Journal of Ethnicity in Substance Abuse最新文献

{"title":"Outcomes of bio-psycho-social-spiritual community-based drug rehabilitation program for voluntary vs. court-mandated clients in the Philippines.","authors":"Maria Regina Hechanova, Trixia Anne C Co, Fessa R Egusquiza","doi":"10.1080/15332640.2025.2450454","DOIUrl":"10.1080/15332640.2025.2450454","url":null,"abstract":"<p><p>This study sought to evaluate the outcomes of a community-based rehabilitation program for voluntary and court-mandated drug users in the Philippines. Participants went through a bio-psycho-social-spiritual group-based program that aimed to develop their recovery skills and life skills. The program also included family modules to enhance their knowledge of drug use, its effects, and the role of family in recovery. A cohort design was used with pre- and posttest surveys administered before and immediately after the program. The sample consisted of 105 voluntary clients and 118 court-mandated clients who underwent screening or drug dependency evaluation and were recommended for community-based treatment. The program was conducted weekly by trained paraprofessionals. Results reveal significant improvements in recovery and life skills, well-being, quality of life, and family support for both voluntary and court-mandated clients. No significant differences were found between groups, suggesting that community-based interventions are a viable alternative to inpatient or treatment in closed settings for both voluntary and court-mandated clients.</p>","PeriodicalId":15812,"journal":{"name":"Journal of Ethnicity in Substance Abuse","volume":" ","pages":"1093-1108"},"PeriodicalIF":1.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143065907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The path of therapeutic community process experience to recovery capital and psychological well-being as mediated by group working alliance: the role of locus-of-hope.","authors":"Sixtus Dane A Ramos, Allan B I Bernardo","doi":"10.1080/15332640.2025.2468295","DOIUrl":"10.1080/15332640.2025.2468295","url":null,"abstract":"<p><p>The therapeutic community (TC) is a social-learning treatment program for people with substance use disorders (PSUDs). Most studies focused on how the TC program facilitates positive recovery outcomes. Less emphasis was given to ethnically relevant patient dispositions that may influence the TC process from a collectivist context, especially from Asian developing countries like the Philippines. In this study, we tested the TC process experience's (TCPE) path to recovery capital (RC) and psychological well-being (PWB) as mediated by group working alliance (GWA). We also examined if PSUDs' locus-of-hope (LOH), or the person's goal-pursuit disposition involving external co-agencies like peers, family, and spirit, interact with this mechanism. A total of 451 male PSUDs from TC facilities in the Philippines were surveyed, with 406 participants included in the final analysis. Results showed that the participants' TCPE predicted RC and PWB. The direct pathways were mediated by GWA. There were no significant mediation effects among patients with high internal and external-peer LOH. Moreover, there were significant mediation effects among patients with high external-family and external-spirit LOH. The results suggest the contributions of PSUDs' LOH dispositions to the TC mechanism from a collectivist population, thus revealing nuances of the TC model applied in a vulnerable ethnic context.</p>","PeriodicalId":15812,"journal":{"name":"Journal of Ethnicity in Substance Abuse","volume":" ","pages":"1235-1261"},"PeriodicalIF":1.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143468115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mindfulness and resilience as serial mediators of links between childhood psychological maltreatment and substance misuse.","authors":"Sinan Okur, Ümüt Arslan, Begüm Satıcı, M Engin Deniz","doi":"10.1080/15332640.2024.2440086","DOIUrl":"10.1080/15332640.2024.2440086","url":null,"abstract":"<p><p>Substance misuse is a seriously risky behavior in young adulthood. To protect and support the psychological health of university students, the risk factors and protective factors related to substance misuse should be examined. This study aims to examine the serial mediating role of mindfulness and resilience in the relationship between childhood psychological maltreatment and substance misuse. The sample of the study consists of a total of 383 university students, 269 female (70.2%) and 114 male (29.8%), aged between 18 and 28 years (<i>M</i> = 20.849, <i>SD</i> = 1.773). Research findings have proven that childhood psychological maltreatment is an important predictor of mindfulness, resilience, and substance misuse. The following results revealed that mindfulness and resilience played a partially serial mediating role in the relationship between childhood psychological maltreatment and substance misuse. The findings indicated that childhood psychological maltreatment is an important risk factor for substance misuse, and mindfulness and resilience may be protective factors in this relationship. All these results suggest that psychoeducational interventions that increase the mindfulness and resilience levels of young adults may contribute to alleviating substance misuse in individuals exposed to childhood psychological maltreatment.