Addictive Behaviors Reports最新文献

{"title":"The impact of polysubstance use patterns on engagement of substance use disorder treatment among emergency department patients at high risk of opioid overdose","authors":"Fiona Bhondoekhan ,&nbsp;Yu Li ,&nbsp;Rachel Gaither ,&nbsp;Mackenzie M. Daly ,&nbsp;Benjamin D. Hallowell ,&nbsp;Laura C. Chambers ,&nbsp;Francesca L. Beaudoin ,&nbsp;Brandon D.L. Marshall","doi":"10.1016/j.abrep.2023.100512","DOIUrl":"10.1016/j.abrep.2023.100512","url":null,"abstract":"<div><h3>Background</h3><p>Substance use patterns are diverse, and multiple substances are often involved in fatal and nonfatal overdoses. Additionally, polysubstance use is associated with greater difficulty accessing and remaining in substance use disorder (SUD) treatment. The aim of this study was to identify substance use patterns and determine their association with SUD treatment engagement among emergency department (ED) patients at risk of opioid overdose.</p></div><div><h3>Methods</h3><p>This was a sub-analysis of a randomized controlled trial comparing two behavioral interventions for individuals at two EDs in Rhode Island from 2018 to 2021. Past six-month substance use frequency for eight substances plus injection drug use was self-reported at trial enrollment, and SUD treatment engagement within 90 days after enrollment was obtained using administrative data linkages. Latent class analysis identified substance use patterns and multivariable log-binomial models estimated the association with SUD treatment engagement.</p></div><div><h3>Results</h3><p>Among 607 participants, there were four substance use patterns: 1) low reported use (n = 295), 2) frequent injection and heroin use (n = 131), 3) high frequency broad polysubstance use (n = 62), and 4) low frequency broad polysubstance use (n = 119). Compared to participants with the low reported use pattern, those with the frequent injection and heroin pattern had a greater likelihood of SUD treatment engagement (adjusted risk ratio = 1.28; 95% confidence interval = 1.02–1.61).</p></div><div><h3>Conclusions</h3><p>Distinct and meaningful polysubstance use patterns showed differential SUD treatment engagement after ED discharge. Nuanced relationships between substance use patterns and treatment highlight the necessity for tailored harm reduction, treatment, and recovery services.</p></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/69/21/main.PMC10450842.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10106839","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":"Associations between individual hallucinogens and hallucinogen misuse among U.S. Adults who recently initiated hallucinogen use","authors":"Grant Jones ,&nbsp;Felipe Herrmann ,&nbsp;Erica Wang","doi":"10.1016/j.abrep.2023.100513","DOIUrl":"10.1016/j.abrep.2023.100513","url":null,"abstract":"<div><p>Hallucinogen dependence and abuse are DSM-IV diagnoses that are associated with significant morbidity, yet the specific hallucinogens that are most strongly linked to dependence and abuse are understudied. We used recent data from the National Survey on Drug Use and Health (2015–2020) and multivariable logistic regression to test the relationships that lifetime use of seven individual hallucinogens (MDMA/ecstasy, PCP, ketamine, psilocybin, LSD, peyote, and mescaline) shares with hallucinogen dependence and abuse among individuals who initiated hallucinogen use within the past two years (<em>N =</em> 5,252). We controlled for various demographic factors (sex, age, race/ethnicity, educational attainment, self-reported engagement in risky behavior, annual household income, marital status) and lifetime use of various substances. Lifetime PCP use was associated with increased odds of hallucinogen dependence or abuse (aOR [95% CI]: 6.27 [1.51, 26.0]). Additionally, PCP increased the odds of three main hallucinogen dependence and abuse criteria measures (aOR [95% CI]: 4.45 [1.11, 17.8], 5.58 [1.42, 22.0], and 7.01 [1.87, 26.3]). LSD conferred increased odds of two criteria (aOR: 2.33 [1.37, 3.98] and 2.53 [1.48, 4.33]), while ketamine and mescaline each conferred increased odds of one criterion (aOR: 2.12 [1.03, 4.39]; 5.39 [1.05, 27.7]). Future longitudinal studies and Bayesian statistical analyses can further assess the relationships between hallucinogens and disordered hallucinogen use.</p></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10462802/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10128291","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":"Factors that influence decision-making among youth who vape and youth who don’t vape","authors":"Laura Struik ,&nbsp;Kyla Christianson ,&nbsp;Shaheer Khan ,&nbsp;Youjin Yang ,&nbsp;Saige-Taylor Werstuik ,&nbsp;Sarah Dow-Fleisner ,&nbsp;Shelly Ben-David","doi":"10.1016/j.abrep.2023.100509","DOIUrl":"10.1016/j.abrep.2023.100509","url":null,"abstract":"<div><p>Vaping rates among Canadian youth are significantly higher compared to adults. While it is acknowledged that various personal and socio-environmental factors influence the risk of school-aged youth for vaping uptake, we don’t know which known behavior change factors are most influential, for whom, and how. The Unified Theory of Behavior (UTB) brings together theoretically-based behavior change factors that influence health risk decision making. We aimed to use this framework to study the factors that influence decision making around vaping among school-aged youth. Qualitative interviews were conducted with 25 youth aged 12 to 18 who were either vaped or didn't vape. We