Psychology of Addictive Behaviors最新文献

{"title":"Profiles of transdermal alcohol concentration and their prediction of negative and positive alcohol-related consequences in young adults' natural settings.","authors":"Veronica L Richards, Kimberly A Mallett, Robert J Turrisi, Shannon D Glenn, Michael A Russell","doi":"10.1037/adb0001054","DOIUrl":"10.1037/adb0001054","url":null,"abstract":"<p><strong>Objective: </strong>Transdermal alcohol concentration (TAC) sensors provide a multidimensional characterization of drinking events that self-reports cannot. These profiles may differ in their associated day-level alcohol-related consequences, but no research has tested this. We address this using multilevel latent profile analysis.</p><p><strong>Method: </strong>Two hundred twenty-two young adults who regularly engage in heavy drinking (<i>M</i>_age = 22.3, 64% female, 79% non-Hispanic White) responded to surveys and wore TAC sensors for 6 consecutive days. We tested whether four previously identified TAC profiles: (1) high-fast (8.5% of days), (2) moderate-fast (12.8%), (3) low-slow (20.4%), and (4) little-to-no-drinking days (58.2%) differed in numbers of negative and positive consequences and in the odds that both consequence types occurred on the same day.</p><p><strong>Results: </strong>High-fast (incident rate ratio [IRR_low-slow] = 6.18; IRR_{little-to-no-drinking} = 9.47) and moderate-fast (IRR_low-slow = 3.71; IRR_{little-to-no-drinking} = 5.68) days contained more negative consequences compared to low-slow and little-to-no-drinking days. High-fast (IRR = 2.05), moderate-fast (IRR = 1.88), and low-slow (IRR = 1.43) days contained more positive consequences than little-to-no-drinking days. The odds of having only positive consequences were highest on low-slow, χ²(3) = 9.10, <i>p</i> < .05, days but the odds of experiencing both consequence types increased on moderate-fast and high-fast days, χ²(3) = 39.63, <i>p</i> < .001.</p><p><strong>Conclusions: </strong>Compared to little-to-no-drinking days, TAC profiles indicative of drinking (high-fast, moderate-fast, and low-slow) contained more negative and positive consequences. However, the odds of experiencing <i>only</i> positive consequences were highest among low-slow days and decreased on moderate-fast and high-fast days as the odds of negative consequences rose. These findings provide novel evidence reinforcing harm reduction approaches that seek to maximize positives and minimize negatives of alcohol consumption through emphasis on slow-paced, low-volume drinking. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":"163-172"},"PeriodicalIF":3.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11875957/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972625","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":"Internalizing symptoms, negative urgency, and coping motives: Potential pathways to alcohol consequences.","authors":"Abigail McDonald, Will Corbin","doi":"10.1037/adb0001038","DOIUrl":"10.1037/adb0001038","url":null,"abstract":"<p><strong>Objective: </strong>Building upon prior research, the present study tested coping motives as a mediator of relations between both negative urgency and internalizing symptoms (depression, anxiety, and stress), and alcohol-related consequences using longitudinal data. We also tested negative urgency as a moderator of prospective relations between specific internalizing symptoms and alcohol-related consequences.</p><p><strong>Method: </strong>The study utilized data from a longitudinal study of young adults (<i>N</i> = 448; <i>M</i>_age = 22.27, <i>SD</i> = 1.25). Participants (56.5% male) were evaluated at baseline and at 12-month and 24-month follow-ups. Mood, impulsivity, coping motives, and alcohol consequences were assessed at baseline, and motives and consequences were assessed at follow-ups.</p><p><strong>Results: </strong>Prospective indirect effects of internalizing symptoms and negative urgency on alcohol consequences through coping motives were not observed. However, cross-sectional post hoc analyses indicated that higher levels of internalizing and negative urgency were indirectly associated with greater alcohol consequences through coping motives, with similar patterns observed for depression, anxiety, and stress. Although support was found for mediated effects in the cross-sectional model, no evidence was found for negative urgency moderating the impact of internalizing, stress, anxiety, or depression on alcohol consequences in either cross-sectional or longitudinal models.</p><p><strong>Conclusion: </strong>Findings provide cross-sectional but not longitudinal support for coping motives as a potential mechanism through which a broad range of internalizing symptoms are associated with alcohol consequences. Findings did not support interactions between negative urgency and internalizing symptoms. The results highlight the need for further exploration of mediated effects using ecological momentary assessments. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":"219-225"},"PeriodicalIF":3.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11875988/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477993","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":"Profiles of alcohol intoxication and their associated risks in young adults' natural settings: A multilevel latent profile analysis applied to daily transdermal alcohol concentration data.","authors":"Michael A Russell, Veronica L Richards, Robert J Turrisi, Cara L Exten, Ivan Jacob Agaloos Pesigan, Gabriel C Rodríguez","doi":"10.1037/adb0001022","DOIUrl":"10.1037/adb0001022","url":null,"abstract":"<p><strong>Objective: </strong>Transdermal alcohol concentration (TAC) sensors capture aspects of drinking events that self-reports cannot. The multidimensional nature of TAC data allows novel classification of drinking days and identification of associated behavioral and contextual risks. We used multilevel latent profile analysis (MLPA) to create day-level profiles of TAC features and test their associations with (a) daily behaviors and contexts and (b) risk for alcohol use disorders at baseline.</p><p><strong>Method: </strong>Two hundred twenty-two regularly heavy-drinking young adults (<i>M</i>_age = 22.3) completed the Alcohol Use Disorders Identification Test (AUDIT) at baseline and then responded to mobile phone surveys and wore TAC sensors for six consecutive days. MLPA identified day-level profiles using four TAC features (peak, rise rate, fall rate, and duration). TAC profiles were tested as correlates of daily drinking behaviors, contexts, and baseline AUDIT.</p><p><strong>Results: </strong>Four profiles emerged: (a) high-fast (8.5% of days), (b) moderate-fast (12.8%), (c) low-slow (20.4%), and (d) little-to-no drinking days (58.2%). Profiles differed in the odds of risky drinking behaviors and contexts. The highest risk occurred on high-fast days, followed by moderate-fast, low-slow, and little-to-no drinking days. Higher baseline AUDIT predicted higher odds of high-fast and moderate-fast days.</p><p><strong>Conclusions: </strong>Days with high and fast intoxication are reflective of high-risk drinking behaviors and were most frequent among those at risk for alcohol use disorders. TAC research using MLPA may offer novel and important insights to intervention efforts. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":"173-185"},"PeriodicalIF":3.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12049083/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141861324","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":"Effects of alcohol consumption on gambling warning message recall and recognition.","authors":"Tori L Horn, Abby McPhail, Adrianna J Valencia, Rory A Pfund, James P Whelan","doi":"10.1037/adb0001034","DOIUrl":"10.1037/adb0001034","url":null,"abstract":"<p><strong>Objective: </strong>To understand the influence of acute alcohol consumption on the recall and recognition of warning messages.</p><p><strong>Method: </strong>Participants (<i>n</i> = 82) were randomly assigned to a condition where they consumed alcoholic beverages (target blood alcohol concentrations of 0.06%-0.08%) or a condition where they consumed juice. Participants in both conditions then gambled on preprogrammed slot machines in a casino-themed room with four pop-up warning messages appearing twice each. After the gambling session, participants in both conditions completed a filler task followed by free recall and recognition assessments.</p><p><strong>Results: </strong>Most participants (81%) recalled the gist, or the general idea, of the warning messages. However, participants in the alcohol condition underestimated the total number of messages they viewed to a significantly greater extent than those in the juice condition. Participants in the alcohol condition were also significantly less accurate in recognizing messages than participants in the juice condition. Participants in the juice condition were significantly more likely to recall the self-appraisal message than participants in the alcohol condition. There were no other significant differences in the recall of specific messages between conditions.</p><p><strong>Conclusions: </strong>Individuals who are moderately intoxicated are just as likely as nonintoxicated individuals to understand the general idea of warning messages but may have greater difficulty recalling specific details within those messages. Those who are intoxicated may have difficulties engaging in self-appraisal, indicating that messages that are focused on the financial consequences of gambling may be more impactful. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":"139-150"},"PeriodicalIF":3.