</p>","PeriodicalId":15812,"journal":{"name":"Journal of Ethnicity in Substance Abuse","volume":" ","pages":"949-967"},"PeriodicalIF":1.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142818298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The influence of gender on the clinical and dynamic indicators of alcohol dependence, the level of aggression of patients taking into account comorbidity with affective disorders.","authors":"Svetlana N Vasilieva, German G Simutkin, Olga V Roshchina, Alfira K Surovtseva, Nikolay А Bokhan","doi":"10.1080/15332640.2025.2468835","DOIUrl":"10.1080/15332640.2025.2468835","url":null,"abstract":"<p><p>To assess the influence of comorbid affective disorders (AD) on the clinical and dynamic indicators of alcohol dependence syndrome (ADS), the level of aggression in patients, and to examine gender differences. Two groups were analyzed: Group F10 (<i>n</i> = 149) included patients with ADS without comorbid AD, and group F10 + F3 (<i>n</i> = 61) of patients with ADS comorbid with AD. Clinical-psychopathological, clinical-follow-up, psychometric, and statistical methods were used. Comorbidity of ADS and AD reduces gender differences in the duration of lucid periods, the depressogenic effects of alcohol, levels of physical and verbal hostility, and the relationship between social adaptation and aggression. Comorbid ADS and AD significantly increase the severity of the current mental state (CGI-S; <i>p</i> < 0.05), irrespective of gender. Gender influences the clinical and dynamic parameters of ADS and the degree of aggression in isolated ADS. Comorbidity of ADS and AD contributes into an increase in the severity of mental state and increases the number of factors influencing the level of severity of hostility.</p>","PeriodicalId":15812,"journal":{"name":"Journal of Ethnicity in Substance Abuse","volume":" ","pages":"1262-1271"},"PeriodicalIF":1.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143585899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Broadening the lens on substance use and addiction.","authors":"Masood Zangeneh","doi":"10.1080/15332640.2026.2710962","DOIUrl":"10.1080/15332640.2026.2710962","url":null,"abstract":"","PeriodicalId":15812,"journal":{"name":"Journal of Ethnicity in Substance Abuse","volume":" ","pages":"759-761"},"PeriodicalIF":1.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148706410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reducing maternal smoking using Indigenous knowledge, practices, and online technologies.","authors":"Patrick Salmon, Toumairangi Marsh, Marewa Glover","doi":"10.1080/15332640.2024.2449050","DOIUrl":"10.1080/15332640.2024.2449050","url":null,"abstract":"<p><p>Maternal smoking increases adverse risks for both the mother's pregnancy and the unborn child and remains disproportionately high among some Indigenous peoples. Decreasing smoking among pregnant Indigenous women has been identified as a health priority in New Zealand because of wide inequities in smoking-related harms. Using pre- and post-intervention questionnaires, this feasibility study assessed the acceptability and potential efficacy of a novel cessation program designed for Indigenous women by Indigenous experts utilizing traditional knowledge and practice. COVID-19 lockdowns displaced program delivery to online teaching videos, social media and a smartphone app using augmented reality. The target population comprised adult (≥22 years) women who self-identified as Māori, were in the first or second trimester, and currently smoked and wanted to quit. Based on the response to our advertisements (>500 individuals) and the short period of time (<2 weeks) it took to recruit participants, the program appeared to be acceptable. Furthermore, it achieved high retention (20/24 (83%) women remained at the 16-week follow-up), and facilitated maintenance of high motivation to stop smoking. By the end of the program, 9/20 (45%) of participants reported not smoking. A consistently mentioned value of the program was that it increased the participants' knowledge of Māori culture, particularly about pregnancy, birthing, and post-natal support. This study supports the potential for traditional knowledge and healing methods alongside contemporary communication tools such as mobile apps and augmented reality to increase the attractiveness and reach of smoking cessation programs for pregnant Indigenous women, even if delivered online.