Journal of studies on alcohol and drugs最新文献

{"title":"Internalized Binegativity and Alcohol Expectancies Following an Experience of Binegativity: An Experimental Study.","authors":"Alexander P Rivera, Riley Taylor, Ha Jin Park, Daniel Garcia, Robert C Schlauch","doi":"10.15288/jsad.24-00417","DOIUrl":"10.15288/jsad.24-00417","url":null,"abstract":"<p><strong>Objective: </strong>Bisexual individuals consistently report higher levels of alcohol use and are at greater risk for developing alcohol use disorder compared with heterosexual, gay, or lesbian individuals. According to the Minority Stress Model, this disparity may be attributed to bisexual-specific stressors such as experienced binegativity--discrimination or prejudice targeting bisexual identity--and internalized binegativity, or the internal adoption of such stigma.</p><p><strong>Method: </strong>The current study tested whether an acute experience of binegativity would influence internalized binegativity and alcohol-related cognitions. We hypothesized that bisexual individuals exposed to a binegative event would (1) report higher internalized binegativity and (2) demonstrate more positive, salient alcohol expectancies compared with a control group. Participants (<i>N</i> = 60) were adults ages 21-35 who explicitly self-identified as bisexual. Participants were randomly assigned to either an experimental condition involving a face-to-face binegative comment delivered by a confederate interviewer, or a control condition with no discriminatory statement. Participants then completed post-manipulation measures of internalized binegativity and a free-association alcohol expectancy task, which asked them to generate and rate anticipated effects of drinking.</p><p><strong>Results: </strong>Results showed that participants in the experimental condition endorsed more positive and emotionally salient alcohol expectancies than those in the control group (<i>p</i> = .039), although no differences were observed in internalized binegativity (<i>p</i> > .50).</p><p><strong>Conclusions: </strong>These findings suggest that even brief discriminatory experiences may influence alcohol-related cognitions among bisexual individuals. This study also introduces a novel experimental method for modeling the proximal psychological effects of binegativity, with implications for minority stress research and substance use interventions.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":"574-584"},"PeriodicalIF":2.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145137898","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":"Text Messaging Intervention for Postpartum Alcohol Use: Micro-Randomized Trial Supports Feasibility, Acceptability, and Maternal Message Preference.","authors":"Sarah Dauber, Janardan Devkota, Alexa Beacham, Allison West, Johannes Thrul","doi":"10.15288/jsad.25-00102","DOIUrl":"10.15288/jsad.25-00102","url":null,"abstract":"<p><strong>Objective: </strong>This pilot micro-randomized trial (MRT) evaluated the feasibility of the MRT design and compared the acceptability and preliminary impacts of drinking-focused and maternal-focused text messages to inform the development of a tailored, just-in-time adaptive text messaging intervention for postpartum at-risk alcohol use.</p><p><strong>Method: </strong>Postpartum mothers (<i>N</i> = 65) participated in a 28-day MRT. Participants completed ecological momentary assessment (EMA) surveys upon waking (morning survey) at two random times daily (hourly surveys), with an optional night survey (night survey). After each hourly and night survey, participants were randomized to receive either a maternal-focused message, a drinking-focused message, or no message. Check-in surveys assessed intermediate (motivation, maternal self-efficacy, drinking self-efficacy, self-regulation, and craving) and primary (alcohol use) outcomes 15 minutes later.</p><p><strong>Results: </strong>Compliance rates for all survey types exceeded 70%, except for optional night surveys. Participants reported a low burden associated with the MRT. Participants were more likely to rate maternal-focused messages as helpful and evoking positive feelings compared with drinking-focused messages. A significant effect of receiving an intervention message (vs. no message) was found for drinking self-efficacy (DSE), with those who received a message reporting higher DSE than those who received no message, and no difference between message types. Significant time-by-condition interactions revealed that the effect of maternal messages decreased over time, whereas DSE increased over time for the control condition.</p><p><strong>Conclusions: </strong>Findings support the feasibility and acceptability of the MRT design in postpartum mothers with at-risk drinking histories and inform the development of a tailored text messaging intervention for this population.