Psychology of Addictive Behaviors最新文献

{"title":"Do posttreatment increases in social recovery capital mediate the relationship between lower internalizing symptoms and less substance use?","authors":"Samuel N Meisel, Samuel F Acuff, Emily A Hennessy, John F Kelly","doi":"10.1037/adb0001077","DOIUrl":"10.1037/adb0001077","url":null,"abstract":"<p><strong>Objective: </strong>Substance use disorders frequently co-occur with internalizing disorders, such as depression and anxiety, particularly among emerging adults in treatment. While a growing literature has examined bidirectional associations between internalizing symptoms and substance use, findings remain mixed. The present study investigated whether social recovery capital (SRC) mediated bidirectional internalizing symptoms and substance use behaviors associations.</p><p><strong>Method: </strong>Emerging adults (<i>N</i> = 302, 74% male sex assigned at birth, 95% White) were recruited from a residential substance use treatment facility and assessed at treatment baseline, 1-, 3-, 6-, and 12-month follow-ups (71% retention rate at the 12-month follow-up). Latent growth curve models with structured residuals, which disaggregate between- (i.e., growth processes) and within-person effects (i.e., cross-sectional and lagged associations), examined reciprocal associations between internalizing symptoms, SRC, and substance use outcomes.</p><p><strong>Results: </strong>Results indicated that SRC and percent days abstinent increased over time, while internalizing symptoms decreased. Substance use consequences initially decreased but increased after the 3-month follow-up. At the within-person level, there was no support for the central hypothesis that SRC would mediate internalizing symptom-substance use associations. Greater internalizing symptoms were contemporaneously associated with higher substance use consequences. More SRC was contemporaneously associated with higher percent days abstinent and lower internalizing symptoms.</p><p><strong>Conclusions: </strong>Contemporaneous associations between more SRC and lower internalizing symptoms and greater percent days abstinent suggest SRC may facilitate reductions of co-occurring substance use and internalizing symptoms. Future studies should explore alternative timescales and use more comprehensive measures of SRC. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12353759/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144508892","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":"Survey measures of subjective response to alcohol are improved by incorporating questions about the intensity of alcohol effects.","authors":"Frances L Wang, Sanjana Das, Deepa Thomas, Krithika Prakash, Tammy Chung, Sarah L Pedersen","doi":"10.1037/adb0001079","DOIUrl":"10.1037/adb0001079","url":null,"abstract":"<p><strong>Objective: </strong>Extant survey measures of subjective response to alcohol, an important risk factor for alcohol problems, query the number of drinks to experience alcohol effects but do not consider how <i>intensely</i> individuals experience them. We tested whether new measures of the intensity of alcohol effects, alongside the \"number of drinks,\" contributed uniquely or interactively in predicting alcohol problems. We examined associations among these subjective response variables with racial identity and sex assigned at birth.</p><p><strong>Method: </strong>Participants (<i>N</i> = 246; 18-50 years; 44.3% Black; 55.7% White; 58.4% assigned female; 41.6% assigned male) were oversampled for alcohol-related risk and completed an online survey. Participants reported the number of drinks to experience alcohol effects (Fleming et al., 2016), the intensity of these alcohol effects, alcohol-related problems, and covariates (heavy drinking frequency, tolerance, demographics).</p><p><strong>Results: </strong>According to confirmatory factor analyses, two factors underlay the number of drinks items (\"stimulation number of drinks,\" \"sedation number of drinks\") and the same for alcohol effect intensity items (\"stimulation intensity,\" \"sedation intensity\"). Stimulation intensity and sedation number of drinks were significantly associated with, and interacted to predict, alcohol problems; individuals reporting both greater stimulation intensity and needing more drinks to experience sedation showed the greatest risk. Black relative to White individuals reported greater intensity of, and needing more drinks to feel, stimulation. Male relative to female individuals reported needing more drinks to feel sedation.</p><p><strong>Conclusions: </strong>Participants' self-reports of the intensity of alcohol effects may capture an important aspect of subjective response that could improve existing survey-based measures of this important alcohol-related risk factor. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12354072/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144508893","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":"The role of alternative reinforcers in smoking outcomes among people with and without HIV.","authors":"Brittney Greene, Robert A Schnoll, Robert Gross, Rebecca L Ashare","doi":"10.1037/adb0001071","DOIUrl":"10.1037/adb0001071","url":null,"abstract":"<p><strong>Objective: </strong>People with HIV (PWH) smoke at higher rates than people without HIV (PWOH). Alternative reinforcers, or behaviors that replace (substitute reinforcers) or maintain (complementary reinforcers) smoking, are associated with smoking outcomes but have not been studied among PWH. This observational study assessed whether alternative reinforcers changed during a quit attempt among PWH and PWOH and whether the associations differed between groups.</p><p><strong>Method: </strong>The parent study included 274 participants (93 PWH and 181 PWOH) who sought treatment for smoking cessation in a 12-week program. The present analyses were limited to 173 (73 PWH and 100 PWOH) study completers. The primary outcomes were changes in substitute and complementary reinforcers at the end of treatment (EOT; week 12) measured using the Pleasant Events Schedule. We performed linear regressions in the overall sample and then stratified by HIV status for each alternative reinforcer. The time (baseline; week 0 vs. EOT) by smoking status at EOT (abstinent vs. nonabstinent) interaction was tested.</p><p><strong>Results: </strong>Self-reported substitute reinforcers increased significantly over time, but this was not associated with smoking or HIV status (<i>p</i>s > .05). Self-reported complementary reinforcers decreased over time, and this decline was greater among abstinent compared to nonabstinent PWH (<i>b</i> = -13.15, <i>z</i> = -2.04, 95% confidence interval [-25.77, -0.53], <i>p</i> = .04).</p><p><strong>Conclusions: </strong>Declines in complementary reinforcers were associated with smoking cessation outcomes among PWH. These findings partially support results from prior literature, suggesting that addressing complementary reinforcers during smoking cessation treatment may be crucial in improving quit rates among PWH. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12353524/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235555","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":"Psychometric validation and measurement invariance of the Brief Situational Confidence Questionnaire for Gambling (BSCQ-G) in a sample of adult gamblers from the general population.","authors":"Ainhoa Coloma-Carmona, José Luis Carballo, Nicki A Dowling","doi":"10.1037/adb0001076","DOIUrl":"10.1037/adb0001076","url":null,"abstract":"<p><strong>Objective: </strong>Despite the development of multiple gambling-related self-efficacy measures, their validation has often been conducted in convenience or clinical samples, limiting their generalizability to the broader gambling population. This gap is particularly relevant given that most individuals with gambling problems do not seek treatment, highlighting the need for tools that can be applied in both clinical and nonclinical settings. This study aimed to validate the Brief Situational Confidence Questionnaire for Gambling (BSCQ-G), a 10-item adaptation of the Brief Situational Confidence Questionnaire, for assessing gambling-related self-efficacy.</p><p><strong>Method: </strong>Data were drawn from a nationwide online survey of 1,429 Spanish adults (aged 18-64 years). Analyses were conducted on a subsample of 921 individuals who reported past-year gambling.</p><p><strong>Results: </strong>The BSCQ-G demonstrated excellent reliability (α and ω = 0.98), and a unidimensional structure was confirmed via exploratory and confirmatory factor analyses. Measurement invariance was confirmed across age, sex, and gambling modality, indicating its applicability across diverse populations of gamblers. Importantly, its invariance across problem gambling severity levels measured by the Problem Gambling Severity Index (nonproblem: Problem Gambling Severity Index scores of 0-4 vs. problem gambling: Problem Gambling Severity Index scores of 5-27) reinforces its potential application in identifying and monitoring self-efficacy in individuals at varying levels of gambling risk. BSCQ-G scores ≥ 80% exhibited a sensitivity of 93.5% and specificity of 51.6% for identifying individuals with nonproblem gambling. Concurrent validity was supported through negative correlations with gambling frequency, expenditure, and problem gambling severity.