Substance Use & Misuse最新文献

{"title":"Three-Month Polysubstance Use Patterns Among People Enrolled in Outpatient Treatment for Methamphetamine Use.","authors":"Nina Pocuca, Gabrielle Campbell, Rhiannon Ellem, Grace Newland, Zoe Walter, Julie Dignan, Holly Stokes, Leanne Hides","doi":"10.1080/10826084.2024.2447437","DOIUrl":"https://doi.org/10.1080/10826084.2024.2447437","url":null,"abstract":"<p><strong>Background: </strong>Polysubstance use is common among people who use methamphetamine. This prospective study examined the three-month polysubstance use profiles among people enrolled in outpatient treatment for methamphetamine use and associated substance use, mental health, and treatment correlates.</p><p><strong>Method: </strong>The present study used routinely collected client-reported outcome measures data from <i>N</i> = 1,507 clients enrolled in outpatient treatment who reported methamphetamine as their primary drug of concern (<i>Mean age</i> = 34.48; SD = 8.68; 56% male). Past-month substance use was assessed at baseline, one-, and three-months.</p><p><strong>Findings: </strong>Repeated measures latent class analyses revealed four classes: (1) high and decreasing methamphetamine + stable moderate alcohol + stable high cannabis and daily tobacco (<i>n</i> = 474, 31.45%); (2) stable high methamphetamine + stable high alcohol and daily tobacco (<i>n</i> = 346, 22.96%); (3) low and decreasing methamphetamine + stable moderate daily tobacco (<i>n</i> = 322, 21.37%); (4) stable high methamphetamine + stable moderate daily tobacco (<i>n</i> = 365, 24.22%). Probability of using substances other than methamphetamine remained relatively stable for each class across time. Classes 1 and 4 had greatest severity of methamphetamine involvement at baseline and three-months. Class 1 had greater odds of experiencing moderate-to-severe depression and anxiety, and PTSD and psychosis, compared to class 3.</p><p><strong>Conclusion: </strong>Individuals enrolled in outpatient treatment who report methamphetamine as their primary drug of concern report distinct substance use patterns, although daily tobacco use was mostly ubiquitous. Polysubstance use was widespread, with 79% of participants having moderate-to-high probability of polysubstance use at all timepoints. Clients with the most severe polysubstance use had the highest rates of co-occurring psychopathology.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"1-11"},"PeriodicalIF":1.8,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142955576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Autistic Traits, Emotion Regulation, Social Anxiety, Drinking to Cope, and Problematic Alcohol Use: A Cross-Cultural Examination Among Young Adults from Seven Countries.","authors":"Cheryl L Dickter, Ingrid Chang, Joshua A Burk, Adrian J Bravo","doi":"10.1080/10826084.2024.2447435","DOIUrl":"https://doi.org/10.1080/10826084.2024.2447435","url":null,"abstract":"<p><strong>Background: </strong>Prior research suggests that individuals reporting autistic traits are at heightened risk for alcohol dependence once they begin drinking; thus, examining factors that may lead to problematic drinking in this population is imperative. Neurotypical college students higher in autistic traits tend to have more social anxiety, more challenges with social skills and communication, and weaker social adjustment than those lower in autistic traits, which are risk factors for problematic alcohol use.</p><p><strong>Objectives: </strong>The present study sought to assess whether university students with more autistic traits would report greater alcohol-related negative consequences, and whether this association would be indirectly influenced by social anxiety, emotion regulation, and drinking to cope. Students (<i>n</i>=3,756; 71.4% female) from 12 universities spanning seven countries completed questionnaires assessing autistic traits, social anxiety, emotion regulation, drinking to cope, and negative alcohol-related consequences.</p><p><strong>Results: </strong>Results from our comprehensive path model indicated that exhibiting more autistic traits was associated with higher social anxiety and distinct emotion regulation strategies (i.e., higher endorsement of expressive suppression and lower endorsement of cognitive reappraisal), which in turn were associated with more drinking to cope motives, which in turn was associated with more alcohol-related problems. These findings were consistent across gender and country groupings (i.e., test of model invariance).