Addiction Research & Theory最新文献

{"title":"Associations between Interpersonal Communication, Perceived Norms, and E-Cigarette Use: The Moderating Role of Social Network Size.","authors":"Joshua Awua, Antover P Tuliao, Jon R Webb, Devin J Mills, Micki Washburn, Matthew K Meisel","doi":"10.1080/16066359.2025.2514212","DOIUrl":"10.1080/16066359.2025.2514212","url":null,"abstract":"<p><strong>Background: </strong>Prior studies have found that e-cigarette-related interpersonal communication and perceived norms are associated with young adults' e-cigarette use. However, it is unclear whether social network size moderates these relationships. This study examined the relationship between interpersonal discussions, perceived norms, and e-cigarette use outcomes (i.e., daily vaping episodes and vaping days per week) and further examined whether network size moderates these relationships.</p><p><strong>Methods: </strong>The sample consisted of 670 college students (81% female, 82.8% white; M_age = 21.20; SD = 3.92).</p><p><strong>Results: </strong>There was a significant and positive association between e-cigarette-related interpersonal communication, daily vaping episodes, and vaping days per week, but not for perceived norms. In addition, we found a significant interaction between interpersonal communication and network size. Follow-up Johnson-Neyman analyses revealed that the association between the frequency of e-cigarette discussions and vaping days per week was significant and positive when network size was low to medium; however, this relationship changes and becomes non-significant when network size was high.</p><p><strong>Conclusions: </strong>The results highlight that young adults who are in smaller social networks and frequently discuss e-cigarettes may be susceptible to vaping multiple times per day and days per week. Therefore, interventions to reduce e-cigarette use among young adults may be particularly effective when implemented within smaller social networks.</p>","PeriodicalId":47851,"journal":{"name":"Addiction Research & Theory","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12320951/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974144","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":"Exploring Passion for Opioid Use with a Treatment-Seeking Sample: Results from a Canonical Correlation Analysis.","authors":"Brandon Park, Alan K Davis, Cecilia L Bergeria, Yitong Xin","doi":"10.1080/16066359.2025.2509627","DOIUrl":"10.1080/16066359.2025.2509627","url":null,"abstract":"<p><strong>Background: </strong>Novel and personalized intervention strategies are necessary to address the wide treatment gap for individuals with opioid use disorder (OUD) who are not prescribed medications for OUD (MOUD). The Dualistic Model of Passion (DMP) offers an innovative opportunity to understand an individual's relationship with opioid use and effectively measure readiness for treatment. The current study aimed to explore how passion for opioid use predicted opioid use behaviors and treatment outcomes among individuals who self-described as treatment-seeking.</p><p><strong>Methods: </strong>As part of a screening for a larger virtual focus group study, a nationally recruited sample (<i>N</i> = 107; 72.0% non-Hispanic White, 54.2% male) currently receiving or seeking treatment for OUD completed the opioid use version of the Harmonious and Obsessive Passion Scale (O-HOPS) alongside other demographic and substance use history questionnaires.</p><p><strong>Results: </strong>Eleven out of 13 O-HOPS items that loaded onto two factors (harmonious passion and obsessive passion) were retained in the confirmatory factor analysis solution. Results of the canonical correlation analysis revealed greater obsessive passion for opioid use was associated with more frequent opioid use and problems related to drug use in the past 30 days, controlling for harmonious passion for opioid use and other use- and treatment-related outcomes.</p><p><strong>Conclusions: </strong>The DMP is applicable to individuals with OUD who are treatment-ready, as obsessive passion is associated with opioid use frequency and use-related consequences. Passion may be a novel metric of treatment readiness to improve engagement with evidence-based treatment such as MOUD initiation and maintenance.</p>","PeriodicalId":47851,"journal":{"name":"Addiction Research & Theory","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12366766/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974216","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":"Implications of Genetic Attributions for Addiction in Adults Affected by Alcohol Use Disorder and Gambling Disorder.","authors":"Matthew S Lebowitz, Shawn T Sorge, Rachel N Rattenni","doi":"10.1080/16066359.2025.2468423","DOIUrl":"10.1080/16066359.2025.2468423","url":null,"abstract":"<p><strong>Background: </strong>The role of the genome in the etiology of addictive disorders is increasingly emphasized, though the impact of this emphasis on people affected by addiction remains unclear. Furthering existing research on this topic, we sought to explore how attributing one's own addiction to genetic causes would relate to clinically relevant attitudes and beliefs, and whether any such impact would differ between people with substance addictions (alcohol use disorder in our sample) and those with behavioral addictions (gambling disorder in our sample).