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972635","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":"Estimating substance use disparities across intersectional social positions using machine learning: An application of group-lasso interaction network.","authors":"Connor J McCabe, Jonathan L Helm, Max A Halvorson, Kieran J Blaikie, Christine M Lee, Isaac C Rhew","doi":"10.1037/adb0001020","DOIUrl":"10.1037/adb0001020","url":null,"abstract":"<p><strong>Objective: </strong>An aim of quantitative intersectional research is to model the joint impact of multiple social positions on health risk behaviors. Although moderated multiple regression is frequently used to pursue intersectional research hypotheses, such parametric approaches may produce unreliable effect estimates due to data sparsity and high dimensionality. Machine learning provides viable alternatives, offering greater flexibility in evaluating many candidate interactions amid sparse data conditions, yet remains rarely employed. This study introduces group-lasso interaction network (glinternet), a novel machine learning approach involving hierarchical regularization, to assess intersectional differences in substance use prevalence.</p><p><strong>Method: </strong>Utilizing variable selection and parameter stabilization functionality for main and interaction effects, glinternet was employed to examine two-way interactions between three primary social positions (gender, sexual orientation, and race) predicting heavy episodic drinking, cannabis use, and cigarette use prevalence. Analyses were conducted using the All of Us Research Program (<i>N</i> = 283,403), a national sample with high representation from populations historically underrepresented in biomedical research. Results were replicated using holdout cross-validation and compared against logistic regression estimates.</p><p><strong>Results: </strong>Glinternet prevalence estimates were more stable across discovery and replication samples relative to logistic regression, particularly among sparsely represented groups. Prevalence estimates for cigarette and cannabis use were elevated among sexual minority and White cisgender women compared to heterosexual and non-White women, respectively.</p><p><strong>Conclusions: </strong>Glinternet may improve upon traditional moderated multiple regression methods for pursuing intersectional hypotheses by improving model parsimony and parameter stability, providing novel means for quantifying health disparities among intersectional social positions. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":"113-126"},"PeriodicalIF":3.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11671612/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141459933","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":"Drinking intention-behavior links vary by affect among heavy-drinking young adults: An ecological momentary assessment and transdermal sensor study.","authors":"Gabriel C Rodríguez, Jimikaye Courtney, John Felt, Michael A Russell","doi":"10.1037/adb0001060","DOIUrl":"10.1037/adb0001060","url":null,"abstract":"<p><strong>Objective: </strong>Drinking intention is a predictor of heavy-drinking episodes and could serve as a real-time target for preventive interventions. However, the association is inconsistent and relatively weak. Considering the affective context when intentions are formed might improve results by revealing conditions in which intention-behavior links are strongest and the predictive power of intentions is greatest.</p><p><strong>Method: </strong>We investigated the links between drinking intentions reported in the morning and same-day drinking behavior, moderated by positive and negative affect (PA, NA) in a sample of heavy-drinking young adults. Participants wore the SCRAM continuous alcohol monitor transdermal alcohol sensor anklet for 6 consecutive days in their natural environments and responded to daily ecological momentary assessments that included morning intentions to drink and PA/NA items. Drinking events and patterns were measured using morning-report counts and features from the sensor. Bayesian gamma-hurdle and Poisson multilevel models with noninformative priors tested day-level associations. We hypothesized that drinking intention-behavior associations would be strongest on days with high levels of PA, but we did not hypothesize directionality for the NA effect given the conflicting results in previous literature.</p><p><strong>Results: </strong>Day-level drinking intention-behavior associations were stronger on days with higher versus lower PA according to sensors features. Associations were also stronger on days with lower versus higher NA.</p><p><strong>Conclusions: </strong>The strength of intention-behavior links may partly depend on the affective contexts in which intentions are formed. Results could fine-tune intervention approaches by elucidating the affective contexts in which intentions may more clearly link to drinking behavior to reduce the intensity of an episode-better anticipating problematic drinking among young adults. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":"186-199"},"PeriodicalIF":3.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12087473/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014308","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":"Preventing tobacco and alcohol use among high school students through a hybrid online and in-class intervention: A randomized controlled trial.","authors":"Christopher Williams, Kenneth W Griffin, Sandra M Sousa, Gilbert J Botvin","doi":"10.1037/adb0001061","DOIUrl":"https://doi.org/10.1037/adb0001061","url":null,"abstract":"<p><strong>Objective: </strong>School-based health promotion programs can have a positive effect on behavioral and social outcomes among adolescents. Yet, limited classroom time and suboptimal program implementation can reduce the potential impact of these interventions. In the present randomized trial, we tested the effectiveness of a classroom-based substance use prevention program that was adapted for hybrid implementation.</p><p><strong>Method: </strong>The hybrid adaptation included eight asynchronous e-learning modules that presented didactic content and eight classroom sessions designed to facilitate discussion and practice of refusal, personal self-management, and general social skills. Nineteen high schools were randomly assigned to intervention or control conditions. Students (<i>N</i> = 1,235) completed confidential online pretest and posttest surveys to assess the effects of the intervention on tobacco and alcohol use and life skills. The sample was 50.7% female and 35.5% non-White with a mean age of 15.2 years.</p><p><strong>Results: </strong>Analyses revealed significant program effects on current cigarette smoking, alcohol use, drunkenness, and intentions for future use. There were also program effects for communication, media resistance, anxiety management, and refusal skills.</p><p><strong>Conclusions: </strong>Taken together, these findings suggest that hybrid approaches can produce robust prevention effects and may help reduce barriers to the widespread adoption and implementation of evidence-based prevention programs. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524875","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":"Stay focused! Exploring the compulsive nature of alcohol-related attentional bias in severe alcohol use disorder.","authors":"Zoé Bollen, Nicolas Masson, Arthur Pabst, Pierre Maurage","doi":"10.1037/adb0001019","DOIUrl":"10.1037/adb0001019","url":null,"abstract":"<p><strong>Objective: </strong>Prominent models postulate that alcohol-related attentional bias (AB), emerging from the overactivation of the reward system, plays a key role in severe alcohol use disorder (sAUD) and is independent from voluntary control. We determined whether AB is indeed compulsive or can be modulated by the control/inhibition system.</p><p><strong>Method: </strong>Patients with sAUD (17 women, 13 men, mean age of 47, White) and matched healthy controls (16 women, 14 men, mean age of 44, White) performed a visual probe task with behavioral (reaction time) and eye-tracking (first fixation location and duration, second fixation location, dwell time) measures. They also performed an avoidance task, requiring to focus on a target by voluntarily inhibiting eye movements toward alcohol/nonalcohol/nonappetitive distractors and measuring overt (break frequency) and covert (fixational eye movements) attentional processes.</p><p><strong>Results: </strong>Patients with sAUD exhibited an avoidance AB indexed by (a) reduced attentional resources dedicated to alcohol-related stimuli, namely, reduced dwell time (<i>p</i> = .040) and second fixation (<i>p</i> = .001) toward these stimuli; (b) increased inhibitory processes, namely, easier inhibition of saccades toward alcohol measured by lower break frequency (<i>p</i> < .001); and (c) covert eye movements posited further away from alcohol.</p><p><strong>Conclusions: </strong>In contradiction with theoretical models, our two tasks did not show any AB toward alcohol in sAUD. Instead, patients exhibited an avoidance AB indexed by increased inhibitory processes as well as reduced overt and covert attentional resources dedicated to alcohol-related stimuli. These results question the theoretical and clinical role of AB, as measured through reliable eye-tracking tasks, in sAUD. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":"52-62"},"PeriodicalIF":3.