Journal of studies on alcohol and drugs最新文献

{"title":"Delivering MOUD to the Underserved: How Can Pharmacies Really Help?","authors":"David H Gustafson, Todd Molfenter, Thomas Kunes, Lisa Langdon, Michael Koplin, Francis Parker, Kasia Branny, Udi Ghitza, Gavin Bart","doi":"10.15288/jsad.24-00150","DOIUrl":"10.15288/jsad.24-00150","url":null,"abstract":"","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":"759-764"},"PeriodicalIF":2.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11533931/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141590604","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":"Order of Cannabis and Alcohol Use on Pregaming and Non-Pregaming Days Among College Students.","authors":"Eric R Pedersen, Reagan E Fitzke, Toni Atieh, Denise D Tran, Jordan P Davis, Rachel L Gunn, Lauren Micalizzi, Mark A Prince","doi":"10.15288/jsad.23-00043","DOIUrl":"10.15288/jsad.23-00043","url":null,"abstract":"<p><strong>Objective: </strong>Pregaming is common among college students and is associated with heavy drinking and negative alcohol-related consequences. The use of cannabis on pregaming days may exacerbate negative alcohol-related consequences, and the ordering of when cannabis is used on these days may buffer against or intensify these consequences. Considering the growing rates of simultaneous use of cannabis and alcohol among college students, it is necessary to examine the role of pregaming behaviors in the context of cannabis use and its effects on alcohol-related consequences.</p><p><strong>Method: </strong>In the present study, college students (<i>N</i> = 485) completed a baseline survey and 14 days of daily surveys, reporting on daily alcohol and cannabis use and alcohol-related negative consequences. Multilevel structural equation models were fit to evaluate cannabis outcomes on pregaming versus non-pregaming drinking days and ordering effects on alcohol-related consequences, controlling for number of drinks, age, and sex.</p><p><strong>Results: </strong>Across all drinking days, pregaming on that day as well as cannabis use during drinking on that day were associated with a greater risk for alcohol-related consequences. On days that did not involve pregaming, the use of cannabis before drinking was associated with a greater risk for negative alcohol-related consequences, whereas cannabis use after drinking was associated with less risk for consequences. These effects were observed on non-pregaming days only and not on days with pregaming.</p><p><strong>Conclusions: </strong>Findings have implications for brief interventions with students, as analyses suggested that both cannabis use and pregaming--independent of number of drinks consumed--are risky behaviors associated with alcohol-related consequences.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":"728-736"},"PeriodicalIF":2.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11533921/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140189824","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":"Daily Associations Between Injunctive Drinking Norms and Alcohol Consumption.","authors":"Olivia M Warner, Anna M Porter, Timothy J Trull, Denis M McCarthy","doi":"10.15288/jsad.23-00250","DOIUrl":"10.15288/jsad.23-00250","url":null,"abstract":"<p><strong>Objective: </strong>Perception of others' approval of alcohol use (i.e., injunctive drinking norms) is strongly predictive of alcohol use, particularly among young adults. Although between-person injunctive norms predict alcohol use, there is evidence of within-person fluctuations in the relationship between norms and drinking. The current study used ecological momentary assessment (EMA) to test within-person, day-level associations between injunctive norms and alcohol use and to test whether social context moderated this association.</p><p><strong>Method: </strong>Participants (<i>n</i> = 83, <i>M</i> age = 24.0 years, 50.9% female) completed a 2-week EMA protocol using a smartphone application. Injunctive norms, social context (type and gender of companions), and number of drinks consumed were assessed each morning following a drinking event. Multilevel models with repeated measures nested within participants tested main effects and interactions of between- and within-person injunctive norms, type of drinking companions, and gender of drinking companions on the number of drinks consumed.</p><p><strong>Results: </strong>Day-level injunctive norms were positively associated with drinking quantity over and above baseline norms. The effect of norms differed by social context, such that norms were only positively related to drinking quantity when drinking with a friend or romantic partner (vs. drinking alone). The gender of friends with whom participants drank did not moderate the effect of norms on quantity.</p><p><strong>Conclusions: </strong>This study provides one of the first examinations of daily fluctuations in injunctive drinking norms. Because norms represent a malleable target for intervention, results offer new information regarding possible intervention targets.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":"737-741"},"PeriodicalIF":2.