</p><p><strong>Methods: </strong>Individuals affected by gambling disorder (GD; N=60) or alcohol use disorder (AUD; n=53) completed a measure of their belief in a possible genetic basis for their addictive disorder, as well as measures of beliefs about the effectiveness of medication and psychotherapy, characterological self-blame, and beliefs about their ability to overcome their addictive disorder. A subset of 20 participants completed qualitative follow-up interviews to explore their perspectives in greater depth.</p><p><strong>Results: </strong>In the GD sample, but not in the AUD sample, genetic attributions were positively associated with characterological self-blame; no other quantitative variables showed significant associations with genetic attributions. In the interviews, several participants expressed views of a genetic explanation for addiction as suggesting a need for biomedical (pharmacological) treatment. There was a diversity of views about whether a genetic explanation would indicate blamelessness on the part of the individual patient, as well as whether it would connote limited agency to overcome addiction through behavioral self-control.</p><p><strong>Conclusions: </strong>Individuals with addictive disorders may endorse a variety of different perspectives about the implications of genetic explanations of addiction for treatment, self-efficacy, and blame, which may help to explain why quantitative associations between genetic attributions and other variables were not consistently observed.</p>","PeriodicalId":47851,"journal":{"name":"Addiction Research & Theory","volume":"33 4","pages":"350-360"},"PeriodicalIF":2.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12380008/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974102","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":"A Qualitative Examination of Addiction Disclosure and Stigma among Recovering Adolescents.","authors":"Sophia H Blyth, Agata Pietrzak, Wendy Avila Rodriguez, Mark D Litt, John F Kelly, Emily A Hennessy","doi":"10.1080/16066359.2024.2431598","DOIUrl":"10.1080/16066359.2024.2431598","url":null,"abstract":"<p><strong>Background: </strong>The stigma attached to alcohol or other drug use (AOD) disorders can lead to poorer treatment outcomes. Adolescents, who are developing their social identity, may hesitate to disclose their disorder and are vulnerable to stigmatizing experiences. Adolescents' preferred ways of discussing AOD disorder have not been explored.</p><p><strong>Methods: </strong>This study explores the experience of AOD disclosure in 16 adolescents with an AOD disorder (recruited nationwide in the United States from 2022-2023). Participants were 12-19 years old (M = 16.8; SD = 1.78; 56% Male, 31% Female, 13% Non-binary), had experienced problematic substance use, and used some form of treatment or recovery support. Participants completed an interview in which they reflected on their social network, their recovery, and experiences related to AOD disorder disclosure. The research team used constant comparative analysis to develop themes from the interview data.</p><p><strong>Results: </strong>A primary theme was the level of control participants felt regarding the persons to whom they disclosed their AOD recovery, and how that information was disclosed. Although some participants felt supported, several felt that their peers/family were overly intrusive (e.g., by questioning actions). Some participants experienced enacted stigma in interactions with others.</p><p><strong>Conclusions: </strong>These results support recommendations for family, peers, and youth-facing providers to engage youth in treatment. Future work should aim to increase disclosure skills and coping strategies for adolescents experiencing AOD recovery, and educational efforts for practitioners, families, and peers on ways to have conversations around AOD recovery with adolescents that best support their recovery.</p>","PeriodicalId":47851,"journal":{"name":"Addiction Research & Theory","volume":"33 4","pages":"286-293"},"PeriodicalIF":2.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12329652/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144817929","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":"There is no stigmatization of substance use.","authors":"Michael M Vanyukov, Levent Kirisci","doi":"10.1080/16066359.2024.2433555","DOIUrl":"10.1080/16066359.2024.2433555","url":null,"abstract":"","PeriodicalId":47851,"journal":{"name":"Addiction Research & Theory","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12333666/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974224","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":"Dynamics of prescribing and accessing medications for opioid use disorder: a community-based systems analysis.","authors":"Tianna Herman, Zeynep Hasgul, Tse Yang Lim, Mohammad S Jalali, Erin J Stringfellow","doi":"10.1080/16066359.2024.2420087","DOIUrl":"10.1080/16066359.2024.2420087","url":null,"abstract":"<p><strong>Background: </strong>Although medications for opioid use disorder (MOUD) are effective for treating opioid use disorder (OUD), persistent barriers still prevent patients from accessing this life-saving care. Policies to increase MOUD access have produced suboptimal results. This study presents a qualitative system dynamics model that elucidates the complexities of accessing and staying in MOUD treatment.