Psychology of Addictive Behaviors最新文献

{"title":"Common and uncommon risky drinking patterns in young adulthood uncovered by person-specific computational modeling.","authors":"Whitney R Ringwald, Kasey G Creswell, Carissa A Low, Afsaneh Doryab, Tammy Chung, Junier B Oliva, Zachary F Fisher, Kathleen M Gates, Aidan G C Wright","doi":"10.1037/adb0001055","DOIUrl":"10.1037/adb0001055","url":null,"abstract":"<p><strong>Objective: </strong>Alcohol use offers social benefits for young adults, but also carries risk of significant negative consequences. Better understanding of processes driving alcohol use for those who experience negative consequences can prevent these harms. These at-risk young adults likely have drinking patterns in common and patterns unique to each individual. Evidence for these processes have been limited by methods that fail to capture the complex, heterogeneous, multivariate nature of drinking. We overcome these limitations with idiographic computational models.</p><p><strong>Method: </strong>We studied a sample of 97 young adults who regularly binge drink and experience negative drinking consequences. Participants completed daily surveys for 120 days. We estimated temporal networks of each person's drinking patterns by searching all possible dynamic relations among self-reported alcohol consumption and various cognitive, motivational, and emotional constructs. This method allowed us to identify common and uncommon drinking processes in a data-driven manner.</p><p><strong>Results: </strong>We found clear patterns of drinking characteristic of this population (i.e., shared by 60%-100% of the sample) in which young adults drink more per occasion, when they expect positive outcomes and are motivated to get drunk and enhance social experiences, which leads to positive and negative consequences. We also identified subsets of participants with uncommon (i.e., shared by < 51% of the sample) drinking patterns.</p><p><strong>Conclusions: </strong>Most young adults may continue to drink despite experiencing negative drinking consequences, because it also satisfies their desire for fun and social connection. Additionally, subsets of young adults have relatively uncommon drinking patterns that may reflect risk or resilience factors. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":"469-480"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12238294/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does ruminating about the previous night's drinking during a hangover predict changes in heavy episodic drinking? A two-wave, 30-day prospective study.","authors":"Andy J Kim, Simon B Sherry, L Darren Kruisselbrink, Laura J Lambe, Margo C Watt, Janine V Olthuis, Joris C Verster, Sherry H Stewart","doi":"10.1037/adb0001056","DOIUrl":"10.1037/adb0001056","url":null,"abstract":"<p><strong>Objective: </strong>We examined whether hangover-related rumination-repeatedly dwelling on negative aspects of yesterday's drinking while hungover the following morning-predicts changes in three dimensions of heavy episodic drinking (HED) over time.</p><p><strong>Method: </strong><i>N</i> = 334 emerging adults (aged 19-29) from three Eastern Canadian universities who had recently experienced a hangover completed online self-report questionnaires at baseline (Wave 1) and 30 days later (Wave 2; 71.6% retention). HED was assessed in frequency (number of HED episodes), perceptions (how participants perceived the extent of their heavy drinking), and quantity (greatest number of alcoholic drinks consumed in a single HED episode) over the past 2 weeks.</p><p><strong>Results: </strong>Levels of HED frequency, perceptions, and quantity declined overall from Waves 1 to 2. Exploratory factor analysis established two factors of hangover-related rumination: intrusiveness (unwanted thoughts about the previous night's drinking) and regret (desire to change future drinking behavior). Structural equation models revealed that intrusiveness at Wave 1 predicted the maintenance of higher frequency and perceptions of HED at Wave 2, even as these HED measures were generally declining; regret at Wave 1 also predicted the maintenance of HED perceptions at Wave 2. Neither Wave 1 hangover rumination factor predicted changes in HED quantity at Wave 2. Models controlled Wave 1 variables, including the relevant HED outcome, overall hangover severity, total number of hangovers, generalized anxiety symptoms, sex, age, and data collection site.</p><p><strong>Conclusion: </strong>Hangover-related rumination factors are associated with the maintenance of higher HED frequency (intrusiveness factor) and HED perceptions (intrusiveness and regret factors), suggesting risk for problematic alcohol consumption. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":"456-468"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The sequential daily process through which alcohol expectancies predict acute drinking behavior.","authors":"Jack T Waddell, Scott E King, William R Corbin, Christine M Lee","doi":"10.1037/adb0001067","DOIUrl":"10.1037/adb0001067","url":null,"abstract":"<p><strong>Objective: </strong>Alcohol expectancies are well-studied between-person risk factors for problem drinking. However, no studies have tested mechanisms through which daily deviations in expectancies relate to drinking behavior during acute drinking episodes. This study filled this void, testing a sequential mediation model regarding the roles of social context, subjective responses, and craving in relations between daily deviations in expectancies and drinking behavior.