Psychology of Addictive Behaviors最新文献

{"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}

{"title":"Modeling the reciprocal dynamic between alcohol and suicide urges among college students: Ecological momentary assessment study.","authors":"Jeremy L Grove, Elizabeth A Edershile, Thomas O'Kane, Evan M Kleiman","doi":"10.1037/adb0001111","DOIUrl":"10.1037/adb0001111","url":null,"abstract":"<p><strong>Objective: </strong>Alcohol use is associated with suicidal thoughts, urges, and behavior. However, prior research has been mostly cross-sectional, limiting understanding of how these variables influence one another across short time periods. The present study used ecological momentary assessment methods to establish the temporal ordering of alcohol- and suicide-related phenomena, specifically exploring the momentary dynamic between these variables.</p><p><strong>Method: </strong>A diverse sample of college students (<i>N</i> = 527, 50.5% Asian, 72.0% cisgender female, <i>M</i>_age = 19.4) completed smartphone ecological momentary assessment up to 6 times daily for 6 to 8 weeks (81,299 total observations; <i>M</i>_Observations = 154 per person), answering questions about current urge to use alcohol and urge to engage in suicidal behavior. Dynamic structural equation modeling was used to investigate within-person autoregressive and cross-lagged effects.</p><p><strong>Results: </strong>Autoregressive effects were found, such that urge to do a behavior at the previous time point (<i>t</i>-1) positively predicted urge to do that same behavior at the current time point (t). Cross-lagged analyses revealed that alcohol urges at the previous time point positively predicted suicide urges at the current time point, and suicide urges at the previous time point positively predicted alcohol urges at the current time point, demonstrating a reciprocal dynamic (i.e., positive feedback loop).</p><p><strong>Conclusions: </strong>Results provide initial empirical support for a reciprocal dynamic between drinking urges and urge to engage in suicidal behavior among young people and college students that occurs over a short time period, underscoring the potential importance of in the moment intervention strategies. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":"343-349"},"PeriodicalIF":2.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12626133/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145490226","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":"Cigarette dependence and memory performance among young adults in the United States: An exploration of behavioral, psychological, and social mechanisms.","authors":"Yongsu Song, Sang Qin, Jinho Kim","doi":"10.1037/adb0001135","DOIUrl":"10.1037/adb0001135","url":null,"abstract":"<p><strong>Objective: </strong>This study investigated the associations between cigarette dependence (CD) and memory performance among young adults while also examining behavioral, psychological, and social factors as potential mediators. Memory outcomes were compared across four groups: individuals who never smoked daily, individuals who smoked daily without CD, and individuals with lifetime or current CD.</p><p><strong>Method: </strong>Using data from 15,041 participants in Waves I and IV of the National Longitudinal Study of Adolescent to Adult Health, we conducted ordinary least squares regression models with school fixed effects and nested models to assess mediation. The mean age at Wave IV was 28.50 years (<i>SD</i> = 1.78); 53% were female. Memory was assessed using the Rey Auditory Verbal Learning Test and the Digit-Span Backward Task. Mediators included physical activity, sleep problems, partnership quality, number of close friends, perceived stress, and anxiety.</p><p><strong>Results: </strong>Both lifetime and current CD were significantly associated with poorer memory performance. Lifetime CD was linked to deficits in short-term and long-term memory but not working memory. Current CD was associated with deficits across all three domains. Daily smoking without CD was not significantly associated with memory outcomes. These patterns were consistent across sex. Perceived stress and the number of close friends partially mediated the associations between CD and memory performance, while behavioral factors explained little of the associations.</p><p><strong>Conclusions: </strong>CD is associated with significant memory impairments in young adulthood. Psychological and social mechanisms partially account for these associations, highlighting the importance of addressing stress and social isolation to mitigate cognitive consequences. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":"294-304"},"PeriodicalIF":2.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147327746","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":"Event-level drinking motives and mood as predictors of alcohol-related consequences among young adults.","authors":"Gabriela López, Holly K Boyle, Prachi H Bhuptani, Roselyn Peterson, Michelle Haikalis, Lindsay M Orchowski, Kate Carey, Jennifer E Merrill","doi":"10.1037/adb0001151","DOIUrl":"10.1037/adb0001151","url":null,"abstract":"<p><strong>Objective: </strong>People who drink heavily experience positive (e.g., made a new friend) and negative (e.g., embarrassed self) alcohol-related consequences. Important antecedents of alcohol-related consequences are drinking motives, particularly those related to affect regulation (coping, enhancement). Although prior research documents associations at the between-person level, little is known about how mood and motives at the start of a drinking event each relate within-person to positive and negative alcohol-related consequences.