Addictive Behaviors Reports最新文献

{"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}

{"title":"The darker side of positive AI attitudes: Investigating associations with (problematic) social media use","authors":"Christian Montag ,&nbsp;Jon D. Elhai","doi":"10.1016/j.abrep.2025.100613","DOIUrl":"10.1016/j.abrep.2025.100613","url":null,"abstract":"<div><div>In societies around the world, the impact of artificial intelligence (AI) is being fiercely discussed. It is difficult to grasp AI’s influence, because AI represents a general-purpose technology, which can be applied in different settings. One product in which AI plays a pivotal role is social media. In this context, for instance, AI is used to provide people with personalized newsfeeds to prolong time spent online, which might result in addictive-like behavior. Many factors such as sociodemographic variables, history of psychopathology and personality traits have been revealed as risk factors for developing problematic social media use patterns. Yet, to our knowledge attitudes toward AI have not been examined in association with problematic social media use. In a sample of n = 956 social media users, we observed that positive AI attitudes were linked to overuse of social media as assessed with an addiction framework. The effect size of this association was stronger for males than females. Further we observed that this association was mediated by time spent on social media. The present study shows that positive AI attitudes – although well-known to be positive regarding embracing new technologies – might come with risks for developing addictive patterns of technology use, such as social media.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"22 ","pages":"Article 100613"},"PeriodicalIF":0.0,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144190188","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":"Repeated prefrontal tDCS improves cognitive emotion regulation and readiness for treatment in substance use disorder: A randomized sham-controlled study","authors":"Ali Salmani ,&nbsp;Sajjad Basharpoor ,&nbsp;Zahra Vaziri ,&nbsp;Mohammad Ali Salehinejad","doi":"10.1016/j.abrep.2025.100614","DOIUrl":"10.1016/j.abrep.2025.100614","url":null,"abstract":"<div><h3>Background</h3><div>Individuals with substance use disorder (iSUD) often show diminished motivation toward treatment-seeking and adherence, resulting in a higher relapse rate, especially during the abstinence phase. A key cognitive correlate of substance use and treatment-seeking behavior is the ability to regulate emotion. While transcranial direct current stimulation (tDCS) shows potential for treating SUD, most studies have focused on craving or cognitive deficits. This randomized, placebo-controlled study examines the effects of 15 daily sessions of prefrontal tDCS on treatment motivation and cognitive emotion regulation in iSUD during the abstinence phase.</div></div><div><h3>Methods</h3><div>Thirty-two young male iSUDs (mean age= 22.80±1.92) were randomly assigned to the experimental (n=16) or placebo (n=16) groups. The experimental group underwent 15 sessions of anodal left and cathodal right dlPFC stimulation (2 mA, 20 min), while the placebo group received sham stimulation over the same period. Assessments of readiness, eagerness, motivation for treatment, and cognitive emotion regulation were conducted before and after the intervention.</div></div><div><h3>Results</h3><div>The active repeated prefrontal tDCS significantly boosted motivation for change and treatment in iSUD in comparison to sham tDCS. This intervention specifically improved participants’ recognition of issues related to their substance use and reduced ambivalence about it. Additionally, active prefrontal tDCS enhanced adaptive cognitive emotion regulation while reducing maladaptive cognitive emotion regulation strategies in iSUD.</div></div><div><h3>Conclusions</h3><div>Repeated prefrontal tDCS can help iSUD during the abstinence phase to improve adaptive emotion regulation strategies, thereby boosting motivation for treatment seeking. Up and downregulation of left and right dlPFCs is a promising approach for cognitively and motivationally preparing iSUD for treatment-seeking.