Journal of studies on alcohol and drugs最新文献

{"title":"Substance Use Prevalence and Patterns in Vulnerable Populations: A Systematic Review and Meta-Analysis.","authors":"Guillermo Francisco Martínez-Montás, Orquiria Rafaela Colón-Santana","doi":"10.15288/jsad.25-00418","DOIUrl":"10.15288/jsad.25-00418","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this study was to estimate the prevalence and patterns of alcohol and other drug use among vulnerable populations and to assess the quality and certainty of the evidence using PRISMA 2020 (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) reporting standards and GRADE (Grading of Recommendations Assessment, Development and Evaluation) criteria.</p><p><strong>Method: </strong>A systematic review and meta-analysis were conducted according to the PRISMA 2020 guidelines. Searches in PubMed, Scopus, Web of Science, PsycINFO, and Embase (2010-2025) identified observational studies reporting substance use among vulnerable groups (refugees, migrants, homeless individuals, and socially excluded adolescents). Eighteen studies comprising more than 98,000 participants (approximately two thirds male) were included. Data were extracted independently, and pooled prevalence estimates were calculated using random-effects models (DerSimonian-Laird estimator) in JASP Version 0.19.3. Risk of bias was assessed with the Joanna Briggs Institute tools, and evidence certainty was rated using the GRADE framework.</p><p><strong>Results: </strong>Eighteen studies (2011-2025) were included, 14 in meta-analyses. The pooled prevalence of alcohol use was 7.4% (95% CI [6.6, 8.5]) with low heterogeneity (<i>I</i>² = 0%), whereas the pooled prevalence of any drug use in the past 6-12 months was 26.4% (95% CI [16.8, 38.8]) with high heterogeneity (<i>I</i>² = 95%). Higher prevalence was observed among homeless and displaced adults compared with adolescents and migrants. The overall certainty of evidence was rated as moderate.</p><p><strong>Conclusions: </strong>Substance use--particularly non-alcohol drugs--is markedly more prevalent among vulnerable populations than in the general population. Social exclusion, homelessness, and forced migration amplify risk and highlight the need for integrated prevention, harm-reduction, and mental-health strategies tailored to these groups. These findings can inform policy design and targeted interventions in humanitarian and low-resource contexts.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":"1051-1067"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147355424","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":"Brief Intervention Versus More Extensive Treatment for Alcohol Use Disorder (AUD): Testing the Comparability Hypothesis.","authors":"Patrick R Clifford, Stephen A Maisto, Christine M Davis, Robert L Stout, Marc L Steinberg","doi":"10.15288/jsad.25-00201","DOIUrl":"10.15288/jsad.25-00201","url":null,"abstract":"<p><strong>Objective: </strong>There is a substantial literature indicating that brief interventions (BIs) for alcohol use disorder (AUD) are as effective as more extensive treatments. The research assessment reactivity literature, however, suggests that the protocols used to study AUD treatments can have clinical efficacy, which may account for the observed findings. The purpose of this research was to experimentally investigate the moderation of AUD treatment effects by AUD assessment protocols.</p><p><strong>Method: </strong>Participants were recruited from the community via advertisements (e.g., Facebook, mail, flyers). Eligible participants, providing informed consent, were randomized to one of four research conditions resulting from a two (Intervention: Motivational Enhancement Therapy [MET] or Cognitive Behavioral Coping Skills Therapy [CBT]) by two (Assessment: infrequent-alcohol/drug focused or frequent-comprehensive) factorial design and followed for 15 months after baseline assessment.</p><p><strong>Results: </strong>Across the entire sample, the proportion of abstinence days increased from 21.6% at baseline to 62.4% during follow-up months 13-15, and the proportion of heavy drinking days decreased from 64.9% at baseline to 18.1% during follow-up months 13-15. Although the hypothesized interaction \"intervention by assessment condition\" was not supported, main effects were detected for assessment condition, such that individuals assigned to the alcohol/drug-focused assessment conditions reported greater abstinence and fewer heavy drinking days than their counterparts assigned to the comprehensive assessment conditions.</p><p><strong>Conclusions: </strong>Robust BIs, such as MET, appear to yield drinking outcomes comparable to those of more extensive AUD treatments, such as CBT. In addition, reactivity to research assessments contributed to reduced alcohol use, and these effects appear to be contingent on intervention and participant characteristics.