Journal of studies on alcohol and drugs最新文献

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Cognitive bias modification for individuals with opioid use disorder and chronic pain did not predict changes in clinical outcomes. 阿片类药物使用障碍和慢性疼痛患者的认知偏差改变不能预测临床结果的变化。
IF 2.4 3区 医学
Journal of studies on alcohol and drugs Pub Date : 2025-06-19 DOI: 10.15288/jsad.25-00057
Noah R Wolkowicz, Brian Pittman, Shannon W Schrader, Danielle M Wesolowicz, Mehmet Sofuoglu, Alicia A Heapy, R Ross MacLean
{"title":"Cognitive bias modification for individuals with opioid use disorder and chronic pain did not predict changes in clinical outcomes.","authors":"Noah R Wolkowicz, Brian Pittman, Shannon W Schrader, Danielle M Wesolowicz, Mehmet Sofuoglu, Alicia A Heapy, R Ross MacLean","doi":"10.15288/jsad.25-00057","DOIUrl":"https://doi.org/10.15288/jsad.25-00057","url":null,"abstract":"<p><strong>Objective: </strong>Attentional bias (AB), defined as the preferential focus on personally salient-compared to neutral-cues, has a hypothesized link to substance use disorders and chronic pain. While growing research demonstrates Cognitive Bias Modification (CBM) can alter ABs, evidence assessing the extent to which such alterations predict changes in clinical symptoms or behaviors (e.g., pain severity, craving) is lacking.</p><p><strong>Method: </strong>Secondary analysis of a clinical trial examining the feasibility, acceptability, and preliminary effectiveness of a 4-week CBM adjunct for veterans (<i>N</i>=28) receiving medication treatment for OUD (mOUD) with moderate pain for the past 3-months (MacLean et al., 2024; NCT04132609). We examined CBM effects vs. control on pain severity, interference, and catastrophizing, as well as opioid craving and withdrawal.</p><p><strong>Results: </strong>CBM for opioid and pain cues did not correspond with changes in the primary clinical outcomes of opioid craving and pain intensity, <i>p</i>'s ≥ .111. Additional analyses of other possible outcomes including pain interference, pain catastrophizing, and subjective opioid withdrawal were also not associated with CBM, <i>p</i>'s ≥ .125.</p><p><strong>Conclusions: </strong>Results from this pilot study did not show changes in pain severity or opioid craving corresponding to CBM for opioid and pain. Findings should be considered preliminary given our small sample size, however, findings indicate a distinction between ABs, their modification, and clinically salient outcomes. Future research should examine CBM in larger, more diverse samples and assess the impacts of addiction severity, substance type, naturalistic settings, and the use of more engaging methodologies (e.g., gamification of CBM tasks, using gaze-contingent paradigms).</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144326098","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
Smoking cessation treatment outcomes before and during the covid-19 pandemic in people with and without mental health disorders. 在covid-19大流行之前和期间,有和没有精神健康障碍的人的戒烟治疗结果。
IF 2.4 3区 医学
Journal of studies on alcohol and drugs Pub Date : 2025-06-18 DOI: 10.15288/jsad.24-00405
Gemma Nieva, Núria Sisternas, Sílvia Mondon, Montse Ballbè, Blanca Carcolé, Teresa Fernández, Pilar Guillen, Angela Martínez-Picó, Lourdes Rofes, Albert Mesalles, Yolanda Castellano, Cristina Pinet
{"title":"Smoking cessation treatment outcomes before and during the covid-19 pandemic in people with and without mental health disorders.","authors":"Gemma Nieva, Núria Sisternas, Sílvia Mondon, Montse Ballbè, Blanca Carcolé, Teresa Fernández, Pilar Guillen, Angela Martínez-Picó, Lourdes Rofes, Albert Mesalles, Yolanda Castellano, Cristina Pinet","doi":"10.15288/jsad.24-00405","DOIUrl":"https://doi.org/10.15288/jsad.24-00405","url":null,"abstract":"<p><strong>Objective: </strong>The COVID-19 pandemic likely heightened stress in smokers undergoing cessation treatment, while healthcare services faced challenges in maintaining interventions during the pre-vaccination phase. This study compares smoking cessation outcomes before and during the pandemic in individuals with and without mental health disorders and identifies variables associated with abstinence.</p><p><strong>Method: </strong>A naturalistic longitudinal design with a one-year follow-up was used. Smoking quit rates and time to relapse in participants who received a multicomponent cessation intervention before the lockdown (2019 group, n=147) were compared with those during the pandemic (2020 group, n=120).</p><p><strong>Results: </strong>The sample was 53.6% female, mean age of 58.2, and 79.4% had a comorbid mental disorder. One-year quit rates and time to relapse were similar between the 2019 and 2020 groups (51% vs. 50.8%; 225.3 vs. 221.6 days, respectively). A mental health history did not affect outcomes. Smokers aged 55 or older had higher quit rates during the pandemic than younger smokers (61% vs. 41%) and no differences were found between in-person and telematic interventions.