Addictive Behaviors Reports最新文献

{"title":"Using decision trees to examine risk profiles for cannabis use among large samples of underage youth before and after cannabis legalization in Canada","authors":"Scott T. Leatherdale ,&nbsp;Katelyn Battista ,&nbsp;Karen A Patte ,&nbsp;James MacKillop ,&nbsp;Richard Bélanger","doi":"10.1016/j.abrep.2025.100632","DOIUrl":"10.1016/j.abrep.2025.100632","url":null,"abstract":"<div><h3>Background</h3><div>This paper compares risk profiles for cannabis use among large samples of youth in the school years preceding (2017–18, T₁) and four years following (2021–22, T₂) cannabis legalization in Canada.</div></div><div><h3>Methods</h3><div>COMPASS Study data from students across 85 secondary schools that participated in both the T₁ and T₂ waves were used. A novel classification tree approach examined current cannabis use (past 30-day), modelling complex interactions among multiple risk factors simultaneously in the T₁ and T₂ samples.</div></div><div><h3>Results</h3><div>At T₁, 15.0 % of students reported current cannabis use, compared to 12.3 % of students at T₂. The classification tree at T₁ identified six unique risk profiles. The highest risk group (Pr = 0.269) was large (30.4 % of the sample) and comprised students who placed lower value on getting good grades and spent 45 min or more per day texting. The classification tree at T₂ identified 11 unique risk profiles. The highest risk group (Pr = 0.27) was large (18.8 % of the sample) and comprised students who again placed lower value on getting good grades but also reported not eating breakfast daily and having elevated anxiety.</div></div><div><h3>Discussion</h3><div>Cannabis never use increased and current cannabis use slightly decreased among underage youth in a 4-year period spanning cannabis legalization. The relative importance ranking of risk factors for predicting current cannabis use changed considerably from T₁ to T₂. This suggests that prevention efforts need to adapt over time to target the relevant risk factors associated with cannabis use.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"22 ","pages":"Article 100632"},"PeriodicalIF":2.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145324293","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":"Functional magnetic resonance imaging in adolescent Internet gaming disorder: A systematic review","authors":"Mo Zhu ,&nbsp;Mingzhu Liu ,&nbsp;Xingchen Wang ,&nbsp;Chunli Li ,&nbsp;Juntao Ba ,&nbsp;Xiaojuan Liu ,&nbsp;Wen Yang ,&nbsp;Shaoyuan Wu ,&nbsp;Jingmei Zhong","doi":"10.1016/j.abrep.2025.100637","DOIUrl":"10.1016/j.abrep.2025.100637","url":null,"abstract":"<div><h3>Background</h3><div>Internet Gaming Disorder (IGD), recognized as a non-substance addictive behavior, has been incorporated into the diagnostic frameworks of DSM-5 and ICD-11. Its high prevalence rate (approximately 10 %) and widespread harmful consequences position it as a significant global public health challenge. Functional Magnetic Resonance Imaging (fMRI) technology offers a powerful tool for elucidating the neural mechanisms underlying addictive behaviors. This is particularly relevant during adolescence, a period characterized by high neurobiological plasticity, enabling a deeper understanding of the neurobiological basis of IGD.</div></div><div><h3>Objective</h3><div>This review aims to systematically synthesize the application of fMRI techniques in adolescent IGD research. It integrates empirical findings from resting-state fMRI (rs-fMRI), task-based fMRI (tb-fMRI), and Diffusion Tensor Imaging (DTI) to clarify IGD-associated abnormalities in brain function and structure, and explores their potential for clinical translation.</div></div><div><h3>Methods</h3><div>Relevant literature published between January 2015 and February 2025 was retrieved from PubMed, Web of Science, and Science Direct databases using keyword searches. Twenty-one studies meeting the inclusion criteria (employing fMRI techniques, utilizing defined IGD diagnostic criteria, focusing on adolescent samples aged 10–20 years) were selected. The risk of bias for included studies was assessed using a standardized tool. The analysis encompassed investigations of resting-state functional connectivity (FC), task-based activation patterns, and white matter microstructure.</div></div><div><h3>Conclusion</h3><div>Adolescents with IGD exhibit functional dysregulation within the prefrontal-striatal circuit, hyperactivation of the reward system, and white matter microstructural impairments. These neural abnormalities are closely associated with behavioral disinhibition and cognitive deficits. fMRI research provides a neuroimaging foundation for the objective diagnosis and targeted intervention of IGD. Future research necessitates the integration of multimodal data to optimize clinical applications.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"22 ","pages":"Article 100637"},"PeriodicalIF":2.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145324294","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":"2025-12-01","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":"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":"2025-12-01","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":"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":"2025-12-01","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":"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":"2025-12-01","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":"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":"2025-12-01","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":"Does the unavailability of social media affect online gambling behavior? A behavioral tracking data study before and after the October 2021 Facebook outage","authors":"Andrea Czakó ,&nbsp;Cristina Villalba-García ,&nbsp;Tamás Ferenci ,&nbsp;Laura Maldonado-Murciano ,&nbsp;Carrie A. Shaw ,&nbsp;Mark D. Griffiths ,&nbsp;Zsolt Demetrovics","doi":"10.1016/j.abrep.2025.100629","DOIUrl":"10.1016/j.abrep.2025.100629","url":null,"abstract":"<div><h3>Background and aims</h3><div>Social media platforms have become important in both individuals’ personal lives and for commercial organizations (e.g., online gambling operators). However, no previous study has examined how the unavailability of social media affects online gambling. A 6-hour-long worldwide outage of <em>Facebook</em> on October 4, 2021 created a unique possibility to investigate this relationship. The present study examined whether patterns of online gambling were different during the time of the social media outage from what could be expected during that time based on historical behavioral tracking data.