Marina Cosenza , Barbara Pizzini , Maria Ciccarelli , Mariagiulia Sacco , Giovanna Nigro
{"title":"Drivers of adolescent chasing behavior: The role of craving, decision-making, alcohol use, and gambling severity","authors":"Marina Cosenza , Barbara Pizzini , Maria Ciccarelli , Mariagiulia Sacco , Giovanna Nigro","doi":"10.1016/j.addbeh.2025.108414","DOIUrl":"10.1016/j.addbeh.2025.108414","url":null,"abstract":"<div><div>Craving and impaired decision-making are hallmark features of addiction, playing a prominent role in gambling disorder. These factors are central to loss-chasing behavior, a core diagnostic criterion of gambling dependence characterized by persistent attempts to recover prior losses. This study examines the interplay of craving, affective decision-making, decision-making styles, alcohol use, and gambling severity in chasing behavior among 272 Italian adolescents aged 14–19. Participants completed validated measures, including the South Oaks Gambling Screen-Revised for Adolescents (SOGS-RA), Iowa Gambling Task (IGT), General Decision-Making Style (GDMS), Gambling Craving Scale (GACS), and Alcohol Use Disorders Identification Test (AUDIT). Chasing behavior was assessed using a computerized task, with participants randomly assigned to either a Control or Loss condition. Regression and path analyses indicated that craving was the strongest predictor of both chasing initiation and persistence, while alcohol consumption was uniquely associated with greater chasing persistence. Conversely, a dependent decision-making style emerged as a protective factor, being associated with reduced engagement in chasing behavior. Notably, neither gambling severity (measured by the SOGS-RA) nor affective decision-making capacity (assessed via the IGT) predicted chasing outcomes. These findings suggest that chasing operates as an independent behavioral mechanism within gambling disorder, distinct from generalized gambling severity or neurocognitive decision-making deficits.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"170 ","pages":"Article 108414"},"PeriodicalIF":3.7,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144313381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Junwen Wang, Jun Ma, Teng Hu, Yuyang Ye, Yifei Zhao, Simayi Abulikemu, Xuefeng Chen, Xinru Hu, Jiang Yu, Changming Li, Yong Peng
{"title":"Trends of cotinine and secondhand smoke exposure rates in children and adolescent aged 6–19 years: Impact of race and socioeconomic factors over two decades","authors":"Junwen Wang, Jun Ma, Teng Hu, Yuyang Ye, Yifei Zhao, Simayi Abulikemu, Xuefeng Chen, Xinru Hu, Jiang Yu, Changming Li, Yong Peng","doi":"10.1016/j.addbeh.2025.108413","DOIUrl":"10.1016/j.addbeh.2025.108413","url":null,"abstract":"<div><h3>Background</h3><div>Exposure to smoking or secondhand smoke during childhood and adolescence is linked to various diseases, highlighting the importance of exploring trends in secondhand smoke exposure. Our study examines trends in cotinine (COT) levels and the prevalence of high COT from 1999 to 2020, analyzing the data by gender, age, race, and income level.</div></div><div><h3>Methods</h3><div>In this analysis, data from ten National Health and Nutrition Examination Survey (NHANES) cycles, conducted from 1999–2000 to 2017–2020, were utilized. We calculated the mean COT levels and the proportion of secondhand smoke exposure changes, and used linear and quadratic tests to assess the linear and nonlinear trends in these changes.</div></div><div><h3>Results</h3><div>A total of 23,616 participants aged 6 to 19-year-old were included. COT levels, decreased from 11.47 ng/ml to 6.17 ng/ml. The prevalence of high cotinine in females decreased from 14.02 % to 6.19 %, and in males, it decreased from 15.20 % to 11.04 %.Cotinine levels varied by age group: 16–19 years (from 35.98 ng/ml to 17.24 ng/ml), 13–15 years (from 10.71 ng/ml to 5.85 ng/ml), 10–12 years (from 1.24 ng/ml to 0.27 ng/ml), and 6–9 years (from 0.59 ng/ml to 0.40 ng/ml).The prevalence of high COT in the ≤ 100 % PIR group (from 21.03 % to 12.66 %), 100 %-299 % PIR group (from 13.84 % to 8.31 %), and 300 %-499 % PIR group (from 9.88 % to 8.96 %) all showed a declining trend.</div></div><div><h3>Conclusion</h3><div>The trends in COT levels and the prevalence of high COT showed a declining pattern over time. COT levels and the prevalence of high COT were higher among children and adolescents with lower income levels. Adolescents aged 16 - 19 had significantly higher COT levels and a higher prevalence of high COT compared to other age groups.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"170 ","pages":"Article 108413"},"PeriodicalIF":3.7,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144313380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Suzanne Frisbee, Isaac Lipkus, Devon Noonan, Wei Pan
