Addictive Behaviors Reports最新文献

{"title":"Exploring agency, communion and narrative foreclosure in cognitive behavioural therapy for substance use disorders","authors":"Mark de Lange ,&nbsp;Job van der Palen ,&nbsp;Hein de Haan","doi":"10.1016/j.abrep.2025.100626","DOIUrl":"10.1016/j.abrep.2025.100626","url":null,"abstract":"<div><h3>Introduction</h3><div>Substance use disorders (SUDs) are a significant societal concern, negatively impacting self-worth, hope, and interpersonal connectedness. SUD recovery involves a transformation of one’s ‘life-story’ or ‘narrative identity’. ‘Narrative foreclosure’ (NF) impedes this process by disconnecting past, present, and future narratives, hindering the rewriting of SUD-related identities. We investigate the impact of SUD-based cognitive behavioural therapy (CBT) on narrative identity transformation and hypothesise NF as a potential factor in post-treatment relapse.</div></div><div><h3>Methods</h3><div>107 patients referred to an outpatient clinic for adults with SUDs in the Netherlands were included. Participants completed the “Agency and Communion Inventory” (translated and validated in Dutch), the Narrative Foreclosure Scale (NFS) and the “Measurement of Addiction for Triage and Evaluation” (MATE), including the Depression, Anxiety, and Stress-Scale (DASS-21). Data collection occurred at the start of treatment, post-treatment (+3 months), and during a follow-up measure (+6 months).</div></div><div><h3>Results</h3><div>While participants showed a substantial reduction in substance use frequency and DASS-21 sum scores during CBT-treatment, no such differences were found in narrative themes. Multivariate models revealed that baseline communion and past-directed NF predicted ’substance-use reduction’ during treatment, while ’cannabis use,’ communion and future directed NF were predictors of ’DASS-21 sum score reduction’. Baseline communion showed a moderate positive relation to post-treatment relapse, while ’NFS: Future’ exhibited a moderate inverse relation. These findings remained robust even when altering the criteria for defining ’post-treatment relapse.’ They indicate that a stronger identification with communal themes serve as a protective factor against relapse, while future directed NF is associated with higher relapse rates.</div></div><div><h3>Conclusion</h3><div>this study provides valuable insights into the interplay between narrative themes and treatment outcome(s) in SUD recovery. Notably, our findings underscore the significance of future-directed narrative foreclosure in the recovery process and found that CBT for SUDs does not appear to significantly facilitate narrative identity transformation. These results suggest that existing addiction treatments could be enhanced through the integration of narrative-focused interventions.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"22 ","pages":"Article 100626"},"PeriodicalIF":0.0,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144702917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A mediation analysis of Autistic-like traits and gaming motivations on problem gaming symptoms: Are the effects of social and escape motives the same?","authors":"Jake D. Slack ,&nbsp;Ben Mctigue ,&nbsp;Heather Mackenzie ,&nbsp;Mal Flack ,&nbsp;Kim M. Caudwell","doi":"10.1016/j.abrep.2025.100625","DOIUrl":"10.1016/j.abrep.2025.100625","url":null,"abstract":"<div><div>There are higher rates of video game use and potentially gaming disorder among individuals with autism spectrum disorder (ASD). However, the association between subthreshold autistic-like traits (ALTs) and gaming behaviour remains relatively unexplored. The present study assessed whether gaming motives may mediate the relationship between ALTs and gaming disorder symptoms. A total of 378 (Mage = 31.41, SD = 8.84) respondents completed an online survey, which included measures of gaming disorder symptoms, gaming motives, and ALTs. Findings indicated that social and escape motives mediated relationship between ALTs and gaming disorder symptoms, after controlling for time gaming. However, ALTs displayed a negative association with social motives and a positive association with escape and both social and escape motives were positively associated with gaming disorder symptoms. These findings indicate that individuals with higher levels of ALTs may game primarily for escape from real-life challenges and less so for social reasons, potentially exacerbating problem gaming symptoms. These results underscore the importance of understanding gaming motives, as they can inform targeted interventions for reducing problematic gaming. This study contributes to the growing body of literature on gaming behaviour, emphasising the need for motives to be considered in educational and problem gaming support initiatives.