</p><p><strong>Method: </strong>Participants (<i>N</i> = 131) who reported past-month binge, social, and solitary drinking completed 21 days of morning and afternoon ecological momentary assessments and event-contingent drinking reports. Multilevel models tested whether daytime expectancies predicted social context at drink initiation, which indirectly predicted within-session drinking through deviations in subjective responses and craving. Expectancies/subjective responses were measured across valence/arousal (high arousal positive/reward, low arousal positive/relaxation, high arousal negative/aggression, low arousal negative/impairment).</p><p><strong>Results: </strong>Increased daytime expectancies predicted experiencing the expected effect while drinking, even when controlling for context and consumption. Increased daytime rewarding expectancies predicted initiating drinking in social contexts, which indirectly predicted heavier within-session drinking via increased rewarding subjective effects and craving. In contrast, daytime relaxation expectancies predicted lesser within-session drinking, above and beyond context, subjective effects, and craving. Finally, increased daytime aggression expectancies predicted aggressive subjective effects, which indirectly predicted heavier within-session drinking via increased craving.</p><p><strong>Conclusions: </strong>Expectancies regarding later drinking predicted context-specific drinking and subjective effects, consistent with self-fulfilling prophecies of alcohol effects. Future research should consider testing the efficacy of coupling daytime fluctuations in expectancies with adaptive interventions seeking to increase protective strategy utilization. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":"444-455"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144002147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From sleep to sip? Examining a daily model of sleep and trauma-related drinking among sexual violence survivors.","authors":"Alexandra N Brockdorf, Rebecca L Brock, Timothy D Nelson, David DiLillo","doi":"10.1037/adb0001039","DOIUrl":"10.1037/adb0001039","url":null,"abstract":"<p><strong>Objective: </strong>Alcohol misuse is common among women who have experienced sexual violence and is often attributed to the self-medication model of alcohol use to alleviate posttraumatic stress disorder (PTSD) symptoms. Despite the proximal theorized role of PTSD symptoms, less attention has been given to daily associations between PTSD symptoms, trauma-related drinking to cope (TRD) motives, and ensuing alcohol use by survivors. Moreover, despite indications that poor sleep impacts affective functioning and may exacerbate daily PTSD symptoms, the role of sleep duration and quality in drinking to cope with PTSD symptoms is not well understood. This study examined an integrated model testing whether shorter sleep duration and poorer sleep quality predict greater daily PTSD symptoms and, in turn, greater alcohol use later that day through TRD motives.</p><p><strong>Method: </strong>Participants were 82 cisgender women (<i>M</i>_age = 22.8, 73.2% White, 13.4% Hispanic/Latina, 56.1% heterosexual, 30.5% bisexual) who had experienced sexual violence. Participants completed ecological momentary assessment measures and wore actigraphs for 3 weeks.</p><p><strong>Results: </strong>Contrary to hypotheses, shorter-than-usual sleep duration did not predict greater alcohol use quantity via daily PTSD symptoms and TRD motives. However, poorer-than-usual sleep quality predicted greater PTSD symptoms that day, which in turn predicted greater same-day TRD motives.</p><p><strong>Conclusions: </strong>Findings underscore the importance of sleep quality in heightened PTSD symptoms but suggest survivors did not drink more to alleviate trauma-related distress. Future research should examine other drinking motives among survivors to inform proximal interventions to prevent alcohol misuse. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":"493-503"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12003695/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Within-day associations between affect and intentions to drink alcohol in adolescents and young adults: A registered report.","authors":"Kevin M King, Jonas Dora, Megan Schultz, Connor J McCabe, Christine M Lee, Yuichi Shoda, Anne M Fairlie, Dana M Litt, Melissa A Lewis, Megan E Patrick, Gregory T Smith","doi":"10.1037/adb0001074","DOIUrl":"10.1037/adb0001074","url":null,"abstract":"<p><strong>Objective: </strong>Motivational theories hypothesizing that people drink to relieve negative affect have not been supported using data from people's daily lives. People may experience negative affect when alcohol is unavailable or when use would conflict with people's current goals, but people's thoughts about alcohol use, such as intentions to drink later in the day, are less contextually constrained. Alcohol intentions may serve as affect regulation and lead to decreases in negative or increases in positive affect prior to drinking itself.</p><p><strong>Method: </strong>This registered report provides an initial test of this hypothesis across two large ecological momentary assessment samples of adolescents and young adults (total <i>n</i> = 1,511). We tested whether daily drinking intentions were associated with levels and within-day changes in negative and positive affect in two large samples of adolescents and young adults and whether drinking history and motives moderated these associations.</p><p><strong>Results: </strong>We found evidence, replicated across studies, that positive affect was higher and increased more on days when people reported intending to drink more than usual, but negative affect was only very weakly associated with daily drinking intentions. We found no evidence of moderation that replicated across samples.