{"title":"The interplay of perceived stress, anxiety, and depression in susceptibility to hookah tobacco smoking among young adults","authors":"Suzanne Frisbee, Isaac Lipkus, Devon Noonan, Wei Pan","doi":"10.1016/j.addbeh.2025.108401","DOIUrl":"10.1016/j.addbeh.2025.108401","url":null,"abstract":"<div><h3>Introduction</h3><div>Tobacco use remains the leading cause of preventable death in the U.S., with hookah smoking particularly popular among young adults. While stress, anxiety, and depression may influence susceptibility to HTS, their role in predicting this risk has not been extensively studied, despite their potential as triggers for smoking. This study explores the impact of perceived stress, anxiety, and depression on susceptibility to HTS among individuals who have never smoked.</div></div><div><h3>Methods</h3><div>Two web-based pilot studies were conducted (April 2021 − October 2023) with young adults aged 18–32. Study 1 focused exclusively on those who have never smoked hookah, while Study 2 included both those who currently smoke and those who have never smoked hookah. Participants, recruited via an online platform, completed surveys assessing demographics, perceived stress, susceptibility to HTS, anxiety, and depression.</div></div><div><h3>Results</h3><div>In Study 1 (N = 117), susceptible individuals reported significantly higher perceived stress (M = 23.87) compared to non-susceptible peers (M = 20.21, p = 0.0038). Logistic regression confirmed perceived stress as a significant predictor of susceptibility. Study 2 (N = 216) revealed strong correlations among perceived stress, anxiety, and depression, but no individual predictors reached statistical significance in the multivariable context.</div></div><div><h3>Conclusion</h3><div>This study identifies perceived stress as a correlate of HTS susceptibility among young adults. Stress, anxiety, and depression are interconnected in ways that require further investigation to understand how they collectively influence tobacco use behaviors.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"170 ","pages":"Article 108401"},"PeriodicalIF":3.7,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144298683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Margy Y. Chen , Carillon J. Skrzynski , L.Cinnamon Bidwell , Angela D. Bryan
{"title":"The Cannabis Use Disorder Identification Test – Consumption (CUDIT-C) as a targeted tool for cannabis use screening","authors":"Margy Y. Chen , Carillon J. Skrzynski , L.Cinnamon Bidwell , Angela D. Bryan","doi":"10.1016/j.addbeh.2025.108399","DOIUrl":"10.1016/j.addbeh.2025.108399","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to evaluate the psychometric properties and predictive utility of the Cannabis Use Disorders Identification Test – Consumption (CUDIT-C), a concise alternative to the Cannabis Use Disorders Identification Test – Revised (CUDIT-R), across individuals with differing levels of cannabis use.</div></div><div><h3>Method</h3><div>Participants included infrequent (<em>N</em> = 108) and frequent cannabis users (<em>N</em> = 138) from two studies. A confirmatory factor analysis (CFA) was first conducted to test a two-factor model of the CUDIT-R, hypothesizing that the first two items (CUDIT-C) load onto one factor, while the remaining items load onto a second factor related to cannabis dependence and problems. The CUDIT-C and CUDIT-R were then assessed for their ability to predict cannabis-related outcomes, including self-reported use days over the past 30 days and peak plasma delta-9-tetrahydrocannabinol (THC) levels following acute use.</div></div><div><h3>Results</h3><div>The two-factor model was a stronger fit to the data than the one-factor model. Among infrequent users, the CUDIT-C performed equivalently to the CUDIT-R. In frequent users, the CUDIT-C either matched or outperformed the CUDIT-R, including being a stronger predictor of peak THC levels, an established marker of hazardous cannabis exposure. Conclusion</div><div>The CUDIT-C is a practical and effective tool for assessing cannabis use, particularly among frequent users. However, its utility may be limited for infrequent users due to restricted variability of use in this group. Future research should explore its application in clinical settings and diverse populations, as well as its potential for diagnosing cannabis use disorders.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"169 ","pages":"Article 108399"},"PeriodicalIF":3.7,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144240209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Veronica Szpak , Joji Suzuki , Reinout W. Wiers , René Freichel
