Journal of studies on alcohol and drugs最新文献

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Neuroprotective Effects of Erythropoietin in Fetal Alcohol Spectrum Disorder: BDNF Upregulation, Reduced Astrogliosis, and Anxiety Relief. 促红细胞生成素通过增加bdnf阳性细胞、抑制星形胶质细胞增生和减少海马细胞死亡,减轻胎儿酒精谱系障碍雄性大鼠的焦虑和神经发育神经毒性
IF 2.2 3区 医学
Journal of studies on alcohol and drugs Pub Date : 2025-11-01 Epub Date: 2025-03-21 DOI: 10.15288/jsad.24-00389
Raheleh Rafaiee, Fahimeh Mohseni
{"title":"Neuroprotective Effects of Erythropoietin in Fetal Alcohol Spectrum Disorder: BDNF Upregulation, Reduced Astrogliosis, and Anxiety Relief.","authors":"Raheleh Rafaiee, Fahimeh Mohseni","doi":"10.15288/jsad.24-00389","DOIUrl":"10.15288/jsad.24-00389","url":null,"abstract":"<p><strong>Objective: </strong>The term <i>fetal alcohol spectrum disorder</i> (FASD) refers to a variety of negative consequences that may develop in children born to women who have consumed alcohol during pregnancy. Anxiety disorders are common in FASD. Animals exposed to alcohol exhibit anxiety-like traits. Erythropoietin (EPO) is produced by the kidneys and liver. The synthesis of EPO by immature neurons also plays a crucial role in the embryonic stage. In addition, EPO inhibits astrogliosis and cell death while increasing the number of brain-derived neurotrophic factor (BDNF)-positive cells, which is linked to reductions in anxiety-like behavior and neuronal damage. This study investigated the protective effects of EPO on ethanol-induced neurotoxicity in the hippocampus of rat pups.</p><p><strong>Method: </strong>The intubation of the total daily dose of ethanol (5/27 g/kg/day) was started from Postnatal Day 2 (PD2) to PD10 (corresponding to the third trimester of pregnancy in humans). After intubation, 1,000 and 2,000 U/kg EPO were injected subcutaneously. The elevated plus maze was performed 39 days after the birth of the pups to determine the levels of anxiety. Immunohistochemical staining was then performed to determine GFAP and BDNF levels 40 days after birth. Nissl staining was done to measure necrotic cell death.</p><p><strong>Results: </strong>EPO administration significantly improved the anxious behavior associated with FASD (<i>p</i> < .001). EPO significantly increased BDNF levels (<i>p</i> < .001), decreased glial fibrillary acidic protein expression (<i>p</i> < .001), and attenuated alcohol neurotoxicity-induced necrotic cell death (<i>p</i> < .001).</p><p><strong>Conclusions: </strong>EPO treatment provides protection against ethanol neurotoxicity, which consequently leads to lower anxiety levels.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":"917-927"},"PeriodicalIF":2.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143674127","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}
引用次数: 0
Alcohol-Related Content Delivered Through TikTok's Search Function: A Content Analysis of Top Videos Across Popular Alcohol Terms. 通过TikTok的酒精相关词汇搜索功能提供的酒精含量分析。
IF 2.2 3区 医学
Journal of studies on alcohol and drugs Pub Date : 2025-11-01 Epub Date: 2025-02-12 DOI: 10.15288/jsad.24-00308
Alex Clement, Nathaniel Wydra, Athitheya Gobinathan, Alex M Russell, Joy Gabrielli
{"title":"Alcohol-Related Content Delivered Through TikTok's Search Function: A Content Analysis of Top Videos Across Popular Alcohol Terms.","authors":"Alex Clement, Nathaniel Wydra, Athitheya Gobinathan, Alex M Russell, Joy Gabrielli","doi":"10.15288/jsad.24-00308","DOIUrl":"10.15288/jsad.24-00308","url":null,"abstract":"<p><strong>Objective: </strong>Media alcohol exposure is a modifiable environmental risk factor for adolescent drinking behavior. Shifts in teen media use have made social media engagement nearly ubiquitous among this population. TikTok, a short video-sharing social media platform, is the fastest-growing platform among teens. A total of 98% of the most viewed videos tagged \"#alcohol\" on TikTok portray alcohol positively. TikTok also offers a search function that provides algorithmically identified \"Top Videos,\" for which alcohol-related content has yet to be characterized. Alcohol-naive and curious youth may be more susceptible to encountering content this way.