Addictive Behaviors Reports最新文献

{"title":"Association between different modalities of opioid use disorder-related care delivery and opioid use disorder-related patient outcomes: A retrospective cohort study","authors":"Nahiyan Bin Noor ,&nbsp;George Pro ,&nbsp;Mahip Acharya ,&nbsp;Hari Eswaran ,&nbsp;Corey J. Hayes","doi":"10.1016/j.abrep.2025.100588","DOIUrl":"10.1016/j.abrep.2025.100588","url":null,"abstract":"<div><h3>Objective</h3><div>This study assessed the impact of different modalities of delivery of opioid use disorder (OUD)-related care on several patient outcomes.</div></div><div><h3>Methods</h3><div>This study was conducted among patients newly diagnosed with OUD and receiving OUD-related care between March 2020 and March 2022, using data from Epic Cosmos. We examined the association between the most common modality of OUD-related care delivery (audio-only vs. audiovisual vs. in-person) and the number of emergency department (ED) visits for any overdose and opioid-specific overdose and receipt of medication treatment for OUD (MOUD; primary). We also examined the association between the most common modality of OUD-related care delivery and all-cause ED visits, hospitalizations, and psychiatric-related hospitalizations (secondary outcomes). We estimated logistic regression for receipt of MOUD and negative binomial for all other outcomes.</div></div><div><h3>Results</h3><div>Most patients primarily received OUD-related care in person (87.6 %, n = 159,351), followed by audiovisual visits (11.3 %, n = 20,629) and audio-only visits (1.1 %, n = 1,869). The mean (SD) ages for these groups were 51.7 (15.9), 47.1 (15.0), and 51.1 (15.8) years, respectively. Compared to receiving OUD-related care primarily in-person, receiving care predominantly through audio-only or audiovisual visits was associated with a modest decrease in number of all-cause ED visits. Receiving OUD-related care primarily through audiovisual visits, compared to in-person care, was associated with a slight increase in the odds of receiving MOUD. No statistically significant differences were found between the care delivery modalities and the other outcomes we examined.</div></div><div><h3>Conclusion</h3><div>Telehealth, delivered via audio-only or audiovisual methods, appears to provide care of similar quality to in-person OUD care and may modestly reduce OUD-related ED visits while slightly increasing MOUD receipt. These findings support continued delivery of OUD-related care through telehealth and continuation of COVID-19-related policies.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"21 ","pages":"Article 100588"},"PeriodicalIF":0.0,"publicationDate":"2025-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143210131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intersectionality in substance use disorders: Examining gender, race/ethnicity, and sexual orientation in the 2021–2022 National Survey on Drug Use and Health","authors":"Marvin A. Schilt-Solberg ,&nbsp;Lisa M. Blair ,&nbsp;Julie A.M.J. Kurzer","doi":"10.1016/j.abrep.2025.100587","DOIUrl":"10.1016/j.abrep.2025.100587","url":null,"abstract":"<div><h3>Objective</h3><div>This study examines the impact of the intersection of gender, racial/ethnic identity, and sexual orientation among adults on substance use disorders (SUDs) from 2021 to 2022.</div></div><div><h3>Method</h3><div>We conducted an analysis of persons (ages 18 and older) who responded to the 2021 and 2022 National Survey on Drug Use and Health (NSDUH). Logistic regression models were constructed to examine odds of past-year SUDs at the intersection of gender, sexuality, and race/ethnicity. All analyses were design-corrected to enhance population representativeness and generalizability.</div></div><div><h3>Results</h3><div>Prevalence varied by race/ethnicity and sexual orientation across both sexes (total <em>n</em> = 83,722). Non-Hispanic multiracial lesbian/gay individuals had the highest prevalence of any SUD in both sexes (46.6 % in women, 52.3 % in men). Bisexual women showed consistently elevated odds of SUD across most racial/ethnic groups (aORs 1.48–2.99) compared to White heterosexual women. Men had higher prevalence of SUD than women (21.1 % compared to 15.0 %, <em>p &lt; 0</em>.0001). Only White gay and bisexual men had significantly increased odds for any SUD compared to heterosexual White men (aOR 1.73 and 1.57, respectively). White bisexual men had higher odds of reporting cannabis use disorder (CUD; aOR 1.87). Hispanic men demonstrated lower odds of any SUD or CUD (aORs 0.85 and 0.71, respectively).</div></div><div><h3>Conclusion</h3><div>Women demonstrated more pronounced SUD disparities between intersectional identity. While men had higher SUD prevalence overall, few disparities were observed between intersectional identities. To effectively address these disparities and their consequences (e.g., differential minority stress and mental/physical health outcomes), prevention and intervention efforts should prioritize an intersectionality approach.