{"title":"A network perspective on heroin use: associations between craving, withdrawal symptoms, dependence, loss of control, and psychosocial consequences","authors":"Veronica Szpak , Joji Suzuki , Reinout W. Wiers , René Freichel","doi":"10.1016/j.addbeh.2025.108400","DOIUrl":"10.1016/j.addbeh.2025.108400","url":null,"abstract":"<div><h3>Background</h3><div>Opioid use disorder (OUD) is a complex diagnosis characterized by symptoms such as craving, tolerance, withdrawal, and impaired social, occupational, or recreational activities. However, there is a lack of data about the interconnectedness of these symptoms, in particular the links between withdrawal symptoms and psychosocial impairment. The present study uses symptom network analysis to better understand these associations surrounding heroin use.</div></div><div><h3>Methods</h3><div>We used data from individuals who reported heroin use during the past 12 months in the National Survey on Drug Use and Health (NSDUH) (year 2021, n = 207). We estimated a cross-sectional network that included heroin use-related aspects, including coping and withdrawal symptoms, consequences, loss of control, craving, and dependence symptoms. To examine key ‘bridge nodes’ that connect these different clusters, we computed a measure of bridge expected influence for each node.</div></div><div><h3>Results</h3><div>The network model revealed several symptom connections within and between clusters. The withdrawal symptom, sleep problems, had the strongest bridge centrality. The dependence symptom “increased use for an effect”, was a key bridge node connecting to withdrawal symptoms and consequences. Craving was connected with two withdrawal symptoms (depressed mood and sweating). Additional symptom connections emerged between the loss of control and other dependence symptom nodes.</div></div><div><h3>Conclusions</h3><div>Our network analysis model provides additional insight into how heroin use symptoms and relevant characteristics are interconnected. Craving and loss of control (time spent using, amount of use) map onto specific withdrawal symptoms.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"169 ","pages":"Article 108400"},"PeriodicalIF":3.7,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144263940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The landscape of youth addiction in Israel: Identifying high-risk behaviors","authors":"Yaniv Efrati","doi":"10.1016/j.addbeh.2025.108396","DOIUrl":"10.1016/j.addbeh.2025.108396","url":null,"abstract":"<div><div>While significant progress has been made in understanding the prevalence of use and severity of addictive behaviors, there remains a lack of research adopting a lay epidemiological approach to examine a broad spectrum of addictive behaviors among a large youth population. The objective of this study is to investigate the frequencies of use and severity of various addictive-like behaviors across different demographic variables including gender, religion, country of birth, religiosity, socio-economic status, and age. The sample comprised 6,849 Jewish and Arabic Israeli youth from the general community, consisting of 2,776 males (41 %) and 4,074 females (59 %), 12–18 years of age (M = 15.92, SD = 1.27) who completed the survey anonymously and with parental consent. Results indicated that higher severity in one addictive behavior correlates with increased severity in others. Substance-related behaviors such as alcohol, tobacco, cannabis, and cocaine showed stronger correlations within their group than with behavioral addictions like gambling, shopping, gaming, eating disorders, sexual activity and social networking. Similarly, behavioral addictions also display stronger correlations within their own cluster. In addition, significant prevalence of use and severity differences were observed in addictive behaviors based on gender, religion, country of birth, religiosity, socio-economic status, and age. The research underscores the critical role of providing support and resources to youth, which is essential for preventing addictive behaviors and reducing the risks associated with their development.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"169 ","pages":"Article 108396"},"PeriodicalIF":3.7,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144229988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Emily A. Doherty , Susette A. Moyers , Erica K. Crockett-Barbera , Hannah Appleseth , Quinn Leffingwell , Veronica Richards , Ashleigh L. Chiaf , Julie M. Croff
