Psychology of Addictive Behaviors最新文献

{"title":"Effects of behavioral interventions on stress reactivity in adults with substance use disorders.","authors":"R Kathryn McHugh,Megan D McCarthy,Juliette A Bichon,Minh Dung Nguyen,Elizabeth K Kneeland,Robyn A Ellis,Daniel G Dillon,Garrett M Fitzmaurice","doi":"10.1037/adb0001032","DOIUrl":"https://doi.org/10.1037/adb0001032","url":null,"abstract":"OBJECTIVEHeightened reactivity to stress is associated with poor treatment outcome in people with substance use disorders (SUDs). Behavioral strategies can reduce stress reactivity; however, these strategies are understudied in people with SUDs. The objective of this study was to test the effect of two behavioral strategies (cognitive reappraisal and affect labeling) on stress reactivity in people with SUDs.METHODTreatment-seeking adults with SUDs (N = 119) were randomized to receive brief training in cognitive reappraisal, affect labeling, or a psychoeducational control, followed by a standardized stress induction. Markers of stress reactivity were collected before and following stress induction and included self-reported negative affect and substance craving, as well as salivary cortisol, and skin conductance response.RESULTSAnalyses of covariance did not indicate a significant effect of treatment condition on negative affect, cortisol, or skin conductance response. Participants in the affect labeling condition had greater increase in craving than those in the cognitive reappraisal condition; neither condition differed from control.CONCLUSIONSResults indicated that, although participants were able to implement behavioral skills following a brief training, training condition did not modify stress reactivity, on average, relative to control. Future directions include consideration of individual differences in response to training and determination of whether higher \"dosing\" of skills via multiple sessions or extended practice is needed to influence stress reactivity in people with SUDs. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142201174","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 lived experience of gambling-related harm in natural language.","authors":"Simon T van Baal,Piotr Bogdanski,Araanya Daryanani,Lukasz Walasek,Philip Newall","doi":"10.1037/adb0001030","DOIUrl":"https://doi.org/10.1037/adb0001030","url":null,"abstract":"OBJECTIVEGambling-related harms can have a significant negative impact on disordered gamblers, lower risk gamblers, and affected others. Yet, most disordered and lower risk gamblers will never seek formal treatment, often due to the stigma and shame surrounding gambling. Online self-help forums are a popular alternative way for gamblers to anonymously seek help from others. Analysis of these interactions can provide a deeper understanding of gambling than more commonly used research methodologies.METHODIn the present study, we leverage recent developments in natural language processing to analyze posts on a U.K.-based online self-help gambling forum. Using correlated topic modeling, we canvass the various types of discussions among forum members. We also combine this approach with semantic similarity analysis based on sentence embeddings, to map first the posts, and then the 10 topics, onto six previously established gambling-related harm domains.RESULTSThe topic modeling revealed a cluster of discussions of many negative emotions, a topic regarding the positive emotions underlying the potential for change, a distinct topic regarding gambling's relationship harms, and numerous environmental factors that contributed to harm. Emotional/psychological and health harms were most strongly associated with users' posts, illustrating the multidimensionality of severe gambling-related harm.CONCLUSIONSOur results reveal the co-occurrence of different harms, such as the frequent mentions of financial harms and concomitant emotional/psychological harms. The analysis of the lived experiences of gambling-related harm in natural language represents a useful tool for gambling research and can provide a different perspective to inform policy. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142201175","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":"Social decision making in binge drinking: An exploration through moral dilemmas.","authors":"Mado Gautier,Séverine Lannoy,Pierre Maurage","doi":"10.1037/adb0001027","DOIUrl":"https://doi.org/10.1037/adb0001027","url":null,"abstract":"OBJECTIVEThe continuum hypothesis proposes that binge drinking and severe alcohol use disorder (SAUD) share qualitatively similar cognitive and emotional impairments. In SAUD, these deficits have a demonstrated impact on social decision making, resulting in a utilitarian bias. Namely, when confronted with moral dilemmas, patients with SAUD tend to focus on the consequences of their actions rather than on social norms. However, social decision-making abilities remain unexplored in binge drinking. We offered the first insights on the generalization of the continuum hypothesis to social decision making, through a multinomial processing tree model applied to moral dilemmas, the \"CNI model\" of moral decision making.METHODWe compared 35 binge drinkers (20 females) and 36 light drinkers (21 females) on a battery of 48 moral dilemmas involving interpersonal relations from the CNI model, through multinomial modeling analyses. In each dilemma, participants were asked if they would perform the described action, generating individual scores for sensitivity to consequences, sensitivity to norms, and inaction tendency.RESULTSThe statistical model related to the CNI approach fits the data well. Binge drinkers and controls did not differ regarding their sensitivity to consequences nor their sensitivity to moral norms, and both groups displayed an equal inaction tendency in response to moral dilemmas.CONCLUSIONSWe provided insights to better understand the specific (socio)cognitive domains impaired in subclinical populations with alcohol use disorder. We showed preserved social decision making in binge drinking, which suggests that the continuum hypothesis documented for classical neurocognitive functions does not extend to complex social abilities. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142201176","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 impact of alcohol consumption on implicit racial bias.","authors":"Kasey G Creswell, Kirk Warren Brown, Sarah L Pedersen","doi":"10.1037/adb0000981","DOIUrl":"10.1037/adb0000981","url":null,"abstract":"<p><strong>Objective: </strong>Researchers and theorists studying intergroup relations have been interested in the impact of alcohol on interracial responding. Theories predict that alcohol will exacerbate expressions of racial bias by increasing reliance on stereotypes and/or by decreasing controlled processing and self-monitoring. Prior studies testing these theories have often examined alcohol's effects on implicit (i.e., indirect) measures of racial bias with inconsistent results. However, previous research in this area has suffered from several methodological limitations, including small sample sizes and doses of alcohol that may have been too low to induce substantial intoxication.</p><p><strong>Method: </strong>Here, in more than triple the number of alcohol participants than the largest prior study, we tested whether an intoxicating dose of alcohol (target breath alcohol concentration of .08%) exacerbated implicit racial bias. Young adults who identified as races other than Black or African American (<i>N</i> = 207) were randomly assigned to consume an alcoholic or placebo beverage and completed the race-based Implicit Association Test (race IAT) testing implicit preference for White (vs. Black) individuals [or, conversely, bias against Black (vs. White) individuals].</p><p><strong>Results: </strong>All participants demonstrated an implicit racial bias (i.e., linking traditionally Black names with negative/unpleasant words), with no difference in this implicit racial bias across beverage conditions. Specifically, there were no differences between alcohol participants' race IAT <i>D</i> scores (<i>M</i> = 0.55, <i>SD</i> = 0.39), and placebo participants' race IAT <i>D</i> scores (<i>M</i> = 0.59, <i>SD</i> = 0.35), <i>b</i> = 0.05, 95%CI [-0.07, 0.18], <i>p</i> = .422.</p><p><strong>Conclusions: </strong>These findings challenge theories and prior studies suggesting that alcohol increases implicit racial bias. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11190038/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138832363","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":"Examination of the mild, moderate, and severe alcohol use disorder severity indicators using a nationally representative sample.","authors":"Allen J Bailey, R Kathryn McHugh","doi":"10.1037/adb0000983","DOIUrl":"10.1037/adb0000983","url":null,"abstract":"<p><strong>Objective: </strong>The <i>Diagnostic and Statistical Manual of Mental Disorders, fifth edition</i> conceptualizes alcohol use disorder (AUD) as a single continuum with indicators to denote the level of severity along this spectrum with the presence of 2-3, 4-5, or 6 + symptoms indicating mild, moderate, and severe AUD, respectively. However, despite the labels of these indicators, it remains unclear how individuals compare across these indicators, both in terms of AUD severity, but also risk for other related problems (e.g., depression).</p><p><strong>Method: </strong>Confirmatory factor analysis was conducted on past year AUD symptoms to obtain estimates of latent AUD severity using data from the 2020 National Survey on Drug Use and Health (unweighted <i>n</i> = 31,941). The range and distribution of latent trait estimates were then compared across AUD diagnostic statuses (i.e., no AUD, mild, moderate, and severe). Multinomial regressions were then used to compare diagnostic groups based on alcohol use, problems with other substances, treatment utilization, and mental/physical health.</p><p><strong>Results: </strong>Results indicated very limited overlap in latent severity estimates between individuals with different severity indicators. Multinomial regression results demonstrated that some measures increased in a roughly stepwise fashion across AUD indicators (e.g., alcohol use and drinking behavior), while many did not.</p><p><strong>Conclusions: </strong>Results partially support the current AUD indicators as AUD severity and co-occurring problems did broadly increase across the indicators. However, the present study also explores several ways to improve these indicators in future AUD formulations. For example, having indicators that account not only for the quantitative but also the qualitative differences in AUD presentation at different severity levels. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11190027/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138832362","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":"Minimizing measurement error in treatment outcome estimates: A meta-analysis comparing estimates between the gambling timeline followback and other self-report assessments of gambling behavior.","authors":"Margaret L Paul, Maria Meinerding, Jeremiah Weinstock, Meredith K Ginley, James P Whelan, Rory A Pfund","doi":"10.1037/adb0001024","DOIUrl":"10.1037/adb0001024","url":null,"abstract":"<p><strong>Objective: </strong>The aim of the current meta-analysis was to examine potential differences in posttreatment effect size estimates for gambling frequency (i.e., the number of days gambled) and gambling expenditure (i.e., the amount of money gambled) when using the gambling timeline followback (G-TLFB) versus other self-report assessments.</p><p><strong>Method: </strong>Using an open-access meta-analysis database of studies on cognitive behavioral treatment for gambling disorder, 22 studies representing 2,824 participants were identified for inclusion. Hedges's g effect sizes representing posttreatment differences on gambling frequency and expenditure between cognitive behavioral treatment versus inactive and minimal treatment controls were calculated, and mixed-effect subgroup analyses examined the effect sizes for each outcome between studies using the G-TLFB versus other self-report assessments.</p><p><strong>Results: </strong>Mixed-effect subgroup analyses indicated that the effect size for gambling frequency was significantly lower for studies using the G-TLFB (<i>g</i> = -0.15) than studies using other self-report assessments (<i>g</i> = -0.71). When examining whether the use of the G-TLFB was associated with the posttreatment effect size for gambling frequency in a random-effect metaregression model that controlled for study grant funding status, the use of the G-TLFB was not significantly associated with effect size. The effect size for gambling expenditure was not significantly different between studies using the G-TLFB (<i>g</i> = -0.22) versus studies using other self-report assessments (<i>g</i> = -0.38).</p><p><strong>Conclusions: </strong>The G-TLFB yields more conservative and precise effect size estimates of posttreatment gambling frequency, but not gambling expenditure, than other self-report assessments. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141761768","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":"Longitudinal measurement invariance of constructs derived from the addiction cycle.","authors":"Cassandra L Boness, Victoria R Votaw, Elena R Stein, Kevin A Hallgren, Katie Witkiewitz","doi":"10.1037/adb0000976","DOIUrl":"10.1037/adb0000976","url":null,"abstract":"<p><strong>Objective: </strong>The Alcohol Addiction Research Domain Criteria (AARDoC) is an organizational framework for assessing heterogeneity in addictive disorders organized across the addiction cycle domains of incentive salience, negative emotionality, and executive functioning and may have benefits for precision medicine. Recent work found pretreatment self-report items mapped onto the addiction cycle domains and predicted 1- and 3-year alcohol use disorder treatment outcomes. Given the potential utility of the addiction cycle domains for predicting relevant treatment outcomes, this study sought to evaluate the longitudinal measurement invariance of the domains.</p><p><strong>Method: </strong>We conducted a secondary analysis of individuals with alcohol use disorder (<i>n</i> = 1,383, 30.9% female, 76.8% non-Hispanic White, 11.2% Hispanic) who participated in the COMBINE study. Eleven items assessed at pre- and posttreatment were included in exploratory structural equation modeling (ESEM) and longitudinal invariance analyses.</p><p><strong>Results: </strong>The pre- and posttreatment ESEM models had factor loadings consistent with the three addiction cycle domains and fit the data well. The ESEM factor structure was invariant from pre- to posttreatment (representing configural invariance) and metric invariance (factor loadings) was largely supported, but analyses failed to support scalar invariance (item-level thresholds) of the addiction cycle domains.</p><p><strong>Conclusions: </strong>A three-factor structure representing addiction cycle domains can be modeled using brief self-report measures pre- and posttreatment. Individuals demonstrated a downward shift in the level of item endorsement, indicating improvement with treatment. Although this 11-item measure might be useful at baseline for informing treatment decisions, results indicate the need to exercise caution in comparing the addiction cycle domains pre- to posttreatment within persons. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11156788/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138499825","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":"Effect of menstrual cycle on rewarding properties of alcohol cues in women.","authors":"Annie K Griffith, Michelle M Martel, Mark T Fillmore","doi":"10.1037/adb0000978","DOIUrl":"10.1037/adb0000978","url":null,"abstract":"<p><strong>Objective: </strong>Compared with men, women are disproportionately affected by alcohol, including greater risks of behavioral impairment and relapse from abstinence-based treatments. One potential mechanism underlying this disparity is ovarian hormone fluctuations across menstrual cycle phases, particularly estradiol (E2). Preclinical and clinical studies have shown that E2 levels positively correlate with alcohol consumption, suggesting E2 modulates drinking. Rewarding properties of alcohol are thought to mediate this relationship. The present study tested the degree to which women report increased rewarding effects from alcohol and heightened attention to alcohol-related cues when E2 was elevated during the late follicular phase of the menstrual cycle.