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"22 ","pages":"Article 100625"},"PeriodicalIF":0.0,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144702987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cannabis use patterns among emerging adults in California who use tobacco: Differences by sexual identity, gender identity, and sex assigned at birth","authors":"Evan A. Krueger ,&nbsp;Luisita Cordero ,&nbsp;Chenglin Hong ,&nbsp;Risa Flynn ,&nbsp;Ian W. Holloway","doi":"10.1016/j.abrep.2025.100624","DOIUrl":"10.1016/j.abrep.2025.100624","url":null,"abstract":"<div><h3>Background</h3><div>Sexual and/or gender minority (SGM) emerging adults use both cannabis and tobacco products at higher rates than their non-SGM peers. Co-use of cannabis and tobacco is of increasing public health concern, yet relatively little is known about co-use among SGM emerging adults.</div></div><div><h3>Methods</h3><div>Data were from a cross-sectional survey (2020 – 2021) of 1,467 SGM (n = 868) and non-SGM (n = 623) emerging adults from California. To be eligible, participants reported using at least one tobacco product in the prior 30 days. We assessed differences in lifetime and recent (past 3-month) cannabis use, and in concurrent use of both substances, across six groups: cisgender heterosexual, cisgender sexual minority (SM), transgender/gender non-conforming (TGNC) participants assigned female at birth (AFAB), and cisgender heterosexual, cisgender SM, and TGNC participants assigned male at birth (AMAB).</div></div><div><h3>Results</h3><div>Among AFAB, cisgender SM and TGNC participants (vs. cisgender heterosexual) had higher odds of lifetime (cisgender SM: aOR = 2.38, 95 % CI = 1.54, 3.72; TGNC: aOR = 1.97, 95 % CI = 1.17, 3.40) and recent cannabis use (cisgender SM: aOR = 1.72, 95 % CI = 1.29, 2.30; TGNC: aOR = 1.83, 95 % CI = 1.29, 2.61), and of concurrent use (cisgender SM: aOR = 1.49, 95 % CI = 1.11, 2.00; TGNC: aOR = 1.98, 95 % CI = 1.39, 2.82). No differences in cannabis and tobacco co-use were noted among AMAB.</div></div><div><h3>Conclusion</h3><div>Cisgender SM and TGNC AFAB are at high risk for cannabis and tobacco co-use. Prevention and harm reduction interventions should be tailored to these groups.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"22 ","pages":"Article 100624"},"PeriodicalIF":0.0,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144663391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A proposed model of the maintenance and exacerbation of body image and eating concerns in the context of problematic social network use","authors":"Gianluca Lo Coco ,&nbsp;Rachel F. Rodgers","doi":"10.1016/j.abrep.2025.100623","DOIUrl":"10.1016/j.abrep.2025.100623","url":null,"abstract":"<div><div>Previous evidence supports the existence of a relationship between greater use of highly visual social media and heightened body image and eating concerns. However, to date, the role of problematic social network use has not been articulated in relation to these outcomes and the multiple dynamics underlying these associations need to be further conceptualized. Moreover, models of the exacerbation and maintenance of these body image concerns are lacking, and little attention has been paid to state-level predictors and maintenance factors. The aim of this position paper is to propose model of the maintenance and exacerbation of body image and eating concerns in the context of problematic social network use. Specifically, it is suggested that body image and eating concerns are associated with both generalized and specific problematic social network use through appearance-motivated use of social networks (appearance improvement seeking information, suggested/recommended appearance content engagement, and homogeneous social media experience), as well as appearance-centered online interactions (selfie behaviors, appearance feedback, and compulsive social network checking), leading to state negative affect and internalization of appearance ideals. In addition, four factors are proposed as risk (appearance feedback sensitivity, and social network rumination) and protective (social media literacy and positive body image) factors, respectively. The existing evidence supporting this model as well as future research directions are discussed.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"22 ","pages":"Article 100623"},"PeriodicalIF":0.0,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144366161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A short, animated storytelling video to reduce addiction stigma: A pilot randomized controlled trial","authors":"Maxwell Klapow ,&nbsp;Misha Seeff ,&nbsp;Maya Adam ,&nbsp;Merlin Greuel ,&nbsp;Daniel Hoffman ,&nbsp;Jessica R. Rogge ,&nbsp;Andrew Gordon ,&nbsp;Till Bärnighausen ,&nbsp;Doron Amsalem","doi":"10.1016/j.abrep.2025.100622","DOIUrl":"10.1016/j.abrep.2025.100622","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background and aims&lt;/h3&gt;&lt;div&gt;Public stigma towards people with addiction negatively impacts help-seeking, treatment and recovery. This pilot study tested the feasibility of conducting a large-scale, online trial to measure the effect of a short, animated storytelling (SAS) stigma reduction video, with and without soundtrack, on addiction stigma, optimism, warmth towards people with addiction, and hopefulness at two timepoints (immediately post-exposure and 14 days later).