</p>","PeriodicalId":15812,"journal":{"name":"Journal of Ethnicity in Substance Abuse","volume":" ","pages":"793-812"},"PeriodicalIF":1.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142983731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ecodevelopmental influences on latent classes of substance use among urban American Indian adolescents.","authors":"Stephen S Kulis, Justin Jager, Stephanie L Ayers, Matt Ignacio","doi":"10.1080/15332640.2024.2446739","DOIUrl":"10.1080/15332640.2024.2446739","url":null,"abstract":"<p><p>The large majority (over 70%) of American Indian adolescents who reside in cities rather than tribal lands or rural areas report relatively earlier onset of substance use and more harmful associated health effects, compared to their non-Native peers.</p><p><strong>Objective: </strong>This study investigated multilevel ecodevelopmental influences on empirically derived patterns of substance use among urban American Indian adolescents.</p><p><strong>Method: </strong>Data came from 8th, 10th, and 12th grade American Indian adolescents (<i>n</i> = 2,407) in metropolitan areas of Arizona. Using latent class analysis, their recent use of various substances fell into four patterns: polysubstance users consuming alcohol, tobacco, marijuana, other illicit drugs, and misusing prescription or OTC drugs; users of only alcohol, tobacco, and marijuana; those using only substances other than alcohol; and nonusers. Measures of positive and negative family, peer, school and neighborhood influences were used to predict latent class assignment, employing the R3STEP command in Mplus, while controlling for student gender, age, grade level, and multiracial identity, as well as family type, parental education, and household size.</p><p><strong>Results: </strong>In bivariate tests, each of the positive influences predicted being drug free rather than engaging in one of three distinctive types of substance use, while negative influences predicted recent use of some substances and, among users, polysubstance use rather than the other two patterns of substance use. In multivariate tests of all the ecodevelopmental influences, the negative influences-in the family and among peers especially-were the strongest and most consistent predictors of substance use and of polysubstance use in particular.</p>","PeriodicalId":15812,"journal":{"name":"Journal of Ethnicity in Substance Abuse","volume":" ","pages":"1018-1042"},"PeriodicalIF":1.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12227693/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142931800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Self-stigma and treatment motivation in inpatient with substance use disorders: Westside of Turkey.","authors":"Özge Sukut, Nihan Altan Sarikaya, Esra Albal","doi":"10.1080/15332640.2025.2457622","DOIUrl":"10.1080/15332640.2025.2457622","url":null,"abstract":"<p><p>The aim of the study was to determine the relationship between self-stigma and treatment motivation among individuals with substance use disorders in Westside of Turkey. Descriptive cross-sectional design study's sample consisted of 141 patients with substance use disorder receiving treatment in an alcohol and drug treatment unit in Westside of Turkey. Data were collected using the Treatment Motivation Questionnaire (TMQ) and the Substance Abuse Self-Stigma Scale (SASSS). Self-stigma was positively correlated with internal motivation, external motivation, interpersonal help-seeking and treatment motivation (<i>p</i> < 0.001). Self-stigma was negatively correlated with confidence in treatment (<i>p</i> < 0.05). The simple linear regression analysis showed a significant relationship between treatment adherence and self-stigma (R:0.98, R2: 0.96, <i>p</i> < 0.001).</p>","PeriodicalId":15812,"journal":{"name":"Journal of Ethnicity in Substance Abuse","volume":" ","pages":"1109-1122"},"PeriodicalIF":1.