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477995","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":"Bystander assessments for hazardous alcohol use: Qualitative methods for item development informed by bystander theory.","authors":"Michelle Haikalis, Rochelle K Rosen, Matthew K Meisel, Lindsay M Orchowski, Kate B Carey, Jennifer E Merrill, Kelli Bradley, Nancy P Barnett","doi":"10.1037/adb0001050","DOIUrl":"10.1037/adb0001050","url":null,"abstract":"<p><p><i><b>Objective</b></i>: Dissemination of methods for developing psychometric instruments is essential for the production of high-quality research. This article describes a multistep process used to conduct the qualitative phase in the development of a battery of measures related to bystander behavior for hazardous alcohol use among young adults. <i><b>Method</b></i>: Qualitative methods were used to inform the content and wording of developed items to be relevant to young adults' lived experiences. First, focus groups (eight groups; <i>N</i> = 60) used multiple approaches to revise items on available bystander measures from the interpersonal violence prevention literature and to create new items relevant for hazardous drinking situations. Thematic analysis of focus group transcripts yielded several themes within identified categories of signs (i.e., exposure to hazardous drinking), strategies, barriers, facilitators, positive consequences, and negative consequences. Following item development and revision by a team of content experts, cognitive interviews (<i>N</i> = 20) ensured clarity of instructions, items, and response options. <b><i>Results</i></b>: This qualitative work yielded item sets that are ready to move on to administration for quantitative psychometric validation. We used a rigorous qualitative approach to ensure constructs, items, and eventual measures accurately reflect the experience of witnesses to hazardous drinking among others. <b><i>Conclusions</i></b>: Generated item sets will facilitate research applying bystander intervention to alcohol-related harm. Qualitative methods described herein should be useful for researchers applying existing frameworks to new areas and themes identified from this work will facilitate research focused on bystander intervention to prevent alcohol-related harms. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":"39 1","pages":"27-37"},"PeriodicalIF":3.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12046079/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442272","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":"Content analysis of perceptions of combined pharmacobehavioral treatment for American Indian people with opioid use disorder.","authors":"Lonnie A Nelson, Susan E Collins, Emma Shinagawa, Sooyoun Park, Vaishali Rajeev, Grace McPhail, Sage Saplan, Emily M Taylor, Aaron T Aguilar-Bonnette, Sage Mednansky, Jessica Douthitt, Roxanna J King, Mark A Taylor, Terrence K Kominsky, Charity Green, Andrew J Saxon, Seema L Clifasefi","doi":"10.1037/adb0001037","DOIUrl":"10.1037/adb0001037","url":null,"abstract":"<p><strong>Objective: </strong>Both opioid misuse and overdose mortality have disproportionately impacted the American Indian population. Although medications for opioid use disorder, such as buprenorphine (BUP-NX), are highly effective in reducing overdose mortality, questions have been raised about the cultural acceptability of Western medical approaches in this population. Understanding patients' desired recovery pathways can lead to more culturally appropriate, patient-centered, and effective approaches to opioid use disorder (OUD) treatment. In this qualitative study, we document experiences with combined pharmacobehavioral treatment for OUD and suggestions for enhancing it.</p><p><strong>Method: </strong>Participants (<i>N</i> = 45) were American Indian patients and community members impacted by OUD. They participated in one-time, 45- to 60-min, semistructured interviews.</p><p><strong>Results: </strong>Findings from conventional content analysis indicated participants were grateful for a Tribally run combined pharmacobehavioral OUD treatment program, which made treatment more financially and geographically accessible over a large, rural area. Participants expressed satisfaction with BUP-NX and the accompanying behavioral health programming but were interested in making it more accessible through telemedicine appointments and mailed prescriptions. Participants noted the importance of clear communication about this kind of programming, which tends to be less structured than other substance-use treatment programs, but also appreciated its tailored, compassionate, and holistic approach. Participants were interested in robust counseling options; a low-barrier, acceptance-based, and harm-reduction orientation; as well as more culturally aligned programming that honored their Native heritage and traditional medicine.</p><p><strong>Conclusions: </strong>Treatment providers, researchers, and policymakers should consider integration of more patient-driven, compassionate, and culturally aligned means of intervention for American Indian patients with OUD. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":"1-13"},"PeriodicalIF":3.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11836604/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956734","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}