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":"466-479"},"PeriodicalIF":2.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12555423/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145251558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beyond Attendance: Social Anxiety and Psychiatric Concerns Predict Mutual-Help Group Involvement in a U.S. National Longitudinal Survey.","authors":"Priscilla Martinez-Matyszczyk, Joanne Delk, Amy A Mericle, Christine Timko, Sarah E Zemore","doi":"10.15288/jsad.24-00393","DOIUrl":"10.15288/jsad.24-00393","url":null,"abstract":"<p><strong>Objective: </strong>Involvement in mutual-help groups (MHGs) is associated with positive alcohol recovery outcomes. Attendance is a first step to involvement, but barriers to attendance remain poorly understood, especially among second-wave (non-12-step) MHGs. This study aimed to describe the most common barriers to MHG attendance, describe variation in barriers across diverse MHG types, and identify attendance barrier domains associated with MHG involvement over a 12-month period.</p><p><strong>Method: </strong>Data were from the Peer Alternatives (PAL) Study 2021 Cohort, a longitudinal, online survey of second-wave and 12-step MHG participants (<i>n</i> = 531) with follow-ups at 6 and 12 months. Surveys measured MHG attendance barriers (11 items, 3 domains) and MHG involvement (5 items). We used adjusted generalized estimating equations to examine lagged associations between barrier subscale scores and MHG involvement at 6 and 12 months.</p><p><strong>Results: </strong>Social anxiety and psychiatric concerns were overall more highly endorsed than low motivation/perceived need and dislike of meeting attendees and content in the total sample and for each MHG except LifeRing. The most highly endorsed individual barrier to attendance was \"I don't like crowds or large groups.\" Higher social anxiety and psychiatric concerns domain scores predicted lower MHG involvement at 6- and 12-month follow-ups in adjusted models (beta = -.09, 95% CI [-.18, -.01], <i>p</i> < .01), and this was the only barrier domain associated with MHG involvement.</p><p><strong>Conclusions: </strong>Social anxiety and psychiatric concerns are salient barriers to attending a variety of MHG groups and to MHG involvement. Efforts to enhance MHG social experiences and the availability of groups for people with psychiatric concerns could improve MHG involvement.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":"497-507"},"PeriodicalIF":2.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12914654/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145251436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Familial Transmission of Major Depression and Bipolar Disorder to Alcohol and Other Drug Use Disorders in a Swedish National Sample: Strongest Effects From Mothers to Daughters.","authors":"Kathryn Polak, Linda Abrahamsson, Jan Sundquist, Kristina Sundquist, Kenneth S Kendler","doi":"10.15288/jsad.25-00009","DOIUrl":"10.15288/jsad.25-00009","url":null,"abstract":"<p><strong>Objective: </strong>We investigated the risk for alcohol use disorder (AUD) and drug use disorder (DUD) in the offspring of parents with major depression (MDD) or bipolar disorder (BD), including how parent and offspring sex impact familial transmission.</p><p><strong>Method: </strong>Offspring born in Sweden during 1970-1990 in intact families with parental MDD or BD (<i>n</i> = 1,218,920) were examined using Swedish population registries. Hazard ratios (HRs) for AUD and DUD risk among offspring were calculated using Cox models.</p><p><strong>Results: </strong>Offspring of one parent with MDD or BD had higher risks of AUD (HR = 1.34; HR = 1.50, respectively) and DUD (HR = 1.32; HR = 1.43, respectively) than offspring of unaffected parents. Maternal MDD (HR = 1.38) had a stronger effect on offspring DUD than paternal MDD (HR = 1.26), and maternal BD (HR = 1.67) more strongly influenced offspring AUD than paternal BD (HR = 1.34). Parental MDD had stronger effects on daughters than sons for AUD (HR = 1.40 vs. HR = 1.32) and DUD (HR = 1.44 vs. HR = 1.27), whereas no sex differences were found for parental BD. Among daughters, maternal MDD had stronger effects than paternal MDD for AUD (HR = 1.48 vs. 1.32) and DUD (HR = 1.56 vs. 1.33); for sons, maternal MDD had a greater impact on DUD (HR = 1.31 vs. 1.23). Maternal BD had greater effects in daughters, both compared with sons for DUD (HR = 1.92 vs. HR = 1.37) and compared with paternal BD for AUD (HR = 1.82 vs. HR = 1.30) and DUD (HR = 1.92 vs. HR = 1.31).