Addiction Research & Theory最新文献

{"title":"The misnomer of substance use “stigma”: beneficial disapproval should not be conflated with mistreatment of users","authors":"Michael M. Vanyukov","doi":"10.1080/16066359.2023.2283574","DOIUrl":"https://doi.org/10.1080/16066359.2023.2283574","url":null,"abstract":"Published in Addiction Research & Theory (Ahead of Print, 2023)","PeriodicalId":47851,"journal":{"name":"Addiction Research & Theory","volume":"33 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2023-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138534158","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":"Beyond gambling: the dangers of analogistic reasoning in addiction science, and how loot box psychology should create its own unique theory","authors":"Philip Newall","doi":"10.1080/16066359.2023.2279082","DOIUrl":"https://doi.org/10.1080/16066359.2023.2279082","url":null,"abstract":"AbstractAs in other areas of science, understanding in the addictions can progress by analogy, by taking concepts from a relatively well-understood area and applying them to another domain. This process helped increase our understanding of gambling, by using prior insights from substance-based addictions, and gambling has, in turn, served as an analogy for loot boxes: gambling-liked elements in video games. Although this could be a good way to make rapid initial advances, it could also limit our ability in the long-run to produce a complete understanding of the new area of inquiry. In this think piece I argue that these conceptual links did in fact limit our understanding of gambling in several ways, and that the same pattern is now becoming apparent with loot boxes. Although loot box expenditure correlates robustly with disordered gambling severity, it does not appear to correlate strongly with impulsivity, a key driver of disordered gambling symptomology. People also often gamble to try to win money, but this motivation is rarely observed with loot boxes. Instead, I argue that the enjoyment and meaning that gamers derive from games is a core motivator for loot box expenditure. Video games can bring enjoyment both directly and via the social connections they can help create, and these are motivations seen less frequently in gambling. This example can act as a warning to addiction science on the risks of proceeding via analogy too strictly, and of the need to consider the unique context of each potentially addictive behavior of interest.Keywords: Video gamesloot boxesaddiction psychologyvideo gaming Disclosure statementPhilip Newall is a member of the Advisory Board for Safer Gambling – an advisory group of the Gambling Commission in Great Britain, and in 2020 was a special advisor to the House of Lords Select Committee Enquiry on the Social and Economic Impact of the Gambling Industry. In the last three years, Philip Newall has contributed to research projects funded by the Academic Forum for the Study of Gambling, Clean Up Gambling, Gambling Research Australia, NSW Responsible Gambling Fund, and the Victorian Responsible Gambling Foundation. Philip Newall has received travel and accommodation funding from Alberta Gambling Research Institute, and received open access fee funding from Gambling Research Exchange Ontario.Ethical approvalThis paper did not require ethics board approval.Notes1 The cited paper and most other literature in this field uses the Problem Gambling Severity Index (PGSI); in line with common present usage, I will use the term “disordered gambling” instead of “problem gambling”.","PeriodicalId":47851,"journal":{"name":"Addiction Research & Theory","volume":"29 27","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135391271","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":"Patterns of simultaneous and nonsimultaneous use of cannabis and alcohol among American Indian adolescents","authors":"Morgan A. Douglass, Linda R. Stanley, Hollis C. Karoly, Mark A. Prince, Meghan A. Crabtree, Randall C. Swaim","doi":"10.1080/16066359.2023.2275575","DOIUrl":"https://doi.org/10.1080/16066359.2023.2275575","url":null,"abstract":"AbstractBackground American Indian (AI) adolescents report earlier initiation and higher rates of cannabis and alcohol use compared to their non-AI peers. Simultaneous cannabis and alcohol (SCA) use is increasingly common. A primary goal of our research was to identify profiles of cannabis and alcohol use, including SCA use, among AI adolescents using latent class analysis (LCA).Method Data from 1,673 7th–12th grade students attending 45 reservation-area schools throughout the United States who reported using alcohol and/or cannabis in the past year were used to identify the latent classes. Multinomial logistic regression analysis determined associations of sex, grade, and multiethnicity to class membership.Results A four-class solution was found: (1) SCA-Heavier Use (16.1%); (2) SCA-Lighter Use (25.2%); (3) Primarily Cannabis Use (33.3%); and (4) Primarily Alcohol Use (25.4%). Multinomial regression showed higher grade, identifying as multiethnic, and being female were associated