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;We used a parallel group, three-arm randomized controlled trial (RCT).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Setting&lt;/h3&gt;&lt;div&gt;We conducted this fully online study on the Prolific Academic research platform (participant recruitment) and the Qualtrics survey platform (data collection).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Participants&lt;/h3&gt;&lt;div&gt;We recruited 631 English-speaking adult participants, aged 18–49, residing in the United States.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Interventions&lt;/h3&gt;&lt;div&gt;Intervention group A received the SAS video intervention. Intervention group B group received the SAS video intervention without sound. The control group received written information about global addiction prevalence, estimated to be time-equivalent with the video interventions.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Measurements&lt;/h3&gt;&lt;div&gt;We measured participant retention rate at the two-week follow-up to determine the feasibility of conducting the definitive trial. Our co-primary outcomes were addiction stigma, optimism, warmth towards people with addiction and hopefulness, measured using an abbreviated 18-item version of the Attribution Questionnaire (AQ-18), the Brief García’s Interactive Optimism Scale (BIOS-G), a stigma thermometer and a visual analogue scale (VAS). We used repeated-measures ANOVA to assess group-by-time interactions and compared changes from baseline to post-intervention. Participants completed follow-up surveys 14 days post-intervention.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Findings&lt;/h3&gt;&lt;div&gt;The retention rate from baseline to follow-up was 88.0 %. Exposure to both the video with sound and without sound resulted in significant positive changes compared to the control group, for pity [F (4,1046) = 3.26, η&lt;sup&gt;2&lt;/sup&gt; = 0.012, p = 0.011], willingness to help [F (4,1046) = 8.48, η&lt;sup&gt;2&lt;/sup&gt; = 0.031, p &lt; 0.001], dangerousness [F (4,1046) = 2.95, η&lt;sup&gt;2&lt;/sup&gt; = 0.011, p = 0.019], avoidance [F (4,1046) = 4.25, η&lt;sup&gt;2&lt;/sup&gt; = 0.016, p = 0.002], as well as optimism [F (2,595) = 7.7, η&lt;sup&gt;2&lt;/sup&gt; = 0.014, p &lt; 0.001], warmth toward people with addiction [F (2,594) = 6.5, η&lt;sup&gt;2&lt;/sup&gt; = 0.014, p = 0.002], and hopefulness [F (2,594) = 5.4, η&lt;sup&gt;2&lt;/sup&gt; = 0.013, p = 0.005]. No effects were observed for fear or blame stigma sub-scales. These effects were no longer visible at follow-up in this pilot sample. No significant differences were observed between the video with sound and the video without sound.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;This pilot study demonstrates the feasibility of proceeding with","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"22 ","pages":"Article 100622"},"PeriodicalIF":0.0,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144313599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parental influence on youth cannabis use: The interplay between disapproval and warmth","authors":"Brian Young ,&nbsp;Lorey Wheeler ,&nbsp;Hongying Daisy Dai","doi":"10.1016/j.abrep.2025.100621","DOIUrl":"10.1016/j.abrep.2025.100621","url":null,"abstract":"<div><h3>Purpose</h3><div> <!-->Family environment plays an essential role in youth development. This study sought to examine the intersection effects of parental disapproval and parent–child warm relationships on youth cannabis use behaviors.</div></div><div><h3>Methods</h3><div>Data were drawn from the youth sample of the 2022 National Survey on Drug Use and Health (NSDUH) study. Multivariable hierarchical models were performed to examine the associations of parental disapproval of offspring’s cannabis use and youth current (past 30-day) cannabis use and past-year DSM-5 cannabis use disorder (CUD), incrementally adjusting for sociodemographic factors, youth substance use behaviors, and family/environment influences.</div></div><div><h3>Results</h3><div>Among a nationally representative sample of 11,969 youths aged 12–17 years old, 6.0 % reported current cannabis use and 5.2 % reported past-year CUD. Parental disapproval of youth cannabis use differed by parental warmth, age, sex, and race/ethnicity, and it was a strong protective factor against both current cannabis use (AOR[95 % CI] = 0.26[0.18–0.37]) and past-year CUD (AOR[95 % CI] = 0.30[0.20–0.44]) in the fully adjusted models. In addition, reporting their parent as being “warm” all the time (vs. seldom/never), and perceiving harmfulness of cannabis use (high vs. low) were associated with lower odds of youth cannabis use, while being non-Hispanic Black (vs. White), older (vs. younger), using tobacco or alcohol currently, and having peers who use cannabis were associated with higher odds of cannabis use.