Addiction Research & Theory最新文献

{"title":"Time-Varying Effects of Substance Craving on Substance Use Among Pregnant People in Substance Use Disorder Treatment.","authors":"Frank J Schwebel, Matison W McCool, Matthew R Pearson, Lawrence Leeman, Pilar M Sanjuan","doi":"10.1080/16066359.2026.2693274","DOIUrl":"10.1080/16066359.2026.2693274","url":null,"abstract":"<p><strong>Objective: </strong>Prenatal substance use is associated with negative outcomes for both the pregnant person and child. Entering substance use treatment during pregnancy is associated with improved outcomes but there are many barriers to treatment such as stigma. To improve prevention and treatment outcomes, it is critical to understand the relationship between risk/protective factors for substance use during pregnancy and to look for temporal changes in these relationships.</p><p><strong>Method: </strong>Pregnant people (<i>N</i>=32) with substance use disorder and a history of trauma exposure were included in this secondary analysis. Participants completed ecological momentary assessment (EMA), three times per day for 28 days. We used time-varying effects models (TVEMs) to examine the effects of craving on substance use, PTSD symptoms on craving, prenatal bonding on craving, and PTSD symptoms on prenatal bonding.</p><p><strong>Results: </strong>Craving predicted substance use from gestational weeks 19.58 to 26.96. The relationship decreased over time and was not significant after week 27. PTSD symptoms predicted cravings at three times (weeks: 19.96-20.30, 23.36-31.68, 36.22-36.79). Maternal-fetal quality of attachment predicted craving from weeks 19.58-25.63. Maternal-fetal intensity of preoccupation predicted craving from weeks 19.58-22.42 and 31.31-31.87. PTSD symptoms predicted maternal fetal quality of attachment between weeks 25.06-26.20. There was no relationship between PTSD symptoms and maternal-fetal intensity of preoccupation over time.</p><p><strong>Conclusions: </strong>These findings support prior research on the relationship between risk/protective factors for substance use during pregnancy. However, these relationships appear to fluctuate over time indicating that other factors might impact substance use during pregnancy.</p>","PeriodicalId":47851,"journal":{"name":"Addiction Research & Theory","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13379157/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148580797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gender Differences in Health Risk Factors for Co-Use of Gabapentin and Opioids among Black Americans.","authors":"Paris B Wheeler, Kaylee A Palomino, Kyndall Jackson, Danelle Stevens-Watkins","doi":"10.1080/16066359.2026.2678461","DOIUrl":"https://doi.org/10.1080/16066359.2026.2678461","url":null,"abstract":"<p><p>Despite recent increases in gabapentin misuse among Black Americans who use opioids, there is a dearth of research examining gabapentin misuse among this high-risk group. The current study examines associations between health-related risk factors (e.g., pain and insomnia) and gabapentin misuse among Black adults who use opioids, as well as gender differences in these associations. Data were derived from a mixed-methods study examining opioid misuse among Black adults. The current sample included participants who confirmed lifetime prescription opioid misuse during the study survey (n=758). Stepwise logistic regression analyses, controlling for age, education, and past 30-day depression and anxiety, were used to examine main and interaction effects of pain, insomnia, and gender on odds of gabapentin misuse. Pain was assessed using the Brief Pain Inventory, and insomnia was assessed using the Insomnia Severity Index. Gabapentin misuse, depression, and anxiety were assessed using a modified version of the Addiction Severity Index-Lite. Overall, approximately 16% of participants reported gabapentin misuse in the past 30 days. Analyses showed a significant main effect of age (AOR=1.03, 95% CI [1.01, 1.04]), gender (AOR=5.60, 95% CI[2.44, 12.86]), pain (AOR=2.54, 95%CI [1.24, 5.22]) and insomnia (AOR=2.86, 95%CI [1.24, 6.38]) on odds of gabapentin misuse, and a significant interaction between gender and insomnia (AOR=.36, 95%CI [.13, .95]). Findings highlight a need to address sleep concerns among Black adults who misuse opioids and gabapentin, and for intervention approaches tailored by race and gender.</p>","PeriodicalId":47851,"journal":{"name":"Addiction Research & Theory","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13632708/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"'Sorry, I don't give away my medication': an examination of refusals todivert stimulant medication.","authors":"Laura J Holt, Alison Looby, Ty S Schepis","doi":"10.1080/16066359.2025.2560899","DOIUrl":"10.1080/16066359.2025.2560899","url":null,"abstract":"<p><strong>Background: </strong>Prescription stimulant misuse is a common illicit behavior on college campuses and is fueled, in part, by prescription stimulant diversion (PSD), which involves giving away, selling, or trading one's medication. Being approached for one's medication predicts PSD; however, no research has examined resistance strategies used by prescribed students in the real world.