{"title":"Daily patterns of single and poly-substance use among adolescent and young adult females: A day-level latent class analysis","authors":"Emily A. Doherty , Susette A. Moyers , Erica K. Crockett-Barbera , Hannah Appleseth , Quinn Leffingwell , Veronica Richards , Ashleigh L. Chiaf , Julie M. Croff","doi":"10.1016/j.addbeh.2025.108394","DOIUrl":"10.1016/j.addbeh.2025.108394","url":null,"abstract":"<div><h3>Background</h3><div>Substance use is prevalent among adolescents and young adults (AYAs). Polysubstance use is associated with poorer outcomes than single substance use alone. However, few studies have examined patterns of daily use of substance(s) among AYA females, as well as associated factors.</div></div><div><h3>Objective</h3><div>We aimed to 1) identify daily substance use patterns in AYA females, and 2) examine the association with select predisposing factors (i.e. impulsivity and depressive symptoms) and risky sexual behavior.</div></div><div><h3>Method</h3><div>A sample of 15–24 year old females with recent binge drinking (n = 149), reported daily substance use and sexual activity through weekly Timeline Followback interviews over a 1-month period (n <sub>days</sub> = 4224). Impulsivity, depressive symptoms, and sociodemographics were measured at baseline. Day-level latent class analysis was conducted to characterize patterns of substance use, and Bolck, Croon, and Hagenaars three-step approach was utilized to examine the association of predisposing factors and other health behaviors with latent class membership.</div></div><div><h3>Results</h3><div>Four day-level classes of substance use were identified: 1) little-to-no-use (54.1 % of days); 2) vaping-only (28.2 % of days); 3) cannabis-only (10.5 % of days); and 4) heavy-alcohol-and-cannabis (some smoking and vaping; 7.2 % of days). More class 4 days were associated with higher impulsivity than class 1 and 3 (M = 0.42 vs. −0.17 and −0.13), more depressive symptoms than class 1 and 2 (M = 0.77 vs. −0.19 and 0.01), and more same day condomless sex than class 1 and 2 (19 % vs. 8 % and 7 %).</div></div><div><h3>Conclusions</h3><div>AYA females exhibit varied patterns of daily substance use including polysubstance use. Knowledge of risk factors associated with problematic use as well as co-occurring risky sexual behavior can inform targeted intervention and prevention efforts.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"169 ","pages":"Article 108394"},"PeriodicalIF":3.7,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144221437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Robin Engelhardt , Rahel Geppert , Joshua B. Grubbs , Timo von Oertzen , Dominik Trommer , Jürgen Maes , Shane W. Kraus
{"title":"Problematic pornography use and psychological distress: A longitudinal study in a large US sample","authors":"Robin Engelhardt , Rahel Geppert , Joshua B. Grubbs , Timo von Oertzen , Dominik Trommer , Jürgen Maes , Shane W. Kraus","doi":"10.1016/j.addbeh.2025.108398","DOIUrl":"10.1016/j.addbeh.2025.108398","url":null,"abstract":"<div><div>Problematic pornography use (PPU) has been positively associated with psychological distress (i.e., anxiety and depression) in numerous cross-sectional studies. In the present study, we examined the trajectory of PPU and its association with psychological distress over time. We conducted a one-year, three-wave longitudinal study among US adults (<em>n</em> = 4363, 46.4 % women, M<sub>(Age)</sub> = 50, <em>SD</em><sub>(Age)</sub> = 16.15) and examined changes in PPU and psychological distress. Specifically, we assessed bivariate correlations and a random-intercept autoregressive cross-lagged panel model. PPU was assessed by the Brief Pornography Screen (BPS), and psychological distress was assessed by the Generalized Anxiety Disorder–2 (GAD-2) and the Patient Health Questionnaire-9 (PHQ-9). Between each six-month period, we found that BPS bivariate intercorrelations were strong <em>(ρ</em> = 0.712, 0.726) and BPS autoregressive paths remained moderate (<em>β</em> = 0.370, 0.408). Surprisingly, the positive associations between BPS and psychological distress scores from descriptive correlations were determined by a strong random-intercept correlation (<em>r</em> = 0.962), while cross-lagged paths remained small and negative (<em>β=-0</em>.189, −0.211, −0.214, −0.230, respectively). This suggested a robust trait-like between-person association between PPU and psychological distress, with negligibly small time-dependent within-person inhibitory effects occurring. PPU appears time-consistent (e.g., most participants remained in their initial clinical category) and robustly associated with psychological distress over time. We speculate that inhibitory within-person effects may possibly reflect short-term coping behavior and depressive drive inhibition, while in the long term, further manifesting PPU.