</p><p><strong>Method: </strong>Participants were U.S. young adults (<i>N</i> = 199; <i>M</i>_age = 22.10, <i>SD</i> = 2.78) who engaged in high-intensity drinking (8+/10+ drinks for females/males) and completed 28 days of ecological momentary assessments of alcohol use, mood, motives, and alcohol-related consequences.</p><p><strong>Results: </strong>Multilevel models indicated when participants began a drinking event with more positive mood than usual, they reported more positive alcohol-related consequences. When participants reported any coping, enhancement, and social motives at the start of a drinking event, they reported more positive alcohol-related consequences. On days when participants began a drinking event with more negative mood than usual, odds of a negative consequence were higher. When participants reported more positive mood than usual, odds of a negative consequence were lower. Only event-level enhancement motives increased the likelihood of negative consequences.</p><p><strong>Conclusions: </strong>Entering a drinking event with more positive mood may be protective against negative alcohol-related consequences while increasing the experience of positive consequences (e.g., laughed with others), with potential to reinforce subsequent drinking. Drinking motives that predict more positive but not negative consequences (coping, social) may also be reinforcing. Findings can help tailor interventions to prevent harms related to heavy drinking. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785943","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":"Exploring real-time associations between momentary distress tolerance, emotion regulation, and gambling behavior in Australian adults: An Ecological Momentary Assessment Study.","authors":"Chloe O Hawker, Stephanie E Dias, Stephanie S Merkouris, Simone N Rodda, Hyein Kang, Lina Ouaziz-Bouabdillah, Nicki A Dowling","doi":"10.1037/adb0001146","DOIUrl":"https://doi.org/10.1037/adb0001146","url":null,"abstract":"<p><strong>Objective: </strong>Guided by the dynamic model of relapse, this study examined whether momentary distress intolerance (DI) and emotion regulation (ER; maladaptive and adaptive strategy use) predict gambling behavior (episodes, expenditure, duration) in real time and whether momentary DI and ER interact with each other and with stable (problem gambling severity, high-risk situations) and momentary (psychological distress, state impulsivity) vulnerabilities in predicting gambling episodes.</p><p><strong>Method: </strong>A secondary analysis was conducted on an ecological momentary assessment (EMA) study comprising a pre-EMA survey of stable variables followed by a 28-day period of twice-daily smartphone-delivered EMAs of momentary variables and gambling episodes. The convenience sample included 132 Australian adults (<i>M</i>_age = 29.9 years; 58.3% male; 94.7% endorsed gambling problems) who reported gambling in a typical month.</p><p><strong>Results: </strong>Mixed-effects logistic regression analyses showed that momentary DI was associated with longer subsequent gambling duration (<i>OR</i> = 1.13, 95% CI [1.02, 1.25], <i>p</i> = .024), and maladaptive ER strategies were associated with both gambling episodes (<i>OR</i> = 1.24, 95% CI [1.03, 1.50], <i>p</i> = .023) and longer subsequent gambling duration (<i>OR</i> = 1.64, 95% CI [1.02, 2.65], <i>p</i> = .042). Adaptive ER strategy use was not significantly associated with gambling behavior. Only DI interacted with state impulsivity (<i>OR</i> = 1.11, 95% CI [1.03, 1.19], <i>p</i> = .005), whereby individuals with low impulsivity were more likely to gamble when DI was low, whereas those with high impulsivity were more likely to gamble when DI was high.</p><p><strong>Conclusions: </strong>These findings contribute to our understanding of DI and ER strategy use as dynamic, momentary vulnerabilities for gambling behavior and highlight their potential as real-time intervention targets, particularly for individuals with high impulsivity. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785900","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":"\"My baseline affect is displeasure\": A qualitative study of affect regulation in people with substance use disorders.","authors":"Sunniva E Christiansen, Anita Skårstad, Sverre Georg Sæther, Linn Okkenhaug Getz, Charlotte Fiskum","doi":"10.1037/adb0001140","DOIUrl":"https://doi.org/10.1037/adb0001140","url":null,"abstract":"<p><strong>Objective: </strong>The affect regulation hypothesis, meaning that substances are used with intention to change affect, shows empirically the greatest relevance for people with substance use disorders (SUDs). However, less is known about the lived experience of affect regulation throughout the trajectory of an SUD. This study seeks to examine how affect regulation is experienced, understood, and described across different phases of an SUD by patients, next of kin, and clinicians.</p><p><strong>Method: </strong>We triangulated the perspectives of 39 informants (13 patients, 12 next of kin, and 14 clinicians) connected to a clinic for SUD treatment in Norway and used the window of tolerance and core affect models as a basis for the interviews. The interviews were analyzed using reflexive thematic analysis through a temporal frame (before using substances, developing an SUD, maintaining an SUD, and in recovery).</p><p><strong>Results: </strong>The analysis resulted in four main themes with accompanying subthemes: a dysregulated starting point, substances as preferred regulation, reaching a dead end, and hard in practice. Findings of difficulties with affect regulation were consistent across the different phases of an SUD.