</p><p><strong>Method: </strong>We analyzed open-ended responses from students who refused a medication request in a 6-month randomized, controlled trial focused on preventing PSD (<i>n</i>=71; 74% female; <i>M</i> _age=20.25). We used deductive content analysis to categorize resistance strategies and examined group differences (treatment vs. placebo) in strategy use, and whether using strategies perceived as more effective in prior research (explanations, direct refusals, alternatives) was associated with less PSD or being approached.</p><p><strong>Results: </strong>We identified four strategies consistent with prior literature: explanations (49%), excuses (22%), direct refusals (17%), and alternatives (6%) and one novel but uncommonly used strategy: non-response (i.e., deflecting/ignoring) (6%). Chi-square tests showed that treatment and placebo did not differ in use of strategies perceived to be more effective; however, students who consistently (vs. inconsistently) used these strategies had a lower risk of any PSD at 6 months. Most students (70-71%) reporting PSD also refused a medication request and a t-test showed these students were approached more often.</p><p><strong>Conclusions: </strong>Students largely use strategies perceived as effective for resisting stimulant requests; nonetheless, most students who divert also resist requests, suggesting these behaviors are not mutually exclusive. Interventions that encourage consistent use of explanations, direct refusals, and alternatives may curb PSD. Registered on ClinicalTrials.gov on 05/12/2021: NCT04885166.</p>","PeriodicalId":47851,"journal":{"name":"Addiction Research & Theory","volume":"34 2","pages":"233-244"},"PeriodicalIF":2.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13221202/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148139337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Utility or futility? Toward an operational definition of addiction 'recovery'.","authors":"John F Kelly, William Stauffer","doi":"10.1080/16066359.2025.2609635","DOIUrl":"10.1080/16066359.2025.2609635","url":null,"abstract":"<p><p>The 'recovery' construct has received growing scrutiny over the past 20 years as individuals and organizations have tried to define what 'recovery' is, or should contain, as something distinct from remission. Yet, despite goals to improve definitional clarity and utility, confusion has persisted hindering attainment of objective epidemiological recovery prevalence rates, as well as its utility as a helpful decision tool in important legal and social determinations (e.g. child custody). We argue that the basis for confusion lies in four major areas: 1. Whether we are talking about an objective vs subjective definition; 2. What elements should be included in an operational definition at what threshold for what duration; and, whether abstinence or remission should be the basis - or even part - of a such a definition; 3. Whether we are describing recovery as a process vs a categorical endpoint ('in recovery' vs 'not in recovery'), similar to remission, or both; and 4. Who cares? To what end and for whom are we endeavoring to operationally define recovery and what ultimate added clinical and public health utility is there in a formal definition. This paper describes the background surrounding the creation of the initial formal descriptive recovery definition and discusses these points in the hope of decreasing confusion and increasing future definitional utility. In conclusion, it is argued that for the purposes of estimating objective recovery prevalence and in guiding important social determinations, only narrower definitions may be feasible, with more elaborate multidimensional definitions being reserved for descriptive purposes.</p>","PeriodicalId":47851,"journal":{"name":"Addiction Research & Theory","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12829920/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146054585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The unseen burden: exploring the lived experiences of mothers caring for individuals with substance use disorder","authors":"Faryalla Farooq, Saima Farhad","doi":"10.1080/16066359.2025.2542779","DOIUrl":"https://doi.org/10.1080/16066359.2025.2542779","url":null,"abstract":"","PeriodicalId":47851,"journal":{"name":"Addiction Research & Theory","volume":"34 2","pages":"162-174"},"PeriodicalIF":0.0,"publicationDate":"2025-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147884551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correlates of recovery capital among women in jails: Leveraging a dimensional recovery framework.","authors":"Amanda Fallin-Bennett, Martha Tillson, Jaxin Annett, Hartley Feld, Michele Staton","doi":"10.1080/16066359.2025.2537121","DOIUrl":"10.1080/16066359.2025.2537121","url":null,"abstract":"<p><strong>Background: </strong>Recovery capital encompasses internal and external factors that support recovery from substance use disorder, such as employment, social support, and physical and mental health. There is a need for more research on recovery capital among women who are incarcerated, who often face complex barriers to recovery, such as poverty, unemployment, and histories of trauma.