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11533927/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140336114","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":"Intellectual Property of Psychedelics for Addiction Treatment: Enabling Access and Protecting Innovation Opportunities Through Preserving the Public Domain.","authors":"Sisi Li, Taylor Kurtzweil, Shahin Shams, Amanda Pratt, Sean Rudi","doi":"10.15288/jsad.22-00425","DOIUrl":"10.15288/jsad.22-00425","url":null,"abstract":"<p><strong>Objective: </strong>Recent research has shown potential for psychedelic therapeutics as addiction treatments; however, some academic institutions, commercial entities, and individuals are attempting to monopolize psychedelic compounds through exploiting the patent process.</p><p><strong>Method: </strong>This Perspective article describes efforts that have been devised to mitigate exclusionary patent practices pertinent to psychedelic therapeutics for addiction.</p><p><strong>Results: </strong>The nonprofit Porta Sophia has identified 170 patent documents focused on treating addiction through psychedelics, and many of these patents could threaten to privatize public domain knowledge and severely limit or increase the cost of research if granted. Patent examiners who determine if a patent application should be granted must negate false claims to innovation. Yet, given the unique history of psychedelics, prior knowledge can be difficult to find. As a result, overreaching patents may be granted, causing dramatic shifts in access to addiction-focused psychedelic research, treatments, and funding.</p><p><strong>Conclusions: </strong>As the field of psychedelics approaches this crucial inflection point of U.S. Food and Drug Administration decisions, it is imperative for all stakeholders--including university investigators, academic and commercial patent seekers, and policymakers--to use available tools for determining prior knowledge. Maintaining an informed awareness of legal patent eligibility and limitations is crucial for establishing an ethical patent landscape and ensuring subsequent access to these potential life-altering psychedelic therapeutics for addiction.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":"589-594"},"PeriodicalIF":2.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41141984","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":"Examining the Role of Alcohol and Cannabis Use Patterns in Bystander Opportunity and Behavior for Sexual and Relationship Aggression.","authors":"Ruschelle M Leone, Michelle Haikalis, Tiffany L Marcantonio, Grisel García-Ramírez, Nicole K Mullican, Lindsay M Orchowski, Kelly Cue Davis, Debra L Kaysen, Amanda K Gilmore","doi":"10.15288/jsad.23-00229","DOIUrl":"10.15288/jsad.23-00229","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate the association between alcohol and cannabis use patterns and bystander intervention for sexual and relationship violence risk among college students who have used cannabis in the past year. The study tested two hypotheses: (1) Reports of bystander opportunities will differ based on participants' alcohol and cannabis use patterns, and (2) among those who report bystander opportunities, reports of bystander behaviors will differ based on their alcohol and cannabis use patterns.</p><p><strong>Method: </strong>Participants were 870 students recruited from two large, minority-serving universities in the United States who reported past-year cannabis use. Participants reported their typical alcohol and cannabis use patterns and bystander opportunities and behaviors. Students were grouped for analysis based on their reported average substance use into four groups: alcohol and cannabis use on the same day, alcohol use only, cannabis use only, or no use.</p><p><strong>Results: </strong>Students who reported alcohol and cannabis use on the same day, compared with those who reported alcohol use only, reported more bystander opportunities and behaviors in situations at risk for sexual and relationship violence. Compared with alcohol use only, students who reported only using cannabis or no use reported fewer bystander opportunities and behavior related to keeping others safe in party settings.</p><p><strong>Conclusions: </strong>Alcohol and cannabis use patterns are associated with bystander intervention, emphasizing the need to include knowledge about cannabis and co-use in bystander programming that aims to reduce sexual and relationship violence.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":"636-642"},"PeriodicalIF":2.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11533926/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140039691","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":"The Burden of Alcohol-Related Caring for Others in Australia in the 2021 Pandemic Period.","authors":"Heng Jiang, Koen Smit, Dan Anderson-Luxford, Bree Willoughby, J Adamm Ferrier, Amany Tanyos, Robin Room, Anne-Marie Laslett","doi":"10.15288/jsad.23-00261","DOIUrl":"10.15288/jsad.23-00261","url":null,"abstract":"<p><strong>Objective: </strong>The magnitude of caring for others because of excessive alcohol use is unclear in Australia and internationally. This study explores the prevalence, sociodemographic predictors, and consequences of informal care for others because of alcohol use.</p><p><strong>Method: </strong>A survey on harm from others' drinking was conducted among 2,574 Australian adults in November 2021 from national random digit dial and \"Life in Australia\" panel samples to elicit representative data. Respondents who indicated that they had \"heavy drinker/s\" in their lives (<i>n</i> = 1,585) were asked about their experience of caring for these drinkers and their dependents in the last 12 months. Weighted logistic and linear regressions examined (a) sociodemographic factors associated with informal care because of others' drinking and (b) the impact of the caregiving burden on the caregiver's financial status, overall health, and quality of life.