Addictive behaviors最新文献

{"title":"Reactivity to electronic nicotine delivery system (ENDS) cues in adults who smoke cigarettes and vape cannabis","authors":"Krista Miloslavich ,&nbsp;Emma I. Brett ,&nbsp;Daniel J. Fridberg ,&nbsp;Andrea C. King","doi":"10.1016/j.addbeh.2025.108502","DOIUrl":"10.1016/j.addbeh.2025.108502","url":null,"abstract":"<div><h3>Introduction</h3><div>Prior research shows that in-person exposure to electronic nicotine delivery systems (ENDS) use increases desire for both cigarettes and ENDS. Distinct from nicotine ENDS use, cannabis vaping is on the rise, often in conjunction with nicotine vaping or combustible cigarettes, marking a need to understand how co-use impacts ENDS cue reactivity. This study leverages a remote cue-delivery paradigm to evaluate the impact of co-use of cigarettes and cannabis on reactivity to a remote ENDS cue.</div></div><div><h3>Methods</h3><div>A cannabis co-use group (N = 45, individuals who smoke cigarettes and vape cannabis) and a non-co-use group (n = 61, individuals who smoke cigarettes and do not vape cannabis) observed a study confederate drinking bottled water (control cue) and vaping an ENDS (active cue). Desire to use a cigarette, ENDS and cannabis were measured before the cues (baseline), post-water and post-ENDS cue.</div></div><div><h3>Results</h3><div>Multilevel models, controlling for sex and weekly ENDS use, examined cue reactivity across the co-use and non-co-use groups. Those who vaped cannabis in the past year reported both higher baseline ENDS and cannabis desire and heightened responses to the ENDS cue such that cue exposure significantly increased their desire for cigarettes, ENDS and cannabis.</div></div><div><h3>Conclusions</h3><div>This study provides the first evidence for differential ENDS cue-elicited desire in those who smoke cigarettes and vape cannabis. These findings suggest that co-use of cannabis and cigarettes may increase vulnerability to cravings, indicating a need for tailored prevention and intervention strategies for individuals who use both substances.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"172 ","pages":"Article 108502"},"PeriodicalIF":3.6,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145152249","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":"Sip, savor, but don’t spill: mindfulness enhances alcohol enjoyment without boosting consumption","authors":"Ran Ma ,&nbsp;Xingzhe Wu ,&nbsp;Wei Xu","doi":"10.1016/j.addbeh.2025.108505","DOIUrl":"10.1016/j.addbeh.2025.108505","url":null,"abstract":"<div><div>Brief mindfulness meditation induction effectively reduces addictive behaviors in clinical populations, yet their impact on non-addicted individuals remains unclear. This study investigated whether brief mindfulness practice amplifies alcohol enjoyment and consumption in healthy young adults. Across two randomized controlled trials (Study 1:<!--> <em>N</em> = 67; Study 2:<!--> <em>N</em> = 89), participants with low-risk drinking profiles completed a 16-minute mindfulness induction or a neutral control task, followed by alcohol tasting and behavioral measures. Results revealed that mindfulness significantly enhanced subjective alcohol enjoyment (Study 1:<!--> <em>d</em> = 0.45,<!--> <em>p</em> = 0.01; Study 2:<!--> <em>d</em> = 0.45,<!--> <em>p</em> = 0.04) and increased positive affect while reducing negative emotion (<em>d</em> = 0.95–1.20,<!--> <em>p</em> &lt; 0.001), but did not alter actual consumption. An Implicit Association Test (IAT) in Study 2 showed no group differences in implicit attitudes toward alcohol versus tea. These findings indicate that brief mindfulness may intensify affective and sensory responses without increasing use—possibly due to a dissociation between reward sensitivity and behavioral impulse. The results align with dual-process theories of mindfulness (e.g., Monitor and Acceptance Theory, Mindfulness-to-Meaning Theory), and highlight the importance of aligning mindfulness practices with motivational and regulatory goals to avoid unintended reinforcement of substance-related pleasure in non-addicted populations.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"172 ","pages":"Article 108505"},"PeriodicalIF":3.6,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145202451","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":"Affective predictors of day-level impaired control over alcohol use","authors":"Jack T. Waddell ,&nbsp;Angelica DeFalco ,&nbsp;Noah E. Emery","doi":"10.1016/j.addbeh.2025.108506","DOIUrl":"10.1016/j.addbeh.2025.108506","url":null,"abstract":"<div><div><strong>Rationale:</strong> Impaired control over alcohol use is a core aspect of Alcohol Use Disorder symptomatology. However, research regarding how impaired control manifests at the day-level, and what temporally proceeds it in daily life, remains underdeveloped. The current study tested whether three aspects of impaired control, namely restraint difficulties, drinking more than planned, and drinking longer than planned, had shared versus unique variability within- and between-individuals, and if pre-drinking positive and negative affect predicted such variability.