Addictive Behaviors Reports最新文献

{"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":"2025-06-01","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":"The association between problematic smartphone use and subjective well-being in Bangladeshi youths: Mediating role of sleep quality","authors":"Md. Rohmotul Islam,&nbsp;Oli Ahmed,&nbsp;Lutfun Naher,&nbsp;Md. Nurul Islam","doi":"10.1016/j.abrep.2025.100599","DOIUrl":"10.1016/j.abrep.2025.100599","url":null,"abstract":"<div><div>Despite the remarkable contribution of smartphones in improving our lives, concerns have been raised about their uncontrolled usage, emphasizing its consequences on individual sleep and well-being. Therefore, we investigated the relationship between problematic smartphone use (PSU) and both positive and negative dimensions of subjective well-being (SWB) − subjective happiness and depressive symptoms, as well as the mediating role of sleep quality. A sample of 384 Bangladeshi youths (mean age = 18.99; 49.3 % female) were recruited through a convenience sampling technique and interviewed using a structured questionnaire that assessed PSU, sleep quality, subjective happiness, and depressive symptoms. The mediation analysis results indicated that sleep quality mediated the association between PSU and subjective happiness and depressive symptoms. The results also showed that subjective sleep quality, sleep disturbances, and daytime dysfunction were particularly responsible for the mediation effect. Thus, the findings highlight the necessity of designing sleep quality-enhancing interventions for youth to subside PSU’s detrimental effects on subjective well-being.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"21 ","pages":"Article 100599"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143715607","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":"Self-discontinuity in behavioral addictions: A psychodynamic framework","authors":"Gianluca Santoro ,&nbsp;Alessandro Musetti ,&nbsp;Antonino Costanzo ,&nbsp;Adriano Schimmenti","doi":"10.1016/j.abrep.2025.100601","DOIUrl":"10.1016/j.abrep.2025.100601","url":null,"abstract":"<div><div>Models based on substance use criteria have been employed to classify maladaptive engagement in various everyday activities as genuine addictions. However, symptom-based models have potential limitations, which includes in some cases reduced clinical utility and an increased risk of diagnostic inflation. The current article presents an alternative psychodynamic theoretical framework to elucidate the psychological processes underlying the development of putative behavioral addictions. According to this framework, behavioral addictions are conceptualized as strategies for regulating overwhelming feelings rooted in childhood trauma. Exposure to childhood trauma may lead to the segregation of unbearable trauma-related mental states from awareness through persistent dissociative processes. Thus, behavioral addictions may provide individuals with an illusory sense of control over unbearable feelings while simultaneously reinforcing the segregation of trauma-related mental states. The compulsive engagement in such activities can be seen as an attempt at self-medication, though it ultimately exacerbates discontinuities in self-experience. This theoretical framework is further illustrated through a clinical vignette, highlighting its implications for both assessment and treatment.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"21 ","pages":"Article 100601"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143681438","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":"Association between different modalities of opioid use disorder-related care delivery and opioid use disorder-related patient outcomes: A retrospective cohort study","authors":"Nahiyan Bin Noor ,&nbsp;George Pro ,&nbsp;Mahip Acharya ,&nbsp;Hari Eswaran ,&nbsp;Corey J. Hayes","doi":"10.1016/j.abrep.2025.100588","DOIUrl":"10.1016/j.abrep.2025.100588","url":null,"abstract":"<div><h3>Objective</h3><div>This study assessed the impact of different modalities of delivery of opioid use disorder (OUD)-related care on several patient outcomes.</div></div><div><h3>Methods</h3><div>This study was conducted among patients newly diagnosed with OUD and receiving OUD-related care between March 2020 and March 2022, using data from Epic Cosmos. We examined the association between the most common modality of OUD-related care delivery (audio-only vs. audiovisual vs. in-person) and the number of emergency department (ED) visits for any overdose and opioid-specific overdose and receipt of medication treatment for OUD (MOUD; primary). We also examined the association between the most common modality of OUD-related care delivery and all-cause ED visits, hospitalizations, and psychiatric-related hospitalizations (secondary outcomes). We estimated logistic regression for receipt of MOUD and negative binomial for all other outcomes.</div></div><div><h3>Results</h3><div>Most patients primarily received OUD-related care in person (87.6 %, n = 159,351), followed by audiovisual visits (11.3 %, n = 20,629) and audio-only visits (1.1 %, n = 1,869). The mean (SD) ages for these groups were 51.7 (15.9), 47.1 (15.0), and 51.1 (15.8) years, respectively. Compared to receiving OUD-related care primarily in-person, receiving care predominantly through audio-only or audiovisual visits was associated with a modest decrease in number of all-cause ED visits. Receiving OUD-related care primarily through audiovisual visits, compared to in-person care, was associated with a slight increase in the odds of receiving MOUD. No statistically significant differences were found between the care delivery modalities and the other outcomes we examined.