narcissism, age, and gender on online shopping addiction using the exhaustive CHAID analysis. In the research, which was designed as a survey and correlational study, data were collected from 1010 adults using the online shopping addiction scale and narcissism scale. The data obtained were analyzed with descriptive statistics and the exhaustive CHAID method. According to the analysis results, the participant group’s level of online shopping addiction was low, and their level of narcissism was moderate. In line with the results of the exhaustive CHAID analysis, the variables that most related to online shopping addiction were age, gender, and narcissism level. According to the analysis results, online shopping addiction decreases with advancing age. Women in younger age groups are more addicted to online shopping than men. Moreover, the increase in the level of narcissism is a condition that elevates the online shopping addiction of women in younger groups. It is reported in the literature that narcissism is more common in men and younger individuals. However, one of the most important study results is that, in this study, individuals with online shopping addiction are mostly relatively young female participants with high levels of narcissism.</p>","PeriodicalId":14083,"journal":{"name":"International Journal of Mental Health and Addiction","volume":"28 1","pages":""},"PeriodicalIF":8.0,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140097551","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":"Not Everyone Benefits Equally from Sunday Alcohol Sales Bans: Socioeconomic Differences in Alcohol Consumption and Alcohol-Attributable Mortality","authors":"Carolin Kilian, Julia M. Lemp, William C. Kerr, Nina Mulia, Jürgen Rehm, Yu Ye, Charlotte Probst","doi":"10.1007/s11469-024-01267-3","DOIUrl":"https://doi.org/10.1007/s11469-024-01267-3","url":null,"abstract":"<p>We examined socioeconomic variations in the association of off-premises Sunday alcohol sales bans and alcohol consumption and alcohol-attributable mortality in the United States. We analyzed associations between Sunday sales ban presence and alcohol consumption patterns, allowing for a differential effect by education in fixed-effects regression models using data from the 2000–2019 Behavioral Risk Factor Surveillance System. Mortality data from the National Vital Statistics System (2000–2019) were analyzed in interrupted time-series analysis to test the effect of lifting the Sunday sales ban in Minnesota (07/01/2017) on alcohol-attributable mortality. Regression analysis indicated lower alcohol consumption when Sunday sales bans were in place, with an overall stronger effect on those with high education. The repeal of the Minnesota ban resulted in a significant mortality increase, especially among individuals with high education. While overall effective, off-premises Sunday alcohol sales bans appear inadequate to address socioeconomic inequalities in the alcohol-attributable health burden.</p>","PeriodicalId":14083,"journal":{"name":"International Journal of Mental Health and Addiction","volume":"47 1","pages":""},"PeriodicalIF":8.0,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140053987","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":"Unique Psychological Mechanisms Underlying Psilocybin Therapy Versus Escitalopram Treatment in the Treatment of Major Depressive Disorder","authors":"Brandon Weiss, Leor Roseman, Bruna Giribaldi, David J. Nutt, Robin L. Carhart-Harris, David Erritzoe","doi":"10.1007/s11469-024-01253-9","DOIUrl":"https://doi.org/10.1007/s11469-024-01253-9","url":null,"abstract":"<p>The mechanisms by which Psilocybin Therapy (PT) improves depression remain an important object of study, with scientists actively exploring acute psychological experiences and neurobiological processes as candidates. In a phase 2, double-blind, randomized, active comparator controlled trial involving patients with moderate-to-severe major depressive disorder, we investigated whether acute psychological experiences could meaningfully account for the unique efficacy of PT versus Escitalopram Treatment over a core 6-week trial period. An exploratory-factor-analysis-derived single-factor of depression was used as the outcome. Among a comprehensive set of acute experiences related to psilocybin, so-called “mystical experience” and “ego dissolution” were unique in mediating the effect of treatment condition on depressive response with high specificity. Higher reported levels of mystical experience, emotional breakthrough, and intense responses to music-listening were furthermore associated with greater antidepressant response. These results provide qualified support for the causal mechanistic role of acute psychological experiences in the treatment of depression via PT.</p>","PeriodicalId":14083,"journal":{"name":"International Journal of Mental Health and Addiction","volume":"42 1","pages":""},"PeriodicalIF":8.0,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140053979","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}