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143080279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The lived experiences of women overcoming addiction and self-harming behaviors.","authors":"Mehrangiz Shoaa Kazemi, Fayez Mahamid, Bilal Hamamra","doi":"10.1080/15332640.2025.2465389","DOIUrl":"10.1080/15332640.2025.2465389","url":null,"abstract":"<p><p>The main aim of this research was to investigate the lived experiences of women cleared of addiction who exhibit self-harming behaviors, including suicide. The qualitative research method was interpretive phenomenology. The sample of this study consisted of 10 women who had been cleared of addiction and had a history of suicide attempts. They were selected through targeted and available sampling from a counseling center in Tehran. After conducting in-depth interviews and analyzing the data, the main themes identified in the research was traumatic behaviors experienced, including suicide. The main concepts that emerged were despair, shame, social stigma, traumatic life context, negative early life experiences, experiences of divorce, primary and secondary detachment, ineffective coping strategies, inability to solve problems, socioeconomic difficulties, and feelings of meaninglessness. sub themes also included gender discrimination within the family and society, blame and humiliation, the addiction of a second spouse, and fear of marriage. Based on the research findings, it can be concluded that women who have left addiction face many challenges, including psychological and social problems. They tend to blame themselves, viewing themselves as the root cause of personal and social issues. Furthermore, under societal pressure (due to the stigma and shame associated with addiction), they often compare themselves unfavorably with others. Consequently, due to their inability to achieve an acceptable and standard life or cope with childhood experiences, these women experience depression and helplessness, which ultimately drives some to consider suicide as a way to alleviate or escape this stigma.</p>","PeriodicalId":15812,"journal":{"name":"Journal of Ethnicity in Substance Abuse","volume":" ","pages":"1170-1185"},"PeriodicalIF":1.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143433283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intersecting vulnerabilities: Substance abuse in indigenous communities in Southern India.","authors":"Nisanth M Pillai, Harikrishnan S","doi":"10.1080/15332640.2024.2446962","DOIUrl":"10.1080/15332640.2024.2446962","url":null,"abstract":"<p><strong>Background: </strong>Substance usage is a growing concern among tribal communities in the southern region of Kerala, as it is associated with various social, health, and economic problems. alcohol being the most commonly abused substance. This is particularly true in Southern Kerala, where the prevalence of alcohol abuse among tribal communities is estimated to be between 20% and 30%. The prevalence of alcohol use was higher among male tribal members compared to female tribal members who initiated alcohol misuse at a younger age due to parental influence, home environment, and peer pressure.</p><p><strong>Methods: </strong>A mixed methods approach was done to identify substance usage in the tribal community. 101 residents of the tribal community were chosen random and handed the survey, demographic details, substance they were used and using, views regarding substance use were all covered in the survey. Following that, 20 respondents who acknowledged to using at least one substance underwent semi-structured interview.</p><p><strong>Results: </strong>In total, 101 respondents, 91 men and 10 women were included in the quantitative study. The majority of respondents responded to using substances, including alcohol, cigarettes, and marijuana. 74% responded to using tobacco products. This result implies that tobacco usage was very common in the research's population. In addition, 67% of the respondents said that, they consumed alcohol, showing that a significant proportion of the participants used alcohol. 13% responded to using marijuana. Fortunately, the percentage is slightly lower than that of alcohol and tobacco consumption, it nevertheless shows that marijuana use is prevalent in the sample. These findings show that alcohol and cigarette use, in particular, are significantly more common among the respondents. Through qualitative analysis, we were able to find the primary trends in tribal men's consumption of alcohol and substances. They began the usage of substances like alcohol, cigarettes and marijuana at an earlier age as a result of peer pressure, parental influence, and the home environment.</p><p><strong>Conclusion: </strong>The study explored that, substance usage and its prevalence is high among the tribal communities of southern Kerala.</p>","PeriodicalId":15812,"journal":{"name":"Journal of Ethnicity in Substance Abuse","volume":" ","pages":"1043-1062"},"PeriodicalIF":1.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142909759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}