</p><p><strong>Conclusions: </strong>These results inform our understanding of how university students with higher autistic traits may develop problems with alcohol and our results may inform interventions or preventative efforts. Future research should examine longitudinal designs to further refine this model and establish temporal evidence of its trajectory.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"1-9"},"PeriodicalIF":1.8,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142955572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Role of Drinking Attitudes and Trait Impulsivity in Prenatal Alcohol Craving and Consumption in Mothers of Reproductive Age.","authors":"Yusuke Hayashi, Nicole M Fisher, Donald A Hantula, Yukiko Washio","doi":"10.1080/10826084.2024.2445854","DOIUrl":"https://doi.org/10.1080/10826084.2024.2445854","url":null,"abstract":"<p><p>Recognizing the severe consequences of alcohol consumption during pregnancy, such as fetal alcohol spectrum disorders (FASDs), the present study explored the role of drinking attitudes, trait impulsivity, and decision-making toward instant gratification in alcohol craving and consumption during pregnancy among mothers of reproductive age.</p><p><p>Utilizing participants from Amazon Mechanical Turk (<i>N</i> = 141), we first categorized mothers into three groups: those who neither craved nor consumed alcohol during their last pregnancy, those who craved but did not consume, and those who craved and consumed alcohol. Using binomial logistic regression, we then examined what factors, if any, could differentiate between (a) mothers who craved alcohol during pregnancy and those who did not and (b) mothers who resisted alcohol cravings and those who yielded to them.</p><p><p>The findings indicated that drinking attitudes significantly predicted alcohol craving during pregnancy. However, trait impulsivity emerged as a significant predictor of alcohol consumption among those who experienced cravings.</p><p><p>The present study contributes to a better understanding of psychological mechanisms underlying alcohol craving and consumption during pregnancy, which in turn may contribute to the development of targeted interventions for this problem.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"1-8"},"PeriodicalIF":1.8,"publicationDate":"2025-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142932394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"'I am a Drinker': A Content, Correlational, and Factor Analytic Study of Measures of Drinker Identity Among College Students.","authors":"Polly F Ingram, Peter R Finn","doi":"10.1080/10826084.2024.2447429","DOIUrl":"https://doi.org/10.1080/10826084.2024.2447429","url":null,"abstract":"<p><p>ABSTRACT Background: Drinker identity research has proliferated over the last decade, resulting in 10 self-report questionnaire measures of this construct. However, it is unknown to what extent these measures accurately reflect the theorized multi-dimensional conceptualization of drinker identity.</p><p><strong>Objectives: </strong>The current study set out to investigate and compare these different measures using content, correlational, and factor analyses. A content analysis is conducted to investigate dimensions captured within the 10 measures of drinker identity. Correlational and exploratory factor analyses on the items is conducted within a young adult sample (<i>n</i> = 1006). Descriptions of the measures, items, and factors within the measures are discussed.</p><p><strong>Results: </strong>Across the 10 measures, seven distinct factors were identified by the content analysis, and multi-dimensionality was confirmed by both the correlational and factor analyses. Factor analysis on all items yielded four interpretable factors representing generalized identity, relative identity importance, identity value/affect, and social identification.</p><p><strong>Conclusions: </strong>The results are discussed in terms of the multi-dimensional nature of drinker identity, the psychometric equivalence of the included measures, and further issues in defining and measuring drinker identity.