</div></div><div><h3>Methods</h3><div>College students (<em>N</em> = 256) completed 14-days of ecological momentary assessment. Morning surveys assessed prior-day drinking, and random surveys assessed positive/negative affect, drinking behavior, and impaired control. Multilevel models tested the structure of day-level impaired control items within- and between-individuals and their pre-drinking affective antecedents.</div></div><div><h3>Results</h3><div>At the within-person level, day-level restraint difficulties, drinking more than planned, and drinking longer than planned loaded well onto a latent factor, whereas between-person drinking more than planned loaded onto a latent factor highly but restraint difficulties and drinking longer than planned did not. Pre-drinking affect did not predict latent factors at either level. However, when specifying items as correlated outcomes, deviations in pre-drinking positive and negative affect predicted drinking more than planned at the within-person level and person-aggregated pre-drinking negative affect predicted restraint difficulties at the between-person level. Findings did not differ as a function of hazardous drinking.</div></div><div><h3>Conclusions</h3><div>Findings demonstrate complexities of modeling impaired control items within- and between-individuals and suggest that pre-drinking affect was related to drinking more than planned and restraint difficulties, albeit in different ways.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"172 ","pages":"Article 108506"},"PeriodicalIF":3.6,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145155492","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":"Differences in substance use initiation patterns among biracial and monoracial adolescents: an integrative data analysis of two nationally representative samples","authors":"Ai Bo ,&nbsp;Alejandro Martinez ,&nbsp;Daniel J. Bauer ,&nbsp;Trenette Clark Goings","doi":"10.1016/j.addbeh.2025.108503","DOIUrl":"10.1016/j.addbeh.2025.108503","url":null,"abstract":"<div><h3>Background</h3><div>Adolescence is a critical period for substance use initiation, with consequences for addiction and psychosocial problems in adulthood. However, differences in initiation by key variables such as age and racialized/ethnic group remain understudied.</div></div><div><h3>Objectives</h3><div>This study examined age and peer influence in relation to alcohol, cannabis, and cigarette initiation across eight racialized/ethnic groups (Asian or Pacific Islanders, Black, Indigenous, Hispanic White, White, Biracial White-Asian, Biracial White-Black, and Biracial White-Indigenous) to compare biracial groups with their monoracial counterparts.</div></div><div><h3>Methods</h3><div>Using integrated data analysis with Add Health (<em>n</em> = 15,844; mean age = 15.6) and Monitoring the Future (MTF; <em>n</em> = 9,600; mean age 18.4), we applied discrete-time survival analysis to estimate initiation hazards during adolescence (ages 12–18), accounting for racialized/ethnic group, sex, and peer substance use.</div></div><div><h3>Results</h3><div>The hazards for new initiations of alcohol and cannabis followed a quadratic function of age, peaking around ages 16 and 18. Cigarette use initiation, in contrast, had a relatively flat hazard function. Biracial youth typically showed intermediate or higher risk of substance use initiation relative to their monoracial peers depending on the specific subgroups and substances considered. Peer substance use was associated with increased initiation across all groups, with stronger effects during peak initiation ages and variations in magnitude across racialized groups.</div></div><div><h3>Conclusion</h3><div>Our findings show substance use initiation risks and susceptibility to peer influence differ between biracial and monoracial adolescents and between specific biracial subgroups, highlighting the need to consider subgroup differences when addressing adolescent substance use.