with higher likelihood of membership in the SCA class.Conclusion AI adolescents were more likely to be classified in the Primarily Cannabis Use class as compared to all other classes. Characterizing profiles of use may help identify those engaging in risky or co-use and help researchers and clinicians better understand how AI adolescents engage with alcohol and marijuana.Keywords: American Indianadolescentslatent class analysissimultaneous usecannabisalcohol Ethics StatementAll procedures were approved by the university Institutional Review Board and by appropriate tribal research review boards, school boards, and school staff.Disclosure statementNo potential conflict of interest was reported by the authors.Notes1 Simultaneous Cannabis and Alcohol use (SCA) is also commonly referred to as simultaneous alcohol and marijuana use (SAM). However, given the negative connotations that have been historically associated with the term marijuana, we have opted to use SCA throughout this manuscript.2 Monitoring the future is a long-term epidemiological study of substance use that surveys U.S. 8th, 10th, and 12th grade adolescents.Additional informationFundingThis research was supported by grant # R01DA003371 from the National Institute on Drug Abuse (NIDA) of the National Institutes of Health (NIH).","PeriodicalId":47851,"journal":{"name":"Addiction Research & Theory","volume":"21 25","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135684809","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":"Healthcare providers beliefs about the meanings and impacts of prescription drug monitoring program alerts","authors":"Sarah Haines, Michael Savic, Adrian Carter","doi":"10.1080/16066359.2023.2271833","DOIUrl":"https://doi.org/10.1080/16066359.2023.2271833","url":null,"abstract":"Background Addiction and overdose death associated with high-risk prescription medications such as benzodiazepines and opioids, are significant global issues. Prescription Drug Monitoring Programs (PDMP), which allow healthcare providers to track and monitor patients’ high-risk medication history have been implemented widely throughout North America and recently in Victoria, Australia. Australia’s PDMP uses a red alert notification to notify healthcare providers to patients at ‘high risk’ of medication related harm. Very little is known about healthcare providers beliefs about the meaning of these notifications and what impact these meanings have on the clinical encounter and patient outcome.","PeriodicalId":47851,"journal":{"name":"Addiction Research & Theory","volume":"97 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135725933","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":"Addressing the accountability gap: gambling advertising and social media platform responsibilities","authors":"Christine Parker, César Albarrán-Torres, Casey Briggs, Jean Burgess, Nicholas Carah, Mark Andrejevic, Daniel Angus, Abdul Obeid","doi":"10.1080/16066359.2023.2269852","DOIUrl":"https://doi.org/10.1080/16066359.2023.2269852","url":null,"abstract":"","PeriodicalId":47851,"journal":{"name":"Addiction Research & Theory","volume":"13 7","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136233750","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":"“More drugs means more stress on my body”: exploring enhancement and health among elite strength athletes who use performance and image enhancing drugs","authors":"Timothy M. Piatkowski, David L. Neumann, Carol Keane, Dunn Matthew","doi":"10.1080/16066359.2023.2271839","DOIUrl":"https://doi.org/10.1080/16066359.2023.2271839","url":null,"abstract":"Existing data reveals prevalent performance and image-enhancing drug (PIED) use in specific global regions and higher rates among athletes, however, research on performance-enhancement experiences among elite untested athletes is lacking. Drawing on conceptual frameworks that emphasize the intersection of context and practice, this research aims to gain insights into the subjective perspectives, motivations, and challenges faced by athletes in managing and optimizing their performance while using PIEDs. In-depth interviews were conducted with seventeen strength sports athletes, including powerlifters and bodybuilders, who had competed at national and/or international levels within untested federations. Thematic analysis was employed to examine the interview data within a social constructivist ontology. Findings revealed that PIEDs have dual roles as tools for enhanced recovery and heightened training stress, a delicate balance that aligns with Foucault’s notion of self-transformation through technological advancements. These substances exerted power beyond consumption events with long-term psychological effects such as anxiety and irrational behavior emerging as key concerns. Peers with lived experience were key actors in the relationship between responsible drug management, however, the need for informed guidance was acknowledged. Non-human actors, notably biometric data tracking, played a pivotal role in guiding substance consumption. The study underscores