Psychology of Addictive Behaviors最新文献

{"title":"Emergency health care providers' positive regard for patients with opioid use disorder: Exploring the intersectional influence of race and medical condition.","authors":"Lindsay H Thomas, Samantha J Meckes, Samuel C Peter, Ingrid Clarke, Michael J Ross, Richard Harvey, Jeremiah Weinstock","doi":"10.1037/adb0001119","DOIUrl":"10.1037/adb0001119","url":null,"abstract":"<p><strong>Objective: </strong>The opioid epidemic continues to devastate communities throughout the United States; however, those in need of life-saving care for opioid misuse report many barriers to accessing and initiating treatment. Opioid-related stigmatization and racial biases undermine the provision of high-quality health care, reducing the likelihood of treatment-seeking behavior among those with opioid use disorder. While people experiencing opioid-related harms such as overdose frequently present to emergency departments, an experimental test examining attitudes of emergency department personnel in regard to the influence of patient racial background on opioid use disorder status has not been conducted.</p><p><strong>Method: </strong>We recruited emergency health care professionals (<i>N</i> = 152) to assess attitudes toward hypothetical patients via a case vignette study. Participants were presented with three vignettes in randomized order, each depicting a medical/psychiatric condition requiring emergency care (i.e., opioid overdose, psychosis, and chest pain). The race of the hypothetical patient was examined as a between-subjects factor, with participants randomly assigned to receive a set of White-presenting or Black-presenting patients. Participants provided ratings of preference and positive regard for each condition.</p><p><strong>Results: </strong>Positive regard was significantly lower for patients presenting with opioid overdose and psychosis, compared to chest pain, and for White-presenting versus Black-presenting patients. A significant interaction between condition and patient race was not detected.</p><p><strong>Conclusions: </strong>Stigma-reduction interventions for emergency care providers treating patients with opioid-related conditions are critical to ensure that this at-risk group receives life-saving care. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":"618-624"},"PeriodicalIF":2.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13220257/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146229000","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":"Tobacco withdrawal system recovery time assessed during smoking satiety predicts smoking behavior change among individuals who smoke cigarettes daily.","authors":"Benjamin Muzekari, Dani S Bassett, Emily B Falk, Robert Schnoll, Stephen J Wilson, David M Lydon-Staley","doi":"10.1037/adb0001162","DOIUrl":"10.1037/adb0001162","url":null,"abstract":"<p><p><b><i>Objective:</i></b> A network theory of tobacco withdrawal posits between-person differences in how withdrawal symptoms causally influence one another across time. Individuals with densely connected symptom networks that facilitate the perpetuation of withdrawal symptom activity across time are theorized to have more difficulty quitting due to intense withdrawal experiences that persist even after the events instigating initial increases in withdrawal intensity are no longer present. <b><i>Method:</i></b> By constructing withdrawal symptom networks using ecological momentary assessment data in 123 individuals who smoke cigarettes daily (Mage = 49.81 years, <i>SD</i> = 11.29; 63.4% women; 63.4% Black/African American) from a period during which they were smoking as usual, we test the extent to which between-person differences in these networks predict change in smoking behavior during a 10-day smoking abstinence period. <b><i>Results:</i></b> Individuals with symptom networks with longer recovery times following a simulated symptom perturbation had less pronounced decreases in smoking between the smoking-as-usual and smoking-abstinence conditions, <i>b</i> = 0.03, 95% CI [0.01, 0.06], β = .28, <i>p</i> = .01. <b><i>Conclusions:</i></b> Results support the utility of a network theory of tobacco withdrawal for predicting between-person differences in smoking during attempted abstinence. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":"526-537"},"PeriodicalIF":2.