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"21 ","pages":"Article 100614"},"PeriodicalIF":0.0,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143936997","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":"Recommendations for Diagnosing and Quantifying treatment outcomes in clinical trials of compulsive sexual behavior disorder","authors":"Jannis Engel ,&nbsp;Shane W. Kraus ,&nbsp;Li Yan McCurdy ,&nbsp;Marc N. Potenza","doi":"10.1016/j.abrep.2025.100610","DOIUrl":"10.1016/j.abrep.2025.100610","url":null,"abstract":"<div><div>This article proposes minimum requirements for reporting efficacy in treatment studies of compulsive sexual behavior (CSB). CSB disorder (CSBD) is a condition whose diagnostic criteria were only recently defined by the World Health Organization. Multiple primary and secondary outcomes have been used in treatment trials of CSB, and possible neuropsychological measures have been considered. We suggest including clinical interviews, specifying the nature of the problem behavior and ensuring that the concerns are not entirely related to distress linked to moral judgments or paraphilic interests exclusively. The minimum requirements of reporting the efficacy of behavioral and pharmaceutical treatment outcome studies proposed are measures of: <em>CSB symptom severity</em> – problems in personal health, relationships, work and finance; these measures may be complemented by additional measures of quality of life or sexual health; <em>behavioral engagement in CSB −</em> frequency (in days per week) of CSB, including time spent thinking about or engaged in the pursuit of CSB<em>; change processes</em> – assessing mechanisms of change hypothesized. There are currently no objective (i.e., neuropsychological) measures that can provide a valid picture of the success of therapies. However, promising areas in the brain which reflect treatment changes include prefrontal areas and the reward system. We believe that the guidelines presented should promote harmonized clinical research involving the treatment of CSB and CSBD.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"21 ","pages":"Article 100610"},"PeriodicalIF":0.0,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143868899","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":"Understanding the interplay between video game design features and dysregulated gaming patterns: A call to anchor future research directions in interactionist frameworks","authors":"Maèva Flayelle ,&nbsp;Mélina Andronicos ,&nbsp;Daniel L. King ,&nbsp;Joël Billieux","doi":"10.1016/j.abrep.2025.100609","DOIUrl":"10.1016/j.abrep.2025.100609","url":null,"abstract":"","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"21 ","pages":"Article 100609"},"PeriodicalIF":0.0,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143850619","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":"Loneliness moderates the predictive effect of the trait-state FoMO pathway on problematic social media use","authors":"Rocco Servidio ,&nbsp;Francesco Craig ,&nbsp;Paolo Soraci ,&nbsp;Stefano Boca ,&nbsp;Renato Pisanti ,&nbsp;Zsolt Demetrovics ,&nbsp;Mark D. Griffiths","doi":"10.1016/j.abrep.2025.100612","DOIUrl":"10.1016/j.abrep.2025.100612","url":null,"abstract":"<div><div>Fear of missing out (FoMO) and loneliness have been identified as significant contributors to problematic social media use (PSMU). However, no prior research has examined the interplay between trait FoMO, state FoMO, the moderating role of loneliness, and their combined influence on PSMU within a unified model. The present study addressed this gap by testing a moderated-mediation model to investigate how trait FoMO, state FoMO, and loneliness jointly impact PSMU. A cross-sectional online survey was conducted with 356 participants (55.6 % female; <em>M</em>_age = 21.7 years, <em>SD_age</em> = 3.55) who completed the Trait-FoMO Scale, State-FoMO Scale, UCLA Loneliness Scale (Short Version), and the Bergen Social Media Addiction Scale. The results showed that females scored higher for PSMU than males, while age had no significant effect. Moderated-mediation analyses indicated that both trait-FoMO and state-FoMO were positively associated with PSMU. Moreover, state-FoMO partially mediated the relationship between trait-FoMO and PSMU, with loneliness moderating this pathway. More specifically, the association between trait-FoMO and state-FoMO was weaker at higher levels of loneliness but stronger when loneliness levels were low. These findings highlight FoMO as a major risk factor for PSMU, as well as emphasizing the importance of addressing loneliness in prevention and intervention efforts. This integrated model provides valuable insights for designing targeted strategies to mitigate the adverse effects of FoMO and loneliness on social media use.