employed a collaborative and directed content analysis approach and the UTB constructs served as the coding framework for analysis. Gender differences were explored in the analysis. We found that multiple intersecting factors play a significant role in youth decision making to vape. Youth who vaped and those who did not vape reported similar mediating determinants that either reinforced or challenged their decision-making, such as easy access to vaping, constant exposure to vaping, and the temptation of flavors. Youth who didn't vape reported individual determinants that strengthened their intentions to not vape, including more negative behavioral beliefs (e.g., vaping is harmful) and normative beliefs (e.g., family disapproves), and strong self-efficacy (e.g. self-confidence). Youth who did vape, however, reported individual determinants that supported their intentions to vape, such as social identity, coolness, and peer endorsement. The findings revealed cohesion across multiple determinants, suggesting that consideration of multiple determinents when developing prevention messages would be beneficial for reaching youth.</p></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/be/b8/main.PMC10382621.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9919192","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":"Poor school performance and gambling among adolescents: Can the association be moderated by conditions in school?","authors":"Joakim Wahlström,&nbsp;Gabriella Olsson","doi":"10.1016/j.abrep.2023.100508","DOIUrl":"10.1016/j.abrep.2023.100508","url":null,"abstract":"<div><h3>Introduction</h3><p>Protective factors of adolescent gambling at the school level and their buffering potential are scarcely explored in prior research. This study aims to examine the protective possibility of low student–teacher ratio on youth gambling, both directly and by moderating the effect of low school performance.</p></div><div><h3>Methods</h3><p>Data were derived from the 2016 Stockholm school survey, collected among 5,221 grade 11 students (∼17–18 years) in 46 schools, with information on schools’ composition and student–teacher ratio obtained through registers. Gambling and risk gambling were coded as binary variables. School performance was captured by self-reported marks in three core subjects, dichotomised into average/above average and below average, respectively. Student-teacher ratio was used both as a continuous and trichotomised variable. Two-level binary logistic regression analyses were performed.</p></div><div><h3>Results</h3><p>A below average school performance was associated with gambling and risk gambling but the association with gambling was only statistically significant at the 10%-level in the fully adjusted model. Student-teacher ratio was not directly associated with gambling and risk gambling but moderated the associations between school performance and both gambling and risk gambling, as these relationships were less pronounced in schools with a low student–teacher ratio.</p></div><div><h3>Conclusions</h3><p>In sum, a low student–teacher ratio may protect students from gambling and risk gambling by buffering against the adverse effects of other risk factors, such as poor school performance. These findings suggest that a higher teacher density in upper secondary schools can be beneficial beyond school matters by positively influencing student behaviour outside of school.</p></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10372366/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9912009","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":"Should problematic sexual behavior be viewed under the scope of addiction? A systematic review based on DSM-5 substance use disorder criteria","authors":"Natasha Pistre ,&nbsp;Benoît Schreck ,&nbsp;Marie Grall-Bronnec ,&nbsp;Melina Fatseas","doi":"10.1016/j.abrep.2023.100510","DOIUrl":"10.1016/j.abrep.2023.100510","url":null,"abstract":"<div><h3>Introduction</h3><p>Despite similarities between compulsive sexual disorder and substance use disorder, the issue whether problematic sexual behavior should be viewed within an addiction framework continues to be a subject of debate with no consensus regarding its conceptualization and diagnosis criteria. Examining the presence of addiction criteria among clinical and no clinical samples in the existing literature could permit to ascertain clinical validity of sex addiction diagnosis and support its overlapping feature with other addictive disorders. The aim of this systematic review was to examine this issue by assessing DSM-5 criteria of substance use disorder among individuals engaged in problematic sexual activity. <em>Methods:</em> Using PRISMA criteria, three databases were comprehensively searched up to April 2022, in order to identify all candidate studies based on broad key words. Resulting studies were then selected if they examined problematic sexual behavior within the framework of DSM-5 addiction criteria. <em>Results:</em> Twenty articles matched the selection criteria and were included in this review. DSM-5 criteria of addictive disorders were found to be highly prevalent among problematic sex users, particularly craving, loss of control over sex use, and negative consequences related to sexual behavior. Exposition to sexual cues was also shown to trigger craving, with an association to problematic use and symptom severity. <em>Conclusions:</em> More studies should been done to assess homogeneously according to the DSM-5 criteria the addiction-like features of problematic sexual behaviors in clinical and no-clinical populations. Furthermore, this work argues for the need of further research to examine the extent to which anti-craving interventions could be effective in improving clinical outcomes.