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"1-9"},"PeriodicalIF":1.8,"publicationDate":"2025-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142932391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Peer E-Cigarette and Cannabis Use and Adolescent Anxiety: Findings from a Mixed-Methods Study.","authors":"Ryan Lee, Shirin Emma Herzig, Carla Michelle Ramirez, Daniel Soto, Jennifer B Unger","doi":"10.1080/10826084.2024.2446738","DOIUrl":"https://doi.org/10.1080/10826084.2024.2446738","url":null,"abstract":"<p><strong>Objective: </strong>Adolescents are typically motivated to conform to peer influence, including substance use behaviors, and it is likely that adolescents who deviate from their peers' substance use behaviors might experience stress and anxiety.</p><p><strong>Method: </strong>A mixed-methods approach was utilized to examine the relationship between peer e-cigarette and cannabis use and symptoms of generalized anxiety among a diverse sample of 12^th grade students in Los Angeles County, California, USA (<i>N</i> = 1,867, <i>M</i>_age = 17.04, SD = 0.43). Multivariable logistic regression models examined the associations between peer substance (e-cigarette and cannabis) use and anxiety. The interactions of prior e-cigarette and cannabis use on these relationships were also tested. Focus group data (<i>n</i> = 27) were analyzed to identify themes that could further inform the quantitative associations.</p><p><strong>Results: </strong>Peer cannabis use was associated with increased odds of moderate - severe generalized anxiety (OR = 1.47, <i>p</i> = 0.02), but peer e-cigarette use was not (OR = 1.20, <i>p</i> = 0.28). These relationships were moderated by prior history of e-cigarette and cannabis use (OR = 0.44, <i>p</i> = 0.02; OR = 0.31, <i>p</i> = 0.001, respectively). Focus group findings highlighted exposure to friends and peers using substances and having mixed feelings surrounding peer use, including feelings of anxiety and discomfort with being around friends using substances or deviating from their friends' substance use behaviors.</p><p><strong>Conclusion: </strong>These findings highlight the difficulties for teens navigating peer relationships and peer influence as their friends decide to participate in risky behaviors. Better health programs and interventions addressing peer influence, advocacy, and respecting one's decision to not use substances is needed.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"1-11"},"PeriodicalIF":1.8,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142923255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examining the Relationship between Culture and Perceived Societal Substance Use Stigma in a Michigan-Based Mental Health & Addiction Focused Community.","authors":"Mayson K Whipple, Hannah Boyke, Robert C Ferrier, Pilar S Horner","doi":"10.1080/10826084.2024.2422948","DOIUrl":"10.1080/10826084.2024.2422948","url":null,"abstract":"<p><p><i>Introduction:</i> Substance use disorder (SUD) stigma undermines the implementation of effective harm reduction and treatment strategies in the U.S. and can impede individuals from seeking treatment. One research question guided this study: How do personal beliefs regarding SUD, familiarity with SUDs, and culture (religion, political ideology, and urbanicity), shape perceived societal SUD stigma? <i>Methods:</i> An online survey was sent to affiliates of a Michigan-based organization, Families Against Narcotics and administrators of Michigan Prepaid Inpatient Health Plan regional entities (<i>N</i> = 1,559). <i>Results:</i> On average respondents viewed society as moderately stigmatizing. The beliefs that drug users can stop whenever they want and that drug users have weak character were significantly associated with greater perceived levels of societal SUD stigma. The effects of religion on perceived stigma may be affected by beliefs of the immorality of drug use, while the effects of political ideology on perceived stigma may differ based on beliefs of the controllability of drug use. The effect of urbanicity may rely on perceived accessibility of treatment. <i>Conclusion:</i> Our findings reflect the intersection of personal beliefs and cultural contexts as they shape perceived societal SUD stigmatization.