</p><p><strong>Method: </strong>A Python script using a newly created account was used to download the 100 \"Top Videos\" for five alcohol-related search terms: #alcohol, #beer, #wine, #vodka, #tequila. Videos were qualitatively coded for context, setting, and positive/negative sentiment of alcohol depiction. Twenty percent of videos were double coded, with a total percent agreement of 95.8% (Cohen's kappa = .81).</p><p><strong>Results: </strong>For terms related to specific alcohol types (e.g., #beer), videos were overwhelmingly alcohol positive (96.9%), rarely depicted alcohol problems, and frequently were humorous and depicted alcohol recipes and games. For the \"#alcohol\" search term, nearly half of videos (41.8%) were identified as being alcohol negative and more often depicted alcohol problems and dependence.</p><p><strong>Conclusions: </strong>In contrast with the most viewed videos on TikTok for \"#alcohol,\" videos returned via the search function included significantly more alcohol-negative content. Content returned by all other search terms remained alcohol positive. Understanding content delivery algorithms may be beneficial for mitigating the risk of alcohol exposure on digital/social media platforms.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":"862-872"},"PeriodicalIF":2.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143399450","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}
引用次数: 0
Reevaluating the Link Between Psychopathology Symptoms and Alcohol and Cannabis Use: An Examination Across Intersectional Race/Ethnicity and Gender Identities. 跨种族/民族和性别的精神病理症状与物质使用之间的关系:跨文化测量等效性的检验
IF 2.2 3区 医学
Journal of studies on alcohol and drugs Pub Date : 2025-11-01 Epub Date: 2025-03-04 DOI: 10.15288/jsad.24-00285
William Rozum, Evelyn M Hernandez Valencia, Jodi M Sutherland Charvis, Chrystal Vergara-Lopez, Hector I Lopez-Vergara
{"title":"Reevaluating the Link Between Psychopathology Symptoms and Alcohol and Cannabis Use: An Examination Across Intersectional Race/Ethnicity and Gender Identities.","authors":"William Rozum, Evelyn M Hernandez Valencia, Jodi M Sutherland Charvis, Chrystal Vergara-Lopez, Hector I Lopez-Vergara","doi":"10.15288/jsad.24-00285","DOIUrl":"10.15288/jsad.24-00285","url":null,"abstract":"<p><strong>Objective: </strong>The internalizing (e.g., depression/anxiety) pathway to substance use is a prominent hypothesis, but its evidence has been critiqued for neglecting correlated dimensions of mental health such as externalizing (e.g., aggressive, rule-breaking) and attention-deficit/hyperactivity problems. Furthermore, most research has been conducted in predominantly White samples, limiting generalizability. We examine associations between substance use and psychopathology symptoms across intersectional race/ethnicity and gender identities.</p><p><strong>Method: </strong>Participants (<i>N</i> = 1,187; 16.26% Black women, 17.61% Latina women, 15.67% White women, 16.68% Black men, 17.10% Latino men, and 16.68% White men) ages 18-26 completed online surveys. Alcohol and cannabis factors were indicated by six pattern-of-use items (e.g., frequency/quantity) and psychopathology symptoms via the Adult Self-Report. Differential item functioning was tested before making comparisons in univariate and multivariate models.</p><p><strong>Results: </strong>Differential item functioning was detected; the degree of bias was modeled via partial metric invariance, allowing for latent inferences. At the univariate level, externalizing symptoms predicted alcohol and cannabis across all groups except Black and Latino men, whereas internalizing and attention-deficit/hyperactivity symptoms predicted cannabis use in White women and White men only. In a multivariate model, internalizing symptoms inversely predicted alcohol use for White women and White men, externalizing symptoms predicted alcohol use in all groups except Latino men, and externalizing symptoms predicted cannabis use in all groups except Black women and Latino men. Attention-deficit/hyperactivity showed no significant associations in the multivariate model.