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":"887-898"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12965277/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146064425","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":"Age-Varying Associations Between Cannabis Use and Cannabis-Specific Risk Factors Among Latinx Youth in the United States by Urbanicity.","authors":"Brian H Calhoun, Griselda Martinez, Jessica Acolin, Martie L Skinner, David C R Kerr, Katarina Guttmannova","doi":"10.15288/jsad.25-00363","DOIUrl":"https://doi.org/10.15288/jsad.25-00363","url":null,"abstract":"<p><strong>Objective: </strong>The prevalence of cannabis use has increased sharply from adolescence through young adulthood in recent U.S. cohorts. However, little is known about how cannabis-specific risk factors and their associations with use vary during these developmental periods. Understanding these associations among Latinx youth, the fastest-growing ethnic minority group, and within urbanicity groups, which may influence risk, is critical.</p><p><strong>Method: </strong>Data were from Latinx participants ages 14-29 (<i>N</i>=29,061) in the 2015-2019 National Survey on Drug Use and Health. Time-varying effect models were used to estimate age trends in any and weekly 30-day cannabis use and three key risk factors: perceived risk of monthly and weekly cannabis use and perceived ease of access. Additional models assessed age-varying associations between each risk factor and cannabis use. All models were stratified by urbanicity (large urban, small urban, and rural).</p><p><strong>Results: </strong>Cannabis use and perceived ease of access increased with age and peaked in early adulthood, whereas perceived risks of cannabis use declined with age. These developmental prevalence patterns were broadly similar across urbanicity groups. Risk factors were consistently associated with greater odds of cannabis use across the age range, with the strongest associations observed in early adolescence. Overall association patterns differed only slightly by urbanicity.</p><p><strong>Conclusions: </strong>Findings highlight important developmental shifts in cannabis use and associated risk factors from adolescence through young adulthood among Latinx youth. Developmentally timed prevention strategies are needed to address rising cannabis use during adolescence and young adulthood in this growing population.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148865468","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":"Alcohol-to-Go Laws During COVID-19: Restaurant Visits, DUI Arrests, and Alcohol-Impaired Traffic Fatalities.","authors":"Jacob Whitman, Ana Milan Hinostroza","doi":"10.15288/jsad.26-00008","DOIUrl":"https://doi.org/10.15288/jsad.26-00008","url":null,"abstract":"<p><strong>Objective: </strong>This study evaluates whether pandemic-era \"alcohol-to-go\" laws, adopted in most U.S. states to support restaurants and bars, produced measurable effects on economic activity and impaired driving.</p><p><strong>Methods: </strong>We used a staggered difference-in-differences design to compare outcomes in states that adopted alcohol-to-go laws between 2020 and 2021 to never-adopting states. Policy adoption dates were drawn from the Alcohol Policy Information System. Outcomes were measured using three complementary datasets: (1) SafeGraph Patterns for weekly restaurant and bar visits (2019-2022), (2) the National Incident-Based Reporting System (NIBRS) for non-fatal DUI arrests (2018-2022), and (3) the Fatality Analysis Reporting System (FARS) for alcohol-impaired traffic fatalities (2018-2022). Analyses were conducted at the county-month level.</p><p><strong>Results: </strong>Alcohol-to-go laws did not produce consistent or durable changes in levels of restaurant or bar visitation. Average treatment effects on visits were small and statistically insignificant across adoption cohorts. Similarly, we found no systematic evidence that alcohol-to-go laws affected DUI arrest rates or alcohol-involved traffic fatalities. The instances where we found significant effects were limited to isolated adoption cohorts or settings and lacked broader generalizability.</p><p><strong>Conclusions: </strong>Alcohol-to-go policies neither delivered the economic relief anticipated by policymakers nor generated the public safety harms feared by critics. Findings suggest these laws produced limited, context-dependent effects. As states debate whether to make such provisions permanent, evidence indicates caution is warranted: benefits appear narrow while risks remain uncertain.