</p><p><strong>Method: </strong>Fifty women aged 21-29 participated in a within-subjects placebo-controlled study examining how menstrual cycle phase alters the rewarding properties of alcohol and alcohol-associated cues when sober and intoxicated, as measured by their attentional bias toward alcohol-associated cues and subjective reports. Measures were obtained following 0.60 g/kg alcohol and placebo during the early follicular phase when E2 was low and the late follicular phase (i.e., ovulation) when E2 was elevated.</p><p><strong>Results: </strong>Attentional bias to alcohol-associated cues was greater during the late follicular phase in both sober and intoxicated states. Women reported rewarding effects from alcohol, but no effects of phase were observed.</p><p><strong>Conclusions: </strong>The findings suggest that the rewarding properties of alcohol-associated cues might be enhanced during the late follicular phase of the menstrual cycle when E2 is elevated, possibly increasing the risk for excessive drinking in women during this phase. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11156796/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138499824","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":"Gender gaps in publications and citations in gambling studies: Comparisons against addiction science.","authors":"Eliscia Siu-Lin Liang Sinclair, Luke Clark","doi":"10.1037/adb0000985","DOIUrl":"10.1037/adb0000985","url":null,"abstract":"<p><strong>Objective: </strong>Women in academia publish fewer papers and receive fewer citations than men. These gender gaps likely reflect systemic biases operating over several levels, from journal editorial policies to academic career progression. This study sought to characterize gender gaps for publications and citations in the field of gambling studies.</p><p><strong>Method: </strong>An automated gender inference procedure classified authors' binarized gender from their first names. Gender gaps were computed for publications and citations of papers in gambling studies, using the wider field of addiction science as a benchmark. Publication data were scraped from eight peer-reviewed gambling/addictions journals and separately from all gambling publications listed in PubMed.</p><p><strong>Results: </strong>Men authored 16% more publications than women among gambling papers and 23% more publications among nongambling addictions papers. Although robust gender gaps were observed in specialist gambling journals, we find limited overall evidence for gender inequality being greater in gambling studies. Indeed, among nongambling addiction papers, men published more, despite a greater apparent representation of women in the field. The gender gap was most pronounced for the last authorships, denoting seniority. Among the first authorships, there was variability between journals, and some journals displayed approximate parity. There was limited evidence for any corresponding gender gap in citation counts.</p><p><strong>Conclusions: </strong>Gender gaps in gambling research, and addiction science more broadly, adhere to wider trends in academia, including the associations with academic seniority. Variability between individual journals supports the role of journal editorial policies to increase the representation and visibility of women researchers in addiction science. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139485169","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":"Problematic pornography use and suicidal thoughts: Results from cross-sectional and longitudinal analyses.","authors":"James S McGraw, Jennifer T Grant Weinandy, Christopher G Floyd, Camille Hoagland, Shane W Kraus, Joshua B Grubbs","doi":"10.1037/adb0000996","DOIUrl":"10.1037/adb0000996","url":null,"abstract":"<p><strong>Objective: </strong>There is a growing consensus that problematic pornography use (PPU), one of the most commonly reported compulsive sexual behaviors, is related to a number of internalizing psychiatric symptoms (e.g., anxiety, depression). However, little is known about the potential comorbidity of PPU and suicidal thoughts. Given known links between PPU and higher levels of guilt, shame, and moral disapproval, it may be that PPU may be related to suicidal thoughts.</p><p><strong>Method: </strong>Using two independent samples, we cross-sectionally (Sample 1: undergraduates, <i>n</i> = 422) and longitudinally (Sample 2: nationally representative sample of U.S. adults, <i>n</i> = 1,455) tested for associations between PPU and past-month suicidal ideation and perceived likelihood of suicidal behaviors, while controlling for frequency of pornography use, moral disapproval, moral incongruence, and religiousness.</p><p><strong>Results: </strong>Cross-sectionally, PPU was related to higher levels of self-perceived likelihood of suicidal behaviors, but not past-month suicidal thoughts. Longitudinally, PPU was related to higher initial levels (i.e., intercept) of past-month suicidal thoughts and self-perceived likelihood of suicidal behaviors, but not changes in either (i.e., slope). The frequency of pornography use was statistically unrelated to each outcome for both samples, while moral beliefs about pornography use showed mixed relationships.</p><p><strong>Conclusions: </strong>Clinicians working with patients reporting PPU may consider ways it may contribute to suicidal thinking. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140060838","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}