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13215140/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148036411","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":"Development and validation of the Loss of Control-Alcohol (LOSS-A) scale: A mixed methods study with adult drinkers.","authors":"Frances L Wang, Deepa A Thomas, Brooke S G Molina, Shirley Duong","doi":"10.1037/adb0001143","DOIUrl":"10.1037/adb0001143","url":null,"abstract":"<p><strong>Objective: </strong>Although loss of control over alcohol use is an important premorbid risk factor for alcohol use disorder, its prevailing measures remain limited. As just one example, many items capture noncompulsive (e.g., social) reasons for exceeding drinking limits and may also fail to capture uncontrolled drinking for those with no intentions to moderate drinking. In a sample of adult drinkers, we developed and validated a novel survey to assess loss of control over alcohol to address these limitations.</p><p><strong>Method: </strong>Twenty-nine adults diverse in racial and ethnic identities and balanced on sex assigned at birth completed cognitive interviews to refine the item set. A quantitative survey was administered to 246 adults (55.7% White, 44.3% Black, 41.6% assigned male sex, 58.4% assigned female sex). The resultant items (Loss of Control-Alcohol [LOSS-A] scale) were administered alongside the AUDIT, <i>Diagnostic and Statistical Manual of Mental Disorders</i>, fifth edition-adapted alcohol use disorder symptoms, heavy drinking frequency, alcohol treatment history, and existing impaired control measures. Confirmatory factor analysis, item response theory, and a series of validity analyses were performed.</p><p><strong>Results: </strong>The LOSS-A scale was invariant by race and sex. After removing one item that showed differential item functioning by race, a one-factor model fits the data well (comparative fit index/Tucker-Lewis index = 1.00, root-mean-square error of approximation = 0.027, standardized root-mean-square residual = 0.030). The LOSS-A scale showed convergent and criterion validity as well as incremental predictive validity for several alcohol outcomes over existing loss of control and impaired control measures.</p><p><strong>Conclusions: </strong>The eight-item LOSS-A scale is a brief and valid way to measure loss of control across a range of drinkers that addresses limitations of existing measures. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":"538-551"},"PeriodicalIF":2.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13108515/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785894","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":"A cross-national examination of the Compensatory Eating and Behaviors in Response to Alcohol Consumption Scale (CEBRACS) across six countries.","authors":"Katherine A Berry, Javiera A Hernandez Puelma, Luke Herchenroeder, Alison Looby, Adrian J Bravo","doi":"10.1037/adb0001153","DOIUrl":"10.1037/adb0001153","url":null,"abstract":"<p><strong>Objective: </strong>The Compensatory Eating and Behaviors in Response to Alcohol Consumption Scale (CEBRACS) is a commonly used measure to assess food and alcohol disturbance (FAD; i.e., use of compensatory behaviors before, during, or after a drinking episode to offset alcohol-related calories and/or enhance alcohol effects). However, its cross-national utility remains largely unexamined. This study evaluated the psychometric properties, frequency, and concurrent utility of the CEBRACS in a cross-national sample.</p><p><strong>Method: </strong>Participants were 2,886 college students (United States [<i>n</i> = 1,155], Argentina [<i>n</i> = 537], Spain [<i>n</i> = 597], South Africa [<i>n</i> = 287], England [<i>n</i> = 170], Canada [<i>n</i> = 137]) reporting past-month FAD (<i>M</i>_age = 20.81; 70.4% female) who completed an online survey assessing FAD and alcohol-related behaviors.</p><p><strong>Results: </strong>Confirmatory factor analyses of the CEBRACS's original and alternative structures indicated persistent model estimation warnings, though some models showed seemingly acceptable fit in select countries. Despite these limitations, item-level analyses demonstrated consistent endorsement of FAD behaviors, with items relating to engaging in exercise behaviors to compensate for alcohol-related calories, as well as disordered eating behaviors to enhance the effects of alcohol, being the most frequently endorsed. Endorsement rates were generally highest among participants from England and lowest in Argentina and Spain. Across all six countries, CEBRACS items were positively associated with alcohol-related outcomes (i.e., frequency, quantity, and/or consequences).</p><p><strong>Conclusions: </strong>Our findings highlight several psychometric limitations of the CEBRACS in a cross-national sample but suggest that examining individual items may still provide valuable insights into FAD-related behaviors. The results underscore the need for continued cross-national research on FAD. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":"513-525"},"PeriodicalIF":2.