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148865562","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":"Sex-Specific Comorbidity Patterns and In-Hospital Mortality Among Patients With Alcohol-Related Diseases in South Korea.","authors":"Jeong Min Yang, Jieun Hwang","doi":"10.15288/jsad.26-00070","DOIUrl":"https://doi.org/10.15288/jsad.26-00070","url":null,"abstract":"<p><strong>Objectives: </strong>Understanding comorbidities in alcohol-related diseases (ARD) is crucial for predicting outcomes and assessing care quality. This study characterized comorbidity patterns and sex-specific mortality risk among ARD patients using nationally representative hospital discharge data.</p><p><strong>Methods: </strong>Using data from the Korean National Hospital Discharge In-depth Injury Survey (2007-2022), patients with ARD (E24.4, F10, G31.2, G62.1, G72.1, I42.6, K29.2, K70, K85.2, K86.0, R78.0) as the primary diagnosis were included. Up to 20 secondary diagnoses were defined as comorbidities. Association rule mining was applied to identify comorbidity patterns, followed by complex-sample logistic regression to estimate in-hospital mortality risk associated with identified comorbidity patterns.</p><p><strong>Results: </strong>A total of 46,225 cases were reported in 2007, showing fluctuation but an overall decline after 2016, with sharp decreases in 2020-2021 and a slight rebound in 2022 (p < .05). Males were mostly in their 50s and females in their 40s, both commonly treated in 100-299-bed hospitals under National Health Insurance. Alcoholic liver disease (K70) was the most frequent primary diagnosis in both sexes, most commonly co-occurring with circulatory disorders (I98), type 2 diabetes (E11), and essential hypertension (I10), with the strongest co-occurrence observed between K70 and I98 (males: 13.2%; females: 11.2%). Among patients with K70 as the primary diagnosis, hepatic failure (K72) was the strongest comorbid predictor of in-hospital mortality in both sexes, with a markedly greater effect in females (aOR = 6.464, 95% CI 3.930-10.633) than in males (aOR = 4.284, 95% CI 3.414-5.376). Co-occurring alcohol use disorder (F10) was associated with reduced mortality risk in both sexes (males: aOR = 0.556, 95% CI 0.400-0.773; females: aOR = 0.326, 95% CI 0.115-0.923).</p><p><strong>Conclusions: </strong>Despite declining trends in ARD discharges, female patients showed more severe clinical profiles, highlighting the need for sex-specific interventions. Comprehensive monitoring and sex-stratified management are essential to address the systemic impact of ARD and the higher mortality risk observed among female patients.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148829811","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":"Changes in Drinking Motives Do Not Mediate Reductions in Alcohol Use and Consequences Following a Brief Alcohol Intervention.","authors":"Dana R Steinberg, Angelo M DiBello, Kate B Carey, Molly Magill, Nadine R Mastroleo","doi":"10.15288/jsad.25-00404","DOIUrl":"10.15288/jsad.25-00404","url":null,"abstract":"<p><strong>Objective: </strong>College students endorse risky alcohol use and experience a variety of consequences. When students violate campus policies, universities often mandate delivery of brief alcohol interventions. One approach to enhancing the efficacy of interventions is the inclusion of a self-affirmation task. Prior research suggests that a stronger sense of self may reduce reliance on maladaptive motives. The present study sought to understand the impact of an enhanced brief alcohol intervention on drinking motives and their role as a mechanism of behavior change.</p><p><strong>Method: </strong>Participants (N = 463; 58% male) were mandated students at a large, public university in the Northeast who completed either eCheckUpToGo (eCTG) or an enhanced version of the intervention, eCTG + self-affirmation writing exercise (eCTG+). A path modeling framework was used to examine effects of the intervention on drinking motives, alcohol use, negative consequences and the potential mediating effect of motives.</p><p><strong>Results: </strong>The effects of eCTG and eCTG+ were not associated with differential changes in drinking motives. The indirect effects from eCTG or eCTG+ to drinks per week or alcohol-related consequences via changes in motives were non-significant.</p><p><strong>Conclusions: </strong>In this sample, results suggest no differences between eCTG and eCTG+ on changes in drinking motives, changes in drinking motives were not significantly associated with reductions in alcohol use and alcohol-related consequences, and drinking motives did not significantly mediate reductions in alcohol use and alcohol-related consequences. The self-affirmation enhancement did not explicitly target changes in motives, and the hypothesized theoretical links were not strong enough to modify motive endorsement. Modifying motives likely requires more targeted intervention components.