Psychology of Addictive Behaviors最新文献

{"title":"Use of cannabis to regulate negative affect in pregnancy: Bidirectional findings from an ecological momentary assessment study.","authors":"Rachel L Gunn, Lindy K Howe, Ami Ikeda, Alexander W Sokolovsky, Jane Metrik, Cynthia L Battle, Lauren Micalizzi","doi":"10.1037/adb0001156","DOIUrl":"10.1037/adb0001156","url":null,"abstract":"<p><strong>Objective: </strong>Prenatal cannabis use is increasing in the United States, despite evidence of potential harms to pregnant individuals and their offspring. Elevated rates of anxiety and depression among those who use cannabis during pregnancy suggest that mental health difficulties may contribute to prenatal cannabis use. In line with the affect regulation hypothesis, many pregnant individuals endorse using cannabis to manage mood. However, no studies have examined this relationship in real time. Moreover, the acute effects of cannabis on mood during pregnancy remain understudied, limiting knowledge of whether negative affect (NA) relief reinforces continued use. Addressing these gaps, the present study examines the relationship between momentary NA and cannabis use in pregnant adults and explores the effect of cannabis on NA.</p><p><strong>Methods: </strong>Participants (<i>N</i> = 20, <i>M</i>_age = 30.15, <i>M</i>_{gestationalage} = 22.5 weeks, 60% White) completed a baseline session followed by a 14-day ecological momentary assessment burst (average of 14.95 cannabis use events per burst).</p><p><strong>Results: </strong>Generalized linear mixed-effects models tested whether momentary ratings of depression, anxiety, and irritability predicted subsequent cannabis use (Aim 1), and linear mixed-effects models tested whether cannabis use predicted subsequent changes in NA (Aim 2). Aim 1 results indicated that greater levels of NA (momentary depression, anxiety, and irritability) were associated with greater odds of using cannabis. Aim 2 results suggest cannabis use was followed by reductions in depression, anxiety, and irritability, reflecting short-term NA relief.</p><p><strong>Conclusions: </strong>Findings provide the first real-time evidence supporting the affect regulation hypothesis in pregnancy and highlight the potential reinforcing role of NA relief in sustaining prenatal cannabis use. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13208008/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822494","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":"Changes in alcohol expectancy activation patterns precede onset of alcohol use in children.","authors":"Jessica N Flori, Michael E Dunn, Shane D Marohnic, Elizabeth N Riley, Gregory T Smith","doi":"10.1037/adb0001136","DOIUrl":"10.1037/adb0001136","url":null,"abstract":"<p><strong>Objective: </strong>Extensive research supports the conclusion that alcohol expectancies could be a causal variable influencing drinking behavior. Expectancies have been conceptualized as information stored in memory in relation to a specific concept, like alcohol. Successful methods have been developed to change expectancy processes to reduce drinking and related problems in adults. Development of effective expectancy-based prevention programming for children, however, would benefit from identification of expectancy activation patterns in memory preceding drinking initiation.</p><p><strong>Method: </strong>We analyzed data collected from children over the course of 4 years (fifth grade-ninth grade) to assess changes in expectancy activation before drinking initiation. Participants were grouped based on initiation of drinking in ninth grade (<i>n</i> = 309) or maintenance of abstinence through ninth grade (<i>n</i> = 507). We used Individual Differences Scaling, to map expectancies into memory network format and Preference Mapping was used to model likely patterns of expectancy activation.</p><p><strong>Results: </strong>A two-dimensional Individual Differences Scaling solution was optimal with bipolar dimensions representing positive-negative and arousing-sedating aspects of alcohol use. Abstainers showed little change from fifth grade through ninth grade. In contrast, dimension emphasis and activation patterns changed substantially preceding drinking initiation for those who started drinking in ninth grade.</p><p><strong>Conclusions: </strong>Results suggest changes in expectancy activation patterns precede onset of alcohol use in children. Implementation of prevention programming focused on preventing this shift in expectancies could further reduce early onset of drinking and associated negative consequences. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":"243-253"},"PeriodicalIF":2.