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"21 ","pages":"Article 100587"},"PeriodicalIF":0.0,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143137810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mental imagery in the context of online compulsive buying-shopping disorder: The role of pleasure and relief","authors":"Annika Brandtner ,&nbsp;Matthias Brand ,&nbsp;Astrid Müller","doi":"10.1016/j.abrep.2025.100586","DOIUrl":"10.1016/j.abrep.2025.100586","url":null,"abstract":"<div><h3>Background</h3><div>The rise of e-commerce has led to an increase in online compulsive buying-shopping disorder (OCBSD), an addictive disorder potentially driven by preoccupations like mental imagery, yet their occurrence and predictors have not been thoroughly explored.</div></div><div><h3>Methods</h3><div>This study investigated the expression of and associations with mental imagery in women with pathological (<em>n</em> = 56) or non-problematic buying-shopping (<em>n</em> = 56) applying hierarchical regression analyses. Participants were classified based on a structured diagnostic interview, completed self-report questionnaires assessing experiences of gratification and compensation during shopping, and a 14-day end-of-day ambulatory assessment, evaluating mental imagery intensity.</div></div><div><h3>Results</h3><div>Women with pathological buying-shopping reported significantly more intense shopping-specific mental imagery compared to women with non-problematic buying-shopping. Mental imagery was significantly predicted only by compensatory experiences in the pathological buying-shopping group with medium effect sizes.</div></div><div><h3>Discussion</h3><div>The findings suggest that in OCBSD, mental images likely arise from to the anticipated effects of relief, possibly indicating a maladaptive coping strategy.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"21 ","pages":"Article 100586"},"PeriodicalIF":0.0,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143137811","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Influence of binge drinking on the resting state functional connectivity of university Students: A follow-up study","authors":"Samuel Suárez-Suárez ,&nbsp;Fernando Cadaveira ,&nbsp;Alfonso Barrós-Loscertales ,&nbsp;José Manuel Pérez-García ,&nbsp;Socorro Rodríguez Holguín ,&nbsp;Javier Blanco-Ramos ,&nbsp;Sonia Doallo","doi":"10.1016/j.abrep.2025.100585","DOIUrl":"10.1016/j.abrep.2025.100585","url":null,"abstract":"<div><div>Binge Drinking (BD) is characterized by consuming large amounts of alcohol on one occasion, posing risks to brain function. Nonetheless, it remains the most prevalent consumption pattern among students. Cross-sectional studies have explored the relationship between BD and anomalies in resting-state functional connectivity (RS-FC), but the medium/long-term consequences of BD on RS-FC during developmental periods remain relatively unexplored. In this two-year follow-up study, the impact of sustained BD on RS-FC was investigated in 44 college students (16 binge-drinkers) via two fMRI sessions at ages 18–19 and 20–21. Using a seed-to-voxel approach, RS-FC differences were examined in nodes of the main brain functional networks vulnerable to alcohol misuse, according to previous studies. Group differences in RS-FC were observed in four of the explored brain regions. Binge drinkers, compared to the control group, exhibited, at the second assessment, decreased connectivity between the right SFG (executive control network) and right precentral gyrus, the ACC (salience network) and right postcentral gyrus, and the left amygdala (emotional network) and medial frontal gyrus/dorsal ACC. Conversely, binge drinkers showed increased connectivity between the right Nacc (reward network) and four clusters comprising bilateral middle frontal gyrus (MFG), right middle cingulate cortex, and right MFG extending to SFG. Maintaining a BD pattern during critical neurodevelopmental years impacts RS-FC, indicating mid-to-long-term alterations in functional brain organization. This study provides new insights into the neurotoxic effects of adolescent alcohol misuse, emphasizing the need for longitudinal studies addressing the lasting consequences on brain functional connectivity.