Addictive behaviors最新文献

{"title":"The correlation between mindfulness and problematic smartphone use: A meta-analysis","authors":"Yangshu Ru ,&nbsp;Hassan C. Norlizah ,&nbsp;Nur Aimi Nasuha Burhanuddin ,&nbsp;Huange Liu ,&nbsp;Jingyi Dong","doi":"10.1016/j.addbeh.2025.108272","DOIUrl":"10.1016/j.addbeh.2025.108272","url":null,"abstract":"<div><h3>Objectives</h3><div>In the modern era of constant digital technological advancements, problematic smartphone use has become a key issue in educational psychology. This phenomenon affects individual psychological well-being and academic or other performance and encompasses interpersonal relationships and societal aspects, divulging the intricate correlation between technology usage and human behavior. This study aims to explore mindfulness as an intervention measure to lessen problematic smartphone use.</div></div><div><h3>Methods</h3><div>Based on the PRISMA method, this study used a <em>meta</em>-analytic approach to explore the relationship between mindfulness and problematic smartphone use systematically. Systematic literature searches for papers published before February 2024 yielded 29 studies, including 17,534 individuals and 30 effect sizes. The sample comprised participants from Eastern cultures (n = 22 studies) and Western cultures (n = 8 studies).</div></div><div><h3>Results</h3><div>The <em>meta</em>-analysis revealed a significant negative correlation between mindfulness and problematic smartphone use (<em>r =</em> −0.399, 95 % CI [−0.457, −0.338], <em>p</em> &lt; 0.001). Moderator analyses revealed the strongest relationship when using the Child and Adolescent Mindfulness Measure (CAMM) (<em>r</em> = −0.498), while the Five Facet Mindfulness Questionnaire (FFMQ) showed the weakest (<em>r</em> = −0.245). Cultural background analyses indicated stronger effects in Eastern cultures (<em>r</em> = −0.428) compared to Western cultures (<em>r</em> = −0.316). Gender analyses revealed stronger effects among female participants (<em>β</em> = −0.510, <em>p</em> &lt; 0.05).</div></div><div><h3>Conclusion</h3><div>These findings demonstrate that mindfulness serves as an effective approach to addressing problematic smartphone use. The significant moderating effects identified have important implications for the implementation of mindfulness-based interventions in educational settings.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"164 ","pages":"Article 108272"},"PeriodicalIF":3.7,"publicationDate":"2025-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143350711","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":"Family incarceration and adolescent nicotine, alcohol, and cannabis use: A coarsened exact matching approach","authors":"Myriam Forster ,&nbsp;Abnous Shaverdi ,&nbsp;Xiao Zhang ,&nbsp;Claudia M Toledo-Corral ,&nbsp;Timothy J Grigsby","doi":"10.1016/j.addbeh.2025.108270","DOIUrl":"10.1016/j.addbeh.2025.108270","url":null,"abstract":"<div><h3>Introduction</h3><div>Evidence overwhelmingly indicates that adverse childhood experiences (ACE), a set of highly correlated traumatic events experienced before age 18, increase risk for adolescent substance use. However, few studies have examined the association of family/household member incarceration (FI) and early substance use initiation (≤14 years old) and past 30-day substance use accounting for other ACE, demographic characteristics, and socio-economic status. To fill this gap, we used a matching method to explore the unique effect of FI on early substance use initiation and past 30-day use among diverse adolescents.</div></div><div><h3>Methods</h3><div>Data are baseline survey responses of high school students enrolled in the first year of a longitudinal school-based study. After matching youth on key characteristics to create balanced groups of exposed and non-exposed respondents, logistic regression models assessed the association between FI and early initiation of alcohol and cannabis use and past 30-day nicotine, alcohol and cannabis use.</div></div><div><h3>Results</h3><div>Exposure to FI was significantly associated with higher odds of early initiation of alcohol (OR = 2.54, 95 % CI: 1.64–3.90) and cannabis (OR = 1.63, 95 % CI: 1.03–2.59) use and past 30-day alcohol (OR = 2.11, 95 % CI: 1.50–2.94), nicotine, (OR = 1.72, 95 % CI: 1.21–2.45) and cannabis (OR = 1.71, 95 % CI: 1.17–2.48) use.</div></div><div><h3>Conclusion</h3><div>Despite advocacy and criminal justice reform initiatives, generations of families in vulnerable communities navigate the complexities of arrest, incarceration, and reintegration with few supports or initiatives for impacted youth. Our findings point towards the need and potential benefit of prevention programs and services, especially upstream prevention efforts, for this youth population.