</div></div><div><h3>Conclusions and relevance</h3><div>Parental disproval in a warm family environment is protective of youth against cannabis use. Multifaceted interventions involving parents and youth, as well as parental knowledge of the harmfulness of cannabis use, might lessen the impact of youth cannabis use.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"22 ","pages":"Article 100621"},"PeriodicalIF":0.0,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144366099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations between cannabis use frequency and suicidal thoughts and behaviors: A clinical longitudinal sibling study","authors":"Elisa F. Stern ,&nbsp;Jarrod M. Ellingson ,&nbsp;Jonathan D. Schaefer ,&nbsp;Jesse D. Hinckley ,&nbsp;Michael C. Stallings ,&nbsp;Robin P. Corley ,&nbsp;Christian Hopfer ,&nbsp;Tamara L. Wall ,&nbsp;Soo Hyun Rhee","doi":"10.1016/j.abrep.2025.100620","DOIUrl":"10.1016/j.abrep.2025.100620","url":null,"abstract":"<div><h3>Purpose</h3><div>Cannabis use is associated with increased risk for suicidality. However, the directionality of this association and the role of shared familial influences—such as genetics and environment—remains uncertain. Further, despite higher rates of cannabis use and suicidality endorsement in clinical samples, research in these populations is limited. This study examines cross-sectional and prospective associations between cannabis use and suicidality in a sample characterized by earlier cannabis initiation and heavier use than typically reported, while accounting for shared familial influences.</div></div><div><h3>Method</h3><div>Adolescent sibling groups were recruited from Denver and San Diego (N = 1,261); at least one sibling was recruited from a substance use treatment program, alternative school, or juvenile probation. Participants completed clinical interviews assessing substance use and suicidality at three waves (2001-–2019). Cannabis use frequency was examined as a predictor of suicidality using multilevel models accounting for shared familial influences and within-family clustering. Covariates included alcohol, tobacco, other substance use, age, and sex. Reverse associations and exploratory models assessing tobacco as a predictor were also examined.</div></div><div><h3>Results</h3><div>Cannabis use was not associated with suicidality (all <em>p’s</em> &gt; 0.05). Exploratory analyses suggested a possible association between tobacco and suicidality (e.g., Wave 1 within-family effect: OR = 1.037, <em>p</em> = 0.016), though these associations were largely reduced to non-significance after accounting for other substance use.</div></div><div><h3>Conclusions</h3><div>Findings in this high-risk clinical sample are inconsistent with literature linking cannabis use to suicidality in community samples. Results underscore the need for further research on the association between general and polysubstance use risk and suicidality.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"22 ","pages":"Article 100620"},"PeriodicalIF":0.0,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144288809","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Long-term, bidirectional associations between depressive symptom severity and opioid use among people with HIV: A prospective cohort study","authors":"Alexandria Macmadu ,&nbsp;Yu Li ,&nbsp;Fiona Bhondoekhan ,&nbsp;Chung-Chou H. Chang ,&nbsp;Anees Bahji ,&nbsp;Stephen Crystal ,&nbsp;Kirsha S. Gordon ,&nbsp;Robert D. Kerns ,&nbsp;Rachel A. Vickers-Smith ,&nbsp;E. Jennifer Edelman ,&nbsp;Brandon D.L. Marshall","doi":"10.1016/j.abrep.2025.100619","DOIUrl":"10.1016/j.abrep.2025.100619","url":null,"abstract":"<div><h3>Background</h3><div>The bidirectional relationships between opioid use and depressive symptom severity among people living with HIV (PLHIV) are poorly understood. We hypothesized that higher opioid use frequency would be associated with greater subsequent depressive symptom severity and that greater depressive symptom severity would be associated with higher subsequent opioid use frequency.</div></div><div><h3>Methods</h3><div>We analyzed data from the Veterans Aging Cohort Study (VACS) – survey sample, a prospective cohort including PLHIV receiving care at 8 US Veterans Health Administration sites. From 2002 to 2018, we assessed past year opioid use frequency based on self-reported heroin and/or prescription opioid use at study entry and follow-up, as well as depressive symptom severity. Time-lagged, generalized estimating equation models were used to construct estimates of the association between opioid use frequency and subsequent depressive symptom severity, and vice versa, adjusting for key sociodemographic and clinical characteristics.</div></div><div><h3>Results</h3><div>In final adjusted models that included 2033 PLHIV (98 % male), subsequent depressive symptom severity was greater (adjusted odds ratio [aOR] = 1.44, 95 % CI: 1.22,1.70) for those who used opioids at least monthly compared to those who never used, and the association between these variables appeared to follow a dose–response pattern. Similarly, subsequent opioid use frequency was higher (aOR = 1.38, 95 % CI: 1.17,1.62) for those with moderate depressive symptom severity compared to those with none.