</div></div><div><h3>Conclusion</h3><div>Telehealth, delivered via audio-only or audiovisual methods, appears to provide care of similar quality to in-person OUD care and may modestly reduce OUD-related ED visits while slightly increasing MOUD receipt. These findings support continued delivery of OUD-related care through telehealth and continuation of COVID-19-related policies.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"21 ","pages":"Article 100588"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143210131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of compassion satisfaction, burnout, and secondary traumatic stress on current drug use among healthcare workers: Differences by occupational level","authors":"Sylvia A. Okon ,&nbsp;Tourna N. Khan ,&nbsp;Nora J. Duffy ,&nbsp;Carson C. Roan ,&nbsp;Rachel A. Hoopsick","doi":"10.1016/j.abrep.2025.100584","DOIUrl":"10.1016/j.abrep.2025.100584","url":null,"abstract":"<div><div>Work-related stress has been well-examined among physicians, but little is known about how it might affect drug use or healthcare workers in lower-wage occupations characterized by high job demands and low occupational autonomy (e.g., medical assistants, nursing assistants). We collected data from a diverse sample of healthcare workers (<em>N</em> = 200) and separately examined the cross-sectional relationships between several work-related experiences (i.e., compassion satisfaction, burnout, and secondary traumatic stress) and measures of current drug use (i.e., non-medical use of prescription drugs [NMUPD], cannabis use, and illicit drug use). We then examined for differences in these relationships by occupational level (i.e., prescriber/administrator vs. other healthcare worker). In main effects models, greater burnout and secondary traumatic stress were both associated with higher odds of NMUPD, cannabis use, and illicit drug use (<em>ps</em> &lt; 0.01). Greater compassion satisfaction was associated with lower odds of illicit drug use (<em>p</em> &lt; 0.05), but not with NMUPD or cannabis use (<em>ps</em> &gt; 0.05). There was a significant interaction between secondary traumatic stress and occupational level on NMUPD (<em>p</em> &lt; 0.05) such that there was no relationship among prescribers/administrators, but the likelihood of NMUPD increased with greater secondary traumatic stress among other healthcare workers. Similar trend-level interactions were observed between secondary traumatic stress and occupational level on cannabis use (<em>p</em> &lt; 0.10) and between burnout and occupational level on NMUPD. Burnout and secondary traumatic stress may contribute to drug use, and lower-wage healthcare workers may be especially vulnerable.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"21 ","pages":"Article 100584"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11774798/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intersectionality in substance use disorders: Examining gender, race/ethnicity, and sexual orientation in the 2021–2022 National Survey on Drug Use and Health","authors":"Marvin A. Schilt-Solberg ,&nbsp;Lisa M. Blair ,&nbsp;Julie A.M.J. Kurzer","doi":"10.1016/j.abrep.2025.100587","DOIUrl":"10.1016/j.abrep.2025.100587","url":null,"abstract":"<div><h3>Objective</h3><div>This study examines the impact of the intersection of gender, racial/ethnic identity, and sexual orientation among adults on substance use disorders (SUDs) from 2021 to 2022.</div></div><div><h3>Method</h3><div>We conducted an analysis of persons (ages 18 and older) who responded to the 2021 and 2022 National Survey on Drug Use and Health (NSDUH). Logistic regression models were constructed to examine odds of past-year SUDs at the intersection of gender, sexuality, and race/ethnicity. All analyses were design-corrected to enhance population representativeness and generalizability.</div></div><div><h3>Results</h3><div>Prevalence varied by race/ethnicity and sexual orientation across both sexes (total <em>n</em> = 83,722). Non-Hispanic multiracial lesbian/gay individuals had the highest prevalence of any SUD in both sexes (46.6 % in women, 52.3 % in men). Bisexual women showed consistently elevated odds of SUD across most racial/ethnic groups (aORs 1.48–2.99) compared to White heterosexual women. Men had higher prevalence of SUD than women (21.1 % compared to 15.0 %, <em>p &lt; 0</em>.0001). Only White gay and bisexual men had significantly increased odds for any SUD compared to heterosexual White men (aOR 1.73 and 1.57, respectively). White bisexual men had higher odds of reporting cannabis use disorder (CUD; aOR 1.87). Hispanic men demonstrated lower odds of any SUD or CUD (aORs 0.85 and 0.71, respectively).</div></div><div><h3>Conclusion</h3><div>Women demonstrated more pronounced SUD disparities between intersectional identity. While men had higher SUD prevalence overall, few disparities were observed between intersectional identities. To effectively address these disparities and their consequences (e.g., differential minority stress and mental/physical health outcomes), prevention and intervention efforts should prioritize an intersectionality approach.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"21 ","pages":"Article 100587"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143137810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intact habit learning in work addiction: Evidence from a probabilistic sequence learning task","authors":"Zsuzsanna Viktória Pesthy ,&nbsp;Krisztina Berta ,&nbsp;Teodóra Vékony ,&nbsp;Dezső Németh ,&nbsp;Bernadette Kun","doi":"10.1016/j.abrep.2025.100589","DOIUrl":"10.1016/j.abrep.2025.100589","url":null,"abstract":"<div><div>Work addiction (WA) is characterized by excessive and compulsive working patterns that detrimentally affect the individual’s health and functioning. While prior studies have indicated an overreliance on habit learning in various addictions, this study is the first to examine its role in WA. 104 adults were categorized into low-risk and high-risk groups for WA based on their scores on the Work Addiction Risk Test. We used a probabilistic sequence learning task designed to assess habit learning through the implicit acquisition of structured patterns characterized by alternating sequences. No significant differences were observed between the groups, both in terms of accuracy and reaction time. These findings suggest that individuals with WA exhibit intact habit learning, indicating that the addictive nature of work behavior may not solely stem from habitual processes. This highlights the unique features of WA compared to other addictions, potentially contributing to the relatively better overall functioning observed in affected individuals.