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"172 ","pages":"Article 108503"},"PeriodicalIF":3.6,"publicationDate":"2025-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145152328","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":"Understanding cigarette smoking and cessation among adults with intellectual disability in residential services: A multiperspective study","authors":"Amalia Udeanu ,&nbsp;Gloria Garcia-Fernandez ,&nbsp;Juan Antonio García-Aller ,&nbsp;Patricia Solís-García ,&nbsp;Chris Swerts ,&nbsp;Laura E. Gómez","doi":"10.1016/j.addbeh.2025.108500","DOIUrl":"10.1016/j.addbeh.2025.108500","url":null,"abstract":"<div><h3>Background</h3><div>Cigarette smoking is prevalent among adults with intellectual disability (ID), yet much remains to be understood about their smoking and cessation experiences, contributing to ongoing healthcare inequalities. This study aims to understand smoking experiences and cessation barriers and facilitators among people with ID in residential services, using a multiperspective approach.</div></div><div><h3>Methods</h3><div>This qualitative study involved 10 adults with ID who smoked cigarettes daily and 10 support professionals purposively recruited from residential services. In-depth face-to-face interviews were conducted to explore experiences of tobacco use and cessation. Data were analyzed using Interpretative Phenomenological Analysis.</div></div><div><h3>Results</h3><div>Six superordinate themes emerged: (1) smoking initiation as a social behavior and identity construction; (2) current smoking as a daily routine, shared activity, and source of gratification; (3) access to cigarettes and smoking regulation by support professionals; (4) ambivalent motivation to quit, with health concerns as transient triggers; (5) cessation barriers, including risk minimization, social influences, low self-efficacy, and limited knowledge of interventions; and (6) perceived cessation aids, including distraction and social support. Certain support practices—i.e., restricting access to cigarettes or using them as a reward—were experienced as limiting, underscoring tensions between health promotion and autonomy.</div></div><div><h3>Conclusions</h3><div>Findings highlight the need for rights-based, person-centered cessation approaches for people with ID. Cessation strategies should extend beyond pharmacology to include emotional, social, and environmental dimensions, while aligning with individuals’ values and experiences. Professionals require training to balance health promotion with self-determination. Future interventions should prioritize empowerment and provide tailored, evidence-based support addressing personal and contextual factors.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"172 ","pages":"Article 108500"},"PeriodicalIF":3.6,"publicationDate":"2025-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145097479","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 relationship between nicotine craving and state anxiety in daily and non-daily nicotine users","authors":"Arwynn A. McKinty ,&nbsp;Laura E. Hatz ,&nbsp;Weichen Liu ,&nbsp;Gianna Andrade ,&nbsp;Neal Doran ,&nbsp;Kelly E. Courtney","doi":"10.1016/j.addbeh.2025.108501","DOIUrl":"10.1016/j.addbeh.2025.108501","url":null,"abstract":"<div><div>Anxiety as a broad construct has been linked to nicotine craving, frequency of use, and relapse rates. However, there is limited research on the relationship between state anxiety and nicotine craving. This study explored the association between state anxiety and pre-cue versus post-cue craving among adults who use nicotine and tobacco products (NTPs) at different frequencies. Participants with either non-daily (n = 34) or daily (n = 80) NTP use completed a laboratory assessment including a virtual reality (VR) NTP cue-exposure paradigm and self-report assessments of state anxiety and nicotine craving. NTP use group membership was a significant predictor of pre-cue and post-cue craving, with daily NTP users exhibiting greater pre-cue (p = 0.001) and post-cue (p &lt; 0.001) craving than non-daily users. State anxiety was positively associated with pre-cue craving (p = 0.03) but not post-cue craving. Notably, non-daily users showed a significant negative relationship between state anxiety and post-cue craving (p = 0.01). The results of this study suggest that NTP use (especially daily use), and state anxiety are more strongly associated with pre-cue craving, as opposed to post-cue-induced craving. This study provides insight into how the relationship between state anxiety and nicotine craving varies pre and post cue-exposure, which may inform treatment and intervention efforts targeting transient affective states to prevent or reduce nicotine craving.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"172 ","pages":"Article 108501"},"PeriodicalIF":3.6,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145097405","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":"Hazardous alcohol use among patients with psychiatric disorders: Findings from phosphatidylethanol (PEth) screening in healthcare","authors":"V. Månsson ,&nbsp;A. Hammarberg ,&nbsp;M. Hårdstedt ,&nbsp;R. LoMartire","doi":"10.1016/j.addbeh.2025.108496","DOIUrl":"10.1016/j.addbeh.2025.108496","url":null,"abstract":"<div><div>Identifying hazardous alcohol use among patients with psychiatric disorders is important for improving treatment outcomes. This study aimed to describe the prevalence of hazardous alcohol use across 20 psychiatric diagnoses using phosphatidylethanol (PEth) blood sampling.