</p><p><strong>Conclusions: </strong>The conceptualized structure of mental health has implications for research on substance use. Intersectionality-minded methods may provide a more generalizable scientific base.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":"956-966"},"PeriodicalIF":2.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143542420","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}
引用次数: 0
Parental Remission From Alcohol Use Disorder Shows Limited Protective Effects on Offspring Alcohol Outcomes. 高危家庭样本中父母酒精使用障碍缓解和后代酒精使用开始、AUD和缓解
IF 2.2 3区 医学
Journal of studies on alcohol and drugs Pub Date : 2025-11-01 Epub Date: 2025-02-06 DOI: 10.15288/jsad.24-00268
Vivia V McCutcheon, Sally I-Chun Kuo, Rebecca L Smith, Rebecca Tillman, Dongbing Lai, Meredith W Francis, Jessica L Bourdon, Chella Kamarajan, Grace Chan, Weipeng Kuang, Christina E Garasky, Carolyn E Sartor, Victor Hesselbrock, Samuel Kuperman, Martin H Plawecki, Arpana Agrawal, Emma C Johnson, Marc A Schuckit, Jessica E Salvatore, Kathleen K Bucholz
{"title":"Parental Remission From Alcohol Use Disorder Shows Limited Protective Effects on Offspring Alcohol Outcomes.","authors":"Vivia V McCutcheon, Sally I-Chun Kuo, Rebecca L Smith, Rebecca Tillman, Dongbing Lai, Meredith W Francis, Jessica L Bourdon, Chella Kamarajan, Grace Chan, Weipeng Kuang, Christina E Garasky, Carolyn E Sartor, Victor Hesselbrock, Samuel Kuperman, Martin H Plawecki, Arpana Agrawal, Emma C Johnson, Marc A Schuckit, Jessica E Salvatore, Kathleen K Bucholz","doi":"10.15288/jsad.24-00268","DOIUrl":"10.15288/jsad.24-00268","url":null,"abstract":"<p><strong>Objective: </strong>We investigated offspring alcohol use outcomes as a function of unremitted and remitted parental alcohol use disorder (AUD).</p><p><strong>Method: </strong>Self-report data of participants in the Collaborative Study on the Genetics of Alcoholism (COGA) were used. Offspring (<i>n</i> = 2,244, mean age 16.3 years at baseline, 26.9 years at follow-up, 50.8% female) were linked to parental data. Time-varying associations of parental AUD and remission with offspring age at first drink, years from first drink to AUD onset, and years from AUD onset to first remission were tested in Cox models adjusted for polygenic risk for problematic alcohol use (PGS<sub>PAU</sub>). Analyses were stratified by genetically inferred continental groups of European Americans (EA; 65.9%) and African Americans (AA; 34.1%) because of sociocultural factors that can contribute to differences in alcohol use and problems.</p><p><strong>Results: </strong>In EA, maternal remission was associated with increased risk for offspring AUD; neither maternal nor paternal remission was associated with other outcomes. In AA, maternal and paternal remission were associated with an increased likelihood of early drinking; the association with maternal drinking varied as a function of whom offspring lived with during adolescence. Paternal, but not maternal, remission was associated with a heightened risk for AUD onset. Parental status had no association with offspring remission in EA or AA.</p><p><strong>Conclusions: </strong>Evidence that parental remission can help mitigate the risk associated with parental AUD and increase the likelihood of remission in affected offspring was limited and mixed based on continental group and sex. These nuanced outcomes highlight the complex interplay of parental AUD status and offspring's alcohol-related behaviors.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":"906-916"},"PeriodicalIF":2.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143365110","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}
引用次数: 0
Mark Keller, Alcohol Studies Documentalist. 马克·凯勒,酒精研究“文献主义者”。
IF 2.2 3区 医学
Journal of studies on alcohol and drugs Pub Date : 2025-11-01 Epub Date: 2025-02-17 DOI: 10.15288/jsad.24-00402