</p><p><strong>Results: </strong>Overall, 20% of participants reported caregiving responsibilities arising from others' drinking. Older age, unemployment, residing in capital cities, and reporting birth in a non-English-speaking background country were associated with a reduced likelihood of caregiving. In contrast, higher education and more frequent risky drinking were associated with an increased likelihood. Caregivers reported significantly higher financial disadvantage, a lower quality of life, and poorer overall health.</p><p><strong>Conclusions: </strong>One in five adults reported caring for drinkers in the previous 12 months, and this was associated with negative consequences for those providing care. Service providers, health promotion practitioners, and policymakers should focus on younger age groups, those who live in regional areas, and those born in Australia who are at greater risk of being burdened by caregiving because of others' alcohol use.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":"648-657"},"PeriodicalIF":2.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140039692","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 Messages Conveying Parental Drinking Limits: A Potential Avenue for Preventing and Reducing Alcohol Use in College Students.","authors":"Bradley M Trager, Oliver J Hatch, Reed M Morgan, Sarah C Boyle, Frank T Materia, Joseph W LaBrie","doi":"10.15288/jsad.23-00263","DOIUrl":"10.15288/jsad.23-00263","url":null,"abstract":"<p><strong>Objective: </strong>Although previous research has established that students who perceive that their parents have lower drinking limits on underage drinking consume less alcohol, optimal approaches for effectively communicating these limits are less understood. To address this gap in the literature, the present study examined the effects of hypothetical limit-focused text messages on estimated drinking behavior.</p><p><strong>Method: </strong>Undergraduate college students (<i>N</i> = 253) completed an online survey in which they were instructed to imagine a scenario in which they were planning to go out at night to an event involving drinking. Participants were randomly assigned to a condition in which they would receive one of four hypothetical text messages from their mother and/or father containing a range of drinking limits. They were then asked to report how much alcohol they would realistically consume on this night if they were and were not obligated to check in with their parent at the end of the night.</p><p><strong>Results: </strong>Hypothetical text messages from mothers and fathers containing lower drinking limits resulted in lower estimated alcohol consumption. A drinking limit of zero resulted in the least amount of expected alcohol consumption, but specifying 1-2 drinks as a limit might produce a similar effect if parents also required their student to check in at the end of the night.</p><p><strong>Conclusions: </strong>Findings from this study provide initial support for future studies to investigate the effects of limit-setting text messages sent from parents on college student drinking as well as the effects of text messages sent from parents requiring that students check in.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":"667-673"},"PeriodicalIF":2.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11533930/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140336116","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":"Ayahuasca Treatment Outcome Project (ATOP): One-Year Results from Takiwasi Center and Implications for Psychedelic Science.","authors":"Brian Rush, Olivia Marcus, Sara García, Anja Loizaga-Velder, Ariane Spitalier, Fernando Mendive","doi":"10.15288/jsad.23-00005","DOIUrl":"10.15288/jsad.23-00005","url":null,"abstract":"<p><strong>Objective: </strong>This article focuses on the outcomes at 1 year post-treatment of a naturalistic evaluation of services provided through the Takiwasi Centre, an accredited Peruvian therapeutic community offering an ayahuasca-assisted, integrative treatment program for addiction rehabilitation.</p><p><strong>Method: </strong>Participants (<i>n</i> = 52) completed structured interviews and a battery of validated instruments. Outcome measures included the Addiction Severity Index (Version 5), the Beck Anxiety and Depression Inventories, the World Health Organization Quality of Life Brief Version (WHOQOL-BREF), and the World Health Organization Quality of Life Spiritual Religious and Personal Belief (WHOQOL-SRPB) scale. Likert rating scales were used to assess perceived importance and significance of different aspects of the program and overall participant satisfaction.</p><p><strong>Results: </strong>The group change from baseline to the 1-year follow-up was significant and in the anticipated direction for alcohol and drug use severity, depression and anxiety, and some dimensions of quality of life. There was considerable individual variation in outcomes and treatment duration. The majority of participants rated all aspects of the program as important, including the spiritual and therapeutic significance of the ayahuasca experience, which was rated as very significant.