</p><p><strong>Methods: </strong>We utilized a community-based system dynamics approach to modeling the MOUD treatment system. We engaged a cohort of system experts/stakeholders, including individuals who had received MOUD, treatment providers, and policymakers, in interviews and group model building to develop and refine a simulation model. We then created a qualitative causal loop diagram based on insights gained while developing the simulation model and a review of interview transcripts.</p><p><strong>Results: </strong>The causal loop diagram captures four key factors affecting treatment initiation, retention, and leaving: (1) fraught interactions between patients and healthcare providers; (2) stigma-driven regulation of MOUD creating a culture of fear and defensive medicine; (3) a punitive culture in clinics and opioid treatment programs offering MOUD; and (4) the internalization of the abstinence narrative contributing to premature termination of treatment.</p><p><strong>Conclusions: </strong>Our analysis highlights how interdependent and non-linear feedback processes diminish or counteract the effectiveness and sustainability of MOUD policy interventions. Due to system memory and cultural resistance to change, even rolling back reactionary policies may do little to curb established behavioral patterns. In addition, conflicting and competing strategies among various actors within the system contribute to goal misalignment and a lack of standardization of care.</p>","PeriodicalId":47851,"journal":{"name":"Addiction Research & Theory","volume":"33 3","pages":"231-242"},"PeriodicalIF":2.9,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13647291/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138921","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":"Can ‘justified disapproval’ be separated from addiction stigma? An empirical focus is required","authors":"James Morris, Johanna Kummetat, Georg Schomerus","doi":"10.1080/16066359.2024.2394424","DOIUrl":"https://doi.org/10.1080/16066359.2024.2394424","url":null,"abstract":"Stigma is largely recognized as a harmful practice of social devaluation and discrimination, yet some scholars still advance arguments that stigma also serves an important disincentivizing force to...","PeriodicalId":47851,"journal":{"name":"Addiction Research & Theory","volume":"25 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142209674","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":"Do older adults drink alcohol whilst taking alcohol-interactive medication? Prevalence and ten-year mortality risk: findings from the UK Whitehall II cohort study","authors":"Yuxuan Wu, Eloise Evans, Sadie Boniface, Annie Britton","doi":"10.1080/16066359.2024.2380835","DOIUrl":"https://doi.org/10.1080/16066359.2024.2380835","url":null,"abstract":"Older people commonly take prescribed medications, some of which are contra-indicated with alcohol. Few population-based studies have assessed the relationship between taking these medicines, diffe...","PeriodicalId":47851,"journal":{"name":"Addiction Research & Theory","volume":"253 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2024-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141738916","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":"Ambulatory assessment to advance the science of nondrug reward in addiction and recovery","authors":"Samuel W. Stull","doi":"10.1080/16066359.2024.2376622","DOIUrl":"https://doi.org/10.1080/16066359.2024.2376622","url":null,"abstract":"Experiencing nondrug reward can promote the transition from addiction to recovery, as indicated by animal and human studies; further, several effective behavioral interventions to promote addiction...","PeriodicalId":47851,"journal":{"name":"Addiction Research & Theory","volume":"32 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141609881","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":"Impact of the COVID-19 pandemic on health care utilization for commercial and Medicaid beneficiaries with opioid use disorder","authors":"Lavonia Smith LeBeau, Michael A. Head, Rachel Mosher Henke, Kenneth C. Pack, Mackenzie C. White, Norah Mulvaney Day, Teresa B. Gibson, Michael J. Davenport, Daniel C. R. Chen, Michael D. Stein, Frank Meng, Justeen Hyde, Nicholas A. Livingston","doi":"10.1080/16066359.2024.2373138","DOIUrl":"https://doi.org/10.1080/16066359.2024.2373138","url":null,"abstract":"We sought to examine how COVID-19 affected opioid use disorder (OUD)-specific health care utilization for insured individuals with preexisting OUD during the first year of the pandemic.In this retr...","PeriodicalId":47851,"journal":{"name":"Addiction Research & Theory","volume":"42 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141504487","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}