</p><p><strong>Conclusions: </strong>Smoking cessation rates were similar before and during the pandemic, regardless of mental health status, and the increased use of telematic visits could be considered after the pandemic era. Older age was only associated with abstinence during the pandemic; highlighting the need for research on improving outcomes in younger populations undergoing treatment during stressful times. Identifying modifiable variables associated with abstinence can help smoking cessation services implement strategies to prevent relapse.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144326099","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
Intergenerational Conflict is Associated with Alcohol Consequences Among Hispanic College Student Drinkers. 西班牙裔大学生饮酒者的代际冲突与酒精后果有关
IF 2.4 3区 医学
Journal of studies on alcohol and drugs Pub Date : 2025-06-09 DOI: 10.15288/jsad.24-00363
Ashley M Lindquist, Carlos Portillo, Craig Field
{"title":"Intergenerational Conflict is Associated with Alcohol Consequences Among Hispanic College Student Drinkers.","authors":"Ashley M Lindquist, Carlos Portillo, Craig Field","doi":"10.15288/jsad.24-00363","DOIUrl":"https://doi.org/10.15288/jsad.24-00363","url":null,"abstract":"<p><strong>Introduction: </strong>Intergenerational conflict (IGC) occurs when cultural beliefs, values, and attitudes differ between a parent and child. The present study examined the psychometric properties of an IGC scale within Hispanics and the association between IGC and alcohol outcomes.</p><p><strong>Methods: </strong>Participants were n = 144 Hispanic college students who consumed alcohol within the last 30 days. Participants completed demographics, the IGC scale, and drinking measures.</p><p><strong>Results: </strong>A one-factor solution was the best fit (<i>X</i>2 = 53.92, <i>df</i> = 35, <i>p</i> = .02, CFI = .96, RMSEA = .06, SRMR = .05) for the data. IGC was not associated with binge drinking (β = .03, <i>p</i> = .87) but was positively associated with alcohol consequences (<i>IRR</i> = 1.43, β = .36, <i>p</i> = .001).</p><p><strong>Discussion: </strong>The IGC scale may be applicable to Hispanic college students. Moreover, IGC was only positively associated with alcohol consequences.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144248415","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
Return to alcohol use among patients who are in recovery from alcohol use disorder with pharmacologically treated vs untreated insomnia. 在药物治疗与未治疗的失眠症患者中,酒精使用障碍恢复期患者再次使用酒精。
IF 2.4 3区 医学
Journal of studies on alcohol and drugs Pub Date : 2025-05-27 DOI: 10.15288/jsad.24-00354
Jaromir Mikl, Tiange Yu, Sachin Singh, Xin Zhao, Steven Wang, Amie Devlin, Raymond F Anton, Valentine Pascale
{"title":"Return to alcohol use among patients who are in recovery from alcohol use disorder with pharmacologically treated vs untreated insomnia.","authors":"Jaromir Mikl, Tiange Yu, Sachin Singh, Xin Zhao, Steven Wang, Amie Devlin, Raymond F Anton, Valentine Pascale","doi":"10.15288/jsad.24-00354","DOIUrl":"https://doi.org/10.15288/jsad.24-00354","url":null,"abstract":"<p><strong>Objective: </strong>Patients with alcohol use disorder (AUD) often experience sleep disturbances in early and sustained recovery, and patients with AUD and sleep disturbances are at an increased risk of returning to alcohol use.</p><p><strong>Method: </strong>This study was a retrospective claims analysis with a nested case-control design utilizing data from the Merative™ MarketScan®, Commercial, and Medicare Supplemental databases. Adults aged 18 to 80 years with ≥1 AUD remission diagnosis and a subsequent insomnia diagnosis were included. In patients with AUD who were in remission and had a subsequent insomnia diagnosis, the odds of return to alcohol use were compared between those who received pharmacotherapeutic intervention for insomnia and those who did not receive such treatment. Odds ratios (ORs) were calculated using a multivariable logistic regression model with adjustment for potential confounders.</p><p><strong>Results: </strong>Among the 6,002 patients who met the inclusion criteria within the Commercial and Medicare Supplemental databases, the adjusted OR comparing odds of return to alcohol use in patients who received treatment for insomnia compared to those who did not was 0.81 (95% CI [confidence interval]: 0.69, 0.96; <i>p</i> = .01).</p><p><strong>Conclusions: </strong>These data suggest that patients with AUD who are in remission and have insomnia experience a lower odds of return to alcohol use following pharmacotherapy for insomnia compared with patients who did not receive pharmacotherapy, underscoring the importance of identifying insomnia and carefully considering the risk-benefit of treatment interventions, including pharmacologic approaches where appropriate, to decrease the risk of return to alcohol use.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144150846","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
