Emily E Levitt, Kyla L Belisario, Amanda Doggett, Liah Rahman, Allan Clifton, Robert Stout, John F Kelly, James MacKillop
{"title":"12-Step Participation Is Linked to Lower Drinking and Specific Impulsive Personality Traits in Early Alcohol Use Disorder Recovery.","authors":"Emily E Levitt, Kyla L Belisario, Amanda Doggett, Liah Rahman, Allan Clifton, Robert Stout, John F Kelly, James MacKillop","doi":"10.15288/jsad.25-00169","DOIUrl":"10.15288/jsad.25-00169","url":null,"abstract":"<p><strong>Objective: </strong>Participation in 12-step groups, such as Alcoholics Anonymous, confers benefits among individuals with alcohol use disorder (AUD), and one candidate mechanism underlying these effects is reductions in impulsivity. Using a multidimensional assessment of impulsivity, the current study examined delay discounting and impulsive personality traits in a longitudinal cohort of adults with AUD initiating a significant recovery attempt.</p><p><strong>Method: </strong>A prospective matched-sample cohort study design compared participants who reported a clinically meaningful increase in 12-step group attendance (i.e., increase of >1 meetings/week; <i>n</i> = 77) from enrollment to 6 weeks to a matched control group who did not increase attendance (<i>n</i> = 77). Drinking was assessed using the Timeline Followback (% drinking days [%DD], % heavy drinking days [%HDD]); impulsivity was assessed using the five-trial delay discounting task and five UPPS-P Impulsive Behavior Scale subscales. Mediation models evaluated whether impulsivity explained the relationship between increased 12-step attendance and alcohol outcomes.</p><p><strong>Results: </strong>Compared with matched controls, participants who increased 12-step group attendance showed greater reductions over time in %DD and %HDD (<i>p</i>s < .001), as well as Negative Urgency (i.e., acting out due to negative emotions) and Lack of Perseverance (i.e., failure to persist in tasks) (<i>p</i>s = .03) after their recovery attempt. Reductions in impulsivity, however, did not mediate the association between increased 12-step group attendance and drinking.</p><p><strong>Conclusions: </strong>Increased 12-step group attendance was associated with significant reductions in drinking and certain impulsivity traits in early AUD recovery. However, although the changes were contemporaneous, impulsivity did not explain the benefits associated with 12-step group attendance. Future research should evaluate this hypothesis in larger samples and over longer follow-up periods.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":"921-929"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145998445","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}
Jessica M Mongilio, Luisa Kcomt, Jeremy Staff, Rebecca J Evans-Polce
{"title":"Changes in ENDS Harm Perceptions Predict Intentions to Initiate ENDS Use in Tobacco-Naive Adolescents.","authors":"Jessica M Mongilio, Luisa Kcomt, Jeremy Staff, Rebecca J Evans-Polce","doi":"10.15288/jsad.25-00219","DOIUrl":"10.15288/jsad.25-00219","url":null,"abstract":"<p><strong>Objective: </strong>Youth who use electronic nicotine delivery system (ENDS) products have lower perceptions of the health harms of ENDS products compared with youth who do not use them. However, it remains unclear whether lower harm perceptions precipitate youths' intention to use, as predicted by theories of health behavior. We examined whether changes in ENDS harm perceptions were associated with intentions to start using ENDS in the next year, among tobacco-naive youth.</p><p><strong>Method: </strong>Using six annual waves of data from the Population Assessment of Tobacco and Health (PATH) Study Wave 4 Youth Cohort (2016/18 to 2022/23; ages 12-17 at baseline), we examined within-person associations between change in ENDS harm perceptions and intention to use ENDS within the next year among youth who had not used any tobacco or nicotine (<i>N</i> = 14,319). Fixed-effect logistic regression models were estimated for the overall sample and by sex, and tests of coefficient equality were used to identify sex differences.</p><p><strong>Results: </strong>When youth reported decreases in ENDS harm perceptions, they had an increased likelihood of intent to start using ENDS (aOR = 1.77, 95% CI [1.41, 2.23]). In contrast, waves in which youth reported increases in ENDS harm perceptions were associated with a decreased likelihood of intent to initiate ENDS use (aOR = 0.43, 95% CI [0.38, 0.48]). These within-person associations were similar for girls and boys.</p><p><strong>Conclusions: </strong>Changes in harm perceptions among tobacco-naive adolescents may precipitate a decision to start using ENDS and should be a target for future prevention efforts to reduce ENDS initiation among youth.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":"1012-1019"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12939875/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146201816","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}
Andrea C King, Sarah M Noone, Emily Atkinson, Claire E Wellendorf, Daniel J Fridberg