the need for further research and tailored frameworks to support the health and well-being of athletes in this domain while addressing the broader implications of PIED use in public health discourse. Specifically, this study highlights the significance of integrating lived experiences and social contexts, emphasizing the need for nuanced harm-reduction strategies in this space.","PeriodicalId":47851,"journal":{"name":"Addiction Research & Theory","volume":"2004 36","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135405614","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":"Financially focused self-concept and disordered gambling are bidirectionally related over time","authors":"Nassim Tabri, Sasha Stark, Iris M. Balodis, Alex Price, Michael J. A. Wohl","doi":"10.1080/16066359.2023.2269077","DOIUrl":"https://doi.org/10.1080/16066359.2023.2269077","url":null,"abstract":"AbstractObjective Prior research has shown a moderately positive association between financially focused self-concept and disordered gambling. Because most prior research was cross-sectional, it is unclear whether financially focused self-concept contributes to the onset and maintenance of disordered gambling whether a financially focused self-concept is a consequence of disordered gambling, or both. Thus, we addressed this gap in knowledge by examining the temporal association between financially focused self-concept and disordered gambling symptoms.Method Two longitudinal studies were conducted, involving participants who gamble. Study 1 included 308 university students and Study 2 included 2,008 community members. They completed the Financially Focused Self-Concept Scale (FFS) and the Problem Gambling Severity Index (PGSI) at two separate measurement occasions, spaced approximately 6–7 months apart.Results Preliminary analyses confirmed that the FFS and PGSI each had strict or at least partial temporal measurement invariance in both studies. As expected, in Studies 1 and 2, participants with higher (relative to lower) initial financial focus had more disordered gambling symptoms 6-7 months later. Conversely, in Studies 1 and 2, participants with more (relative to less) severe initial disordered gambling symptoms increased their financial focus 6-7 months later. The magnitude of the effects was moderate in size.Conclusions Findings suggest that the temporal relation between financially focused self-concept and disordered gambling is bidirectional. Findings are discussed in terms of implications for prevention and treatment interventions as well as for the FFS and PGSI psychometric literatures.Keywords: Disordered gamblingfinancial successself-conceptlongitudinaltemporal measurement invariance Disclosure statementNo potential conflict of interest was reported by the authors.Notes1 The pattern of results remained virtually the same when statistically controlling for participants age and sex. See OSF for results of these analyses.2 The pattern of results remained virtually the same when statistically controlling for participants age and sex. See OSF for results of these analyses.Additional informationFundingThe research design and data analytic approach were not pre-registered. Study 1 was unfunded whereas Study 2 was funded through a COVID-19 Rapid Response Research Grant (#RSGRANT185594) awarded by Carleton University. The findings were presented at the 18th International Conference on Gambling & Risk Taking. All authors report no conflicts of interest or constraints on publishing.","PeriodicalId":47851,"journal":{"name":"Addiction Research & Theory","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136034372","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":"Failure of guilt, misguided free will, and the potential benefits of legitimate disapproval: the case for stigmatizing addiction","authors":"Roy F. Baumeister, Nathalie André","doi":"10.1080/16066359.2023.2266370","DOIUrl":"https://doi.org/10.1080/16066359.2023.2266370","url":null,"abstract":"Click to increase image sizeClick to decrease image size Disclosure statementNo potential conflict of interest was reported by the authors.Additional informationFundingThe author(s) reported there is no funding associated with the work featured in this article.","PeriodicalId":47851,"journal":{"name":"Addiction Research & Theory","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136013427","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":"An empirical attempt to identify binge gambling utilizing account-based player tracking data","authors":"Michael Auer, Mark D. Griffiths","doi":"10.1080/16066359.2023.2264763","DOIUrl":"https://doi.org/10.1080/16066359.2023.2264763","url":null,"abstract":"Binge gambling is a relatively under-explored area and the few published studies have all used self-report data (i.e. surveys and interviews). The use of account-based tracking data has increasingly been used to identify indicators of problem gambling. However, no previous study has ever used tracking data to operationalize and explore binge gambling. Therefore, the present study investigated