Psychology of Addictive Behaviors最新文献

{"title":"Designing and piloting a sequential multiple assignment randomized trial for opioid prevention among youth in the legal system.","authors":"Kym R Ahrens, Ahnalee M Brincks, Kevin P Haggerty, Cari A McCarty, Shemonta Dean, Katie M Albertson, Stephanie R Cross, Ted Ryle, Alicia Wun","doi":"10.1037/adb0001025","DOIUrl":"10.1037/adb0001025","url":null,"abstract":"<p><strong>Objective: </strong>Youth in the legal system are vulnerable to initiation and escalation of opioid use. The transition period during which a young person is released from the institutional setting to the community is a critical window of opportunity for preventive intervention targeting the uptake and intensification of opioid and other drug use. Adaptive preventive interventions are a promising approach to systematically varying the timing and intensity of substance use preventive interventions for these youth.</p><p><strong>Method: </strong>This pilot study of 30 youth (97% young men; 37% White; <i>M</i>_age = 18.34, <i>SD</i> = 1.84) examined the feasibility and acceptability of adaptive and nonadaptive preventive interventions that incorporate components of the Adolescent Community Reinforcement Approach with Assertive Continuing Care, Trauma Affect Regulation: Guide for Education and Treatment, and Motivational Interviewing using the Sequential Multiple Assignment Randomized Trial study design. Participants completed assessments at baseline, 1-month postrelease, and 2-months postrelease.</p><p><strong>Results: </strong>Enrollment rate was 65%. Nearly three-quarters (73%) of enrolled youth had substance use disorder at intake. Moreover, 60% of enrolled participants completed the 2-month postrelease follow-up assessment. Participants reported high satisfaction with the interventionist interactions, and 95% indicated they would recommend the program to other youth. The pilot study revealed the need for several adaptations to study and intervention protocols.</p><p><strong>Conclusions: </strong>This pilot study provides evidence of the feasibility of a research-practice partnership with state juvenile rehabilitation facilities, successful recruitment of youth involved in the legal system, and feasibility and acceptability of adaptive preventive interventions spanning pre- and post-release for legal system-involved youth. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":"14-26"},"PeriodicalIF":3.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298890","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":"Integrating the Confluence Model and I³ Model to predict sexual assault perpetration intentions.","authors":"Mitchell Kirwan, Olivia Westemeier, Julia F Hammett, Cynthia A Stappenbeck, Kelly Cue Davis","doi":"10.1037/adb0001059","DOIUrl":"https://doi.org/10.1037/adb0001059","url":null,"abstract":"<p><strong>Objective: </strong>Sexual assault perpetration is widespread among young men. According to the Confluence Model, hostile masculinity and impersonal sex are trait-level factors associated with sexual assault perpetration likelihood. Additionally, state-level factors, including alcohol intoxication, current emotions, and ability to modulate one's emotions, have been tied to sexual assault perpetration via the I3 Model. This study integrates these trait- and state-level factors into a single model to enhance its predictive power and better inform future interventions.</p><p><strong>Method: </strong>Data were collected from 2019 to 2023. Young, single, nonproblem drinking men, who had been sexually active with a woman within the past month (<i>N</i> = 282; 34.8% people of color), completed background questionnaires and were randomly assigned to a positive or negative mood induction, and then to consume alcohol (target peak breath alcohol concentration = .08%) or a control beverage before projecting themselves into a hypothetical, sexual scenario. Then, men indicated their likelihood of engaging in nonconsensual sexual activity with their hypothetical partner (i.e., perpetration likelihood).</p><p><strong>Results: </strong>A moderated-mediation structural equation model demonstrated that trait hostile masculinity and impersonal sex interacted with state alcohol intoxication and mood to predict state sexual arousal. State sexual arousal subsequently interacted with state impulsivity to predict state difficulties modulating emotions, which predicted perpetration likelihood during the hypothetical scenario.</p><p><strong>Conclusions: </strong>Integrating trait- and state-level factors is of paramount importance to understanding sexual assault prevention. Interventions targeting emotional modulation during sexual situations may be especially useful among aroused or impulsive individuals, due to their mood, alcohol intoxication, and attitudes regarding hostile masculinity and impersonal sex. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143053841","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":"Descriptive norms for simultaneous cannabis and alcohol use predict simultaneous use patterns assessed via daily surveys.","authors":"Sophie G Coelho, Christian S Hendershot, Roisin M O'Connor, John A Cunningham, Jeffrey D Wardell","doi":"10.1037/adb0001044","DOIUrl":"10.1037/adb0001044","url":null,"abstract":"<p><strong>Objective: </strong>Simultaneous cannabis and alcohol use is common, but few studies have examined normative perceptions of simultaneous use. This study examined unique associations of baseline descriptive norms for simultaneous use (i.e., perceptions about others' simultaneous use) with simultaneous use behaviors assessed via daily surveys.</p><p><strong>Method: </strong>Young adults reporting frequent simultaneous use (<i>N</i> = 150) completed baseline measures of descriptive norms for the frequency of simultaneous use and the amounts of cannabis and alcohol consumed during typical simultaneous use occasions. Further, participants completed measures of descriptive norms for the frequency and quantity of cannabis and alcohol use in general (not limited to simultaneous use). Norms were assessed referencing both peer and friend groups. Following this assessment, participants completed 21 daily smartphone surveys assessing cannabis and alcohol use each day. Simultaneous use was operationalized as same-day use of cannabis and alcohol.</p><p><strong>Results: </strong>Multilevel models revealed that, controlling for descriptive norms for cannabis and alcohol use in general, perceiving more frequent simultaneous use among friends (but not peers) was significantly associated with a greater tendency to engage in simultaneous use relative to cannabis-only use across days. Further, perceiving heavier cannabis and alcohol consumption during simultaneous use occasions among friends (but not peers) was significantly associated with greater quantities of cannabis and alcohol consumed, respectively, across simultaneous use days.</p><p><strong>Conclusions: </strong>Descriptive norms for simultaneous use contribute uniquely to simultaneous use behavior, over and above norms for cannabis use and alcohol use in general. Findings may inform norms-based interventions for young adults who engage in simultaneous use. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972612","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":"Positive and negative affect differentially relate to alcohol and cannabis use in LGBTQ+ and cisgender-straight heavy-drinking adults: Results of an ambulatory assessment study.","authors":"Konrad Bresin, Julia K Nicholas, Michaela S Ahrenholtz","doi":"10.1037/adb0001057","DOIUrl":"https://doi.org/10.1037/adb0001057","url":null,"abstract":"<p><strong>Objective: </strong>Previous research has found that momentary positive affect precedes alcohol use, whereas results have been more mixed for negative affect.</p><p><strong>Method: </strong>This study replicates and builds upon this literature by using a heavy drinking sample, half lesbian, gay, bisexual, trans, queer/questioning, and other minoritized sexual and gender identities (LGBTQ+) individuals.</p><p><strong>Results: </strong>This study found that positive affect was related to subsequent alcohol use, but the relation was weaker for LGBTQ+ individuals compared to cisgender-straight individuals. Negative affect was negatively related to alcohol use in the overall sample, but LGBTQ+ individuals reported drinking more drinks following increased negative affect, and this effect was not significant for cisgender-straight individuals. Finally, positive affect was related to subsequent cannabis use, and negative affect was negatively related to cannabis use, which did not differ based on sexual orientation and gender identity.</p><p><strong>Conclusions: </strong>Future research should explore the impact of minority stress on the association between affect and drinking behaviors to understand the differential role of affect on LGBTQ+ individual's substance use. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972617","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":"Protective behavioral strategies and alcohol consequences following a group-based motivational intervention for young adults experiencing homelessness.","authors":"Graham DiGuiseppi, Eric R Pedersen, Megan E Brown, Anthony Rodriguez, Rupa Jose, David J Klein, Elizabeth J D'Amico, Joan S Tucker","doi":"10.1037/adb0001047","DOIUrl":"https://doi.org/10.1037/adb0001047","url":null,"abstract":"<p><strong>Objective: </strong>Young adults experiencing homelessness are at high risk for alcohol-related consequences, but protective behavioral strategies (PBS) have not been investigated as a harm reduction approach in this population. This study examines longitudinal associations between PBS and alcohol-related consequences following a group-based alcohol intervention.