</div></div><div><h3>Conclusions</h3><div>Enhanced access to screening for substance use disorders, harm reduction services, and medications for opioid use disorder may be warranted in settings that serve veteran PLHIV; strategies expanding access to mental health services may also be promising.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"22 ","pages":"Article 100619"},"PeriodicalIF":0.0,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144255478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between distress tolerance and cannabis use disorder symptoms is stronger among U.S. young adults who identify as Hispanic and non-Hispanic Black","authors":"Jessica P. Orea,&nbsp;Haylee K. DeLuca Bishop,&nbsp;Kim Pulvers","doi":"10.1016/j.abrep.2025.100616","DOIUrl":"10.1016/j.abrep.2025.100616","url":null,"abstract":"<div><h3>Background</h3><div>Young adults have the highest rates of Cannabis Use Disorder (CUD) among all age groups. One important yet understudied behavioral factor linked with CUD is Distress Tolerance (DT), and it is unknown whether this association varies as a function of race/ethnicity, despite health disparities. This study tests the hypothesis that the association between DT and CUD symptoms will be stronger among young adults who identify as non-Hispanic Black or Hispanic (under-represented minoritized; URM) and that cannabis coping motives will mediate this association.</div></div><div><h3>Method</h3><div>Participants with past 30 day cannabis use (<em>N</em> = 451; <em>M</em> = 21.3 years; 54.8 % female; 33.0 % Hispanic; 35.7 % non-Hispanic Black) completed a cross-sectional survey administered through an online panel in 2021, which included measures of Distress Tolerance, Cannabis Coping Motives, and CUD symptoms. Moderation, mediation, and moderated mediation with covariates age, gender, education, income, and cannabis state legality were tested.</div></div><div><h3>Results</h3><div>Greater distress intolerance was associated with higher CUD symptoms (<em>b</em> = 1.85, <em>p</em> = 0.000) and the effect was stronger for URM than NHW individuals (<em>b</em> = -2.43, <em>p</em> = 0.002).</div><div>Cannabis motives mediated the association between distress intolerance and CUD symptoms (indirect effect: <em>b</em> = 1.069, <em>SE</em> = 0.222, 95 % CI(<em>b</em>) = [.662, 1.520]). Moderated mediation was not present, indicating that the link between DT and CUD symptoms by coping motives did not vary by race/ethnicity (index = 0.011, <em>SE</em> = 0.491, 95 % CI(<em>b</em>) = [-0.916, 1.033]).</div></div><div><h3>Conclusion</h3><div>Developing DT may be a valuable approach for preventing and treating CUD, particularly among young adults from underrepresented backgrounds.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"22 ","pages":"Article 100616"},"PeriodicalIF":0.0,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144194869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mini-review: Harm reduction strategies among people who intentionally use fentanyl","authors":"Jacob Paredes,&nbsp;Ashish Sandhu,&nbsp;Shutong Huo,&nbsp;David S. Timberlake","doi":"10.1016/j.abrep.2025.100615","DOIUrl":"10.1016/j.abrep.2025.100615","url":null,"abstract":"<div><h3>Background</h3><div>Most published studies aimed at curtailing the morbidity and mortality associated with the current U.S. opioid epidemic have focused on unintentional exposure to fentanyl through heroin, cocaine, and other substances. Yet, there is mounting evidence that the intentional use of fentanyl is a key contributor to the current epidemic. In this mini-review we will discuss the harm reduction methods employed by people who intentionally use fentanyl (PWIUF) from a handful of articles found through PubMed that included PWIUF that were published between January 2013 to January 2024.</div></div><div><h3>Results</h3><div>The perceived harm reduction strategies included co-use of stimulants, dose reduction, buying from a trusted dealer, drug checking, conducting a test shot, carrying naloxone, using fentanyl with others, and switching from injection to another route of administration (e.g., smoking). Some of these harm reduction strategies are frequently used by persons who inject heroin but future research on the efficacy of these harm reduction strategies for fentanyl use is warranted. It is important to note that co-use of stimulants has been associated with an increase in overdose.</div></div><div><h3>Conclusion</h3><div>Future research is needed to understand intentional fentanyl use, perceived harm reduction strategies and the efficacy of these strategies with the advent of stronger opioids. Future research about PWIUF should consider novel study designs such as the ecological momentary assessment for more granular observation of the use of harm reduction strategies.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"21 ","pages":"Article 100615"},"PeriodicalIF":0.0,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144134311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}