</p><p><strong>Methods: </strong>Women (<i>N</i> = 900) were recruited from Kentucky jails as part of the broader NIDA-funded Kentucky Justice Community Opioid Innovation Network (JCOIN) cooperative project. Measures from baseline interviews (during incarceration) were selected in alignment with the Substance Abuse Mental Health Service Administration (SAMHSA)'s four dimensions of recovery ('health', 'home', 'purpose' and 'community'). Bivariate analyses and multilevel mixed-effects generalized linear models (GLMs) were used to determine correlations between selected measures and women's scores on the Brief Assessment of Recovery Capital (BARC-10).</p><p><strong>Results: </strong>Women reported an average BARC-10 score of 45.4. Several differences were observed in BARC-10 scores across all four recovery dimensions. Items retained in the full multilevel GLM explained 48% of the variance in recovery capital (<i>R</i> ²=0.479), with the 'community' dimension representing the strongest relationship (<i>R</i> ²=0.445). Perceived social support was the strongest individual correlate (<i>B</i>=2.40, <i>p</i><0.001) of all variables within the model.</p><p><strong>Conclusions: </strong>This sample of incarcerated women reported low recovery capital. However, findings highlight recovery capital as a multidimensional construct, related to factors across all four SAMSHA dimensions of recovery, especially 'community'. Interventions are needed to build recovery capital across each dimension, particularly leveraging social support, to promote sustained recovery among women who are incarcerated.</p>","PeriodicalId":47851,"journal":{"name":"Addiction Research & Theory","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12445731/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Social and behavioral correlates of sleep health among adults receiving medication treatment for opioid use disorder.","authors":"Lois S Sadler, Sangchoon Jeon, Ahmad Ibrahim, Declan Barry, Uzoji Nwananji-Enwerem, Dustin Scheinost, Henry Yaggi, Nancy S Redeker","doi":"10.1080/16066359.2025.2530997","DOIUrl":"10.1080/16066359.2025.2530997","url":null,"abstract":"<p><strong>Objectives: </strong>Opioid use disorder (OUD) and its treatment (MOUD) are associated with altered sleep health. The purposes are to (1) describe profiles of sleep health among adults using medication for opioid use disorder (MOUD) and (2) examine the associations between multi-level individual, family, neighborhood, and social characteristics and sleep profiles. We hypothesized that poor quality of life, adverse life experiences, addiction behavior, dysfunctional family and social interactions, and negative neighborhood characteristics are associated with negative profiles of sleep health.</p><p><strong>Methods: </strong>This study comprised baseline analyses of the NIH/HEAL-funded CLOUDS study (Collaboration Linking Opioid Use Disorder and Sleep). We obtained self-report measures of sleep health and indicators of multi-level individual, family, and neighborhood factors. We identified sleep health profiles with K-means cluster analysis and examined the associations between these multi-level factors and sleep health profiles.</p><p><strong>Results: </strong>The sample included 165 participants (M age = 42, SD =11.4 years; <i>N</i> = 73/42.2% female; <i>N</i> = 37/22.4% Black or more than one race). We identified four sleep health profiles: Healthy sleep (Profile A; 30.3%); mild insomnia/late sleep timing (Profile B: 20%); clinical insomnia/long sleep (Profile C: 25.5%); and insomnia with excessive daytime sleepiness (Profile D: 23.6%). There were statistically significant differences across sleep profiles in physical and psychological health, addiction use and risk, family function, neighborhood esthetic quality, and perceptions of community support, with more adverse factors associated with poorer sleep health.</p><p><strong>Conclusions: </strong>Research is needed to understand the causal directions of these relationships and promote multi-level interventions to promote sleep health.</p>","PeriodicalId":47851,"journal":{"name":"Addiction Research & Theory","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12356222/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144875955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correlates of Alcohol Use Severity among Black/African American Adolescents and Emerging Adults with Risky Drinking.","authors":"Carol A Lee, Maureen A Walton, Danielle R Zube, Jose A Bauermeister, Lara N Coughlin, Autumn Rae Florimbio, Erin E Bonar","doi":"10.1080/16066359.2025.2523828","DOIUrl":"10.1080/16066359.2025.2523828","url":null,"abstract":"<p><strong>Objective: </strong>Alcohol misuse reaches peak prevalence during adolescence and emerging adulthood increasing the risk for health harms, which is particularly concerning among Black/African American (AA) youth considering the health inequities these individuals experience. Also, disparities in alcohol-related negative social consequences (e.g., incarceration, unemployment) exist. Interventions for youth who engage in risky drinking need to be tailored to diverse needs to achieve better public health outcomes, health equity, and social justice. Herein, to inform future tailored interventions, we report on the factors associated with drinking severity among a sample of Black/AA youth who screened positive for past 3-month risky drinking.</p><p><strong>Method: </strong>We analyzed baseline cross-sectional data from a randomized controlled trial on alcohol intervention efficacy among youth aged 16-24. This study focused on 184 Black/AA participants. Using multivariate regression, we examined substance use characteristics, self-efficacy to reduce alcohol consumption, and resiliency as they relate to alcohol use severity, controlling for age and sex.