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"21 ","pages":"Article 100585"},"PeriodicalIF":0.0,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11787028/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impacts of stigma and discrimination on people with obesity who smoke cigarettes","authors":"Liza A. Kolbasov ,&nbsp;Arryn A. Guy ,&nbsp;Cara M. Murphy","doi":"10.1016/j.abrep.2024.100582","DOIUrl":"10.1016/j.abrep.2024.100582","url":null,"abstract":"<div><div>Stigma is the state of social devaluation due to a trait or group identity; weight and smoking-based self-, felt-, and enacted stigma may have detrimental health effects and pose barriers to smoking cessation. This study examined associations between stigma, discrimination, and health for people with overweight or obesity (body mass index [BMI] ≥ 25) who smoke cigarettes (cigarettes smoked/day ≥ 5) who reported interest in quitting smoking and minimizing weight gain. Participants (<em>N</em> = 63; predominantly women (81.0 %), White (63.5 %) or Black/African American (31.7 %), and heterosexual (85.7 %) with 50 % having a yearly income below $50,000) completed the measures of stigma (i.e., Weight Bias Internalization Scale and Internalized Stigma of Smoking Inventory), discrimination (i.e., Everyday Discrimination Scale), and symptoms of depression, weight, smoking, nicotine dependence, and concerns about gaining weight while quitting smoking were measured. Those who reported more internalization of weight bias and more everyday discrimination reported greater depressive symptomatology and greater concern about gaining weight while quitting smoking, with depressive symptomatology fully mediating both internalization of weight bias and everyday discrimination’s relation with concern about gaining weight while quitting smoking. There was also an association of smoking felt-stigma, but not self- or enacted-stigma, with symptoms of depression. Stigma’s associations with symptoms of depression and post-cessation weight concern suggest barriers to effective behavior change, and interventions may consider targeting processes for coping with stigma experienced by this population.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"21 ","pages":"Article 100582"},"PeriodicalIF":0.0,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11786092/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of compassion satisfaction, burnout, and secondary traumatic stress on current drug use among healthcare workers: Differences by occupational level","authors":"Sylvia A. Okon ,&nbsp;Tourna N. Khan ,&nbsp;Nora J. Duffy ,&nbsp;Carson C. Roan ,&nbsp;Rachel A. Hoopsick","doi":"10.1016/j.abrep.2025.100584","DOIUrl":"10.1016/j.abrep.2025.100584","url":null,"abstract":"<div><div>Work-related stress has been well-examined among physicians, but little is known about how it might affect drug use or healthcare workers in lower-wage occupations characterized by high job demands and low occupational autonomy (e.g., medical assistants, nursing assistants). We collected data from a diverse sample of healthcare workers (<em>N</em> = 200) and separately examined the cross-sectional relationships between several work-related experiences (i.e., compassion satisfaction, burnout, and secondary traumatic stress) and measures of current drug use (i.e., non-medical use of prescription drugs [NMUPD], cannabis use, and illicit drug use). We then examined for differences in these relationships by occupational level (i.e., prescriber/administrator vs. other healthcare worker). In main effects models, greater burnout and secondary traumatic stress were both associated with higher odds of NMUPD, cannabis use, and illicit drug use (<em>ps</em> &lt; 0.01). Greater compassion satisfaction was associated with lower odds of illicit drug use (<em>p</em> &lt; 0.05), but not with NMUPD or cannabis use (<em>ps</em> &gt; 0.05). There was a significant interaction between secondary traumatic stress and occupational level on NMUPD (<em>p</em> &lt; 0.05) such that there was no relationship among prescribers/administrators, but the likelihood of NMUPD increased with greater secondary traumatic stress among other healthcare workers. Similar trend-level interactions were observed between secondary traumatic stress and occupational level on cannabis use (<em>p</em> &lt; 0.10) and between burnout and occupational level on NMUPD. Burnout and secondary traumatic stress may contribute to drug use, and lower-wage healthcare workers may be especially vulnerable.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"21 ","pages":"Article 100584"},"PeriodicalIF":0.0,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11774798/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Difficulties with positive, but not negative, emotion regulation moderate the association between positive alcohol expectancies and alcohol use in college students","authors":"Katherine Shircliff,&nbsp;Haley Coronado,&nbsp;Madeline McClinchie,&nbsp;Caroline Cummings","doi":"10.1016/j.abrep.2025.100583","DOIUrl":"10.1016/j.abrep.2025.100583","url":null,"abstract":"<div><h3>Background</h3><div>Positive alcohol expectancies are linked to increased alcohol use among college students. Difficulties regulating emotion have been shown to moderate this relationship, though little research accounts for differences based on the valence of the emotion being regulated.