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"176-187"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142584381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"Drug Use with Racism…The Reason I Wanted to Do This Study\": Perceptions of Race and Racism's Impact on Drug Use among Black Americans Using Opioids.","authors":"Natalie Malone, Gabriella R Pitcher, Destin L Mizelle, Paris Wheeler, Brittany Miller-Roenigk, Kendall A McCleod, Mekaila Keeling, Tristan Ntego, Candice N Hargons, Danelle Stevens-Watkins","doi":"10.1080/10826084.2024.2423371","DOIUrl":"10.1080/10826084.2024.2423371","url":null,"abstract":"<p><p><b>Background</b>: Several studies link racism with drug use disparities among systemically marginalized populations. However, few invite Black Americans to discuss how they perceive racism's impact on their drug use. <b>Objectives</b>: To examine qualitative accounts from N=40 Black adults reporting non-medical prescription opioid use on their experiences of racism and drug use. <b>Results</b>: A deductive structural tabular thematic analysis informed by Jones's (2000) levels of racism resulted in two themes: (a) Experiences of Racism (subthemes: Denying Experiences of Racism and Endorsing Experiences of Racism) and (b) Race, Racism, and Drug Use (subthemes: Rejecting Race and Racism's Impact on Drugs and Rejecting Race and Racism's Impact on Drugs). <b>Conclusions</b>: Participants provided examples of internalized, personally mediated, and institutionalized racism associated with their drug use. Implications for policy, practice, and research are discussed. Specifically, implications detail how to center Black Americans and demonstrate anti-racism when developing treatment strategies and drug policies.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"265-275"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142590600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Need Frustration and E-Cigarette Use and Dependence Among College Students: The Mediating Role of Ruminative Thinking.","authors":"Folly Folivi, Anna M Petrey, Adrian J Bravo, Laura J Holt, Alison Looby","doi":"10.1080/10826084.2024.2422951","DOIUrl":"10.1080/10826084.2024.2422951","url":null,"abstract":"<p><p><i>Background</i>: The prevalence and dependence of e-cigarettes have increased among young adult college students in recent years. Though several independent risk factors for e-cigarette use and dependence have been identified, research employing theory-informed models to predict e-cigarette use and dependence is limited. <i>Objectives</i>: Using Self Determination Theory (SDT), e-cigarette use and dependence may be understood as stemming from need frustration that impairs autonomy, competence, and relatedness, which increases vulnerability for negative health outcomes, including e-cigarette use. Further, need frustration may relate to more e-cigarette use and dependence via higher ruminative thinking, which is known to relate to both need frustration and tobacco use. <i>Method</i>: This study tested this path model (i.e., SDT need frustration components [autonomy, relatedness, competency]→rumination facets [problem-focused thoughts, counterfactual thinking, repetitive thinking, anticipatory thoughts]→e-cigarette use frequency and dependence outcomes) among 1001 college students (75.3% female; 60.4% White, non-Hispanic; 52% first-year students) who endorsed past-month e-cigarette use. <i>Results</i>: Within our path model, we found significant indirect effects via problem-focused thoughts on e-cigarette use frequency and e-cigarette dependence. Specifically, higher scores on SDT autonomy, competence, and relatedness frustration were associated with greater problem-focused thoughts, which was associated with higher e-cigarette use frequency and e-cigarette dependence scores. <i>Conclusions/Importance</i>: Results highlight the importance of distinguishing between the unique facets of rumination in understanding relations with e-cigarette use. Further intervention research targeting need frustration and ruminative thinking (particularly problem-focused thoughts) among college student e-cigarette-dependent users is needed.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"202-210"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142606458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cognitive Enhancers Consumption: Prevalence, Knowledge, and Determinants of Use Among Medical Students in Egypt, Sudan, and Jordan.","authors":"Yousef Hawas, Motasem Ayoub, Esraa Esmail, Mona Mahmoud Elsakka, Marina Antonios, Andrew Azeez, Shereen Gahlan, Fatima Hamadein, Yasmeen Alabdallat, Mirna Maged Armanyos, Danya Mustafa Ibrahim, Hussam Adam Ishag, Mohamed Mahmoud Qassem, Areen Anwer Melhem, Mai Alaaeldin Elsebaie, Farah Riyad Mohamed, Leen Mohammad Alhanandeh, Hadeel Mohammad Abusaifan","doi":"10.1080/10826084.2024.2434001","DOIUrl":"10.1080/10826084.2024.2434001","url":null,"abstract":"<p><strong>Background: </strong>Cognitive Enhancers (CE) are central nervous system stimulant substances known to improve cognitive functions. Due to high-perceived stress and academic pressure, CEs are becoming increasingly popular among medical students. As a result, they are more likely to misuse these substances.