</p><p><strong>Conclusions: </strong>Findings demonstrate familial transmission of MDD and BD in parents to AUD and DUD in offspring. Affected mothers may be particularly influential. When sex-specific transmission occurred, it was consistently strongest from mother to daughter.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":"595-607"},"PeriodicalIF":2.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12931983/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145346019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Disproportionate Increases in Daily Cannabis Use Among Adults with Co-Occurring Depression and Psychological Distress, 2005-2019.","authors":"Matthew G Myers, Madison O Walsh, Kipling M Bohnert","doi":"10.15288/jsad.25-00151","DOIUrl":"10.15288/jsad.25-00151","url":null,"abstract":"<p><strong>Objective: </strong>Prevalences and frequencies of cannabis use are increasing in the United States, particularly among those with past-year major depressive episodes (MDE) or serious psychological distress (SPD). Relationships between comorbid MDE and SPD and past-year cannabis use, daily cannabis use, and cannabis use disorder (CUD) are unexplored. Here, we compare trends (2005-2019) of cannabis use among U.S. adults with monomorbid, comorbid, or neither MDE nor SPD.</p><p><strong>Method: </strong>We aggregated 2005 to 2019 National Survey on Drug Use and Health data (unweighted <i>n</i> = 590,229). Using sociodemographic-adjusted logistic regressions, we estimated and compared the trends of past-year cannabis use, daily cannabis use, and CUD among U.S. adults with MDE, SPD, comorbid MDE and SPD, and neither MDE nor SPD. All results are nationally representative.</p><p><strong>Results: </strong>Individuals with MDE only, SPD only, and comorbid MDE and SPD had higher prevalences of past-year cannabis use, daily cannabis use, and CUD compared to those without MDE or SPD. Average yearly trends of past-year cannabis use increased universally but rose faster among those with MDE and/or SPD than among those without MDE or SPD. Those with comorbid MDE and SPD had the greatest increase in prevalence of daily cannabis use (327.7% from 2005 to 2019). We found no trends in CUD prevalence across all groups.</p><p><strong>Conclusions: </strong>Daily cannabis use has risen most rapidly among those with comorbid MDE and SPD, a population with potentially more complex and severe mental health symptomology. Public health efforts may need to address daily cannabis use among individuals with mental health conditions to reduce disparities.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":"585-594"},"PeriodicalIF":2.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144855668","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":"Mandatory Responsible Beverage Service Training in California Associated With Higher Refusals of Service to Apparently Intoxicated Patrons.","authors":"Robert Saltz, Mallie J Paschall, Sharon O'Hara, David B Buller, W Gill Woodall, Lila Martinez","doi":"10.15288/jsad.25-00161","DOIUrl":"10.15288/jsad.25-00161","url":null,"abstract":"<p><strong>Objective: </strong>The California (U.S.) Responsible Beverage Service (RBS) Training Act mandated training for all alcohol servers by 2023, giving us a rare opportunity to see how a statewide initiative might influence server behavior.</p><p><strong>Method: </strong>In 2022, 300 licensed on-premises establishments were sampled in nine counties representing the San Francisco Bay Area. From July 2022 to January 2023, \"pseudopatron\" and observer teams visited each establishment, and pseudopatrons attempted to buy alcohol while displaying obvious signs of intoxication. The outcome of each purchase attempt and characteristics of establishments, servers, pseudopatrons, and the month, day, and time were recorded. In 2024, the same premises were visited as a follow-up.</p><p><strong>Results: </strong>At baseline, 19.6% of the outlets refused service to the pseudopatron. At follow-up, the refusal rate increased significantly to 39.2% in a regression model controlling for establishment, server, and pseudopatron characteristics (odds ratio [OR] = 4.51, <i>p</i> < .01). A typology of outlets (e.g., sports bar, casual restaurant, fine dining) did not show any association with refusal rate except that fine dining (upscale) places refused more often than other types of establishments. Observer rating of how obvious the pseudopatron's apparent intoxication was strongly associated with refusals (OR = 11.64, <i>p</i> < .01).</p><p><strong>Conclusions: </strong>This study suggests that there was substantial improvement in alcohol overservice refusals 2 years after the mandatory RBS training law went into effect.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":"444-453"},"PeriodicalIF":2.