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13595305/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148829782","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":"Declining Opioid Overdose Mortality in Chicago: Hyperlocal Differences by Socioeconomic Deprivation and Racial/Ethnic Composition.","authors":"Halli Watts-Rich, Evgenia Karayeva Pertsch, Marley Concha, Wayne Giles, Noah McWhirter, Sanjib Basu, Sage J Kim","doi":"10.15288/jsad.26-00057","DOIUrl":"https://doi.org/10.15288/jsad.26-00057","url":null,"abstract":"<p><strong>Objective: </strong>Opioid overdose mortality rates declined in Chicago between 2023 and 2024. This study examined differential reductions in opioid overdose mortality across Chicago community areas by neighborhood socioeconomic deprivation and racial/ethnic composition.</p><p><strong>Methods: </strong>Opioid overdose deaths were obtained from the Cook County Medical Examiner and geocoded to Chicago's 77 community areas. Five-year average Area Deprivation Index (ADI) scores were used to characterize community-level socioeconomic disadvantage. Changes in opioid overdose mortality rates between 2023 and 2024 were assessed using multivariable linear regression and spatial analysis.</p><p><strong>Results: </strong>Between 2023 and 2024, opioid overdose mortality rates declined in 57 of 77 Chicago community areas, though the size of reductions varied. Communities with the bottom 25^th percentile ADI, compared with the 2^nd quartile ADI, had a greater % reduction in opioid overdose mortality rates between 2023 and 2024. Additionally, communities with a higher % Black (β = 1.23, <i>p</i> = 0.03) and % Hispanic residents (β = 1.40, <i>p</i> = 0.01) were associated with a greater % reduction in the mortality rates (<i>F</i>(3,72) = 1.73, R² = 0.12). However, controlling for ADI quartile and the opioid mortality rate for 2023, % Black was marginally significant. Greater declines occurred predominantly on the West and North sides of the city.</p><p><strong>Conclusions: </strong>Despite an overall decline in opioid overdose deaths in Chicago, not all community areas benefited equally. Findings highlight that opioid response efforts targeting geographic areas with a greater impact of opioid misuse, as well as community deprivation, are needed to ensure that continued progress translates into more equitable reductions in opioid overdose mortality across Chicago.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148829787","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":"Daily Alcohol Use and Next-Day Intimate Partner Sexual Violence: Within-Person Associations and Individual Variability.","authors":"Prachi H Bhuptani, Alexa M Raudales, Leslie Brick, Diana Ho, Manshu Yang, Nicole H Weiss","doi":"10.15288/jsad.26-00133","DOIUrl":"https://doi.org/10.15288/jsad.26-00133","url":null,"abstract":"<p><strong>Objective: </strong>Intimate partner sexual violence (IPSV) is a widely prevalent form of sexual violence that is associated with significant mental health consequences. Although alcohol use is a well-documented risk factor for interpersonal and sexual violence broadly, research examining the bi-directional relationship between alcohol use and IPSV remains limited.</p><p><strong>Method: </strong>The current study used experience sampling methods to investigate the bidirectional momentary association between daily alcohol use (i.e., whether alcohol was consumed on a given day) and IPSV among adult women in relationships characterized by intimate partner violence. Participants completed daily surveys over a 30-day period, reporting on alcohol use occurrence and experiences of IPSV since the previous survey.</p><p><strong>Results: </strong>Results of dynamic structural equation modeling demonstrated a significant between-person association, such that women who reported alcohol use on a greater proportion of days were also more likely to report IPSV. Further, there was a significant within-person cross-lagged effect such that alcohol use occurrence on one day was associated with next-day IPSV. There was significant variability in model effects suggesting that IPSV could be associated with next-day alcohol use for a subset of women.</p><p><strong>Conclusion: </strong>These findings underscore the importance of nuanced, person-centered approaches in research and intervention, emphasizing the heterogeneity in the alcohol use-IPSV relation. This study highlights the need for targeted prevention strategies that account for individual variability in momentary risk processes.