</div><div>We conducted a cross-sectional analysis of PEth samples collected between 2017 and 2023 from a regional Swedish healthcare database, linked to clinician-assessed psychiatric diagnoses. Participants were adults (≥18 years) with a psychiatric disorder (N = 18,240). Hazardous alcohol use was defined as a PEth concentration &gt; 0.30 µmol/L (∼210  µg/L). Marginal risk ratios (RR) were estimated using logistic regression adjusted for sex, age, comorbidity, season, and healthcare setting.</div><div>In the sample (mean age: 40 years; 58.7 % female), 7.4 % screened positive for hazardous use. The highest prevalence was observed in patients with substance use disorder (12 %, RR: 1.87, 95 % CI: 1.57–2.23) and panic disorder (8.8 %, RR: 1.43, 95 % CI: 1.19–1.70). Lower prevalence was seen in patients with exhaustion syndrome (5.4 %), ADHD (5.0 %), and obsessive–compulsive disorder (4.2 %). Panic disorder remained significantly associated with hazardous use after adjustment. Male sex (RR: 1.79, 95 % CI: 1.58–2.02) and age, with the highest risk observed around 60 years, were both strongly associated with increased risk.</div><div>Hazardous alcohol use is prevalent among patients with psychiatric disorders when assessed with PEth. Targeted screening, especially among older men and patients with panic disorder, may improve identification and intervention.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"172 ","pages":"Article 108496"},"PeriodicalIF":3.6,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145097478","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":"Sex difference in the longitudinal association between depressive symptoms and internet gaming disorder among Chinese adolescents: An explanatory analysis at the aggregate and symptom level","authors":"Pu Peng ,&nbsp;Zhangming Chen ,&nbsp;Silan Ren ,&nbsp;Ying He ,&nbsp;Jinguang Li ,&nbsp;Aijun Liao ,&nbsp;Linlin Zhao ,&nbsp;Xu Shao ,&nbsp;Shanshan Chen ,&nbsp;Ruini He ,&nbsp;Yudiao Liang ,&nbsp;Youguo Tan ,&nbsp;Jinsong Tang ,&nbsp;Xiaogang Chen ,&nbsp;Yanhui Liao","doi":"10.1016/j.addbeh.2025.108499","DOIUrl":"10.1016/j.addbeh.2025.108499","url":null,"abstract":"<div><h3>Background</h3><div>While sex differences in depressive symptoms and Internet Gaming Disorder (IGD) are well-documented, the existence of sex differences in their interrelations remains unclear.</div></div><div><h3>Methods</h3><div>This longitudinal study of 57,985 Chinese gamers (mean age: 14.12 ± 1.45 years, girls: 45.4 %) assessed sex differences in the association between IGD and depressive symptoms. We analyzed this relationship at two levels: (1) an aggregate level, using total scores from the Internet Gaming Disorder Scale-Short Form (IGDS9-SF) and the 9-item Patient Health Questionnaire (PHQ-9) via cross-lagged panel models (CLPM), and (2) a symptom level, examining individual symptoms as nodes in cross-lagged panel network analyses (CLPN). We compared cross-lagged effect strengths and identified key central symptoms (highly influential individual symptoms) and bridge symptoms (symptoms linking IGD and depression) within the IGD-depression network for boys and girls.</div></div><div><h3>Results</h3><div>Girls showed higher prevalence, incidence, and persistence of depression; boys had higher rates for IGD. A bidirectional association emerged between IGD and depression for both sexes. However, the strength of these reciprocal predictions (IGD ↔ depression) was significantly greater in boys. Additionally, bridge symptoms differed by sex: in boys, the bridge symptoms included Worthlessness, Psychomotor Problems, Suicidal Thoughts, and Escapism. In girls, the bridge symptoms were Suicidal Thoughts, Escapism, Concentration Difficulties, and Anhedonia.</div></div><div><h3>Discussion</h3><div>Significant sex differences were observed in both the epidemiology and the associations between IGD and depressive symptoms at aggregate and symptom levels. These findings underscore the necessity for sex-specific interventions to effectively address the intertwined nature of IGD and depression among adolescents.