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147692270","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":"Age-varying associations between adverse childhood experiences profiles and heavy episodic drinking across adolescence and adulthood.","authors":"Sara A Vasilenko, Linghua Jiang, Riley Turner, Xiafei Wang","doi":"10.1037/adb0001134","DOIUrl":"10.1037/adb0001134","url":null,"abstract":"<p><strong>Objective: </strong>This study examines how profiles of adverse childhood experiences (ACEs) are associated with heavy episodic drinking (HED) across ages 12-42 using longitudinal data from the nationally representative National Longitudinal Study of Adolescent to Adult Health (Add Health) study.</p><p><strong>Method: </strong>We used up to five waves of longitudinal data from Add Health (<i>N</i> = 3,147; 58.8% female, 41.2% male; 64.7% White, 19.7% African American/Black, 9.3% Hispanic/Latino, 2.8% Asian, 2.7% other). We first used latent class analysis to uncover profiles marked by different patterns of ACEs experienced before age 12/Grade 6. We then used these profiles as predictors in a time-varying effect model to examine how they predicted odds of past-year HED and frequent HED across age.</p><p><strong>Results: </strong>We uncovered six latent classes of ACEs: low ACEs (58%), parental alcohol use and divorce (19%), physical and emotional abuse (8%), violent crime exposure (6%), abuse and violent crime victimization (5%), and sexual abuse and physical maltreatment (4%). Parental alcohol use and divorce, violent crime exposure, parental abuse and violent crime victimization, and sexual abuse and physical maltreatment had increased odds of HED compared to the low ACEs class at some ages, primarily during adolescence or in the 30s.</p><p><strong>Conclusions: </strong>Differing patterns of ACEs are associated with unique patterns of drinking that differ from the pattern among those without ACE exposure, who experience a temporary increase in risk for HED during early adulthood. Targeted and tailored prevention programs should focus on the patterns and motivations for drinking for those with different ACE exposures. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":"581-593"},"PeriodicalIF":2.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147487820","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":"Associations between PTSD symptoms and heavy drinking and aggression among treatment-seeking veterans.","authors":"Shannon R Forkus, Dev Crasta, Julie A Hurd, Sarah T Giff, Sudie E Back, Shannon R Miles, Brett T Litz, John D Roache, Stacey Young-McCaughan, Terence M Keane, Alan L Peterson, Julianne C Flanagan","doi":"10.1037/adb0001155","DOIUrl":"10.1037/adb0001155","url":null,"abstract":"<p><strong>Objective: </strong>Aggression is common among military veterans with posttraumatic stress disorder (PTSD) and alcohol use disorder (AUD) and is associated with psychosocial impairment. This study examined the associations between within-person changes in PTSD and heavy drinking over the course of treatment and reports of psychological and physical aggression in a sample of treatment-seeking veterans.</p><p><strong>Method: </strong>This is a secondary analysis of 141 veterans with co-occurring PTSD and AUD enrolled in a 12-week randomized controlled trial examining doxazosin.</p><p><strong>Results: </strong>Examination of time-varying covariation suggests that the interaction between PTSD symptom severity and the presence of heavy drinking across a 12-week treatment and follow-up period was positively associated with psychological aggression at each timepoint, but not physical aggression.</p><p><strong>Conclusions: </strong>Results indicate that although aggression decreases across treatment for veterans with co-occurring PTSD and AUD, within-person changes in PTSD and heavy drinking can influence this trajectory. Specifically, at a given timepoint, when participants reported one or more heavy drinking day, the association between PTSD symptoms and psychological aggression strengthened; however, when participants reported no heavy drinking days, the association between PTSD symptoms and psychological aggression was nonsignificant. This suggests that the combined effect of heavy drinking and PTSD is associated with a greater risk for psychological aggression. Findings suggest that targeting changes in PTSD and heavy drinking behavior may reduce psychological aggression incidentally; however, there remains a critical need to further investigate underlying mechanisms and therapeutic options to reduce physical aggression behavior among veterans with co-occurring PTSD and AUD. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":"594-602"},"PeriodicalIF":2.