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13128093/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147391194","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":"Health goals, sex, and college enrollment: Impacts on young adult response to digital alcohol intervention.","authors":"Mary Beth Miller, Angelo M DiBello, Emily Marut, K Taylor Bosworth, Jennifer E Merrill, Kate B Carey","doi":"10.1037/adb0001126","DOIUrl":"10.1037/adb0001126","url":null,"abstract":"<p><strong>Objective: </strong>Young adults in the United States commonly report high-intensity drinking (8+ drinks for females; 10+ drinks for males) and alcohol-induced memory loss (\"blackouts\"). Since few young adults receive formal help for alcohol use, research is needed to better understand which remotely delivered interventions work and for whom. This study tested goal setting, sex assigned at birth, and college enrollment as moderators of outcomes for one efficacious digital alcohol intervention (the \"Drinking Dashboard\").</p><p><strong>Method: </strong>Young adults (ages 18-30 years, 58% female, 51% college students) with a history of blackout were randomized to the Drinking Dashboard (<i>n</i> = 74) or screen time control (<i>n</i> = 82). Assessments occurred at baseline, 1 month, and 3 months, as well as daily between baseline and 1-month follow-up. Multilevel generalized linear modeling tested treatment effects on high-intensity drinking and alcohol-induced blackout within moderator subgroups.</p><p><strong>Results: </strong>Two in three participants (67%) set a goal to reduce their alcohol use or related problems in the next 30 days. Relative to control participants who set an alcohol-related change goal, intervention participants who set an alcohol goal reported greater reductions in high-intensity drinking (incident rate ratio = 0.58, 95% CI [0.35, 0.96], <i>p</i> = .034) but not alcohol-induced blackout (incident rate ratio = 0.74, 95% CI [0.37, 1.46], <i>p</i> = .384). Group × Time interactions were not significant for any other subgroup.</p><p><strong>Conclusions: </strong>The Drinking Dashboard reduces high-intensity drinking among young adults who set a goal to reduce their alcohol use or problems. We speculate that motivation (as indicated in this case by goal setting) may be more important than static variables like sex or college enrollment in predicting response to digital health interventions. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":"332-342"},"PeriodicalIF":2.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12954868/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147327764","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":"Reciprocal associations between adolescent extracurricular activity availability and engagement and alcohol-related cognitions and norms: Moderation by socioeconomic status.","authors":"Samuel N Meisel, Ella Diab, Samuel F Acuff, Kristina M Jackson","doi":"10.1037/adb0001133","DOIUrl":"10.1037/adb0001133","url":null,"abstract":"<p><strong>Objective: </strong>The present study examined reciprocal associations between structured and unstructured extracurricular activity access and engagement and reasons against drinking and descriptive drinking norms in a predominantly alcohol naïve adolescent sample. Socioeconomic status (SES) was tested as a moderator of these bidirectional associations, considering access to and benefits of structured activities may vary by SES.</p><p><strong>Method: </strong>Using six waves of data from a sample of early to middle adolescents (<i>N</i> = 1,023; 52% female; 76% White, 5% Black, 12% Latine; 28% from urban school districts), preregistered latent growth curve models with structured residuals tested reciprocal associations and whether they varied by SES.</p><p><strong>Results: </strong>The relative availability of structured activities to total extracurricular activities (i.e., structured and unstructured) decreased across time, whereas relative engagement remained constant. Reasons against drinking decreased, and descriptive norms increased across time. There was no support for preregistered bidirectional hypotheses for extracurricular access or engagement and descriptive norms. At the between-person level, adolescents who continued participating in structured activities had more reasons against drinking in early adolescence and showed slower declines in these reasons over time. Contrary to our hypotheses, for most waves, when adolescents had greater engagement in structured activities than their typical levels, they had significantly lower reasons against drinking at the next wave. Despite growth trajectories differing across SES, there was no evidence for SES moderation.</p><p><strong>Conclusions: </strong>Findings highlight the importance of distinguishing between- and within-person effects when studying extracurricular activities, as well as better capturing the interpersonal processes that occur during extracurricular activities. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":"266-280"},"PeriodicalIF":2.