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"172 ","pages":"Article 108499"},"PeriodicalIF":3.6,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145097413","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":"Problematic smartphone use is related to depression and anxiety: A transdiagnostic and three-sample network analysis","authors":"Zhihua Guo ,&nbsp;Rui Qiu ,&nbsp;Tianqi Yang ,&nbsp;Yue Gong,&nbsp;Yushan Li,&nbsp;Xia Zhu","doi":"10.1016/j.addbeh.2025.108498","DOIUrl":"10.1016/j.addbeh.2025.108498","url":null,"abstract":"<div><div>Problematic smartphone use (PSU) is associated with depression and anxiety disorders. However, it remains unclear which PSU symptoms are the most important contributors to depression, anxiety, and their comorbidity. Therefore, we examined the symptom-level network of PSU and separate and comorbid depression and anxiety. Three regularized partial-correlation networks were estimated for each sample, including the PSU-depression-anxiety (P-D-A), PSU-depression (P-D), and PSU-anxiety (P-A) networks. Three independent Chinese samples encompassing 325 aged 18–36 years, 1047 aged 18–26 years, and 988 aged 18–40 years were recruited in 2022, 2023, and 2024, respectively. PSU, depression, and anxiety were assessed using Smartphone Application-Based Addiction Scale, Patient Health Questionnaire-9, and Generalized Anxiety Disorder-7, respectively. Centrality and bridge centrality indices were estimated, and network comparison tests (NCTs) were performed to compare the networks of the three samples pairwise. NCTs revealed comparable network structures and consistent roles of specific symptoms across three samples. In P-D-A networks, PSU symptom “relapse” and depression symptom “depressed or sad mood” consistently had the highest centrality, whereas PSU symptom “conflict” consistently presented the highest bridge centrality. In P-D networks, the central nodes were identical to those observed in the P-D-A networks. In P-A networks, PSU symptom “relapse” and anxiety symptom “uncontrollable worry” consistently functioned as the central nodes. These findings elucidated the consistent and central role of “relapse” in the development and maintenance of depression, anxiety, and their comorbidity, thus establishing its roles as transdiagnostic risk factor. Furthermore, the results showed that PSU symptom “conflict” was the bridge node responsible for comorbidity. The replicability of these findings was confirmed, and their implications were thoroughly discussed.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"172 ","pages":"Article 108498"},"PeriodicalIF":3.6,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145097414","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":"Problematic behaviors can occur without distress: A person-centered analysis of behavioral, substance-related, and mental health indicators","authors":"Mohammad Seydavi,&nbsp;Mehdi Akbari,&nbsp;Shahram Mohammadkhani","doi":"10.1016/j.addbeh.2025.108497","DOIUrl":"10.1016/j.addbeh.2025.108497","url":null,"abstract":"<div><div>The recognition of problematic behaviors has underscored the need for conceptual models to explain their complex co-occurrence with both symptoms of mental health and problematic substance use. Following a transdiagnostic approach, Latent Class Analysis (LCA) was utilized to a large sample of the Iranian general population (N = 2971; Mean age = 26.48 ± 7.93; Female% = 71.9 %) to identify latent subgroups of co-occurrence based on endorsement of symptom scales between mental health (e.g., depression, anxiety, stress), behavior (e.g., digital and internet behavior), and substance use indicators (e.g., alcohol use, drug use, smoking). Five latent subgroups were identified, reflecting varying co-occurrence of problematic behaviors and problematic substance use with emotional symptoms. Only gender distinguished between the two classes; other demographics (age, educational attainment, marital status, occupational status, and income level) were not significant after the three-step adjustment. Of the five classes, only one class demonstrated a high level of co-occurrence between problematic behaviors, problematic substance use, and emotional distress. Notably, certain classes characterized by co-occurring problematic behaviors and problematic substance use were present without the emergence of significant mental health symptomatology, suggesting that affective dysregulation might not be a common process across all addictive behaviors. The findings highlight the co-occurrence of addictive behaviors and shed light on the limitations of perspectives that assume distress is necessary for the assessment of problematic behaviors. Consequently, transdiagnostic perspectives should be expanded to consider non-affective mechanisms of dysfunction, which have implications for assessment and intervention planning for co-occurring problematic behaviors and problematic substance use.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"172 ","pages":"Article 108497"},"PeriodicalIF":3.6,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145088207","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}