</p><p><strong>Conclusions: </strong>Based on the positive 1-year outcomes, and within the limitations of an uncontrolled observational study design, the findings suggest promise for the effectiveness of the use of ayahuasca in a multifactorial treatment context for individuals with significant treatment histories, high levels of comorbidity, and treatment motivation. Results highlight considerable variation in individual experience that merit in-depth qualitative analysis. Implications for ayahuasca-assisted and other psychedelic-assisted treatment alternatives are discussed.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":"607-618"},"PeriodicalIF":2.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11533928/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10106417","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":"Purging to Cleanse: A Qualitative Study of Ayahuasca Healing at a Drug Treatment Center in Peru.","authors":"Svět Lustig Vijay, Magdalena Harris, Fabio Friso, Matteo Politi","doi":"10.15288/jsad.22-00429","DOIUrl":"10.15288/jsad.22-00429","url":null,"abstract":"<p><strong>Objective: </strong>Ayahuasca, an entheogen from the Amazon rainforest, has garnered growing interest for treating substance dependence. To date, there is little research concerning the act of ayahuasca-related purging (mainly vomiting), which is considered to be central to healing during ayahuasca rituals. This study explored practitioner perspectives on purging during ayahuasca rituals at the Takiwasi Center in Peru.</p><p><strong>Method: </strong>We conducted in-depth interviews with <i>curanderos</i> (healers), plant preparers, and psychotherapists (<i>N</i> = 11) at the Takiwasi Center between August and October 2021. Interviews were conducted and transcribed in Spanish. Interviews were analyzed using a thematic analysis approach.</p><p><strong>Results: </strong>Participants described purging as a fluid concept that went beyond the act of vomiting. Participant narratives around purging were organized into three central themes or accounts: spiritual-oriented, which highlighted the relationship between purging and spiritual development; Amazonian-oriented, which emphasized purging as a cathartic expulsion of embodied <i>cargas</i> (loads) that are perceived to lead to sickness; and clinical-oriented, which stressed that purging generates a range of empirically observable therapeutic benefits. All of these explanatory models emphasized the pivotal interconnection between purging and healing during ayahuasca-assisted treatment for substance dependence at Takiwasi.</p><p><strong>Conclusions: </strong>This study highlights practitioner perspectives on purging at the Takiwasi Center, who offer three main explanatory models for this aspect of healing during ayahuasca-assisted therapy for substance dependence. This research contributes to the limited literature on the role of purging in ayahuasca-related healing, which may inform further investigation into differential understandings of the role of purging for therapeutic benefits.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":"619-626"},"PeriodicalIF":2.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141306232","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":"A Within-Person Examination of Alcohol-Involved and Non-Alcohol-Involved Internal and External Sexual Consent Communication.","authors":"Tiffany L Marcantonio, Chunhua Cao, Ruschelle M Leone, Karen Cropsey","doi":"10.15288/jsad.23-00260","DOIUrl":"10.15288/jsad.23-00260","url":null,"abstract":"<p><strong>Objective: </strong>External consent communication and internal consent feelings may be influenced by alcohol consumption. However, whether the way someone communicates sexual consent differs when alcohol is or is not involved is not well understood. The goal of this study was to assess the within- and between-person effects of alcohol use, gender, and sexual identity on internal and external consent.</p><p><strong>Method: </strong>Young adults (<i>n</i> = 375) completed a 10-minute web-administered survey about their internal and external consent in a recent alcohol- and non-alcohol-involved sexual encounter. External consent included five different behaviors to communicate consent. We conducted a repeated-measures analysis of variance to assess the within- and between-person effects of alcohol use, gender, and sexual identity on internal and external consent.</p><p><strong>Results: </strong>Internal consent did not differ across sexual experiences or identities. In alcohol-involved encounters, there was a decreased use of implicit communication. Heterosexual women used more verbal communication during alcohol encounters than during sober encounters. Compared with men, women used more nonverbal and implicit communication across encounters.</p><p><strong>Conclusions: </strong>Alcohol use did not influence internal consent and was associated with a reduced use of implicit communication. The disinhibiting effects of alcohol may lead people to feel more confident and open about expressing their sexual desires. Affirmative consent initiatives can use findings to encourage more clear communication and continue to educate on gender differences in sexual consent.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":"627-635"},"PeriodicalIF":2.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11533924/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140189821","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}