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12958451/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147327773","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":"Cumulative family risk and problematic internet use among adolescents: The mediating roles of basic psychological need satisfaction and maladaptive cognition.","authors":"Wenyu Liu, Dongping Li, Xiaoxiao Li, Jichao Jia, Jingyi Zhang, Chaoqiong Deng","doi":"10.1037/adb0001122","DOIUrl":"10.1037/adb0001122","url":null,"abstract":"<p><strong>Objective: </strong>Family risk factors frequently cluster together and play important roles in adolescent problematic internet use (PIU). However, the longitudinal association between cumulative family risk and PIU among adolescents and its potential mediation mechanisms are largely unexplored. Grounded in motivational theories, this study aims to examine the longitudinal association between cumulative family risk and adolescent PIU 2 years later and to determine whether this association is mediated by internal need (i.e., basic psychological need satisfaction) and external incentive (i.e., maladaptive cognition).</p><p><strong>Method: </strong>Participants were 1,365 Chinese adolescents (<i>M</i>_age = 14.68 years, <i>SD</i> = 1.56; 46.8% girls) involved in this three-wave longitudinal study between 2015 and 2017.</p><p><strong>Results: </strong>After controlling for demographic covariates and baseline core variables, cumulative family risk was significantly associated with the increase in adolescent PIU over time. Furthermore, the relationship was mediated by basic psychological need satisfaction and maladaptive cognition. Multigroup analyses confirmed that the mediation model remained invariant across gender and schooling periods.</p><p><strong>Conclusions: </strong>These findings indicate that cumulative family risk may impair adolescents' basic psychological need satisfaction and increase their maladaptive cognition over internet use, thereby increasing the risk of PIU. These findings provide valuable implications for preventing and intervening in adolescent PIU. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":"305-317"},"PeriodicalIF":2.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145907365","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":"Relations between medical and nonmedical prescription stimulant misuse, cannabis use, alcohol use, and related consequences among college students.","authors":"Abigail McDonald, Will Corbin","doi":"10.1037/adb0001103","DOIUrl":"10.1037/adb0001103","url":null,"abstract":"<p><strong>Objective: </strong>Prescription stimulant misuse (PSM) is prevalent among young adults, particularly college students. This study utilized structural equation modeling to examine differences in alcohol use, cannabis use, and alcohol consequences across PSM groups, (no use, appropriate use, medical misuse [i.e., not using one's own prescription as directed], and nonmedical misuse [i.e., using prescription stimulants not prescribed to oneself]) while controlling for psychological factors and other prescription drug use.</p><p><strong>Method: </strong>Participants (<i>N</i> = 1,692, <i>M</i>_age = 19.1, 52.5% male, 70.5% White, 19.5% Hispanic/Latinx) were undergraduates who completed self-reported measures of prescription drug use, alcohol use, cannabis use, alcohol consequences (Brief Young Adult Alcohol Consequences Questionnaire), impulsivity (Short UPPS-P Impulsive Behavior Scale), and internalizing symptoms (Depression Anxiety and Stress Scales-21 [DASS-21]).</p><p><strong>Results: </strong>Compared to no stimulant use, nonmedical stimulant misuse was associated with higher alcohol use (Wald χ² = 7.288, <i>p</i> = .007, <i>d</i> = 0.275) and cannabis use (Wald χ² = 25.491, <i>p</i> < .001, <i>d</i> = 0.444). Compared to appropriate use, nonmedical misuse was also associated with higher alcohol use (Wald χ² = 4.928, <i>p</i> = .026, <i>d</i> = 0.271) and cannabis use (Wald χ² = 8.215, <i>p</i> = .004, <i>d</i> = 0.349). Medical misuse was linked to greater cannabis use compared to nonuse (Wald χ² = 6.488, <i>p</i> = .011, <i>d</i> = 0.375), but not to alcohol use or consequences.</p><p><strong>Conclusions: </strong>Nonmedical misuse was associated with higher alcohol and cannabis use, while medical misuse was more specifically linked to cannabis use. These findings support tailored interventions addressing unique misuse subtypes and substance use patterns. Future research should explore motivational and contextual factors. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":"350-357"},"PeriodicalIF":2.