</p><p><strong>Conclusions: </strong>Results suggest that prior research linking positive affect and alcohol use is at least in part capturing the anticipation of drinking rather than a causal association between affect and drinking behaviors among adolescents and young adults. Theories should consider how anticipation, as well as the contexts in which drinking occurs, shapes people's motives for drinking and their drinking behaviors themselves. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":"411-430"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Day-level examination of ego-network effects on college students' alcohol consumption.","authors":"Elise Bragard, Stephen Armeli, Richard Feinn, Jerry Cullum, Mark Litt, Howard Tennen","doi":"10.1037/adb0001040","DOIUrl":"10.1037/adb0001040","url":null,"abstract":"<p><strong>Objective: </strong>Egocentric social network analyses show that drinking habits of college students' friends predict personal alcohol consumption. To date, most of this research focused on between-person, cross-sectional, or long-term longitudinal designs to evaluate these effects. This study used intensive longitudinal methods to examine episode-specific effects of social networks (network drinking, network composition) on college students' drinking, comparing within-person and between-person effects on individual episodic drinking, and highlighted social network characteristics that might be targeted for intervention.</p><p><strong>Method: </strong>College students (<i>N</i> = 1,151, 54% female, <i>M</i>_age = 19.26, 81% White) identified their ego network: five close alters (e.g., friends, family) whom they met frequently. For 30 days using an internet-based diary, participants reported their daily drinking levels, indicated whether they met with each alter the previous night, and reported how many drinks each alter consumed.</p><p><strong>Results: </strong>Two-part multilevel models were used to examine participant drinking. At the within-person level, when a higher proportion of a participant's ego network drank and when network total drinks were higher than average, the odds that a participant drank were significantly increased, and if they did drink, they consumed more alcoholic drinks than usual. Participants were more likely to drink on days when their network was comprised of more friends and more opposite-gender alters.</p><p><strong>Conclusions: </strong>Findings provide preliminary evidence that daily network drinking appears to influence drinking patterns and quantities among students. Such information could be used within ecological momentary interventions to prevent harmful drinking patterns such as heavy drinking episodes and incapacitation. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":"481-492"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12056160/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142607074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Situational correlates of adolescents' alcohol outcome expectancies in daily life.","authors":"Maya A Pilin, Jamie E Parnes, Robert Miranda, Hayley Treloar Padovano","doi":"10.1037/adb0001070","DOIUrl":"10.1037/adb0001070","url":null,"abstract":"<p><strong>Objective: </strong>Alcohol outcome expectancies (AOEs), formed in early childhood, are correlates of future alcohol consumption and related problems. Social-cognitive theories suggest that AOEs become activated in specific social and physical location contexts. Prior research, primarily among university students, has aimed to identify situational influences on specific AOEs, as indexed by reports of AOEs in hypothetical drinking scenarios. This study aims to deepen understanding of AOE activation in real-world settings by examining social and physical situational correlates of AOE activation among adolescents ages 15-17 in daily life.</p><p><strong>Method: </strong>Adolescents (evaluable <i>n</i> = 102) reporting any drinking in the past month completed smartphone reports for 24 days. Adolescents indicated their social setting (e.g., solitary, peers, family), physical location (e.g., home, friend's place, elsewhere), and strength of AOEs (tension reduction, enhancement, sociability) just prior to drinking in daily life.</p><p><strong>Results: </strong>Adolescents' AOE activation prior to drinking was associated with their immediate social context and physical location. Specifically, drinking with peers present was associated with higher ratings of enhancement and sociability AOEs. In contrast, drinking with family members present and drinking at home were associated with lower ratings of enhancement and sociability AOEs.</p><p><strong>Conclusions: </strong>Our findings provide new information about social-contextual correlates of specific AOE domains in naturalistic settings among adolescents. Identifying situational relations with AOE activation in daily life is important to build social-cognitive models of alcohol-consumption behavior, particularly during adolescence as drinking experiences broaden. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":"431-443"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Indigenous peoples and medications for opioid use disorders: A scoping review.","authors":"Natalia Gala, Sophia Dobischok, Payton Bernett, Daniel G Parker, Aidan O'Callahan, Daysi Zentner, Kelsey Huson, Jann Tomaro, Dennis C Wendt","doi":"10.1037/adb0001085","DOIUrl":"https://doi.org/10.1037/adb0001085","url":null,"abstract":"<p><strong>Objective: </strong>This scoping review was to synthesize the rapidly accelerating literature on Indigenous peoples and medications for opioid use disorder (MOUD) and to identify barriers to implementation and sustainability. The article also addressed outcomes, perspectives, and suggestions for implementing culturally adapted MOUD programs.