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"169 ","pages":"Article 108398"},"PeriodicalIF":3.7,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144229987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Illicit drug use and associated health risk behaviors among sexual minority youth","authors":"Jeffrey Duong , Deirdra Kelly , Andres F. Sciolla","doi":"10.1016/j.addbeh.2025.108397","DOIUrl":"10.1016/j.addbeh.2025.108397","url":null,"abstract":"<div><h3>Objective</h3><div>This study examined the links between lifetime illicit drug use (e.g., cocaine, hallucinogens, ecstasy, heroin) and proximal health risk behaviors among adolescents and investigated sexual identity as a moderator.</div></div><div><h3>Methods</h3><div>We analyzed data from the Center for Disease Control’s 2021 Youth Risk Behavior Survey (N = 17,232), a biennial, cross-sectional survey of a nationally representative sample of youth enrolled in grades 9 through 12 in the United States. Bivariate tabulations of weighted data were used to estimate the prevalence of health risk behaviors among lifetime illicit drug users and sexual minority youth who identified as lesbian, gay, bisexual, questioning, or another sexual identity (LGBQ+). Structural equation modeling was used to examine their associations. Wald testing was employed to test for effect modification.</div></div><div><h3>Results</h3><div>Illicit drug use was associated with a broad range of health risk behaviors among adolescents (e.g., cigarette and marijuana use, drinking and driving, use of alcohol and drugs before sex, and having multiple sex partners). There was a significant interaction between lifetime illicit drug use and sexual identity such that LGBQ+ youth who have ever engaged in illicit drug use had the greatest odds of health risk behaviors.</div></div><div><h3>Conclusions</h3><div>Adolescents with a history of ever using illicit drugs are likely to engage in a wide array of health risk behaviors. Screening and offering counseling on these health risk behaviors may play a crucial role in ensuring that the sequela of drug use among adolescents is minimized, especially for LGBQ+ youth.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"169 ","pages":"Article 108397"},"PeriodicalIF":3.7,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144212443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Marie-Eve Couture , Sherry Stewart , Sean Barrett , Phil Tibbo , Heather Milliken , Maria Alexiadis , Nancy Robertson , Kimberley P. Good
{"title":"Smoking cue reactivity and smoking motives in patients with early phase psychotic disorder","authors":"Marie-Eve Couture , Sherry Stewart , Sean Barrett , Phil Tibbo , Heather Milliken , Maria Alexiadis , Nancy Robertson , Kimberley P. Good","doi":"10.1016/j.addbeh.2025.108392","DOIUrl":"10.1016/j.addbeh.2025.108392","url":null,"abstract":"<div><h3>Background</h3><div>Rates of tobacco smoking in individuals with psychosis are high and are unfortunately accompanied by low rates of successful smoking cessation. Exposure to smoking-related cues is shown to reliably enhance cigarette cravings in dependent people who smoke recruited from the general population. Recent data suggests that smoking-related cues do not affect people who smoke diagnosed with established schizophrenia to the same degree as non-psychotic populations. However, less is known about how individuals in the early phase of psychotic illness react to these cues. In addition, it is unknown whether the smoking motives of individuals with early phase psychosis (EPP) differ from those of non-psychotic individuals who smoke (NPS).</div></div><div><h3>Study design</h3><div>The present study compared cue-elicited cigarette cravings of EPP (n = 21, mean(sd) age27.6(7.8) years) to NPS (n = 40) in response to a smoking cue-reactivity paradigm and additionally, compared general self-reported motives for smoking across these groups.</div></div><div><h3>Study results</h3><div>Similar to those with established psychosis, EPP individuals were less sensitive to the cue-reactivity paradigm, suggesting that individuals in early phase of illness may not be affected by tobacco cues to the same degree as NPS. Further, comparison of smoking motives suggests no differences between the reasons for smoking reported by individuals with EPP and NPS.</div></div><div><h3>Conclusions</h3><div>These findings have implications for future studies aimed at identifying the source of the wide discrepancy in rates of tobacco smoking and smoking cessation across these two populations, and for the development of effective smoking cessation interventions for people who smoke with EPP.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"169 ","pages":"Article 108392"},"PeriodicalIF":3.7,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144212445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}