Harm Reduction in Substance Use Research, Policy, and Practice at a Crucial Public Health Juncture. 在一个关键的公共卫生节点上减少物质使用的危害研究、政策和实践。
IF 2.4 3区 医学
Journal of studies on alcohol and drugs Pub Date : 2025-05-27 DOI: 10.15288/jsad.25-00174
Jennifer P Read
{"title":"Harm Reduction in Substance Use Research, Policy, and Practice at a Crucial Public Health Juncture.","authors":"Jennifer P Read","doi":"10.15288/jsad.25-00174","DOIUrl":"https://doi.org/10.15288/jsad.25-00174","url":null,"abstract":"","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144150844","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
Prevalence and Perceived Accessibility of Cannabis Products among Underage Young Adults, 2019-2023. 2019-2023年未成年青少年大麻产品的患病率和可及性。
IF 2.4 3区 医学
Journal of studies on alcohol and drugs Pub Date : 2025-05-27 DOI: 10.15288/jsad.25-00026
Yvonne M Terry-McElrath, Yuk C Pang, Megan E Patrick
{"title":"Prevalence and Perceived Accessibility of Cannabis Products among Underage Young Adults, 2019-2023.","authors":"Yvonne M Terry-McElrath, Yuk C Pang, Megan E Patrick","doi":"10.15288/jsad.25-00026","DOIUrl":"https://doi.org/10.15288/jsad.25-00026","url":null,"abstract":"<p><strong>Objective: </strong>Using a national U.S. underage young adult sample, we examined prevalence of smoking, vaping, eating, drinking, and dabbing cannabis; perceived accessibility by product type; and perceived accessibility correlates (adolescent cannabis use, state cannabis policy context, sociodemographic characteristics).</p><p><strong>Method: </strong>Data were obtained from young adults under age 21 participating in the U.S. national Monitoring the Future Panel study from 2019-2023. Cannabis use prevalence by smoking, vaping, edibles, drinking, and dabbing was measured (n=3,075; 52.9% female). Perceived accessibility was measured for smoking, vaping, and edibles (n=1,227; 52.1% female). Covariate and accessibility associations were modeled using logistic regression.</p><p><strong>Results: </strong>Multiple cannabis use modalities were reported by 23.3% of all respondents and 63.5% of those reporting past-12-month use. Among all respondents, smoking (30.7%), vaping (19.7%) and edibles (18.2%) were the most prevalent; fewer reported dabbing (10.4%) or drinking (2.8%). Perceiving easy access to smoking, vaping, and edibles was reported by 95.0%, 91.3%, and 86.7% of those reporting past-12-month use (77.5%, 71.2%, and 71.8% of those reporting no use). Among those reporting no 12-month use, state recreational use policy was associated with perceiving easier access for smoking and edibles; full-time 4-year college attendance was associated with easier perceived access across modalities (vs. part-time/2-year college or not attending).</p><p><strong>Conclusions: </strong>Underage U.S. young adults are not legally able to purchase cannabis but reported easy access across products; those who used cannabis typically used multiple products. Among those reporting no past-12-month use, state policy and college attendance were strongly associated with perceived accessibility across products.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144150845","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
Patterns of alcohol use over time among older different-sex couples: Implications for health. 不同性别的老年夫妇的长期饮酒模式:对健康的影响。
IF 2.4 3区 医学
Journal of studies on alcohol and drugs Pub Date : 2025-05-24 DOI: 10.15288/jsad.24-00013
Angela Turkelson, Kira S Birditt, Courtney A Polenick, James A Cranford, Frederic C Blow
{"title":"Patterns of alcohol use over time among older different-sex couples: Implications for health.","authors":"Angela Turkelson, Kira S Birditt, Courtney A Polenick, James A Cranford, Frederic C Blow","doi":"10.15288/jsad.24-00013","DOIUrl":"https://doi.org/10.15288/jsad.24-00013","url":null,"abstract":"<p><strong>Objective: </strong>Longitudinal patterns of alcohol use among older couples may have important implications for health. This study identified trajectories of alcohol use among different-sex couples and their associations with health over 24 years.</p><p><strong>Method: </strong>Participants included 9,823 older married/cohabiting different-sex couples from the Health and Retirement Study (HRS), in which participants complete surveys every 2 years. We included couples with at least three waves of alcohol and health data between 1996 and 2020.