Judit H Ward, William Bejarano, Nicholas A Allred
{"title":"Mark Keller, Alcohol Studies Documentalist.","authors":"Judit H Ward, William Bejarano, Nicholas A Allred","doi":"10.15288/jsad.24-00402","DOIUrl":"10.15288/jsad.24-00402","url":null,"abstract":"","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":"1002-1009"},"PeriodicalIF":2.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143441309","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}
引用次数: 0
Predictors of Rapid Versus Delayed Onset of Opioid Use Disorder or Overdose After Alcohol Use Treatment. 因酗酒问题接受治疗者中阿片类药物使用障碍或用药过量快速发展与长期发展的预测因素。
IF 2.2 3区 医学
Journal of studies on alcohol and drugs Pub Date : 2025-11-01 Epub Date: 2025-04-08 DOI: 10.15288/jsad.24-00401
Zackary Falls, Xueqing Zhang, David M Jacobs, Gail Jette, Ashly E Jordan, Walter Gibson, Edward M Bednarczyk, Peter L Elkin, Kenneth E Leonard
{"title":"Predictors of Rapid Versus Delayed Onset of Opioid Use Disorder or Overdose After Alcohol Use Treatment.","authors":"Zackary Falls, Xueqing Zhang, David M Jacobs, Gail Jette, Ashly E Jordan, Walter Gibson, Edward M Bednarczyk, Peter L Elkin, Kenneth E Leonard","doi":"10.15288/jsad.24-00401","DOIUrl":"10.15288/jsad.24-00401","url":null,"abstract":"<p><strong>Objective: </strong>This study examines the differential predictive value of baseline characteristics of clients being treated for an alcohol problem with respect to the development of an opioid use disorder (OUD) or opioid overdose (OD) within 1 year, between 1 and 4 years, and beyond 4 years after treatment.</p><p><strong>Method: </strong>A cohort of 87,172 patients treated for an alcohol use problem within state treatment centers was examined. We extracted the first OUD/OD diagnosis event within 1 year of, between 1 and 4 years of, and more than 4 years after the patient's first admission to the Office of Addiction Services and Supports. We calculated odds ratios for all predictors and control variables with respect to OUD/OD events and compared the predictive values of these variables for the different periods.</p><p><strong>Results: </strong>Both sociodemographic and clinical factors predicted an OUD/OD overall and in most specific follow-up periods. Sociodemographic factors were more strongly associated with OUD/OD during follow-ups beyond 4 years, perhaps because of the increasing availability of opioids over time. Mental health and alcohol use severity factors were more strongly associated with OUD in the 1-year and 1-to 4-year periods, suggesting a rapid progression to OUD/OD.</p><p><strong>Conclusions: </strong>Both sociodemographic and clinical factors were predictive of a diagnosis of OUD/OD within a brief period; however, they were only predictive of approximately 40% of those who would develop OUD/OD within any specific period. These findings highlight the need for a more formal assessment of opioid use at treatment entry, and for the implementation of harm reduction measures throughout treatment.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":"986-996"},"PeriodicalIF":2.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143803670","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}
引用次数: 0
WHO Launches New Collaborating Centre on Alcohol Policy and Public Health Research. 世卫组织启动新的酒精政策和公共卫生研究合作中心。
IF 2.2 3区 医学
Journal of studies on alcohol and drugs Pub Date : 2025-11-01 Epub Date: 2025-08-14 DOI: 10.15288/jsad.25-00225
Yusuf Hared Abdi, Yakub Burhan Abdullahi, Mohamed Sharif Abdi, Sharmake Gaiye Bashir, Naima Ibrahim Ahmed
{"title":"WHO Launches New Collaborating Centre on Alcohol Policy and Public Health Research.","authors":"Yusuf Hared Abdi, Yakub Burhan Abdullahi, Mohamed Sharif Abdi, Sharmake Gaiye Bashir, Naima Ibrahim Ahmed","doi":"10.15288/jsad.25-00225","DOIUrl":"10.15288/jsad.25-00225","url":null,"abstract":"","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":"1000-1001"},"PeriodicalIF":2.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144855669","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}