</div></div><div><h3>Objective</h3><div>To examine the independent moderating roles of positive and negative emotion dysregulation on the association between positive alcohol expectancies and alcohol use.</div></div><div><h3>Methods</h3><div>College students (N = 165, M_age = 20.48, SD_age = 1.90; 66.1 % Female; 66.7 % White; 65.5 % non-Hispanic) who reported regular substance use (≥ 3 times in the past week) completed a one-time survey. Linear regression analyses with moderation were conducted.</div></div><div><h3>Results</h3><div>Correlational analyses suggested that positive alcohol expectancies, positive emotion dysregulation, and negative emotion dysregulation were positively associated with greater alcohol use. Linear regression analyses indicated that difficulties with positive emotion regulation moderated the relationship between positive alcohol expectancies and alcohol use. However, difficulties with negative emotion regulation did not moderate this relationship. College students who reported greater positive alcohol expectancies and concurrently greater difficulties with positive emotion regulation also report greater alcohol consumption, compared to those who reported greater positive alcohol expectancies and fewer difficulties regulating positive emotion.</div></div><div><h3>Discussion</h3><div>Difficulties with positive, not negative, emotion regulation may serve as a risk factor for hazardous alcohol use in college students. Findings may inform the modification of existing intervention programs across university counseling centers and other health sectors to promote the development of positive emotion regulation skills for individuals who endorse positive emotion regulation difficulties, thereby reducing hazardous alcohol use amid this high-risk developmental period.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"21 ","pages":"Article 100583"},"PeriodicalIF":0.0,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11764778/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and determinants of tobacco use among school-going adolescents in 53 African countries: Evidence from the Global Youth Tobacco Survey","authors":"Retselisitsoe Pokothoane ,&nbsp;Terefe Gelibo Agerfa ,&nbsp;Christus Cito Miderho ,&nbsp;Noreen Dadirai Mdege","doi":"10.1016/j.abrep.2024.100581","DOIUrl":"10.1016/j.abrep.2024.100581","url":null,"abstract":"<div><h3>Introduction</h3><div>Tobacco use typically begins during adolescence. There is a lack of comprehensive evidence on the use of different tobacco products among adolescents in Africa.</div></div><div><h3>Aims and Methods</h3><div>We used the most recent Global Youth Tobacco Surveys from 53 African countries, covering 2003–2020, to estimate the overall and gender-specific prevalence of each type of tobacco product by country, Africa region, World Bank income group, and age group among adolescents aged 11–17 years. We further used Logit regressions to assess the determinants of<!--> <!-->using different<!--> <!-->tobacco products.</div></div><div><h3>Results</h3><div>The overall prevalence of any tobacco use among<!--> <!-->adolescents was 14.3 % [95 % CI: 13.5, 15.3]. Specifically, the prevalence for cigarettes<!--> <!-->was 6.4 % [95 % CI: 5.9, 7.0], for other smoked tobacco was 6.7 % [95 % CI: 6.0, 7.4], for smokeless tobacco use was 6.4 % [95 % CI: 5.9, 6.9], and for shisha smoking was 5.2 % [95 % CI: 4.4, 6.1]. The prevalence of dual use of smoked and smokeless tobacco was 3.0 % [95 % CI: 2.8, 3.2], and that of shisha and cigarettes was 1.5 % [95 % CI: 1.2, 2.0]. Any<!--> <!-->tobacco use prevalence was higher among boys (17.4 %) than girls (10.6 %). Seeing health warnings about tobacco dangers, exposure to smoking at home and school, the age restriction to tobacco purchases, and peer pressure were positively associated with the<!--> <!-->use of all tobacco<!--> <!-->products. Being a female was negatively associated with tobacco use across all products.</div></div><div><h3>Conclusions</h3><div>Policymakers should prioritize implementing large pictorial health warnings about tobacco dangers covering the entire packaging of different products.