whether it is possible to identify behavioral patterns that could be related to binge gambling among a real-world sample of online gamblers. The authors were given access to an anonymized secondary dataset from a British online casino operator comprising 150,895 online gamblers who gambled between January and March 2023. Using 14 parameters of gambling (e.g. total number of gambling days, total number of gambling sessions, average amount of money spent per game), six distinct clusters of gamblers were identified. Two clusters – Cluster 2 (n = 22,364) and Cluster 5 (n = 12,523) – gambled on a relatively low number of days during three months, but displayed a high gambling intensity on those days compared to the other four clusters. These two profiles could potentially match the habits of binge gamblers. The majority of players retained their behavior in the following three months between April and June 2023 and were consequently assigned to the same cluster in the latter time period. A total of 17% of gamblers in Cluster 3 and 29% of gamblers in Cluster 5 stopped gambling entirely between April and June 2023. The findings suggest that binge gambling may be able to be identified by online gambling operators using account-based tracking data and that targeted interventions could be implemented with binge gamblers.","PeriodicalId":47851,"journal":{"name":"Addiction Research & Theory","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136357811","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":"Investigating the role of interpersonal relationships on low-income SUD patients’ recovery: a qualitative analysis of various stakeholders in New York state","authors":"Nusrath Jahan, Neerav Gade, Jenny Zhen-Duan, Marie Fukuda, Rodolfo Estrada, Margarita Alegría","doi":"10.1080/16066359.2023.2265300","DOIUrl":"https://doi.org/10.1080/16066359.2023.2265300","url":null,"abstract":"AbstractBackground While positive impacts of recovery capital and social capital in facilitating substance use disorder (SUD) recovery is increasingly documented, research has shown that low-income and marginalized individuals have lower social capital and may rely on different networks. A more comprehensive approach is needed to understand the social capital of low-income individuals with SUD and how these relationships impact their treatment and recovery.Methods Qualitative data were gathered through semi-structured interviews and analyzed employing thematic analysis. Participants included individuals with SUD (n = 10), clinicians (n = 12), and policy leaders (n = 13).Results Three themes emerged: 1) Patients’ positive and negative interpersonal relationships with friends and family influenced decisions to seek treatment; 2) strong patient-provider relationships, often defined by the quality of SUD providers and treatment settings, were perceived as crucial for staying in treatment; and 3) justice involvement facilitated treatment access yet deteriorated treatment engagement. Themes emphasized social and structural factors that inhibit patients from fostering support and treatment engagement.Conclusions Our study underscores the importance of interpersonal relationships in SUD treatment-seeking and recovery and the need for positive interactions across the care continuum within broader social networks. Opportunities for positive interpersonal relationships include increasing access to language-concordant treatment; provider training to enhance cultural humility and patient-provider relationships; and mechanisms that improve interpersonal relationships between patients, parole officers, and other justice system members. Accentuating the role of interpersonal relationships and expanding social support interventions can pave the way for structural changes that improve recovery by harnessing different types of social capital.Keywords: Social supportsubstance usedisparitiesrecovery capitalstakeholder engagement Disclosure statementNo potential conflict of interest was reported by the authors.Additional informationFundingThis work was supported by the National Institutes of Health/National Institute of Drug Abuse; grant number R01DA044526 (Alegria PI).Notes on contributorsNusrath JahanNusrath Jahan is a medical student at the Tufts University School of Medicine. She is interested in examining disparities across the healthcare continuum and exploring systemic changes to address these inequities. She is committed to increasing healthcare access and improving health equity for marginalized populations.Neerav GadeNeerav Gade is a research associate at Mathematica Policy Research. He is passionate about exploring the intersections between health disparities and individuals’ built and social environments, especially related to housing, food systems, and insurance access. He is interested in evidence- and community-based research and policy levers to promot","PeriodicalId":47851,"journal":{"name":"Addiction Research & Theory","volume":"213 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135251158","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}