</p><p><strong>Results: </strong>In an adjusted model, older age, more frequent non-fatal overdose experiences, and lower self-efficacy to reduce drinking were significantly associated with more severe drinking. Sex, other substance use, and resiliency did not significantly differentiate alcohol use severity in this sample.</p><p><strong>Conclusions: </strong>Tailored behavioral interventions to reduce risky drinking severity among Black/AA youth may benefit from considering culturally appropriate ways to increase self-efficacy to reduce drinking while paying special attention to addressing risk for overdose experiences.</p>","PeriodicalId":47851,"journal":{"name":"Addiction Research & Theory","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12622567/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145551532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"G-CHIME Framework to Examine Adolescent Addiction Recovery in Alternative Peer Groups: A Qualitative Analysis.","authors":"Emily A Hennessy, Alana Johnston, Angela Nash, Brandon G Bergman","doi":"10.1080/16066359.2025.2517636","DOIUrl":"10.1080/16066359.2025.2517636","url":null,"abstract":"<p><strong>Background: </strong>Research examining mechanisms that underlie adolescent addiction recovery can help inform best practices for this at-risk group. Alternative Peer Groups (APGs) are recovery supports intending to facilitate positive peer connections and prosocial activities. Consistent with the G-CHIME framework (Ogilvie & Carson, 2022), theory suggests APGs enhance adolescent recovery through Connectedness with APG peers and leaders, leading to Growth, Hope, Identity, Meaning, and Empowerment. In this study, we conducted qualitative analyses using the G-CHIME framework to examine recovery processes among APG participants.</p><p><strong>Methods: </strong>This was a secondary analysis of interviews with former APG participants (n=14; 71% male; <i>M_age</i> =20.4) and with leaders of those APGs (n = 7). G-CHIME elements were used as preliminary codes and sub-codes were generated during transcript review, including the addition of Motivation. Transcripts were analyzed using the constant comparative method.</p><p><strong>Results: </strong>G-CHIME generally mapped onto recovery processes but in several novel ways. For example, connection to APG peers/staff was integral to recovery for most, but not all participants. Transitioning from being selfish to selfless emerged as a key process mapping onto G-CHIME domains of Identity, Meaning, and Empowerment, often depicted through 'helping others' or becoming considerate. Motivation, although not a formal G-CHIME component, appeared throughout, suggesting this construct underlies many of the G-CHIME components.</p><p><strong>Conclusions: </strong>Using the G-CHIME framework may provide a more comprehensive understanding of youth recovery narratives. This enhanced understanding of pathways taken when participating in recovery support services may help program staff leverage such knowledge to increase engagement and positive outcomes.</p>","PeriodicalId":47851,"journal":{"name":"Addiction Research & Theory","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12366742/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Isolating the Unique Role of Transdiagnostic Risk Factors and Perceived Barriers for Smoking Cessation.","authors":"Andre Bizier, Jessica M Thai, Lorra Garey, Michael J Zvolensky, Brooke Y Redmond","doi":"10.1080/16066359.2025.2517625","DOIUrl":"10.1080/16066359.2025.2517625","url":null,"abstract":"<p><p>Individuals who smoke cigarettes and experience affective vulnerabilities report more severe smoking patterns. Prior work has identified several transdiagnostic risk factors associated with perceived barriers for smoking cessation, including distress tolerance, anxiety sensitivity, and emotion dysregulation. However, no work has explored the unique effect of these constructs on dimensions of perceived barriers for smoking cessation while controlling for the shared variance across these affective vulnerabilities. The present study aimed to investigate the effect of anxiety sensitivity, distress tolerance, and emotion dysregulation on perceived barriers for smoking cessation related to addiction, external, and internal domains when controlling for the shared variance across the identified affective vulnerabilities. Participants included 154 adults who reported daily cigarette smoking and low distress tolerance (<i>M</i> _<i>age</i> = 29.6 years; <i>SD</i> = 7.49; 31% female). Results indicate that higher anxiety sensitivity is related to greater external perceived barriers for smoking cessation whereas lower distress tolerance is related to greater internal and addiction perceived barriers for smoking cessation. The current findings suggest anxiety sensitivity and distress tolerance are important to better understanding perceived barriers for smoking cessation in the context of one another and emotion dysregulation.</p>","PeriodicalId":47851,"journal":{"name":"Addiction Research & Theory","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12371531/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}