</p></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/55/4b/main.PMC10374865.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9909513","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":"Psychometric properties and measurement invariance across gender of the Compulsive Online Shopping Scale (COSS) among Iranians","authors":"Mehdi Akbari ,&nbsp;Mohammad Hossein Bahadori ,&nbsp;Salar Khanbabaei ,&nbsp;Bahman Boruki Milan ,&nbsp;Srikant Manchiraju ,&nbsp;Marcantonio M. Spada","doi":"10.1016/j.abrep.2023.100511","DOIUrl":"10.1016/j.abrep.2023.100511","url":null,"abstract":"<div><p>The present study aimed to investigate the psychometric properties and measurement invariance of the Compulsive Online Shopping Scale (COSS) in an Iranian population. The total sample of 802 participants (257 females; Mean age = 22.27, SD = 2.83) were selected via convenience sampling from Tehran, Iran. Confirmatory Factor Analysis supported the 7-factor structure of the COSS as proposed in the original study. The measurement invariance found in this study suggests that the COSS provides sufficiently unbiased use among males and females. The current findings also support the concurrent validity of the Persian COSS, which exhibited positive and significant associations with loneliness, impulsivity, obsession, internalized symptoms, and Internet use. Furthermore, results confirm the convergent validity of the Persian COSS and showcased acceptable internal consistency for all factors, and the total score. The findings of the present study indicate that compulsive online shopping could be assessed adequately in Iranian samples using the COSS.</p></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/02/cd/main.PMC10371791.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9912008","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 cross-cultural fMRI investigation of cannabis approach bias in individuals with cannabis use disorder","authors":"Lauren Kuhns ,&nbsp;Emese Kroon ,&nbsp;Francesca Filbey ,&nbsp;Janna Cousijn","doi":"10.1016/j.abrep.2023.100507","DOIUrl":"10.1016/j.abrep.2023.100507","url":null,"abstract":"<div><h3>Introduction</h3><p>As cannabis policies and attitudes become more permissive, it is crucial to examine how the legal and social environment influence neurocognitive mechanisms underlying cannabis use disorder (CUD). The current study aimed to assess whether cannabis approach bias, one of the mechanisms proposed to underlie CUD, differed between environments with distinct recreational cannabis policies (Amsterdam, The Netherlands (NL) and Dallas, Texas, United States of America (TX)) and whether individual differences in cannabis attitudes affect those differences.</p></div><div><h3>Methods</h3><p>Individuals with CUD (NL-CUD: 64; TX-CUD: 48) and closely matched non-using controls (NL-CON: 50; TX-CON: 36) completed a cannabis approach avoidance task (CAAT) in a 3T MRI. The cannabis culture questionnaire was used to measure cannabis attitudes from three perspectives: personal, family/friends, and state/country attitudes.</p></div><div><h3>Results</h3><p>Individuals with CUD demonstrated a significant behavioral cannabis-specific approach bias. Individuals with CUD exhibited higher cannabis approach bias-related activity in clusters including the paracingulate gyrus, anterior cingulate cortex, and frontal medial cortex compared to controls, which was no longer significant after controlling for gender. Site-related differences emerged in the association between cannabis use quantity and cannabis approach bias activity in the putamen, amygdala, hippocampus, and insula, with a positive association in the TX-CUD group and a negative association in the NL-CUD group. This was not explained by site differences in cannabis attitudes.</p></div><div><h3>Conclusions</h3><p>Pinpointing the underlying mechanisms of site-related differences—including, but not limited to, differences in method of administration, cannabis potency, or patterns of substance co-use—is a key challenge for future research.</p></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/0a/96/main.PMC10359718.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9918956","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":"Investigating psychological and motivational predictors of problematic smartphone use among Smartphone-based Social Networking Service (SNS) users","authors":"Min-Jung Kwak ,&nbsp;Dai-Jin Kim","doi":"10.1016/j.abrep.2023.100506","DOIUrl":"10.1016/j.abrep.2023.100506","url":null,"abstract":"<div><p>Given that the active use of certain smartphone applications is associate with problematic smartphone use, it has been proposed that certain smartphone applications are more addictive than others, such as Social Networking Services (SNS). Still, studies that consider smartphone users’ main usage application which are known to influence the users’ problematic smartphone use, such as SNS, remain to be explored. Thus, the current study aims to investigate the psychological and motivational predictors of problematic smartphone use in a sample of smartphone-based SNS users whose main device usage is SNS. A series of mean comparison tests and binary logistic regression were performed in this study. Of the 433 smartphone-based SNS users, 218 were male (50.3%) and 215 were female (49.7%). Age of 433 participants ranged from 20 to 40, and mean age was 30.75 (SD = 7.84). 