</p><p><strong>Method: </strong>We conducted a scoping review of articles indexed in MEDLINE, APA PsycInfo, Scopus, and ERIC (through September 2024). Articles needed to include substantive information on an Indigenous population (in Canada, the United States, New Zealand, or Australia), include content on MOUD, and address the intersection of MOUD and Indigenous populations. Titles/abstracts were screened by two reviewers, followed by a full-text review and data extraction.</p><p><strong>Results: </strong>Forty articles met inclusion criteria, organized under two primary categories: medication type (<i>n</i> = 18) and nonmedication specific (<i>n</i> = 22). Overall, Indigenous clients have a mixed degree of engagement, retention, and positive outcomes within methadone, buprenorphine, and injectable opioid agonist treatment programs. Promising findings emerged for MOUD programs targeting Indigenous youth and that incorporate comprehensive cultural and health frameworks. Across MOUD types, Indigenous clients had consistently lower rates of treatment access and retention than did non-Indigenous clients.</p><p><strong>Conclusions: </strong>The findings emphasize the importance of aligning MOUD programs with Indigenous cultural frameworks and involving Indigenous consultation at all stages. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144734015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Do lab-based assessments of pretreatment smoking reinforcement and cue-specific craving predict smoking cessation with varenicline?","authors":"Robert K Cooper, Julie Gass, Martin C Mahoney, Stephen T Tiffany, Craig R Colder, Eugene Maguin, Nicolas J Schlienz, Schuyler C Lawson, Rachel F Tyndale, Baltaj Sandhur, Larry W Hawk","doi":"10.1037/adb0001081","DOIUrl":"https://doi.org/10.1037/adb0001081","url":null,"abstract":"<p><strong>Objective: </strong>Individual differences in smoking reinforcement and cue-specific cigarette craving are theorized to influence smoking cessation and relapse. However, there has been little laboratory research that prospectively evaluates these relationships. The present study evaluated whether lab-based indices of pretreatment smoking reinforcement and cue-specific craving predicted subsequent bio-verified abstinence.</p><p><strong>Method: </strong>Participants were 253 adults (aged 28-70, 54% female, 78% White, 3% Hispanic) who reported smoking more than five cigarettes per day when enrolled in a randomized, double-blind, placebo-controlled smoking cessation trial (NCT03262662). During a lab visit ∼1 week before treatment began, participants completed the Choice Behavior under Cued Conditions task. On each of the 36 Choice Behavior under Cued Conditions trials, participants spent between $0.01 and $0.25 for a chance (5%-95%) to sample a cigarette or a cup of water. All participants received varenicline, either during Weeks 1-15 or 4-15 of the study, along with counseling at each visit, and attempted to quit smoking at the end of Week 4. Cotinine-bio-verified (< 15 ng/mL) 7-day point-prevalence abstinence was assessed at Weeks 6, 8, 15, and 28. The predictive validity of pretreatment smoking reinforcement and cue-specific craving on abstinence were examined in logistic regressions.</p><p><strong>Results: </strong>As predicted, greater pretreatment smoking reinforcement predicted lower odds of abstinence, an effect that did not vary significantly across time, treatment groups, or biological sex. Pretreatment cue-specific craving was not predictive of abstinence.</p><p><strong>Conclusions: </strong>This study highlights the theoretical importance of smoking reinforcement and the predictive utility of Choice Behavior under Cued Conditions in identifying those at risk for relapse. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144734014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Two-year follow-up of behavioral self-control training versus motivational enhancement therapy for the goal of controlled drinking: A randomized controlled trial.","authors":"Stina Ingesson-Hammarberg, Nitya Jayaram-Lindström, Sven Andréasson, Anders Hammarberg","doi":"10.1037/adb0001083","DOIUrl":"https://doi.org/10.1037/adb0001083","url":null,"abstract":"<p><strong>Objective: </strong>Research on long-term outcomes in individuals with alcohol use disorders receiving treatment for controlled drinking is limited. This study investigated 2-year outcomes in adults with alcohol use disorder who received behavioral treatment aimed at controlled drinking.</p><p><strong>Method: </strong>A randomized controlled trial including 250 participants (52% male) with assessments at baseline and 12, 26, 52, and 104 weeks at three specialized addiction clinics in Stockholm, Sweden, was conducted. Participants received either behavioral self-control training (five sessions) or motivational enhancement therapy (four sessions), both delivered over 12 weeks. Mixed linear regression models analyzed 2-year outcomes.</p><p><strong>Results: </strong>No differences were detected between behavioral self-control training and motivational enhancement therapy in the primary outcome of mean weekly alcohol consumption or secondary outcomes at the 2-year, that is, the 104-week, follow-up. A total of 44.1% in behavioral self-control training, and 39.3% in motivational enhancement therapy reported less than 10 weekly standard drinks in both women and men, which is defined as low-risk drinking according to Swedish national guidelines.</p><p><strong>Conclusions: </strong>Clinically meaningful reductions in alcohol consumption were maintained across the sample at 104 weeks, irrespective of treatment condition. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144676192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}