引用次数: 0
Lower Educational Attainment Widens Racial/Ethnic Disparities in Alcohol Use Disorder. 低教育程度扩大了酒精使用障碍的种族/民族差异。
IF 2.2 3区 医学
Journal of studies on alcohol and drugs Pub Date : 2025-11-01 Epub Date: 2025-02-14 DOI: 10.15288/jsad.24-00377
Sung In H Kim-Vences, Roger J Zoorob, Jacqueline M Hirth
{"title":"Lower Educational Attainment Widens Racial/Ethnic Disparities in Alcohol Use Disorder.","authors":"Sung In H Kim-Vences, Roger J Zoorob, Jacqueline M Hirth","doi":"10.15288/jsad.24-00377","DOIUrl":"10.15288/jsad.24-00377","url":null,"abstract":"<p><strong>Objective: </strong>Lower education is a risk factor for alcohol-related deaths, but it is unknown if the impact of education varies by race/ethnicity. We evaluated the interaction between education and race/ethnicity on the odds of alcohol use disorder (AUD) and the significance of employment and poverty as potential mediators.</p><p><strong>Method: </strong>The 2016-2019 National Survey on Drug Use and Health was used to obtain the weighted prevalence of AUD in participants 26 years and older. Using AUD as the outcome, multivariable logistic regression analyses were performed, stratified by four levels of education, ranging from less than high school to 4-year college+; odds ratios (ORs) for each race/ethnicity were compared across models for interaction. The second model included employment and poverty as covariates; changes in ORs were calculated to assess for >|10%| change implying significant mediating or confounding effects.</p><p><strong>Results: </strong>AUD prevalence was highest among American Indian/Alaskan Natives (AI/ANs) (8.06%) and similar among non-Hispanic Whites (5.37%) and Blacks (5.09%). When stratified by education, the odds of AUD among Blacks and AI/ANs increased with decreasing education (OR = 1.45, 95% CI [1.07, 1.96]) for Blacks versus Whites with less than high school, compared with 0.55 [0.46, 0.67] for Blacks versus Whites with 4-year college+; 2.55 [1.53, 4.24] for AI/ANs versus Whites with less than high school versus 1.01 [0.45, 2.28] for AI/ANs versus Whites with 4-year college+. Including employment and poverty resulted in <|10%| change in ORs.</p><p><strong>Conclusions: </strong>Lower education significantly increased the odds of AUD among Blacks and AI/ANs. Employment and poverty did not significantly change the association, implying that there are likely other mechanisms accounting for racial/ethnic disparities in AUD.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":"939-946"},"PeriodicalIF":2.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143414583","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}
引用次数: 0
The Role of Ethnicity in Alcohol Screening-Related Decision Making by Medical and Dental Trainees. 种族在医疗和牙科学员酒精筛查相关决策中的作用。
IF 2.2 3区 医学
Journal of studies on alcohol and drugs Pub Date : 2025-11-01 Epub Date: 2025-02-17 DOI: 10.15288/jsad.24-00394
Marco Funez-Ponce, Nicholas Bush, Ben Lewis, Mike Robinson, Jeff Boissoneault
{"title":"The Role of Ethnicity in Alcohol Screening-Related Decision Making by Medical and Dental Trainees.","authors":"Marco Funez-Ponce, Nicholas Bush, Ben Lewis, Mike Robinson, Jeff Boissoneault","doi":"10.15288/jsad.24-00394","DOIUrl":"10.15288/jsad.24-00394","url":null,"abstract":"<p><strong>Objective: </strong>Chronic heavy alcohol use increases the risk for developing alcohol use disorder (AUD), leading to adverse health outcomes. Evidence suggests that patient demographics are used to make treatment decisions, which contributes to barriers to AUD treatment experienced by Hispanic and Latino/a/x individuals. This study characterized the use of ethnicity in alcohol use assessment and treatment referral among medical trainees and dental trainees.