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12680072/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145495827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations Between Behavioral Economic Indicators and Risky Drinking Are Moderated by Peer Similarity in Behavioral Economic Indicators in Community-Dwelling Emerging Adults.","authors":"Justin T Van Heukelom, Jeewon Cheong, Jalie A Tucker","doi":"10.15288/jsad.25-00173","DOIUrl":"10.15288/jsad.25-00173","url":null,"abstract":"<p><strong>Objective: </strong>Using peer-driven sampling of young adult social networks, this study examined whether elevated drinking risks among individual participants (\"egos\") were associated with behavioral economic indicators among adjacent peers in their recruitment chain (\"alters\"). We hypothesized that having adjacent alters with behavioral economic values indicative of greater drinking risk would elevate individual ego drinking risks and that ego behavioral economic-drinking risk associations would depend on ego-alter correspondence levels of behavioral economic indicators.</p><p><strong>Method: </strong>Community-dwelling young adults engaged in risky drinking (<i>N</i> = 269; <i>M</i> age = 23.14 years, 68% female) were recruited via respondent-driven sampling, a peer-to-peer referral method. Generalized linear modeling examined whether ego-alter correspondence (degree of similarity between egos and alters on a given behavioral economic index) was associated with ego drinking practices and negative alcohol-related consequences. Analyses also examined whether ego-alter correspondence moderated ego behavioral economic-drinking risk associations.</p><p><strong>Results: </strong>Interactions partially supported the hypotheses. Higher ego elasticity was associated with lower drinking risks. These associations were weaker when alters' demand was less elastic (<i>p</i>s < .06). Higher ego discretionary spending on alcohol was associated with more negative consequences, and this association was stronger when alters' spending on alcohol was higher (<i>p</i> < .01).</p><p><strong>Conclusions: </strong>With respect to elasticity and discretionary alcohol spending, harmful alter behavioral economic indicators moderated ego behavioral economic-drinking risk associations. Therefore, individuals affected by social harms may need social network interventions linking them to lower-risk drinking peers. Results highlight the usefulness of socially contextualizing behavioral economic indices.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":"518-527"},"PeriodicalIF":2.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145452115","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":"Narrowing and Reversing Sex Gaps in Cannabis Use and Cannabis Use Disorder Among Adolescents and Young Adults.","authors":"Precious Esie, Vanessa Mallory, Douglas R Roehler, Christopher M Jones, Alana M Vivolo-Kantor","doi":"10.15288/jsad.25-00092","DOIUrl":"10.15288/jsad.25-00092","url":null,"abstract":"<p><strong>Objective: </strong>Historically, cannabis use and cannabis use disorder (CUD) have been more prevalent among males than among females. However, emerging evidence suggests that cannabis use may be increasing faster among females in younger age groups. This study characterized changes in female versus male differences in cannabis use and CUD across age groups and time.</p><p><strong>Method: </strong>Annual data from the 2014-2023 National Surveys on Drug Use and Health (NSDUH) were analyzed by age groups (12-17 [adolescents], 18-25 years, and 26 years or older) for past-month cannabis use, past-year daily/near-daily cannabis use (300 or more days), and past-year CUD. Prevalence differences (PDs) in percentage points between females and males were evaluated using generalized linear models.</p><p><strong>Results: </strong>From 2014 to 2023, the prevalence of cannabis use (past-month and daily/near daily) and CUD increased among adults, with shifts in PDs across age groups. In 2022, adolescent females surpassed males in past-month cannabis use (PD = 2.3; 95% CI [1.0, 3.6]). By 2023, both daily/near-daily use and CUD prevalence were higher among adolescent females (e.g., CUD PD = 2.4; 95% CI [1.4, 3.4]). Among adults ages 18-25, all outcomes remained lower among females, but PDs narrowed over the study period. In adults age 26 years or older, females consistently had lower prevalence across all outcomes.</p><p><strong>Conclusions: </strong>Results showed reversals in female versus male differences among adolescents and narrowing gaps among younger adults. Tailored interventions considering sex and age may prevent and reduce CUD. Further research is needed to understand the reasons behind these shifts.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":"537-543"},"PeriodicalIF":2.