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"164 ","pages":"Article 108270"},"PeriodicalIF":3.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143097524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Significant wins and their impacts: Predictors of problem gambling in French and Polish national samples","authors":"Bernadeta Lelonek-Kuleta ,&nbsp;Marie-Line Tovar ,&nbsp;Rafał P. Bartczuk ,&nbsp;Jean-Michel Costes","doi":"10.1016/j.addbeh.2025.108266","DOIUrl":"10.1016/j.addbeh.2025.108266","url":null,"abstract":"<div><h3>Aim</h3><div>We examined the role of significant win experiences alongside psychosocial factors in the risk of problem gambling.</div></div><div><h3>Participants</h3><div>The study involved adult pure-chance gamblers from representative Polish (<em>n</em> = 3143) and French samples (<em>n</em> = 5692).</div></div><div><h3>Measurements</h3><div>The questionnaire encompassed socio-demographic details, gambling behaviours, significant win experiences, gambling motivation, and problem gambling.</div></div><div><h3>Design &amp; setting</h3><div>Logistic regression analyses unveiled universal and country-specific factors significantly linked to problem-gambling risk.</div></div><div><h3>Findings</h3><div>Universal factors comprised gender (lower risk among females), age (higher risk for ages 35+), household income (negative association), current and past debt (positive association), type of gambling game (higher risk for games other than lotteries), and gambling frequency (positive association). Risk factors also encompassed heightened coping and social motivations to gamble, while the financial motivation inversely correlated with risk. Inter-country differences featured significant wins in the player’s environment, associated with problem-gambling risk only among the French. Then, only the highest amounts spent on gambling in the French group correlated with problem gambling, while lower amounts in the Polish group also did. Notably, a higher problem-gambling risk was observed in the Polish group compared to the French.</div></div><div><h3>Conclusions</h3><div>A crucial finding was that significant wins were associated with problem gambling, even when controlling for other essential factors. Our study highlights the role of significant wins, construed as subjective gambler experiences, in fostering problem gambling. This insight suggests the need for a paradigm shift in understanding the role of winning in gambling, representing a risky experience regardless of the objective amount gambled.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"163 ","pages":"Article 108266"},"PeriodicalIF":3.7,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076517","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":"Illegal drug use amongst male UK military personnel who sustained physical combat injuries: The ADVANCE cohort study","authors":"Daniel Dyball ,&nbsp;Susie Schofield ,&nbsp;Alexander N. Bennett ,&nbsp;Christopher J. Boos ,&nbsp;Anthony M.J. Bull ,&nbsp;Nicola T. Fear ,&nbsp;on behalf of the ADVANCE Study","doi":"10.1016/j.addbeh.2025.108269","DOIUrl":"10.1016/j.addbeh.2025.108269","url":null,"abstract":"<div><div>Illegal drug use may be a consequence of sustaining a serious physical combat injury, though no known research has investigated this in a UK setting. This analysis utilises the baseline data from a longitudinal cohort (ADVANCE), to assess whether 577 UK military personnel who sustained serious physical combat injuries reported more illegal drug use compared to 565 frequency-matched personnel without such injuries.</div><div>Most personnel reported no illegal drug use in the past year (88.7%). Cocaine was the most common drug reported in the past year, followed by cannabis. Injured personnel had greater odds of reporting illegal drug use in the past year compared to the comparison group (injured group: 16.3%, comparison group: 5.4%; Odds Ratio (OR) 3.09 (95% CI 2.03, 5.31)), however, no differences were observed amongst veterans in each group (OR 0.67 (95% CI 0.40, 1.27)). Higher prevalence of illegal drug use was observed amongst those of white ethnic background, lower rank, those who were single, younger, veterans, and those who reported a probable mental illness, suicidal ideation or heavy alcohol use/tobacco use. Veterans who left service at a younger age and with a shorter length of service were also identified as having higher prevalence of illegal drug use.