</p><p><strong>Conclusions: </strong>The BSCQ-G is a brief, psychometrically robust tool for assessing self-efficacy in high-risk situations, offering utility in both research and clinical contexts. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235554","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":"Ethnic-racial identity modulates emotion dysregulation and alcohol use among an adult sample of Asian Americans.","authors":"Diana Ho, Emmanuel D Thomas, Jewelia J Ferguson, Nicole H Weiss","doi":"10.1037/adb0001049","DOIUrl":"10.1037/adb0001049","url":null,"abstract":"<p><strong>Objective: </strong>The aim of the present study was to investigate the moderating role of racial-ethnic identity in the relation between emotion dysregulation and alcohol use and related harms among Asian Americans.</p><p><strong>Method: </strong>An adult sample of Asian Americans (<i>N</i> = 105, 67.6% women) participated in a study examining emotional experiences across different racial and ethnic groups that assessed emotion dysregulation (Difficulties With Emotion Regulation; Difficulties With Emotion Regulation-Positive), alcohol use and related harms (Alcohol Use Disorder Identification Test), and ethnic-racial identity (Ethnic Identity Scale).</p><p><strong>Results: </strong>Negative and positive emotion dysregulation were both significantly positively associated with alcohol use and related harms. A series of moderation analyses revealed that different dimensions of ethnic-racial identity moderated this relationship. Negative emotion dysregulation was significantly positively associated with alcohol use and related harms at lower levels of ethnic-racial identity Affirmation, and positive emotion dysregulation was significantly positively associated with alcohol use and related harms at higher levels of ethnic-racial identity Resolution.</p><p><strong>Conclusions: </strong>This study is the first to test the moderating role of ethnic-racial identity in the associations between negative and positive emotion dysregulation and alcohol use and related harms among Asian Americans. Results of this study suggest that emotion dysregulation may play a key role in the maintenance of alcohol use and related harms among Asian Americans. Findings also suggest that an assessment of ethnic-racial identity may help identify Asian Americans who are most likely to benefit from interventions targeting negative and positive emotion dysregulation. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":"39 4","pages":"321-331"},"PeriodicalIF":3.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12141782/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235556","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":"Illusion of control or passive superstition? A comparison of two explanations for irrational gambling beliefs.","authors":"Alex Monson, Richard J E James, Robyn E Wootton, Philip Newall","doi":"10.1037/adb0001036","DOIUrl":"10.1037/adb0001036","url":null,"abstract":"<p><strong>Objective: </strong>The \"illusion of control\" is a dominant cognitive illusion in disordered gambling, but its role in shaping irrational gambling beliefs has been questioned by recent null experimental findings. Here, we aimed to test this recent work, in a preregistered Bayesian framework, by additionally correlating the dependent variable (nonuniform probabilistic beliefs) with self-reported gambling behavior and by exploring \"passive superstition\" as an alternative driver of these irrational gambling beliefs.</p><p><strong>Method: </strong>A between-participants online experiment involving three boxes, one of which a $1 prize was randomly assigned to (<i>N</i> = 3,064; 49.1% males, 49.5% females, 1.4% other; <i>M</i>_age = 42.5 years). Participants estimated the likelihood of each box winning, with any estimates outside the 33%-34% interval categorized as irrational \"nonuniform\" probabilistic beliefs. \"Preselection\" participants gave estimates prior to box selection, \"post-no-choice\" participants had their box randomly selected, and participants in the treatment \"postchoice\" condition selected their own box. Whether participants gambled within the past 12 months (gambling status), Problem Gambling Severity Index (PGSI) score, and passive superstition scores were used as additional predictors.</p><p><strong>Results: </strong>Comparing postchoice participants with post-no-choice participants (95% CI [0.80, 1.22]) and comparing postchoice with preselection participants (95% CI [0.88, 1.34]) yielded substantial support for a null effect. Gambling status supported substantial evidence for a null effect (95% CI [0.92, 1.30]), whereas higher PGSI (95% CI [1.08, 1.13]) and higher passive superstition scores (95% CI [1.08, 1.10]) overwhelmingly predicted our outcome.