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145906770","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":"Familial risk factors required to predict earlier adolescent substance use in youth with externalizing disorders.","authors":"Michael P Smoker, Paola P Mattey-Mora, Kathleen I Crum, Mohannad Abu-Sultanah, Olivia K Murray, José R Chimelis-Santiago, Peter R Finn, Matthew C Aalsma, Leslie A Hulvershorn","doi":"10.1037/adb0001144","DOIUrl":"10.1037/adb0001144","url":null,"abstract":"<p><strong>Objective: </strong>Externalizing behaviors and family history of substance-use disorders (SUDs) are well-established childhood predictors of adolescent and adult substance use/SUDs. These two risk factors frequently co-occur and are often confounded in developmental research. This study aimed to disentangle these risk factors and determine to what extent familial-SUD history enhances risk for substance-use/SUD development in youth with externalizing disorders.</p><p><strong>Method: </strong>SUD risk status of substance-naïve youth (<i>n</i> = 212), aged 11-12 years at baseline, was categorized as high-risk (HR; externalizing disorders and family history of SUDs), psychiatric comparison (PC; externalizing disorders only), or typically developing comparison (TDC). Youth completed a baseline assessment battery and were assessed longitudinally for substance use at 6-month intervals through 18 years of age. Group estimates (HR, PC, TDC) of hazard ratios for substance-use initiation, problematic use, and risky use were estimated using Cox regression models.</p><p><strong>Results: </strong>HR youth-initiated substance use earlier than both PC youth (adjusted hazard ratio; aHR = 2.31, CI = [1.39, 3.83]) and TDC youth (aHR = 2.68, CI = [1.38, 5.19]). HR youth also transitioned more rapidly than PC/TDC youth to problematic substance use (aHR's 2.16/2.32, CI's [1.19-3.91, 1.05-5.11]) and to risky substance use (aHR's 2.50/2.56, CI's 1.34, 4.59/1.15, 5.67). PC and TDC youth did not differ in substance-use trajectories.</p><p><strong>Conclusions: </strong>Although there is considerable support for an externalizing behavioral phenotype in youth as a driver toward adolescent substance use, this predictive association was found to manifest only in the context of familial-SUD history. Familial SUD status may warrant particular consideration in the identification of and intervention with youth at risk for SUDs. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":"254-265"},"PeriodicalIF":2.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13078644/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147647017","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 feasibility and acceptability of Live Free From E-Cigarettes (LIFFE): A web-based vaping intervention and smoking prevention program for young adults.","authors":"Denise D Tran, Clara Mintzer, Keegan D Buch, Jordan P Davis, Eric R Pedersen","doi":"10.1037/adb0001129","DOIUrl":"10.1037/adb0001129","url":null,"abstract":"<p><strong>Objective: </strong>E-cigarette use (i.e., vaping) among young adults increases the risk for significant health consequences and combustible cigarette uptake. Although there are a growing number of vaping cessation interventions for young adults, there are no known evidence-based e-cigarette use treatments that include smoking uptake prevention. The Live Free From E-Cigarettes (LIFFE) digital program was developed to help young adults stop or reduce their use of e-cigarettes and reduce their cigarette smoking susceptibility.</p><p><strong>Method: </strong>Twenty young adults (ages 18-24) who vape but do not smoke combustible cigarettes were recruited via social media. They completed an initial survey and the single-session, 30-min intervention on their mobile devices, followed by quantitative measures of intervention feasibility and acceptability. One week later, participants completed an interview to provide feedback about the program and a follow-up survey.</p><p><strong>Results: </strong>All participants completed all seven intervention modules. Participants rated LIFFE as feasible in terms of delivery, usability, and logistics. Participants were satisfied with the content, design, and potential to help them and other young adults who vape to stop or reduce use. Some participants reported reductions in their susceptibility to smoke and vaping behaviors, including via quitting, 1 week after the intervention.</p><p><strong>Conclusions: </strong>Quantitative and qualitative results indicate that LIFFE is a feasible and acceptable program for engaging young adults in cessation efforts. Participants also included suggestions for potential changes to enhance the LIFFE program. Next steps will include building upon these suggestions for intervention refinement and testing the refined version in a randomized controlled trial. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":"358-365"},"PeriodicalIF":2.