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"21 ","pages":"Article 100589"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143395451","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":"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":"2025-06-01","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":"Impacts of stigma and discrimination on people with obesity who smoke cigarettes","authors":"Liza A. Kolbasov ,&nbsp;Arryn A. Guy ,&nbsp;Cara M. Murphy","doi":"10.1016/j.abrep.2024.100582","DOIUrl":"10.1016/j.abrep.2024.100582","url":null,"abstract":"<div><div>Stigma is the state of social devaluation due to a trait or group identity; weight and smoking-based self-, felt-, and enacted stigma may have detrimental health effects and pose barriers to smoking cessation. This study examined associations between stigma, discrimination, and health for people with overweight or obesity (body mass index [BMI] ≥ 25) who smoke cigarettes (cigarettes smoked/day ≥ 5) who reported interest in quitting smoking and minimizing weight gain. Participants (<em>N</em> = 63; predominantly women (81.0 %), White (63.5 %) or Black/African American (31.7 %), and heterosexual (85.7 %) with 50 % having a yearly income below $50,000) completed the measures of stigma (i.e., Weight Bias Internalization Scale and Internalized Stigma of Smoking Inventory), discrimination (i.e., Everyday Discrimination Scale), and symptoms of depression, weight, smoking, nicotine dependence, and concerns about gaining weight while quitting smoking were measured. Those who reported more internalization of weight bias and more everyday discrimination reported greater depressive symptomatology and greater concern about gaining weight while quitting smoking, with depressive symptomatology fully mediating both internalization of weight bias and everyday discrimination’s relation with concern about gaining weight while quitting smoking. There was also an association of smoking felt-stigma, but not self- or enacted-stigma, with symptoms of depression. Stigma’s associations with symptoms of depression and post-cessation weight concern suggest barriers to effective behavior change, and interventions may consider targeting processes for coping with stigma experienced by this population.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"21 ","pages":"Article 100582"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11786092/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Difficulties with positive, but not negative, emotion regulation moderate the association between positive alcohol expectancies and alcohol use in college students","authors":"Katherine Shircliff,&nbsp;Haley Coronado,&nbsp;Madeline McClinchie,&nbsp;Caroline Cummings","doi":"10.1016/j.abrep.2025.100583","DOIUrl":"10.1016/j.abrep.2025.100583","url":null,"abstract":"<div><h3>Background</h3><div>Positive alcohol expectancies are linked to increased alcohol use among college students. Difficulties regulating emotion have been shown to moderate this relationship, though little research accounts for differences based on the valence of the emotion being regulated.</div></div><div><h3>Objective</h3><div>To examine the independent moderating roles of positive and negative emotion dysregulation on the association between positive alcohol expectancies and alcohol use.</div></div><div><h3>Methods</h3><div>College students (N = 165, M_age = 20.48, SD_age = 1.90; 66.1 % Female; 66.7 % White; 65.5 % non-Hispanic) who reported regular substance use (≥ 3 times in the past week) completed a one-time survey. Linear regression analyses with moderation were conducted.</div></div><div><h3>Results</h3><div>Correlational analyses suggested that positive alcohol expectancies, positive emotion dysregulation, and negative emotion dysregulation were positively associated with greater alcohol use. Linear regression analyses indicated that difficulties with positive emotion regulation moderated the relationship between positive alcohol expectancies and alcohol use. However, difficulties with negative emotion regulation did not moderate this relationship. College students who reported greater positive alcohol expectancies and concurrently greater difficulties with positive emotion regulation also report greater alcohol consumption, compared to those who reported greater positive alcohol expectancies and fewer difficulties regulating positive emotion.</div></div><div><h3>Discussion</h3><div>Difficulties with positive, not negative, emotion regulation may serve as a risk factor for hazardous alcohol use in college students. Findings may inform the modification of existing intervention programs across university counseling centers and other health sectors to promote the development of positive emotion regulation skills for individuals who endorse positive emotion regulation difficulties, thereby reducing hazardous alcohol use amid this high-risk developmental period.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"21 ","pages":"Article 100583"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11764778/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}