Psychology of Addictive Behaviors最新文献

{"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}

{"title":"Diagnostic discrimination of social network indicators in alcohol use disorder: Initial examination using high-resolution and brief assessments.","authors":"Emily E Levitt, Desmond Singh, Allan Clifton, Robert Stout, Lawrence Sweet, John F Kelly, James MacKillop","doi":"10.1037/adb0001006","DOIUrl":"10.1037/adb0001006","url":null,"abstract":"<p><strong>Objective: </strong>Social network analysis (SNA) characterizes the structure and composition of a person's social relationships. Network features have been associated with alcohol consumption in observational studies, primarily of university undergraduates. No studies have investigated whether indicators from a person's social network can accurately identify the presence of alcohol use disorder (AUD), offering an indirect strategy for identifying AUD.</p><p><strong>Method: </strong>Two cross-sectional case-control designs examined the clinical utility of social network indicators for identifying individuals with AUD (cases) versus demographically matched drinkers without AUD (controls). Study 1 (<i>N</i> = 174) used high-resolution egocentric SNA assessment, whereas Study 2 (<i>N</i> = 189) used a brief assessment.</p><p><strong>Results: </strong>In Study 1, significant differences between AUD+ participants and controls were present for network alcohol severity (i.e., heavy drinking days; d = 1.23) and frequency (<i>d</i> = 0.35), but not network structural features. Network alcohol severity exhibited very good classification of AUD+ individuals versus controls (area under the curve [AUC] = 0.80), whereas network frequency did not (AUC = 0.61). In Study 2, significant differences were present for network alcohol severity (<i>d</i> = 1.02), quantity (<i>d</i> = 0.74), and frequency (<i>d</i> = 0.43), and severity exhibited good differentiation (AUC = 0.76).</p><p><strong>Conclusions: </strong>Social network indicators of alcohol involvement robustly differentiated AUD+ individuals from matched controls, and the brief assessment performed almost as well as the high-resolution assessment. These findings provide proof-of-concept for severity-related SNA indicators as promising novel clinical assessments for AUD. (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":"140860903","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 near-miss effect in online slot machine gambling: A series of conceptual replications.","authors":"Lucas Palmer, Mario A Ferrari, Luke Clark","doi":"10.1037/adb0000999","DOIUrl":"10.1037/adb0000999","url":null,"abstract":"<p><strong>Objective: </strong>Near-misses are a structural characteristic of gambling products that can be engineered within modern digital games. Over a series of preregistered experiments using an online slot machine simulation, we investigated the impact of near-miss outcomes on subjective ratings (motivation, valence) and two behavioral measures (speed of gambling, bet size).</p><p><strong>Method: </strong>Participants were recruited using Prolific and gambled on an online three-reel slot machine simulator that delivered a one in three rate of X-X-O near-misses. Study 1 measured trial-by-trial subjective ratings of valence and motivation (Study 1a, <i>n</i> = 169; Study 1b, <i>n</i> = 148). Study 2 (<i>n</i> = 170) measured spin initiation latencies as a function of the previous trial outcome. Study 3 (<i>n</i> = 172) measured bet size as a function of the previous trial outcome.</p><p><strong>Results: </strong>In Study 1a, near-misses increased the motivation to continue gambling relative to full-misses, supporting Hypothesis 1. On valence ratings, near-misses were rated significantly more positively than full-misses, in the opposite direction to Hypothesis 2; this effect was confirmed in a close replication (Study 1b). In Study 2, participants gambled faster following near-misses relative to full-misses, supporting Hypothesis 3. In Study 3, participants significantly increased their bet size following near-misses relative to full-misses, supporting Hypothesis 4.</p><p><strong>Conclusion: </strong>Across all dependent variables, near-miss outcomes yielded statistically significant differences from objectively equivalent full-miss outcomes, corroborating the \"near-miss effect\" across both subjective and behavioral measures, and in the environment of online gambling. The unexpected findings on valence ratings are considered in terms of boundary conditions for the near-miss effect, and competing theoretical accounts based on frustration/regret, goal generalization, and skill acquisition. (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":"140854122","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":"Recovery capital profiles among a heterogeneous sample of individuals in recovery from alcohol problems.","authors":"Kyler S Knapp, Jessica B Knapp, Elizabeth A Bowen","doi":"10.1037/adb0001031","DOIUrl":"https://doi.org/10.1037/adb0001031","url":null,"abstract":"<p><strong>Objective: </strong>Recovery capital (RC) is a framework for conceptualizing the resources individuals use to support alcohol and other drug recovery across social, physical, human, and cultural domains. The goal of this study was to identify subgroups of individuals in recovery with distinct combinations of RC across domains and characteristics of individuals with unique RC patterns.</p><p><strong>Method: </strong>Latent profile analyses investigated patterns in both within-domain amount and variability of RC across each of the four domains using the Multidimensional Inventory of Recovery Capital, a theoretically and psychometrically sound RC measure. The sample included U.S. participants closely reflecting 2020 Census demographics (<i>n</i> = 482, 49% female, 38% racial/ethnic minority, <i>M</i>_age = 42.57) identifying as having resolved a prior problem with alcohol (alone or with other drugs).