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148829750","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":"Proof of Concept of Large Language Models for Opioid Treatment Policy Surveillance: 97% Agreement With Subject Matter Experts.","authors":"Barbara Andraka-Christou, Jae Park, Fatema Z Ahmed, Suhas Shewale, Tahira Yeasmeen, Thuy D Nguyen","doi":"10.15288/jsads.26-00035","DOIUrl":"10.15288/jsads.26-00035","url":null,"abstract":"<p><strong>Objective: </strong>Policy surveillance typically involves detailed, time-consuming manual screening of policies for inclusion in a final dataset. This screening process involves risks of human error and inconsistent application of inclusion/exclusion criteria, especially in complicated legal landscapes like the US opioid treatment landscape. Large language models (LLMs) could assist human subject matter experts (SMEs) during screening, but LLMs have been understudied for policy surveillance. Therefore, we conducted a test comparing opioid treatment policy screening decisions between SMEs and an LLM.</p><p><strong>Methods: </strong>Using a Boolean search string in legal software, we identified 99 potentially relevant Massachusetts policies for emergency department opioid addiction treatment, and we downloaded text from government websites. Next, we compared two approaches to screening those policies using pre-defined inclusion and exclusion criteria: (a) manual screening by three SMEs, and (b) an LLM approach. We assessed the overall percentage of inclusion/exclusion decisions where the LLM made the same decision as the SMEs. We also identified the percentage of policies selected for inclusion by the SMEs with which the LLM agreed and potential reasons for discrepancies.</p><p><strong>Results: </strong>The LLM made the same decision for 96 of 99 policies (97% of the time). All policies that SMEs chose to include (n=2) were also included by the LLM. Discrepancies reflected implicit inclusion and exclusion criteria used by SMEs but not provided to LLMs.</p><p><strong>Conclusion: </strong>LLMs could serve as a quality control check during opioid policy surveillance research, supplementing human review. The policy surveillance field would benefit from best practices and technical guidelines for LLM utilization.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13523798/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148794726","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":"Exceeding Intended Intoxication Predicts Lower Drinking at the Next Event Through Reduced Intoxication Intentions.","authors":"Jack T Waddell, Jennifer E Merrill","doi":"10.15288/jsad.26-00082","DOIUrl":"10.15288/jsad.26-00082","url":null,"abstract":"<p><strong>Objective: </strong>Social learning theory posits that direct experience shapes future cognition and behavior. Yet, it remains unclear how drinking experiences from one event influence intentions and behavior of the next drinking event. Exceeding intended levels of intoxication may motivate self-correction or adjustment of future intentions and behavior. However, this process may depend on positive or negative consequences experienced. Therefore, the current study examined whether exceeding intended intoxication and its associated consequences during a given drinking episode predicted intoxication intentions and drinking behavior of the next episode.</p><p><strong>Methods: </strong>Individuals engaging in high-intensity drinking (N=202) reported their intoxication intentions, drinking quantity, and positive and negative consequences experienced for 28 consecutive days via ecological momentary assessment.</p><p><strong>Results: </strong>Exceeding intoxication intentions on a given event predicted decreases in next-event intentions, which in turn predicted drinking behavior. Thus, there was an indirect effect of exceeding intoxication intentions on reduced next-event drinking operating through dampened next-event intoxication intentions. Relations remained after controlling for first-event intoxication intention levels alongside whether intentions were exceeded and were robust to several sensitivity analyses including additional covariates and novel methods of analysis. However, neither positive nor negative consequences predicted next-event intentions/drinking at the day-level nor moderated the effect of exceeding intoxication intentions.</p><p><strong>Conclusions: </strong>Exceeding intended intoxication appeared to lower next-event intentions, and drinking by proxy, highlighting a potential mechanism for self-correction in future intentions and behavior. Just-in-time interventions may benefit from leveraging past drinking experiences to shape subsequent intentions and behavior.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13588471/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148794707","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}