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822361","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":"Identifying themes of protective behavioral strategies for marijuana use with structural topic modeling.","authors":"Bethany A Gray, Kirstyn Smith-LeCavalier, Isabela Ortiz Caso, Angelina Pilatti, Adrian J Bravo, Ireland M Shute, Mark A Prince","doi":"10.1037/adb0001116","DOIUrl":"10.1037/adb0001116","url":null,"abstract":"<p><strong>Objective: </strong>Increasing rates of marijuana use, especially in college students, can lead to unwanted use consequences that vary in severity. Marijuana protective behavioral strategies (MPBS) are harm reduction-based behaviors for minimizing use and undesirable use outcomes. While the use of MPBS is negatively associated with marijuana use metrics and related consequences, the relationship is complex, as use metrics, use outcomes, and MPBS seem to vary among individuals living within different cultural contexts. The present study sought to compare how participants living in different countries conceptualize and describe their use of MPBS.</p><p><strong>Method: </strong>We used structural topic modeling to analyze a collection of write-in responses from participants in the United States and Argentina describing self-generated MPBS.</p><p><strong>Results: </strong>Our results indicate that there is thematic overlap in the models related to self-efficacy, but that this theme was more generalized in the American model. We also observed topics that were unique to each model. In the Argentinian data set, strategies for enhancing one's use context emerged as a distinct topic (i.e., planned use), whereas topics centering on methods of distracting oneself and prioritizing other tasks were specific to the American model (i.e., distraction and prioritization).</p><p><strong>Conclusions: </strong>These observations suggest culturally specific refinements are warranted for existing MPBS measurements and could be useful for developing more robust harm reduction interventions. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":"552-564"},"PeriodicalIF":2.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12823042/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146012850","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":"Prevalence of elevated mental health symptoms, hazardous alcohol and other drug use, and their co-occurrence across sexual and gender identity in a national probability sample.","authors":"Emily C Helminen, Kriti Behari, Jillian R Scheer, Molly Magill","doi":"10.1037/adb0001165","DOIUrl":"10.1037/adb0001165","url":null,"abstract":"<p><strong>Objective: </strong>This study examined heterogeneity in the prevalence estimates of mental health, alcohol, and drug use outcomes across cisgender heterosexual subgroups and sexual and gender minority subgroups using a national probability sample.</p><p><strong>Method: </strong>We conducted a secondary data analysis with the U.S. Transgender Population Health Survey (<i>n</i> = 1,436). We calculated prevalence estimates of serious psychological distress, suicidal ideation and attempts, elevated posttraumatic stress disorder symptoms, hazardous alcohol use, hazardous drug use, and co-occurring outcomes across subgroups using cutoffs from common screening measures (e.g., three-item Alcohol Use Disorder Identification Test). We then assessed disparities between sexual and gender minority subgroups and cisgender heterosexual men and women across outcomes and co-occurring outcomes.</p><p><strong>Results: </strong>Suicidality was significantly higher across all sexual and gender minority subgroups compared with cisgender heterosexual subgroups. Cisgender sexual minority women, transgender sexual minority men and women, and nonbinary sexual minority people-subgroups with both oppressed sexual and gender identities who likely experience both sexual- and gender-based forms of oppression (e.g., homophobia, transphobia, sexism)-were significantly more likely than cisgender heterosexual subgroups to report most outcomes, including serious psychological distress, elevated posttraumatic stress disorder symptoms, and hazardous drug use. Nonbinary sexual minority people and cisgender sexual minority women consistently exhibited the largest disparities compared with cisgender heterosexual subgroups across most outcomes and co-occurring outcomes.</p><p><strong>Conclusions: </strong>Findings highlight the importance of disaggregating across sexual and gender identity in probability samples to understand heterogeneity in prevalence estimates of mental health, alcohol, and drug use outcomes and identify subgroups in need of targeted health equity efforts. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":"603-617"},"PeriodicalIF":2.