</p><p><strong>Conclusions: </strong>Using the theoretical framework of the process model of affect regulation, the most evident difficulties can be described as impairments of metaregulation of affect. This study nuances the affect regulation hypothesis and encourages further research on the hypothesis of metaregulation of affect in the population with SUD. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147391219","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":"Iterative development and clinical outcomes of an outpatient young adult substance use program.","authors":"Jillian Halladay, Sabrina K Syan, Emily Mote, Sara Eskandarian, Liah Rahman, Victoria E Stead, Brittany Peixoto, Emily MacKillop, Chelsey Fedchenko, Paige Hastings, Kiefer Cowie, Catherine McCarron, James MacKillop","doi":"10.1037/adb0001078","DOIUrl":"10.1037/adb0001078","url":null,"abstract":"<p><strong>Objective: </strong>Substance use problems peak in emerging adulthood and often co-occur with other psychiatric disorders. Developmentally tailored services are critical to reduce harms, promote recovery, and prevent persistence or exacerbation. The Young Adult Substance Use Program is an evidence-informed outpatient program for 17- to 25-year-olds that aligns with recent frameworks and principles for the treatment of substance use disorders among youth. This article provides (1) an overview of the program's evolution and (2) an evaluation of (a) recruitment, retention, and engagement; (b) clinical characteristics; and (c) treatment outcomes.</p><p><strong>Method: </strong>Data come from the Young Adult Substance Use Program measurement-based care assessments and clinical chart reviews. A series of descriptive statistics and multilevel linear regressions were performed.</p><p><strong>Results: </strong>Between February 2021 and May 2024, 339 young adults attended an intake, 263 fully enrolled (78%), and 122 (51%) completed the core components of the program (∼74% attendance). Of those completed or discharged (<i>n</i> = 230), 49% attended groups, 47% received a specialized consult, and 20% received a new medication. Patients were most commonly seeking treatment for alcohol (61%) and/or cannabis (60%) use, with near universal (95%) co-occurring mental health problems. Statistically significant (<i>p</i>s < .001) and clinically important (per minimal clinically important differences) changes were present for substance use, depression, anxiety, posttraumatic stress disorder symptoms, and quality of life. Approximately 80% reported a clinically important improvement by ∼12 weeks, although persistent clinical elevations were nonetheless present.</p><p><strong>Conclusions: </strong>Overall, the Young Adult Substance Use Program is an example of an effective evidence-informed developmentally tailored and iteratively refined pragmatic outpatient young adult substance use program. Challenges, lessons learned, and future directions are discussed. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":"139-151"},"PeriodicalIF":2.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638390","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":"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) 2026 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":"152-165"},"PeriodicalIF":2.8,"publicationDate":"2026-03-01","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":"Effects of participation in a large, online community for substance use disorder recovery: A naturalistic, longitudinal study.","authors":"Brandon G Bergman, Eric P Boorman, Alex M Russell, Jason B Colditz, John F Kelly","doi":"10.1037/adb0001123","DOIUrl":"10.1037/adb0001123","url":null,"abstract":"<p><strong>Objective: </strong>In The Rooms (ITR) is a commonly used digital recovery support service, yet little is known about ITR participation or its benefits. Greater knowledge would help inform the field about its potential utility.</p><p><strong>Method: </strong>U.S. adults in, seeking, or interested in learning more about substance use disorder recovery (<i>N</i> = 250; <i>M</i>_age = 46 years; 63.6% female; 18.4% non-White; 59.6% with substance use disorder; 95.2% in recovery with <i>M</i> duration = 6.5 years, <i>SD</i> = 8.5) were recruited from ITR and assessed at study intake and 3 (<i>n</i> = 217; 86.8%) and 6 months (<i>n</i> = 213; 85.2%) later. Analyses of variance examined whether time spent on ITR (ITR time) or number of activities (ITR activity) differed by recovery duration (<1 year/not in recovery; 1-<5 years; and 5+ years). Generalized estimating equation models examined whether each of ITR time and ITR activities was independently associated with abstinence and quality of life contemporaneously and in time-lagged analyses, controlling for relevant confounders.</p><p><strong>Results: </strong>Individuals with 5+ years had initially lower ITR time but similar ITR activity. ITR time was independently associated with abstinent days, and, in time-lagged models, more ITR activity was independently associated with greater abstinence for those with <1 year or not yet in recovery. Neither ITR participation measure was associated with quality of life.</p><p><strong>Conclusions: </strong>ITR may be a promising digital recovery support service that promotes greater abstinence, especially for those in early recovery. Further comparative research is warranted to examine incremental benefits attributable specifically to ITR participation and to investigate for whom, and how, this accessible and widely used service may be helpful. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":"189-198"},"PeriodicalIF":2.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12798690/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145960579","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}