</p><p><strong>Method: </strong>Data come from AWARE, a randomized controlled trial of a group-based motivational intervention to reduce substance use and risky sex compared to usual care. Participants include 276 young adults experiencing homelessness (<i>M</i>_age = 22.08, 30% female, 84% non-White) receiving drop-in center services in Los Angeles County, California. Surveys were conducted at baseline and 3-, 6-, 12-, and 24-month follow-up. Bivariate latent change score models examined cross-lagged associations between PBS and alcohol consequences for participants who drank at least once over the course of the study, controlling for demographics and intervention condition.</p><p><strong>Results: </strong>PBS were associated with significant wave-to-wave reductions in alcohol consequences (δ range = -2.53 to -11.22), and alcohol consequences were associated with significant reductions in PBS usage between the 3- and 6-month follow-ups (δ = -0.02, <i>p</i> = .01) and between the 12- and 24-month follow-ups (δ = -0.08, <i>p</i> = .004). In addition, the AWARE intervention was associated with increased PBS usage between the 3- and 6-month follow-ups (δ = 0.30, <i>p</i> = .02).</p><p><strong>Conclusions: </strong>Among young adults experiencing homelessness, greater use of PBS is associated with significant reductions in alcohol consequences over time. Furthermore, PBS may increase following a group-based motivational intervention. PBS are a promising harm reduction strategy for this population. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956666","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":"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":"https://doi.org/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":""},"PeriodicalIF":3.2,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Genetic and environmental influences on alcohol consumption in middle to late life.","authors":"Daniel E Gustavson, Tyler R Bell, Erik J Buchholz, Stephanie Zellers, Susan E Luczak, Chandra A Reynolds, Brian K Finch, Marianne Nygaard, Vibeke S Catts, Kaare Christensen, Deborah Finkel, William S Kremen, Antti Latvala, Nicholas G Martin, Matt McGue, Louise Mewton, Miriam A Mosing, Matthew S Panizzon, Brenda L Plassman, Jaakko Kaprio, Margaret Gatz, Carol E Franz","doi":"10.1037/adb0001052","DOIUrl":"10.1037/adb0001052","url":null,"abstract":"<p><strong>Objective: </strong>Alcohol use is common in older adults and linked to poor health and aging outcomes. Studies have demonstrated genetic and environmental contributions to the quantity of alcohol consumption in mid-to-late life, but less is known about whether these influences are moderated by sociodemographic factors such as age, sex, and educational attainment. This study sought to better understand sociodemographic trends in alcohol consumption across the second half of the life course and their underlying genetic and environmental influences.</p><p><strong>Method: </strong>Primary analyses were based on 64,140 middle-aged or older adult twins (40-102 years) from 14 studies in the Interplay of Genes and Environment Across Multiple Studies consortium. We harmonized a measure of weekly alcohol consumption (in grams of ethanol per week) across all studies.</p><p><strong>Results: </strong>Older age was associated with lower alcohol consumption, primarily for adults over age 75, for individuals with higher education, and for males. Trends were similar across birth cohorts and after excluding current abstainers. At mean age 56, alcohol use was moderately heritable in females (.34, 95% CI [.26, .41]) and more heritable in males (.42, 95% CI [.38, .45]). Heritability was lower in older aged adults and in females with higher education.</p><p><strong>Conclusions: </strong>This study represents the largest twin study of alcohol consumption in middle-aged and older adults. Results highlight that genetic and environmental factors influence alcohol consumption differently across age, sex, and educational attainment and that intervention efforts may need to be tailored based on individuals' backgrounds. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956664","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":"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":""},"PeriodicalIF":3.2,"publicationDate":"2025-01-09","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":"Alcohol and emotion: Analyzing convergence between facially expressed and self-reported indices of emotion under alcohol intoxication.","authors":"Eddie P Caumiant, Dahyeon Kang, Jeffrey M Girard, Catharine E Fairbairn","doi":"10.1037/adb0001053","DOIUrl":"10.1037/adb0001053","url":null,"abstract":"<p><strong>Objective: </strong>Emotion measurement is central to capturing acute alcohol reinforcement and so to informing models of alcohol use disorder etiology. Yet our understanding of how alcohol impacts emotion as assessed across diverse response modalities remains incomplete. The present study leverages a social alcohol-administration paradigm to assess drinking-related emotions, aiming to elucidate impacts of intoxication on self-reported versus behaviorally expressed emotion.</p><p><strong>Method: </strong>Participants (<i>N</i> = 60; <i>M</i>_age = 22.5; 50% male; 55% White) attended two counterbalanced laboratory sessions, on one of which they were administered an alcoholic beverage (target blood alcohol content .08%) and on the other a nonalcoholic control beverage. Participants in both conditions were accurately informed of beverage contents and consumed study beverages in assigned groups of three while their behavior was videotaped. Emotion was assessed via self-report as well as continuous coding of facial muscle movements.</p><p><strong>Results: </strong>The relationship between self-reported and behaviorally expressed emotion diverged significantly across beverage conditions: positive affect: <i>b</i> = -0.174, <i>t</i> = -2.36, <i>p</i> = .022; negative affect, <i>b</i> = 0.4319, <i>t</i> = 2.37, <i>p</i> = .021. Specifically, self-reports and behavioral displays converged among sober but not intoxicated participants. Further, alcohol's effects on positive facial displays remained significant in models controlling for self-reported positive and negative emotion, with alcohol enhancing Duchenne smiles 20% beyond effects captured via self-reports, pointing to unique effects of alcohol on behavioral indicators of positive emotion.</p><p><strong>Conclusions: </strong>Findings highlight effects of acute intoxication on the convergence and divergence of emotion measures, thus informing our understanding of measures for capturing emotions that are most proximal to drinking and thus most immediately reinforcing of alcohol consumption. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956716","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":"Community characteristics and substance-free activity and service access predict membership in alcohol use disorder risk profiles.","authors":"Jalie A Tucker, JeeWon Cheong, Carson C Creamer, Katie Witkiewitz","doi":"10.1037/adb0001048","DOIUrl":"https://doi.org/10.1037/adb0001048","url":null,"abstract":"<p><strong>Objective: </strong>Community characteristics (e.g., alcohol access, poverty) are associated with alcohol use disorder (AUD) at the population level, and person-level AUD severity indicators (e.g., drinking practices, problems) predict heterogeneity in individual AUD risk profiles and recovery outcomes. Guided by behavioral economic theory, this study investigated whether residing in relatively enriched communities with substance-free reward sources, greater health/behavioral health care access, lower alcohol access, and less poverty were associated with less risky individual AUD risk profiles.</p><p><strong>Method: </strong>This secondary analysis combined an integrated data set of individual natural recovery attempts with zip code community characteristics obtained from public data sources. Four AUD latent risk profiles, previously derived from individual problem severity indicators that predicted 1-year recovery outcomes, were predicted by zip code-level substance-free reward sources, alcohol access, health/behavioral health care access, and poverty surrounding AUD recovery (<i>N</i> = 528).</p><p><strong>Results: </strong>As hypothesized, multinomial regression analyses indicated that greater community access to substance-free reward sources (educational services, religious organizations, sports/fitness/recreation programs, fresh food) and lower community poverty were associated with lower AUD risk profiles compared with higher AUD risk profiles. This pattern was most pronounced in comparisons between a global lower risk profile and a higher risk profile characterized by high alcohol dependence and alcohol-related psychosocial problems. Alcohol access and health care access did not differentiate profile membership.</p><p><strong>Conclusions: </strong>Results suggest that community characteristics contribute to heterogeneity in individual drinking problem development, and community enrichment may offer a promising approach to AUD prevention and promotion of positive recovery outcomes. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956732","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}