{"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":"10.15288/jsad.25-00174","url":null,"abstract":"","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":"477-478"},"PeriodicalIF":2.4,"publicationDate":"2025-07-01","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}
{"title":"Harm Reduction Research: A Vital Step in Combating the Opioid Overdose Crisis.","authors":"Khary K Rigg","doi":"10.15288/jsad.25-00154","DOIUrl":"10.15288/jsad.25-00154","url":null,"abstract":"","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":"479-480"},"PeriodicalIF":2.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143970855","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 Methods for Detecting Driving Under the Influence of Cannabis: Paths Forward.","authors":"Thomas D Marcotte, Robert L Fitzgerald","doi":"10.15288/jsad.25-00110","DOIUrl":"10.15288/jsad.25-00110","url":null,"abstract":"","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":"510-514"},"PeriodicalIF":2.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143753282","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}
Nina C Christie, Myra Moghal, Mark Lai, John R Monterosso
{"title":"Perceived Relapse Risks Associated with Emotionally Impactful Events: Connection Counts More.","authors":"Nina C Christie, Myra Moghal, Mark Lai, John R Monterosso","doi":"10.15288/jsad.25-00085","DOIUrl":"https://doi.org/10.15288/jsad.25-00085","url":null,"abstract":"<p><strong>Objective: </strong>How do people perceive emotionally significant life events as impacting relapse risk? Investigating <i>perceived</i> risk is important for at least two reasons. First, perceived risk of relapse is associated with actual risk; individuals are insightful about their own recovery (Walton et al., 2000). Second, right or wrong, perceptions can influence behavior among individuals in recovery and those who want to provide support (del V. Vera et al., 2022; Johnson et al., 2013).</p><p><strong>Method: </strong>We measured relapse risk perception via 16 vignettes depicting emotionally significant events (4 positive-social, 4 negative-social, 4 positive-nonsocial, and 4 negative-nonsocial). We recruited 224 participants (56.3% female, 77.7% White) with a history of substance use problems and 215 participants (46.0% female, 78.1% White) with no history of substance use problems.</p><p><strong>Results: </strong>On average, positive events were judged to reduce relapse risk, and negative events were judged to increase risk. Social events (positive and negative) were judged to be more impactful than those not explicitly involving close relationships. Participants with a history of substance use problems were more likely to perceive an <i>increase</i> in relapse risk for some positive nonsocial events than were individuals with no such history.</p><p><strong>Conclusions: </strong>Social experiences are perceived to be powerful risk and protective factors for relapse. Relative to those without, those with a history of substance use problems are more likely to judge some positive events as increasing relapse risk. Understanding the mismatch between perceived risk among those in recovery and their support systems has the potential to improve recovery outcomes.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144528467","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}
Prachi H Bhuptani, Aradhana Srinagesh, Reina Kiefer, Nicole H Weiss
{"title":"Sexual Assault and Alcohol Use among Adults in Residential Substance Use Treatment: The Roles of Shame and Emotional Avoidance.","authors":"Prachi H Bhuptani, Aradhana Srinagesh, Reina Kiefer, Nicole H Weiss","doi":"10.15288/jsad.24-00367","DOIUrl":"https://doi.org/10.15288/jsad.24-00367","url":null,"abstract":"<p><strong>Objective: </strong>Sexual assault is a prevalent public health concern linked to numerous negative health consequences, including increased alcohol use and related harm. The current cross-sectional study examined the roles of shame and emotional avoidance in the association between a history of sexual assault and alcohol use and related harm among adults receiving residential substance use treatment. Specifically, we examined whether a history of sexual assault related to alcohol use and related harm indirectly through heightened shame and greater emotional avoidance.</p><p><strong>Method: </strong>Participants were 140 adults in residential substance use treatment (<i>M</i>age = 40.6 years, 50.8% women, 70.0% white) who completed self-report measures assessing sexual assault, shame, emotional avoidance, and alcohol use and related harm.</p><p><strong>Results: </strong>Cross-sectional mediation analyses indicated that a history of sexual assault was indirectly associated with increased alcohol use and related harm via heightened shame and greater emotional avoidance.</p><p><strong>Conclusions: </strong>Findings suggest that interventions targeting alcohol use and related harm may benefit from reducing shame and decreasing emotional avoidance among individuals with a history of sexual assault.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144528468","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}
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}
{"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}
{"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}
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}
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}