</p><p><strong>Method: </strong>Current medical trainees (<i>n</i> = 54) and dental trainees (<i>n</i> = 59) reviewed 32 vignettes varying systematically in sex, age, ethnicity, and alcohol concern cues. Trainees used 0-100 visual analog scales (VASs) to rate the likelihood of discussing the patient's alcohol use (VAS1), the likelihood that the patient has AUD (VAS2), comfort discussing alcohol use with the patient (VAS3), and the likelihood of referring to AUD-related treatment (VAS4). Idiographic regressions characterized individuals' decision-making policies. Group-level analysis determined the influence of trainee ethnicity and trainee type on patient ethnicity cue use.</p><p><strong>Results: </strong>Almost all (96%-100%) trainees reliably used the alcohol concern cue when providing ratings. About 25%-56% of trainees used ethnicity as a cue. Trainee ethnicity did not significantly affect ethnicity cue use when evaluating vignettes (<i>t</i> < 1.37, <i>p</i> > .17; <i>d</i> < 0.56). Analyses indicated that medical trainees weighed the alcohol concern cue more heavily than dental trainees for VAS1.</p><p><strong>Conclusions: </strong>Results suggested that a substantial proportion of trainees reliably used patient ethnicity to make alcohol treatment-related decisions, consistently to the potential detriment of Hispanic and Latino/a/x patients. Finally, the lower weighting of alcohol concern among dental trainees than medical trainees in all but one judgment suggests that dental trainees may not view alcohol screening as part of their professional role as strongly as medical trainees.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":"947-955"},"PeriodicalIF":2.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143441325","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}
引用次数: 0
Veteran Perspectives on Treatment and Recovery From Co-Occurring Anxiety Disorders, Posttraumatic Stress Disorder, and Unhealthy Alcohol Use. 退伍军人对并发焦虑症、创伤后应激障碍和不健康酗酒的治疗和康复的看法。
IF 2.2 3区 医学
Journal of studies on alcohol and drugs Pub Date : 2025-11-01 Epub Date: 2025-03-21 DOI: 10.15288/jsad.24-00278
Anthony H Ecker, Haley Kolp, Lindsey Poe, Erin P Finley, Raven Pigee, Megan M Kelly, Drew A Helmer, Michael A Cucciare, Jeffery A Cully
{"title":"Veteran Perspectives on Treatment and Recovery From Co-Occurring Anxiety Disorders, Posttraumatic Stress Disorder, and Unhealthy Alcohol Use.","authors":"Anthony H Ecker, Haley Kolp, Lindsey Poe, Erin P Finley, Raven Pigee, Megan M Kelly, Drew A Helmer, Michael A Cucciare, Jeffery A Cully","doi":"10.15288/jsad.24-00278","DOIUrl":"10.15288/jsad.24-00278","url":null,"abstract":"<p><strong>Objective: </strong>Veterans experience high rates of co-occurring anxiety disorders, posttraumatic stress disorder (PTSD), and unhealthy alcohol use. The goal of this study was to improve the understanding of veterans' beliefs about recovery from co-occurring anxiety/PTSD and alcohol use to direct treatment adaptation and implementation for providers.</p><p><strong>Method: </strong>Semistructured qualitative interviews were conducted with 20 veterans and analyzed with rapid qualitative analysis and inductive coding.</p><p><strong>Results: </strong>Veterans' responses reflected themes related to improvement in functioning, including the use of coping skills and communication skills, engagement in therapy, and connection with other veterans. Veterans also described barriers and facilitators related to effective treatment for both disorders.</p><p><strong>Conclusions: </strong>Specific elements in treatment (e.g., coping and communication skills) and broader considerations (e.g., building community among others in recovery) contribute to relationship and occupational recovery from co-occurring disorders among veterans. Ensuring that these factors are considered in behavioral treatment and treatment programs more broadly for veterans with co-occurring disorders has the potential to enhance functional recovery by aligning with veterans' perspectives and priorities.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":"977-985"},"PeriodicalIF":2.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143674132","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}
引用次数: 0
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