</p><p><strong>Results: </strong>Dual-trajectory latent class growth analysis revealed five longitudinal couple-level trajectories of alcohol use: concordant infrequent/abstaining, concordant light, concordant moderate, discordant husband heavy wife light, and discordant husband moderate wife infrequent/abstaining. Self-rated health was higher on average but decreased more rapidly over time for concordant moderate compared to concordant infrequent/abstaining husbands and wives. On average, chronic health conditions were higher for concordant infrequent/abstaining compared to concordant light and concordant moderate couples. The number of conditions increased more rapidly over time for concordant infrequent/abstaining and discordant husband heavy wife light compared to concordant light and discordant husband moderate wife infrequent/abstaining couples.</p><p><strong>Conclusions: </strong>These findings reveal the importance of considering couple patterns of drinking amount and drinking concordance to understand the impact of alcohol use on health among older couples.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144136293","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
Designing an Online and Text-Messaging Intervention to Enhance Protective Behavioral Strategy Utilization at the Daily Level Among Young Adults Engaged in Alcohol and Cannabis Use. 设计一种在线和短信干预,以提高从事酒精和大麻使用的年轻人在日常水平上的保护行为策略的使用。
IF 2.4 3区 医学
Journal of studies on alcohol and drugs Pub Date : 2025-05-24 DOI: 10.15288/jsad.24-00434
Melissa A Lewis, Dana M Litt, Anne M Fairlie, Scott Graupensperger, Allison Cross, Rachel Stankus, Jennifer Murphy, Jason R Kilmer
{"title":"Designing an Online and Text-Messaging Intervention to Enhance Protective Behavioral Strategy Utilization at the Daily Level Among Young Adults Engaged in Alcohol and Cannabis Use.","authors":"Melissa A Lewis, Dana M Litt, Anne M Fairlie, Scott Graupensperger, Allison Cross, Rachel Stankus, Jennifer Murphy, Jason R Kilmer","doi":"10.15288/jsad.24-00434","DOIUrl":"https://doi.org/10.15288/jsad.24-00434","url":null,"abstract":"<p><strong>Objective: </strong>This article describes the development of an online and text-messaging intervention aimed at augmenting protective behavioral strategy (PBS) utilization at the daily level among young adults engaged in alcohol and cannabis use. PBS, encompassing tips and strategies to moderate alcohol and cannabis use and reduce associated risks, have been integral components of personalized feedback interventions. The quality and consistency of PBS use have been underexplored in intervention frameworks.</p><p><strong>Method: </strong>We describe 6 initial focus groups and 13 cognitive interviews that were conducted with young adults who use alcohol and cannabis to learn the motivations underpinning alcohol and cannabis PBS utilization, barriers impeding PBS use, and PBS use with high quality and consistency. This step served as the cornerstone for crafting targeted intervention strategies. Drawing from the insights from the focus groups and cognitive interviews, we developed an interactive online intervention and text message platform. We then conducted 3 additional focus groups and 9 cognitive interviews with young adults who use alcohol and cannabis to gain insight on intervention content and to implement any needed changes.</p><p><strong>Results: </strong>We present the final iteration of the intervention, which consisted of a brief, web-based intervention followed by text messages 3 days a week for 8 consecutive weeks as well as two monthly daily-level summaries of behaviors reported across 8 weeks.</p><p><strong>Conclusions: </strong>This article shares our process for designing an intervention using daily-level data, aimed at reducing alcohol and cannabis use among young adults and fostering quality and consistent use of PBS.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144136288","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
Increased delta connectivity within brain networks as a biomarker of adherence to a rTMS-based treatment program in a sample of cocaine use disorder patients. 在可卡因使用障碍患者样本中,脑网络中增加的δ连接作为依从性基于rtms治疗方案的生物标志物。
IF 2.4 3区 医学
Journal of studies on alcohol and drugs Pub Date : 2025-05-24 DOI: 10.15288/jsad.24-00441
Elena De Rossi, Luis J Gómez Pérez, Stefano Cardullo, Giuseppe Alessio Carbone, Giulia Carla Zaffaina, Benedetto Farina, Alberto Terraneo, Chiara Massullo, Claudio Imperatori, Luigi Gallimberti