</p><p><strong>Objectives: </strong>This study aims to estimate the prevalence of CE consumption, compare the prevalence between countries and genders, and identify characteristics associated with CE consumption among students at medical schools in Egypt, Sudan, and Jordan.</p><p><strong>Method: </strong>A population-based survey study was conducted among medical students from Egypt, Sudan, and Jordan. An online self-reported questionnaire was used to collect data. Frequencies and percentages were calculated to represent participant distribution across categories. Chi-square was used for categorical variables comparisons. All tests were two-tailed, considering <i>p</i> < 0.05 statistically significant. Demographic characteristics, reasons for use, types of CE used, and side effects were compared by country and gender.</p><p><strong>Results: </strong>A total sample of 1399 participated in the questionnaire, most of whom were females 824 (58.9%). Overall, 1236 (88.3%) were CE consumers, and 163 (11.7%) were non-consumers. Of the respondents who used CE, 814 (58.2%) reported using them daily. There was a statistically significant difference between the consumption of CE and the source of acquisition, nationality, and residence status regarding gender.</p><p><strong>Conclusions: </strong>Our findings suggest that CE use is increasing among medical students in Egypt, Sudan, and Jordan. Efficient support, stress management programs, and awareness symposia may help reduce the misuse of these substances. Future longitudinal studies are still required.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"436-441"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142751728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cannabis Use and Cannabis Use Disorder Among U.S. Adults with Psychiatric Disorders: 2001-2002 and 2012-2013.","authors":"Deborah S Hasin, Zachary L Mannes, Ofir Livne, David S Fink, Silvia S Martins, Malki Stohl, Mark Olfson, Magdalena Cerdá, Katherine M Keyes, Salomeh Keyhani, Caroline G Wisell, Julia M Bujno, Andrew Saxon","doi":"10.1080/10826084.2024.2423374","DOIUrl":"10.1080/10826084.2024.2423374","url":null,"abstract":"<p><strong>Background: </strong>Rates of cannabis use disorder (CUD) have increased disproportionately among Veterans Administration (VA) patients with psychiatric disorders compared to patients with no disorder. However, VA patient samples are not representative of all U.S. adults, so results on disproportionate increases in CUD prevalence could have been biased. To address this concern, we investigated whether disproportionate increases in the prevalence of cannabis outcomes among those with psychiatric disorders would replicate in nationally representative samples of U.S. adults.</p><p><strong>Methods: </strong>Data came from two national surveys conducted in 2001-2002 (<i>n</i> = 43,093) and 2012-2013 (<i>n</i> = 36,309). Outcomes were any past-year non-medical cannabis use, frequent non-medical use (≥3 times weekly), and DSM-IV CUD. Psychiatric disorders included mood, anxiety and antisocial personality disorders. Logistic regression was used to generate predicted prevalences of the outcomes, prevalence differences calculated and additive interactions compared differences between those with and without psychiatric disorders.</p><p><strong>Results: </strong>Cannabis outcomes increased more among those with psychiatric disorders. The difference in prevalence differences included any past-year non-medical cannabis use, 2.45% (95%CI = 1.29-3.62); frequent non-medical cannabis use, 1.58% (95%CI = 0.83-2.33); CUD, 1.40% (95%CI = 0.58-2.21). For most specific disorders, prevalences increased more among those with the disorder.</p><p><strong>Conclusions: </strong>In the U.S. general population, rates of cannabis use and CUD increased more among adults with psychiatric disorders than other adults, similar to findings from VA patient samples. Results suggest that although VA patients are not representative of all U.S. adults, findings from this important patient group can be informative. Greater clinical and policy attention to CUD is warranted for adults with psychiatric disorders.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"285-292"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11710973/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142628666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}