</p><p><strong>Conclusions: </strong>Active choice elements in illusions of control may have been overemphasized in irrational gambling beliefs compared to passive superstitions. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":"389-396"},"PeriodicalIF":3.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142607076","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":"Racial/ethnic discrimination and racial trauma: Concurrent evaluation among Black adults who smoke in the United States.","authors":"Michael J Zvolensky, Bryce K Clausen, Neha Pathak, Perel Y Wein, Brooke Y Redmond, Erin A McClure, Andres G Viana","doi":"10.1037/adb0001046","DOIUrl":"10.1037/adb0001046","url":null,"abstract":"<p><strong>Objective: </strong>Although Black/African American (hereinafter Black) adults who smoke are a tobacco disparities population in the United States, little systematic research has sought to explicate how differences in the distinct experience of race-related threat are associated with established and clinically important smoking processes in one overarching model. The present investigation sought to bridge this gap and test perceived racial/ethnic discrimination and racial trauma in the context of one another regarding an array of processes involved in the maintenance and relapse of smoking behavior.</p><p><strong>Method: </strong>Participants included 517 Black individuals who smoked cigarettes daily (≥ 5; <i>M</i>_age = 45.07, <i>SD</i> = 14.72, 51.5% identified as female).</p><p><strong>Results: </strong>Results indicated that in adjusted models, perceived racial/ethnic discrimination and racial trauma were each associated with an increased risk of more severe problems when quitting smoking as well as somatic symptoms and harmful consequences in smoking abstinence expectancies. For perceived barriers to quitting and negative mood abstinence expectancies, only racial trauma exerted a statistically significant main effect. In contrast, there was a statistically significant main effect only for perceived racial/ethnic discrimination for positive smoking abstinence expectancies, such that greater perceived racial/ethnic discrimination was associated with less positive beliefs about the consequences of abstinence (e.g., positive affect).</p><p><strong>Conclusion: </strong>Overall, the present investigation indicated that both perceived racial/ethnic discrimination and racial trauma were relatively consistent and impactful explanatory variables for several clinically significant smoking processes, even in the context of one another, among Black adults who smoke in the United States. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":"332-344"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12140920/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142819586","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":"Experiences, impacts, and perspectives of recreational cannabis use among Indigenous communities: A scoping review.","authors":"Daysi Zentner, Sophia Dobischok, Sarah DeGrace, Rou Angele Wen, Dennis C Wendt","doi":"10.1037/adb0001073","DOIUrl":"10.1037/adb0001073","url":null,"abstract":"<p><strong>Objective: </strong>Research on the patterns and correlates of cannabis use suggests a disproportionately higher use incidence across Indigenous populations in Canada and the United States. As cannabis use is related to several deleterious social and behavioral consequences for which Indigenous Peoples are disproportionately vulnerable, it is a public health concern. We gathered and organized the extant research on cannabis use among Indigenous groups to describe emergent themes and future research areas.</p><p><strong>Method: </strong>We conducted a scoping review of articles published between 2005 and February 2020 on Indigenous populations and cannabis use in Canada and the United States. We screened 1,934 articles indexed through APA PsycInfo, Scopus, and Medline, 152 of which were systematically coded and analyzed.</p><p><strong>Results: </strong>Most studies focused on the prevalence and patterns of cannabis use initiation, followed by protective and risk factors, correlations of cannabis use and other substance use, correlations of cannabis with mental health diagnoses and with other health consequences, interventions for cannabis use, and cannabis legalization issues. Most articles focused on youth, were analyzed quantitatively, and discussed cannabis use in the context of general substance use.</p><p><strong>Conclusions: </strong>Future research should explore culturally appropriate intervention programs and the impact of cannabis legalization issues. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":"354-364"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095598","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":"A structural equation model test of affect, family warmth, and substance use among American Indian reservation-based adolescents.","authors":"Randall C Swaim, Meghan A Crabtree, Madison R Egli","doi":"10.1037/adb0001068","DOIUrl":"10.1037/adb0001068","url":null,"abstract":"<p><strong>Objective: </strong>This study examined moderating effects of family warmth on relationships between positive and negative affect and alcohol and cannabis use among American Indian (AI) youth.</p><p><strong>Method: </strong>Participants were 5,831 AI students (seventh-12th grade) surveyed during the 2021 and 2022 school years. Students completed measures of positive and negative affect, family warmth, and past year alcohol and cannabis use. Multigroup and latent moderated structural equation modeling models tested hypothesized main and interactive effects of hypothesized relationships and explored moderation by sex.</p><p><strong>Results: </strong>Family warmth and negative affect, but not positive affect, related significantly to alcohol use; all three predictors related significantly to cannabis use. Family warmth did not moderate associations between negative affect and either substance in the overall sample, nor the association of positive affect to alcohol use. However, family warmth moderated associations between positive affect and cannabis, with family warmth bolstering protective effects of positive affect. Female youth were less likely than male youth to use alcohol with increasing levels of warmth. Furthermore, compounding protective effects of family warmth and positive affect on cannabis use were stronger among female compared to male youth.</p><p><strong>Conclusions: </strong>Several factors may explain the lack of a buffering effect of family warmth on the relationship between negative affect and substance use, including the use of a general affect measure rather than individual measures of depression and anxiety. Nevertheless, these findings suggest substance use interventions should consider the compounding effects of family warmth and positive affect, particularly among female AI youth. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":"345-353"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12140864/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081427","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":"Betting on change: An analysis of cognitive motivational behavior therapy versus referral to gamblers anonymous for gambling disorder.","authors":"Edelgard Wulfert, Stephanie E Wemm, James D Broussard","doi":"10.1037/adb0001063","DOIUrl":"10.1037/adb0001063","url":null,"abstract":"<p><strong>Objective: </strong>Many existing treatments for gambling disorder grapple with the challenge of losing participants from treatment. Thus, treatments designed to increase adherence and retention would contribute significantly to the existing gambling treatment efficacy literature. Our study steps into the arena with an innovative approach.</p><p><strong>Method: </strong>We tested the effectiveness of cognitive motivational behavior therapy (CMBT), a treatment for gambling disorder designed not only to address symptoms but also to anchor participants throughout the treatment journey. We enrolled 46 individuals seeking treatment for gambling problems, all meeting the criteria for gambling disorder, and randomly assigned them to undergo 12 sessions of CMBT or to attend at least 12 sessions of Gamblers Anonymous (GA) meetings.</p><p><strong>Results: </strong>Zero-inflated Poisson regression showed that individuals in CMBT had a 94% probability of completing treatment, with 95.7% attending all 12 treatment sessions and 91.3% completing the 6-month follow-up. Overall, individuals in CMBT gambled less money during follow-up periods relative to baseline than those in GA, <i>F</i>(3, 116.81) = 3.72, <i>p</i> = .01. A secondary moderator analysis revealed that of those participants who were low in readiness to change, only those randomized to CMBT gambled less money, <i>F</i>(3, 110.29) = 3.96, <i>p</i> = .01.</p><p><strong>Conclusions: </strong>Compared to GA, CMBT was more effective at retaining participants in treatment and reducing the amount of money gambled. For those who began treatment with low readiness to change, CMBT also decreased the severity of problem gambling, which was not the case for those referred to GA. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":"375-388"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12140906/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671516","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}