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13240649/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148165099","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":"Assessing measurement bias in substance use disorder criteria associated with childhood adversity and genetic liability.","authors":"Christal N Davis, Jackson SooHoo, Angela Han, Joel Gelernter, Richard Feinn, Henry R Kranzler","doi":"10.1037/adb0001139","DOIUrl":"10.1037/adb0001139","url":null,"abstract":"<p><strong>Objective: </strong>The diagnosis and severity of substance use disorders (SUDs) are classified by the number of criteria endorsed. However, environmental and genetic factors may influence criterion endorsement. To evaluate this, we tested for differential item functioning of SUDs criteria by adverse childhood events (ACEs) and SUD polygenic scores.</p><p><strong>Method: </strong>In 10,275 Yale-Penn participants (<i>M</i>_age = 40.59 years, 56.2% male, 47.21% of African-like genetic ancestry, 52.79% of European-like genetic ancestry), we used item response theory models to estimate difficulty and discrimination parameters for each criterion for alcohol, cannabis, and opioid use disorders. We then tested whether these properties varied based on scores on a latent ACEs factor and ancestry-specific polygenic scores using moderated nonlinear factor analyses.</p><p><strong>Results: </strong>There was variability in the difficulty and discrimination of SUD criteria. Many criteria discriminated less effectively among individuals with higher ACEs factor scores. Continued substance use despite physical/psychological problems (β = .08, <i>SE</i> = 0.01, <i>p</i> < .0001) and withdrawal (β = .07, <i>SE</i> = 0.02, <i>p</i> = .001) were more difficult to endorse for individuals with high ACEs scores than those with lower ACEs scores. No differential item functioning was identified by polygenic scores.</p><p><strong>Conclusions: </strong>Findings highlight the impact of ACEs on SUD assessment. Considering the relative weighting of criteria or developing screening procedures that consider subgroup-specific differences in symptom functioning may help address these biases. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":"503-512"},"PeriodicalIF":2.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12970586/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147367046","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":"Momentary cannabis effects on alcohol use among adults trying to quit or cut back on drinking.","authors":"Andrea M Wycoff, Jacqueline V Haegele, Rachel L Gunn","doi":"10.1037/adb0001182","DOIUrl":"10.1037/adb0001182","url":null,"abstract":"<p><strong>Objective: </strong>Many individuals who couse alcohol and cannabis endorse using cannabis to drink less alcohol. However, cannabis use during or after alcohol treatment predicts worse alcohol outcomes. Examining whether cannabis use affects alcohol use, craving, and related cognitions within person will help clarify this discrepancy and inform treatment. We tested competing hypotheses in individuals' daily lives: cannabis as harm reduction (predicting decreased alcohol use/craving and increased alcohol-goal self-efficacy/motivation) versus cannabis as an obstacle to reducing alcohol consumption (predicting the opposite pattern).</p><p><strong>Method: </strong>We recruited <i>N</i> = 58 adults who used cannabis ≥3x/week and were in/seeking treatment or trying to quit or cut down on drinking (<i>M</i>_age = 27.3 years, 60% female, 72% non-Hispanic white). Participants completed ecological momentary assessment with 5+ daily reports for 21 days. Every momentary survey assessed self-reported cannabis use and quantity, alcohol use, alcohol craving, alcohol-goal self-efficacy, and alcohol-goal motivation.</p><p><strong>Results: </strong>Multilevel models demonstrated that momentary cannabis use predicted increased subsequent alcohol self-efficacy (<i>b</i> = 0.11, <i>SE</i> = 0.13, <i>p</i> < .001) and motivation (<i>b</i> = 0.06, <i>SE</i> = 0.03, <i>p</i> = .031) but increased odds of concurrent drinking (<i>OR</i> = 2.39, 95% CI = [1.58, 3.61], <i>p</i> < .001). In addition, more frequent cannabis use on a given day predicted lower same-day self-efficacy (<i>b</i> = -0.34, <i>SE</i> = 0.13, <i>p</i> = .008) and motivation (<i>b</i> = -0.28, <i>SE</i> = 0.12, <i>p</i> = .019).</p><p><strong>Conclusions: </strong>Adults who are trying to quit or cut back on drinking might perceive that cannabis use supports alcohol reduction efforts. Instead, cannabis use appears to be an obstacle to reducing drinking. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13426064/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148632366","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}