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12495892/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145015617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Coping Motives for Alcohol and Cannabis Use Better Reflect Negative Emotionality Than Emotion Regulation Deficits in Young Adults.","authors":"Diego Moss, Jonas Dora, Max A Halvorson, Lauren McClain, Kevin M King","doi":"10.15288/jsad.25-00126","DOIUrl":"10.15288/jsad.25-00126","url":null,"abstract":"<p><strong>Objective: </strong>Motivational models argue that people use alcohol and cannabis to regulate emotions. Descriptions of global self-reports of coping motives have emphasized their role as a reflexive or disengagement emotion regulation strategy focused on avoiding stressors or negative emotions, and on building emotion regulation skills, with regard to their clinical implications. However, there is also substantial evidence that self-reports of coping motives reflect a broader tendency toward negative emotionality.</p><p><strong>Method: </strong>We used data from two large ecological momentary assessment (EMA) studies of regularly drinking and cannabis-using young adults (ages 18-22, <i>n</i> = 297) to test the convergent, divergent, and criterion validity of global self-reports of coping motives across both global self-report and daily life data.</p><p><strong>Results: </strong>Pre-registered analyses demonstrated that global self-reports of coping motives for alcohol and cannabis use were at best weakly associated with global and EMA reports of reflexive or disengagement emotion regulation strategy use and were also moderately associated with both global and EMA measures of negative emotionality, emotion reactivity, and negative urgency.</p><p><strong>Conclusions: </strong>These findings undermine the assertion that coping motives reflect deficits in adaptive emotion regulation strategies rather than a broad tendency toward negative affectivity. Research should seek to understand what global self-reports of coping motives reflect.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":"544-554"},"PeriodicalIF":2.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12674593/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145113538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"More Than a Symptom Count: Measuring Functioning in Alcohol Use Disorder With the Life Stress Interview.","authors":"Dylan E Kirsch, Erica N Grodin, Danielle Keenan-Miller, Lara A Ray","doi":"10.15288/jsad.25-00030","DOIUrl":"10.15288/jsad.25-00030","url":null,"abstract":"<p><strong>Objective: </strong>The alcohol field has increasingly recognized that functioning plays a key role in the clinical course of alcohol use disorder (AUD). However, there remains a need for comprehensive instruments that capture functioning in this population. This study examined the utility of the UCLA Life Stress Interview Chronic Stress Assessment (LSI), a functional domains-based assessment widely used in mood disorder research, as a tool to measure functioning in key life domains in AUD. We (a) compared LSI scores between individuals with and without current AUD and (b) examined whether LSI scores are associated with recent alcohol use and AUD symptomology.</p><p><strong>Method: </strong>This secondary case-control study included 38 adults with AUD and 35 age- and biological sex-matched controls. The LSI was used to assess functioning in interpersonal, occupational, personal health, and family health domains over the prior 6 months. The Timeline Followback was used to assess recent alcohol use, and the Structured Clinical Interview for DSM-5 was used to assess AUD symptomology.</p><p><strong>Results: </strong>Individuals with AUD exhibited significantly poorer interpersonal, occupational, and personal health functioning, compared with controls. Among individuals with AUD, worse interpersonal, occupational, and personal health functioning correlated with a higher number of AUD symptoms, and both interpersonal and occupational functioning also correlated with greater recent alcohol use.</p><p><strong>Conclusions: </strong>This secondary study provides preliminary support for the LSI as a tool to assess functioning in AUD, offering an unbiased, addiction-independent evaluation of functioning across key domains. Future work should replicate results in larger samples, conduct a formal psychometric evaluation, and examine the effects of biological, demographic, and clinical factors.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":"608-616"},"PeriodicalIF":2.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13067937/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144799478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}