</div></div><div><h3>Methods</h3><div>The study used a dataset provided by <em>Fortuna Entertainment Group</em> that included information on the gambling behavior of 232,037 individuals from Croatia, Czechia, Poland, Romania, and Slovakia on five consecutive Mondays, including the day of the social media outage, on two different types of gambling activity: gaming (such as online casino games) and sports betting. A linear regression was estimated for several outcome variables (number of people gambling, amount of stake, number of bets) separately for each country and gambling type, while gender, age, time, and date were included as control variables.</div></div><div><h3>Results</h3><div>Most of the regressions showed a non-significant impact of the outage, and only a few significant (but small) differences were identified where the outage was associated with a lower outcome. In the case of the examined countries, the <em>Facebook</em> outage only had a marginal impact on gambling behavior.</div></div><div><h3>Discussion and Conclusions</h3><div>Further research and analysis are needed to explore the relationship between social media use and online gambling behavior.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"22 ","pages":"Article 100629"},"PeriodicalIF":2.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145048309","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":"Compounding risks of chronic health conditions and substance use disorder on healthcare burden in the USA: Analysis of NSDUH data (2021–2023)","authors":"Ayodeji Iyanda ,&nbsp;Richard Adeleke ,&nbsp;Omowunmi Iyanda","doi":"10.1016/j.abrep.2025.100639","DOIUrl":"10.1016/j.abrep.2025.100639","url":null,"abstract":"<div><h3>Background</h3><div>Emergency room (ER) use reflects acute healthcare burden, but the roles of chronic health conditions (CHCs), substance use disorders (SUDs), drug use disorders (DUDs), and mental health conditions (MHCs) remain underexplored across populations.</div></div><div><h3>Methods</h3><div>Using nationally representative survey data (N = 226,838; weighted = 1,243,120,763), we applied survey-weighted logistic regression to examine predictors of ER visits. Covariates included CHCs, SUDs, DUDs, severity levels of these orders, MHCs, race/ethnicity, education, employment, residence, and body mass index.</div></div><div><h3>Results</h3><div>Adults with ≥ 1 CHC were more likely to visit the ER (OR = 1.72; 95 % CI: 1.60–1.85). DUD significantly increased ER use (OR = 1.70; 95 % CI: 1.54–1.88), while overall SUD was not significant after adjustment (OR = 1.05; 95 % CI: 0.98–1.12). Severe SUD elevated ER use even without CHCs (OR = 1.89; 95 % CI: 1.67–2.13). African Americans had higher odds of ER visits (OR = 1.28; 95 % CI: 1.21–1.36), and Native American/Alaska Natives were more likely to report DUD (OR = 1.55; 95 % CI: 1.31–1.82). Lower educational attainment (OR = 1.22; 95 % CI: 1.16–1.28) and unemployment (OR = 1.34; 95 % CI: 1.25–1.43) were linked to higher risks. MHCs predicted ER use (OR = 1.63; 95 % CI: 1.53–1.74) and substance-related disorders.</div></div><div><h3>Conclusions</h3><div>CHCs, DUD severity, and MHCs are strong predictors of ER utilization. Disparities among African Americans and Native American/Alaska Natives highlight the need for integrated care addressing chronic illness, behavioral health, and substance use—particularly for socioeconomically and racially marginalized groups.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"22 ","pages":"Article 100639"},"PeriodicalIF":2.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145519561","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":"Assessment of alcohol and tobacco use in psychotherapy: validation of the german self-report ASSIST alcohol and tobacco subscales in an outpatient setting","authors":"Esra Sünkel,&nbsp;Alla Machulska,&nbsp;Marie Neubert,&nbsp;Tobias Stalder,&nbsp;Tim Klucken","doi":"10.1016/j.abrep.2025.100634","DOIUrl":"10.1016/j.abrep.2025.100634","url":null,"abstract":"<div><h3>Background</h3><div>Alcohol and tobacco use are leading causes of preventable mortality and transdiagnostic risk factors for poor health, especially in comorbid mental disorders. Identification and treatment in German healthcare remain inadequate. The WHO ASSIST is a brief screening tool for substance use, but the German self-report version has not been systematically validated for alcohol and tobacco. Methods: In a psychotherapeutic outpatient sample (<em>N</em> = 553; mean age 34.9, <em>SD</em> = 13.4, range 18–74; 60 % female), we evaluated (i) concurrent, (ii) construct, (iii) discriminative validity, and (iv) diagnostic accuracy of the alcohol (ASSIST_A) and tobacco (ASSIST_T) subscales. Results: Regarding concurrent validity, ASSIST_A strongly correlated with AUDIT and showed weak correlation with clinical judgement, whereas ASSIST_T correlated with FTND but not with clinical judgement. Construct validity was demonstrated by acceptable internal consistency and small correlations with ICD-10 alcohol and tobacco diagnoses. Discriminative validity was good for both subscales. Diagnostic accuracy analyses indicated that optimal cutoff values were substantially lower than the manual thresholds (alcohol 3.5/8.5 vs. 11/27, tobacco 5.5 vs. 27). Discussion: Our results support the validity of the German ASSIST_A/T subscales. Comparison with established measures highlights clinical utility. ASSIST_T‘s lack of correlation with clinical judgement suggests smoking might be under-recognized without standardized screening. We propose empirically derived cutoff values to improve sensitivity for detecting clinically relevant substance use in outpatient psychotherapy settings.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"22 ","pages":"Article 100634"},"PeriodicalIF":2.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145361058","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}