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"21 ","pages":"Article 100581"},"PeriodicalIF":0.0,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11774806/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A novel, multi-component contingency management intervention in the context of a syndemic of drug-related harms in Glasgow, Scotland: First year of the ‘WAND’ initiative","authors":"S. Smith ,&nbsp;K.M.A. Trayner ,&nbsp;J. Campbell ,&nbsp;A. McAuley ,&nbsp;J. Craik ,&nbsp;C. Hunter ,&nbsp;S. Priyadarshi ,&nbsp;S.J. Hutchinson","doi":"10.1016/j.abrep.2024.100580","DOIUrl":"10.1016/j.abrep.2024.100580","url":null,"abstract":"<div><h3>Background</h3><div>To address high levels of drug-related harms among people who inject drugs (PWID) in Glasgow, a novel contingency management intervention was developed to engage high-risk PWID with four harm reduction measures (known as the WAND initiative: <strong>W</strong>ound care, <strong>A</strong>ssessment of injecting, <strong>N</strong>aloxone, and <strong>D</strong>ried blood-spot test). Our aims were to assess if WAND engaged and re-engaged high-risk PWID.</div></div><div><h3>Methods</h3><div>Baseline data of WAND participants (n = 831) from 1st Sept-2020 to 30th Aug-2021 were analysed. For those who took part in the first six months, extent of re-engagement was determined and, among those re-engaged, intervention coverage was compared between baseline and final engagement.</div></div><div><h3>Results</h3><div>Among those who first engaged in WAND from Sept 2020-Feb 2021 (n = 546), 40 % re-engaged by Aug 2021. Compared to those who engaged once (n = 321), those who re-engaged (n = 215) within one year had higher baseline prevalence of injecting risk behaviours such as injecting daily (56 % vs 64 %, p = 0.032), injecting away from home (42 % vs 52 %, p = 0.0179), injecting cocaine (56 % vs 75 %, p &lt; 0.001), having an SSTI (40 % vs 60 %, p &lt; 0.001), and been prescribed naloxone (57 % vs 72 %, p &lt; 0.001). For those who re-engaged six months to one year after initial engagement (n = 107), there was a significant increase in having a BBV test in the last six months (61 % to 81 %, p = 0.003) and carrying naloxone (22 % to 32 %, p = 0.011).</div></div><div><h3>Conclusion</h3><div>WAND was able to engage and re-engage large numbers of high-risk PWID with multiple harm reduction initiatives. These findings suggest contingency management could be a useful tool for harm reduction services.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"21 ","pages":"Article 100580"},"PeriodicalIF":0.0,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11761270/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the relationship between proactive e-alcohol therapy and symptoms of anxiety or/and depression: Post-hoc analyses from a randomized controlled trial","authors":"Kia Kejlskov Egan ,&nbsp;Veronica Pisinger ,&nbsp;Ulrik Becker ,&nbsp;Janne Schurmann Tolstrup","doi":"10.1016/j.abrep.2024.100576","DOIUrl":"10.1016/j.abrep.2024.100576","url":null,"abstract":"<div><h3>Background</h3><div>Individuals with problematic alcohol use often face anxiety and depressive symptoms, which can hinder treatment engagement, compliance, and effectiveness. Psychosocial therapy through video conference (e-alcohol therapy) may reduce these barriers. We explored whether 1) anxiety or/and depressive symptoms modify the effect of proactive e-alcohol therapy on treatment initiation, compliance, and alcohol intake, 2) proactive e-alcohol therapy impacts anxiety or/and depressive symptoms compared to standard care.</div></div><div><h3>Methods</h3><div>Participants with problematic alcohol use were recruited online and randomly assigned to proactive e-alcohol therapy or standard care. Problematic alcohol use was defined by an 8+ score on the Alcohol Use Disorders Identification Test. Anxiety and depressive symptoms were measured using the Patient Health Questionnaire-4.</div></div><div><h3>Results</h3><div>356 individuals participated; 133 showed moderate-severe symptoms of anxiety and depression at baseline. There were no significant differences between individuals with and without moderate-severe anxiety or/and depressive symptoms in the effect of proactive e-alcohol therapy versus standard care on treatment initiation (3 mo: p = 0.64; 12 mo: p = 0.97), compliance (3 mo: p = 0.40; 12 mo: p = 0.58), or alcohol intake (3 mo: p = 0.86; 12 mo: p = 0.90). No significant differences were found in the proportion of participants with moderate-severe anxiety and depressive symptoms between the two intervention groups after 3 months (OR 0.6; 95 % CI 0.3 to 1.4; p = 0.27).</div></div><div><h3>Conclusions</h3><div>We found no evidence that anxiety or/and depressive symptoms modify the effect of proactive e-alcohol therapy on treatment initiation, compliance, or alcohol intake. Proactive e-alcohol therapy matched standard care in reducing anxiety or/and depressive symptoms over a 3-month follow-up.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"21 ","pages":"Article 100576"},"PeriodicalIF":0.0,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11696633/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142932746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}