{"title":"Living Up to Their Name: Blackout Rage Gallons (BORGs) Marked by High-Intensity Drinking and Alcohol Consequences in College Students.","authors":"Andrea C King, Sarah M Noone, Emily Atkinson, Claire E Wellendorf, Daniel J Fridberg","doi":"10.15288/jsad.25-00414","DOIUrl":"10.15288/jsad.25-00414","url":null,"abstract":"<p><strong>Objective: </strong>The blackout rage gallon (BORG) is an excessive drinking trend popular at some colleges in the United States and propelled by social media. Media reports depict harmful consequences of BORG use, but others view this trend as a strategy to reduce drink contamination, control alcohol intake, and minimize hangovers. This study provides the first detailed assessment of college students' perceptions and use of BORGs, including consequences and motivations for use and nonuse.</p><p><strong>Method: </strong>Participants (ages 18-25 years) were past-year college students (<i>N</i> = 103) from both public and private U.S. institutions who reported weekly binge drinking and completed a survey assessing BORG use, motivations, and drinking-related outcomes.</p><p><strong>Results: </strong>Participants were 20.4 years old, 62% female sex at birth, and their mean Alcohol Use Disorders Identification Test score was 11.3 ± 5.2. We oversampled college students who reported past-year BORG use (BORG+; <i>n</i> = 63) relative to those who denied BORG use (BORG-; <i>n</i> = 40). BORG+ participants consumed 9-10 standard alcohol drinks during a typical BORG event. Most reported getting buzzed or drunk (98%), nearly one third (29%) experienced a blackout, 17% vomited, and 59% said/did something embarrassing. Regardless of these effects, two thirds endorsed intending to engage in future BORG drinking. BORG-participants cited refraining from BORG use because it was not part of their college culture and was not effective for limiting alcohol intake.</p><p><strong>Conclusions: </strong>The BORG trend presents another challenge for harm reduction efforts focused on curbing excessive drinking in college students. The high-intensity drinking of BORG use, paired with associated blackouts, vomiting, and behavioral disinhibition, renders this phenomenon as living up to its name.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":"930-938"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146119318","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":"Reassessing the Empirical Basis and Best-Practice Communication Standards for Low-Risk Alcohol Guidelines: A Commentary on the Alcohol Intake and Health Study.","authors":"Mark E Nason","doi":"10.15288/jsad.26-00192","DOIUrl":"10.15288/jsad.26-00192","url":null,"abstract":"","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":"1068-1073"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148455717","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":"Editorial Reviewers.","authors":"","doi":"10.15288/jsad.26-01002","DOIUrl":"https://doi.org/10.15288/jsad.26-01002","url":null,"abstract":"","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":"87 5","pages":"1086-1087"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148969474","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}
Jennifer E Merrill, Gabriela López, Benjamin L Berey, Mary Beth Miller, Kate B Carey, Kristina M Jackson, Nancy P Barnett
{"title":"High-Intensity Drinking Is Linked to Greater Same-Day Positive and Negative Consequences in Young Adults.","authors":"Jennifer E Merrill, Gabriela López, Benjamin L Berey, Mary Beth Miller, Kate B Carey, Kristina M Jackson, Nancy P Barnett","doi":"10.15288/jsad.25-00315","DOIUrl":"10.15288/jsad.25-00315","url":null,"abstract":"<p><strong>Objective: </strong>Young adults who report high-intensity drinking (HID; 8+/10+ drinks for females/males) are more likely to experience negative alcohol consequences than those reporting heavy episodic drinking (HED; 4+/5+ drinks for females/males). Identifying for whom and when HID is associated with same-day negative (and positive) consequences may inform intervention approaches. We hypothesized that negative consequences would be more likely on HID versus HED days, and when HID levels were reached more quickly.</p><p><strong>Method: </strong>Young adults reporting prior HID (<i>N</i> = 203, 57% female) completed a 28-day ecological momentary assessment of alcohol use and consequences. Generalized hierarchical linear modeling was used to test hypothesized effects. Analyses also explored the odds of each unique negative (e.g., hangover) and positive (e.g., improved mood) consequence.</p><p><strong>Results: </strong>HID (vs. HED) was related to more same-day negative consequences. In exploratory analyses, HID was associated with increased odds of being rude/obnoxious, hurting/injuring oneself, feeling too drunk, nausea, vomiting, sleeping worse, hangover, and memory loss. HID (vs. HED) was also related to more same-day positive consequences. In exploratory analyses, HID was associated with increased odds of expressing feelings more easily, feeling more energetic, having an improved mood, being more sociable, achieving a desirable level of intoxication, laughing with others, and having a fun/exciting time. Drinking duration was not significantly related to consequences on HID days.</p><p><strong>Conclusions: </strong>Same-day positive consequences of HID may help explain why this risky behavior recurs despite its negative consequences. From a prevention and intervention perspective, health care providers and clinicians are strongly encouraged to prioritize alcohol interventions for young adults reporting 8-10 drinks per occasion.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":"960-969"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12970600/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147317384","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}
R Andrew Yockey, Bria Singleton, Elise Devier, Rowen Silva, Dylan Barker, Amber Amis, Rachel Hoopsick