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12974235/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147391165","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 daily discrimination and microaggressions on alcohol use and related consequences among Latine college students at a predominantly White institution.","authors":"Katja Waldron, Rob Turrisi, Veronica Richards, Danny Rahal, Ellis Parks","doi":"10.1037/adb0001109","DOIUrl":"10.1037/adb0001109","url":null,"abstract":"<p><strong>Objective: </strong>Latine college students at predominantly White institutions face discriminatory stress, increasing their risk for problematic alcohol use. The specific impact of daily discrimination and microaggressions on alcohol use and related consequences, relative to other college stressors (e.g., academics, finances), remains understudied. This study used an intensive daily longitudinal design to examine whether these experiences independently affect alcohol use and related consequences.</p><p><strong>Method: </strong>The study enrolled 109 Latine student drinkers (<i>M</i>_age = 19.95; 77% female) from a large predominantly White institution in the northeastern United States. Participants completed a baseline survey, an in-person training session, and 28 consecutive daily surveys. Multilevel models analyzed the data, examining within- and between-person effects while controlling for college stress, trauma history, and relevant demographic variables.</p><p><strong>Results: </strong>Participants had an average survey completion rate of 89.1% (∼25 of 28 surveys). Within-person, daily experiences of discrimination and microaggressions were associated with increased alcohol use and consequences. Between-person, these factors predicted alcohol-related consequences but did not significantly affect alcohol use when controlling for college stress, trauma, and demographics.</p><p><strong>Conclusions: </strong>Daily discrimination and microaggressions independently contribute to alcohol use and its consequences for Latine students, beyond other common stressors faced by college students. These findings highlight the need for culturally sensitive interventions addressing discriminatory stress. Predominantly White institutions should also consider policy changes to better support minoritized students and mitigate the negative effects of discrimination on their well-being. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":"281-293"},"PeriodicalIF":2.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13308493/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145709964","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":"Expanding perspectives on reducing harms from drinking in college: A qualitative study.","authors":"Sarah J Chavez, Madeline C Montgomery, Angelo M DiBello, Clayton Neighbors, Kate B Carey","doi":"10.1037/adb0001125","DOIUrl":"10.1037/adb0001125","url":null,"abstract":"<p><strong>Objective: </strong>Despite a robust literature on the relationship between protective behavioral strategies, also known as harm reduction strategies (HRS), and alcohol-specific harm reduction (Cox et al., 2024; Peterson et al., 2021), limited formative research has been conducted in the last decade to update the types of HRS currently being implemented. This study utilized qualitative data from open-ended questionnaires to identify HRS recommended by college students who drink heavily.</p><p><strong>Method: </strong>Qualitative data were collected from 179 heavy-drinking college students (61% women, 49% White). Students responded in writing to a computer-delivered, open-ended prompt soliciting suggestions for preventing alcohol-related consequences related to drinking. Coders independently coded the written responses, resolving discrepancies via consensus, and then used thematic analysis to identify key themes in the data.</p><p><strong>Results: </strong>Essays ranged from 37 to 700 words (<i>M</i> = 261.96, <i>SD</i> = 130.84), revealing 28 distinct HRS. While many strategies aligned with items on commonly used protective behavioral measures, new strategies were also revealed (e.g., social accountability and bodily awareness). Findings revealed that HRS can be organized according to when they might occur: before, during, and/or after a drinking event. Additionally, some HRS required social support, while others could be implemented independently.</p><p><strong>Conclusions: </strong>The results suggest a novel framework for understanding HRS adopted by heavy-drinking college students. The temporal and social dimensions of the HRS described in this study differ from the many assessments that typically concentrate on the strategies a drinker can use during drinking events. Prevention efforts could benefit from expanding the pool of potential HRS. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":"318-331"},"PeriodicalIF":2.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13123445/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146054517","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}