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"21 ","pages":"Article 100612"},"PeriodicalIF":0.0,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143852052","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":"E-cigarette and cannabis use among current and recently quit smokers: Co-use and Co-cessation","authors":"Deanna M. Halliday ,&nbsp;Anna V. Song ,&nbsp;Nhung Nguyen","doi":"10.1016/j.abrep.2025.100611","DOIUrl":"10.1016/j.abrep.2025.100611","url":null,"abstract":"<div><h3>Background</h3><div>Concurrent use of cigarettes with e-cigarette or cannabis (co-use) is common. It is unclear whether people who want to quit smoking cigarettes would also be interested in quitting using e-cigarettes/cannabis (co-cessation).</div></div><div><h3>Methods</h3><div>In a survey of 391 Californian adults, participants reported past 30-day use of and intentions to quit cigarettes, e-cigarettes, and cannabis, and reasons for using e-cigarettes and/or cannabis. Using cross-tabulation tables, we examined the relationship between cigarette, e-cigarette, and cannabis cessation intentions. We subsequently examined how the reasons for using e-cigarettes and cannabis related to e-cigarette and cannabis use frequency, while controlling for cigarette use and demographic characteristics.</div></div><div><h3>Results</h3><div>Of those who used both cigarettes and e-cigarettes and planned to quit smoking within the next 30 days, 68.9 % also planned to quit using e-cigarettes. Of those who used both cigarettes and cannabis and intended to quit smoking within 30 days, 30.0 % also wanted to quit using cannabis within the same period. Using e-cigarettes or cannabis to aid with cigarette cessation had no impact on e-cigarette or cannabis use frequency.</div></div><div><h3>Significance</h3><div>Those who intended to quit smoking cigarettes within 30-days also expressed interest in quitting e-cigarettes or cannabis within the same period. Using e-cigarettes or cannabis to quit smoking was not related to higher frequency e-cigarette or cannabis use. Future interventions may promote co-cessation of cigarettes, e-cigarettes, and cannabis simultaneously.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"21 ","pages":"Article 100611"},"PeriodicalIF":0.0,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143850620","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":"Latent profiles of problematic internet use and their six-month subsequent psychopathology outcomes","authors":"Yi Wang ,&nbsp;Brian J. Hall ,&nbsp;Yuran Chen ,&nbsp;Chun Chen","doi":"10.1016/j.abrep.2025.100607","DOIUrl":"10.1016/j.abrep.2025.100607","url":null,"abstract":"<div><h3>Objective</h3><div>Problematic Internet Use (PIU) has many adverse effects on youth mental health, including heightened risks of depression and anxiety. However, few studies have systematically investigated the internal heterogeneity of PIU symptoms among rural Chinese adolescents. Data was collected from 5,271 rural Chinese adolescents from two secondary schools in Guizhou and Sichuan at two waves. This study aimed to identify PIU profiles at T1 and examine their relationships with subsequent anxiety, depression, and stress after six months at T2.</div></div><div><h3>Methods</h3><div>A Latent Profile Analysis (LPA) was conducted to first identify PIU symptom profiles. Then, a “three-step” logistic regression mixed model was conducted to explore the association between PIU patterns and demographic correlates. Anxiety, depression, and stress symptoms collected at the second wave were compared across PIU profiles by using a Bolck-Croon-Hagenaars (BCH) approach.</div></div><div><h3>Results</h3><div>The study found that (1) The patterns of PIU among rural adolescents could be divided into four subgroups: low PIU group (57.18%), medium PIU group (15.65%), high PIU group (9.01%), and self-blame group (18.16%), which is a uniquely identified group. (2) Being female, an ethnic minority, living off-campus, having left-behind experiences, and having fewer siblings were risk factors for high PIU group membership. (3) The order of severity for anxiety, depression, and stress was as follows: high PIU, medium PIU, self-blame, and low PIU groups. (4) The self-blame group had relatively lower anxiety, depression, and stress scores than the medium PIU group, despite the fact that the self-blame group had higher PIU scores than the medium PIU group, which further strengthens the importance of using a person-centered approach.</div></div><div><h3>Conclusions</h3><div>Addressing the profiles of PIU is vital for rural Chinese adolescent mental health, necessitating tailored interventions.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"21 ","pages":"Article 100607"},"PeriodicalIF":0.0,"publicationDate":"2025-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143843897","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}