{"title":"Social Media Portrayals of Nitrous Oxide Normalize Use and Encourage Youth Exposure.","authors":"R Andrew Yockey, Bria Singleton, Elise Devier, Rowen Silva, Dylan Barker, Amber Amis, Rachel Hoopsick","doi":"10.15288/jsad.25-00301","DOIUrl":"10.15288/jsad.25-00301","url":null,"abstract":"<p><strong>Objective: </strong>Recreational nitrous oxide use is an emerging public health concern in the United States, particularly among adolescents and young adults. Given its status as a legal marketable product and varying legality in several states, marketed under brand names like Galaxy Gas and Prime Whip, it is inexpensive, easily accessible, and often glamorized on social media.</p><p><strong>Method: </strong>We systematically reviewed 30 nitrous oxide-related videos posted on YouTube and TikTok between January and March 2025, identified using terms such as <i>Whippets</i> and <i>Hippie Crack</i>. Videos were coded for messenger characteristics, thematic content, and engagement metrics. Videos were included if they featured user-generated content involving nitrous oxide or related products, were in English, and were publicly available during the study period. We excluded duplicates, videos that were purely commercial or promotional, and videos that did not actually depict nitrous oxide, even if they matched a search term.</p><p><strong>Results: </strong>Videos averaged 23 million views, 64,753 likes, and 9,500 shares. Half depicted personal experiences, 16.7% demonstrated use, and 10% promoted free trials. Most messengers were perceived as male (70%) and Black/African American (73.3%). No videos included age restrictions or health warnings. The content frequently framed use as socially acceptable or entertaining.</p><p><strong>Conclusions: </strong>Nitrous oxide misuse is widely visible on major social media platforms and often portrayed without risk information, potentially encouraging youth uptake. Public health strategies should include education campaigns, stricter regulations (e.g., age limits, warning labels), and platform collaboration to reduce exposure. Further research should examine long-term trends and behavioral impacts of online portrayals.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":"1036-1041"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147317399","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":"Griffith Edwards and the Apotheosis of Addiction Science.","authors":"Thomas F Babor","doi":"10.15288/jsad.26-00254","DOIUrl":"10.15288/jsad.26-00254","url":null,"abstract":"","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":"869-870"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148455797","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":"Can the Contract Between Addiction Scientists and Policymakers Be Restored to What It Was in Griffith Edwards' Time?","authors":"Keith Humphreys","doi":"10.15288/jsad.26-00236","DOIUrl":"10.15288/jsad.26-00236","url":null,"abstract":"","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":"880-881"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148277877","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":"Cannabis Use Problems Moderate Daily Associations Between Cannabis Consequences and Subsequent Use.","authors":"Christina Dyar, Isaac C Rhew, Christine M Lee","doi":"10.15288/jsad.25-00441","DOIUrl":"10.15288/jsad.25-00441","url":null,"abstract":"<p><strong>Objective: </strong>Social learning theory posits that experiencing negative consequences of substance use reduces subsequent use. However, relatively few studies have examined prospective effects of substance use consequences on subsequent use; those that have focus exclusively on alcohol and have produced mixed results. The current study aimed to advance our understanding of the daily effects of consequences on subsequent use by examining these associations for cannabis, determining if consequences accumulate over time and how long they continue to influence use, and identifying moderators (i.e., cannabis use problems; motives for use) of these associations.</p><p><strong>Method: </strong>We used ecological momentary assessment data (two observations per day for 14 days) from 571 young adult females who regularly used cannabis. The sample included a majority of sexual minority women and gender diverse individuals (77.6%) and a comparison group of heterosexual cisgender women (22.4%).</p><p><strong>Results: </strong>Recent cannabis consequences were associated with a decreased likelihood of subsequent use among individuals with fewer cannabis use problems. Coping motives also moderated associations between consequences and subsequent cannabis use, with consequences only associated with lighter next-day use when coping motives were not endorsed on the next day. Findings also suggest that consequences accumulate across days, and cumulative consequences over the past 5 days continue to influence cannabis use.</p><p><strong>Conclusions: </strong>These findings indicate that individuals with severe cannabis use problems may not respond with behavioral change to consequences, whereas individuals with fewer cannabis use problems reduce use following consequences. This may result from differences in perceptions of the aversiveness of consequences, which should be examined by future research.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":"949-959"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13094411/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147433848","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}