73 participants (16.9%) were sorted into the high-risk problematic smartphone use group and 360 participants (83.1%) were categorized as the normal user group. The finding from binary regression analysis showed that reward responsiveness from the Behavioral Activation System (BAS), a lack of self-control, and anxiety significantly increased the odds of problematic smartphone use of the smartphone-based SNS users. Reward responsiveness was found to be the most powerful predictor. Our findings broaden the existing literature and provide implications to reduce addictive smartphone use relating to smartphone-based SNS usage.</p></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10319165/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10180996","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 qualitative examination of social identity and stigma among adolescents recovering from alcohol or drug use","authors":"Sophia H. Blyth ,&nbsp;Kiefer Cowie ,&nbsp;Jordan Jurinsky ,&nbsp;Emily A. Hennessy","doi":"10.1016/j.abrep.2023.100505","DOIUrl":"10.1016/j.abrep.2023.100505","url":null,"abstract":"<div><h3>Introduction</h3><p>Alcohol and other drug (AOD) use disorders are stigmatized conditions, but little is known about youth’s experience of this stigma, which may threaten their developing social identity and recovery process. This study investigates youth’s perceptions of AOD use-related stigma in the context of their social identity.</p></div><div><h3>Methods</h3><p>This study uses data from 12 youth (ages 17–19) who were in recovery from problematic AOD use. Participants completed a Social Identity Mapping in Addiction Recovery (SIM-AR) exercise, in which they created a visual map of their social groups, and semi-structured interview, in which participants were asked about their experience creating their SIM-AR and reflections on their social network. SIM-AR data were descriptively analyzed, and interviews were thematically analyzed for instances of stigma.</p></div><div><h3>Results</h3><p>Using stigmatizing terminology, participants expressed some stigmatizing attitudes towards themselves and others in their network who used substances and perceived both positive and negative reactions from those who knew about their disorder. Findings suggest that youth may experience some internalized stigma and perceive stigma from others in their social networks, which may be a barrier to the development of a healthy social identity and engagement in recovery supports.</p></div><div><h3>Conclusions</h3><p>These findings should be considered when seeking to engage youth in treatment and recovery programming. Despite the small sample, the findings suggest the importance of considering how stigma may influence adolescents’ treatment and recovery experience in the context of their social environment.</p></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ee/82/main.PMC10319988.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9809285","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":"Higher perceived stress during admission is associated with shorter retention in short-term residential substance use disorder treatment.","authors":"Orrin D Ware, Paul Sacco, John G Cagle, Jodi J Frey, Fernando A Wagner, Alexandra S Wimberly, Bernard Gyebi-Foster, Mayra Diaz, Kisun Peters, Sarah E Zemore","doi":"10.1016/j.abrep.2023.100502","DOIUrl":"10.1016/j.abrep.2023.100502","url":null,"abstract":"<p><strong>Introduction: </strong>Over one million people in the U.S. received residential treatment for a substance use disorder (SUD) in 2020. Longer treatment retention is associated with better outcomes (e.g., reduced substance use). Entering treatment with higher stress may be associated with shorter retention. This paper examines the impact of perceived stress at admission on SUD treatment retention in short-term residential treatment.</p><p><strong>Methods: </strong>A sample of 271 treatment episodes with admissions between October 2019 and February 2020 were collected from de-identified records of an urban mid-Atlantic adult 28-day short-term residential SUD treatment facility. Treatment completion involved finishing 28 days. Sociodemographic, substance use, perceived stress, and treatment discharge variables were analyzed. Bivariate analyses examined differences between treatment completion and early discharge, and Cox regression investigated the effect of perceived stress on treatment retention with covariates.</p><p><strong>Results: </strong>The sample was primarily male (73.8%) and non-Hispanic Black (71.6%). A majority used heroin as their primary substance (54.6%) and reported polysubstance use (72.3%). About half (51.3%) completed treatment, and completed an average of 18.7 (<i>SD</i> = 10.7) days. Those who prematurely discharged from treatment stayed an average of 8.9 (<i>SD</i> = 7.0) days. The Cox regression model found that higher perceived stress (adjusted hazard ratio (AHR) = 1.028; 95% CI = [1.005, 1.053], <i>p</i> =.019) and a race/ethnicity other than non-Hispanic Black (AHR = 1.546, 95% CI = [1.037, 2.305], <i>p</i> =.033) predicted premature discharge.</p><p><strong>Conclusions: </strong>Perceived stress at admission is associated with shorter treatment retention. Early stress management interventions may help increase treatment retention.</p>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10758394/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"53921781","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}