</p><p><strong>Results: </strong>Latent profile analyses distinguished four RC profiles: Low/Inconsistent (23%), Moderate/Consistent (43%), Moderate/Inconsistent (12%), and High/Consistent (22%). Females and individuals who were unemployed, nonabstinent, and had greater alcohol problem severity were more likely to belong to the Low/Inconsistent profile. Individuals in unassisted recovery were more likely to belong to the Moderate/Inconsistent profile. Older age and more time in recovery were associated with High/Consistent profile membership. Race/ethnicity was not associated with profile membership.</p><p><strong>Conclusions: </strong>These person-oriented analyses elucidate complex patterns of resources that individuals utilize during recovery and individual characteristics underpinning differences across RC patterns. The empirically derived subgroups in this heterogeneous sample highlight multiple combinations of resources that individuals leverage to achieve recovery and indicate characteristics of individuals who may need greater amounts and/or consistency of RC to continue sustaining recovery. (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":"2024-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113477","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":"Recovery resources for college students: Leveraging web scraping to unveil current estimates.","authors":"Justin S Bell, Alexa Nieder, Chelsea Shore, Aaron Blankenship, Erik Dolgoff, Micheal Gibson, Yahya Alnashri, Benjamin Markham, Declan Murphy, Adam Singer, Noel Vest","doi":"10.1037/adb0001028","DOIUrl":"https://doi.org/10.1037/adb0001028","url":null,"abstract":"<p><strong>Objective: </strong>Growing recognition of the importance of addressing substance use among emerging adults has led to a rapid expansion of recovery services on college campuses. However, existing estimates on collegiate recovery programs or communities (CRPs/Cs) and other services are outdated or lack rigor, leaving the extent of these resources unclear. This study aimed to fill this gap in our understanding by providing current estimates of recovery-related resources.</p><p><strong>Method: </strong>Utilizing the Python web scraping library BeautifulSoup, we gathered a large sample of \".edu\"-hosted webpages (<i>N</i> = 995) with references to recovery services (e.g., \"collegiate recovery\", \"peer support\"). Eligible webpages (<i>n</i> = 552) were screened by a team of 11 reviewers to extract information on these services.</p><p><strong>Results: </strong>During extraction, we identified 270 institutions that advertised on-campus recovery services for students. Of these institutions, 176 advertised formal CRPs/Cs. A majority of CRPs/Cs (<i>n</i> = 164) advertised mutual aid meetings and sober/drug-free social activities (<i>n</i> = 138), while only 83 advertised drop-in centers. Relatively few historically Black colleges or universities (<i>n</i> = 5), Hispanic-serving institutions (<i>n</i> = 21), or native-serving institutions (<i>n</i> = 0) hosted recovery services.</p><p><strong>Conclusions: </strong>On-campus services to support recovery have greatly expanded since previous estimates, but gaps may exist in the services provided by these programs. By providing an updated estimate and examining service uniformity, this study can aid in future expansion and standardization efforts to support students in recovery. (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":"2024-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113491","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":"Challenges and recommendations for overdose prevention and harm reduction in an era of fentanyl and xylazine: Perspectives of women with opioid use disorder and professionals.","authors":"Eric Harrison, Kristina Brant, Sienna Strong-Jones, Emma Skogseth, Carl Latkin, Abenaa Jones","doi":"10.1037/adb0001021","DOIUrl":"https://doi.org/10.1037/adb0001021","url":null,"abstract":"<p><strong>Objective: </strong>The current qualitative study examines the perspectives of women with opioid use disorder (OUD) and professionals that serve them on barriers to engaging in overdose prevention and harm reduction practices and recommendations for improving engagement.</p><p><strong>Method: </strong>Semistructured interviews (<i>N</i> = 42) were conducted with women with a history of OUD (<i>n</i> = 20), substance use disorder treatment professionals (<i>n</i> = 12), and criminal legal professionals (<i>n</i> = 10). The interviews were inductively coded to identify themes and subthemes regarding experiences with overdose and harm reduction practices.</p><p><strong>Results: </strong>Themes included heightened vulnerability to overdose, harm reduction challenges faced by women with OUD, and recommendations for overdose prevention and harm reduction practices. Heightened vulnerability to overdose included concerns about toxic supply and concerns about women's drug use behaviors. Challenges to women's harm reduction engagement included lack of knowledge and education about harm reduction tools and strategies and continued stigma toward harm reduction practices. Finally, recommendations for improving harm reduction engagement included increasing accessibility of harm reduction tools, expanding harm reduction education, and shifting away from \"abstinence-only\" paradigms.</p><p><strong>Conclusions: </strong>Finding ways to teach women with OUD about harm reduction, more effectively distribute harm reduction tools to them, and reduce stigma among providers and professionals is essential to reduce overdose risk for women with OUD. (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":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142019178","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}