{"title":"Increased delta connectivity within brain networks as a biomarker of adherence to a rTMS-based treatment program in a sample of cocaine use disorder patients.","authors":"Elena De Rossi, Luis J Gómez Pérez, Stefano Cardullo, Giuseppe Alessio Carbone, Giulia Carla Zaffaina, Benedetto Farina, Alberto Terraneo, Chiara Massullo, Claudio Imperatori, Luigi Gallimberti","doi":"10.15288/jsad.24-00441","DOIUrl":"https://doi.org/10.15288/jsad.24-00441","url":null,"abstract":"<p><strong>Objective: </strong>We have investigated the association between the adherence to a repetitive transcranial magnetic stimulation (rTMS)-based treatment program and resting-state (RS) functional connectivity within two large-scale networks [i.e., the Frontoparietal Network (FPN) and the Default Mode Network (DMN)] in a sample of patients with cocaine use disorder (CUD; N= 33, 32 males).</p><p><strong>Method: </strong>Each participant underwent a psychopathological assessment and a RS electroencephalography (EEG) recording before starting the treatment protocol. EEG connectivity analysis was performed using the exact Low-Resolution Brain Electromagnetic Tomography (eLORETA) software comparing dropout patients (i.e., treatment program abandonment within 3 months) and adherence patients.</p><p><strong>Results: </strong>Compared to dropout group, the adherence group showed increased pre-treatment delta connectivity within the FPN (T= 4.562, <i>p</i>= 0.010, Cohen's <i>d</i>= 0.819) and the DMN (T= 4.045, <i>p</i>= 0.036, Cohen's <i>d</i>= 0.726). Multivariable Cox proportional hazard models showed that both DMN (HR= 0.41, <i>p</i>= 0.015) and FPN connectivity data (HR= 0.54, <i>p</i>= 0.007) were significantly related to prolonged treatment adherence. Increased functional connectivity within the FPN decreased the probability of dropout before the first 12 weeks of treatment (OR= 0.36, <i>p</i>= 0.019).</p><p><strong>Conclusions: </strong>Our results may reflect enhanced goal-driven cognitive integration in adherence patients. Providing effective neurophysiological predictors of treatment outcomes, such as relapse and dropout, could allow the timely implementation of additional support measures for CUD patients.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144136290","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
Graduating with an alcohol problem? Associations between drinking, willingness to experience consequences, protective behavioral strategies, and repeated alcohol problems across the senior year of college. 带着酗酒问题毕业?饮酒、承担后果的意愿、保护性行为策略和大学四年级反复出现的酒精问题之间的联系。
IF 2.4 3区 医学
Journal of studies on alcohol and drugs Pub Date : 2025-05-20 DOI: 10.15288/jsad.24-00176
Kimberly A Mallett, Veronica L Richards, Shannon D Glenn, Michael A Russell, Sarah Ackerman, Rob Turrisi
{"title":"Graduating with an alcohol problem? Associations between drinking, willingness to experience consequences, protective behavioral strategies, and repeated alcohol problems across the senior year of college.","authors":"Kimberly A Mallett, Veronica L Richards, Shannon D Glenn, Michael A Russell, Sarah Ackerman, Rob Turrisi","doi":"10.15288/jsad.24-00176","DOIUrl":"https://doi.org/10.15288/jsad.24-00176","url":null,"abstract":"<p><strong>Objective: </strong>Research shows a high proportion of college seniors experience alcohol problems repeatedly. The present study examined associations between behavioral willingness to experience alcohol consequences (BW), protective behavioral strategies to reduce harmful drinking (PBS), drinking, and repeated alcohol problems (RAPs) early in the senior year, and how these constructs influenced BW, PBS, drinking, and RAPs later in the senior year.</p><p><strong>Method: </strong>The sample included randomly selected first year students from a large northeastern university that met the inclusion criterion of consuming alcohol prior to enrollment. Students were followed each semester across 4 years. The study (<i>N</i> = 1,753; 58% female) focused on the assessments in the fall (T1) and spring (T2) semesters of their senior year (mean age = 21). A longitudinal path model examined associations among BW, PBS, drinking, and RAPs at both waves.</p><p><strong>Results: </strong>BW, drinking, and PBS had direct, concurrent associations with RAPs at T1 and T2. The nature of the associations was positive for BW and drinking and negative for PBS. Prospective analyses revealed significant independent, positive associations between T1 RAPs and T2 BW, drinking, and RAPs, while a negative independent association between T1 RAPs and PBS was observed at T2.</p><p><strong>Conclusions: </strong>Findings show evidence for a cycle of alcohol use behavior between BW, drinking, and RAPs. Based on the findings, interventions targeting college seniors seem warranted to reduce developing further alcohol problems in adulthood.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144102037","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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