</div><div>UK Armed Forces personnel who sustained serious physical combat injuries in Afghanistan report more illegal drug use in the past year compared to demographically similar personnel without serious physical injury. Greater prevalence of illegal drug use was evident in those that left service, with &gt;20 % of veterans reporting illegal drug use in the past year.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"164 ","pages":"Article 108269"},"PeriodicalIF":3.7,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143304845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of educational interventions in United States schools to prevent opioid-related harms: A systematic review","authors":"Christina Hua-Nguyen ,&nbsp;Ashley Harris ,&nbsp;Micah E. Herrera ,&nbsp;Jamison Falk ,&nbsp;Me-Linh Le ,&nbsp;Shweta Mital","doi":"10.1016/j.addbeh.2025.108268","DOIUrl":"10.1016/j.addbeh.2025.108268","url":null,"abstract":"<div><h3>Issues</h3><div>The opioid crisis in North America has increased concerns about adolescent problematic opioid use. Schools are crucial in prevention efforts, but the effectiveness of school-based educational programs is debated. This review evaluates the effectiveness of school-based opioid education programs in preventing opioid-related harms, and improving knowledge, attitudes, and beliefs about opioids among youth.</div></div><div><h3>Approach</h3><div>Ovid MEDLINE, Ovid Embase, Ovid PsycInfo, ERIC, and Web of Science databases were searched in January 2025. Included studies met the following criteria: (1) were published in English; (2) conducted in a middle or high school setting; (3) the intervention related to opioid education; (4) randomized trials or observational studies; and (5) published between January 2000 and January 2025.</div></div><div><h3>Key Findings</h3><div>Among 1405 studies screened, eight met the inclusion criteria and evaluated seven school-based opioid education programs with participants aged between 11 and 18 years. Most studies used quasi-experimental designs, and only one was a randomized controlled trial. One study showed that combining classroom-based interventions in grade 7 with sessions that involved parents participating alongside students significantly reduced prescription opioid misuse, with effects lasting until grade 12. Four studies showed improved knowledge and attitudes towards opioid use and two showed increased understanding of opioid withdrawal and overdose management.</div></div><div><h3>Implications and Conclusion</h3><div>This review is the first to evaluate school-based opioid education programs for adolescents. Findings indicate that these programs effectively increase opioid knowledge and reduce problematic opioid use, though further randomized trials among diverse participant samples are needed to confirm efficacy and generalizability of findings.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"163 ","pages":"Article 108268"},"PeriodicalIF":3.7,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143070156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A qualitative analysis of people who died by suicide and had gambling documented in their coronial file","authors":"Ciara ME Reynolds ,&nbsp;Gemma Cox ,&nbsp;Suzi Lyons ,&nbsp;Helen McAvoy ,&nbsp;Louise O’Connor ,&nbsp;Katerina Kavalidou","doi":"10.1016/j.addbeh.2025.108267","DOIUrl":"10.1016/j.addbeh.2025.108267","url":null,"abstract":"<div><h3>Background</h3><div>Gambling related harms are vast and varied. There is evidence that gambling is associated with increased risk of suicidal ideation and attempts. Our aim was to identify and profile individuals who died by suicide and had gambling documented in their coronial file.</div></div><div><h3>Methodology</h3><div>The Irish Probable Suicide Death Study dataset contains all (n = 3,625) coroner and research-determined suicide deaths between 2015 and 2020. It was systematically searched to identify all deaths where gambling was recorded in coroner’s files. Relevant data were extracted and included in a new database for further qualitative-driven analysis. Long-term distal (or chronic) and short-term proximal (or acute) risk factors were used as a framework for the analysis of the data.</div></div><div><h3>Results</h3><div>Gambling was recorded in 23 coroners’ files, representing 0.6% of all suicides during the six-year period. Males were overrepresented and less than half were in employment at the time of death. Distal risk factors included co-occurring mental health conditions (notably mood disorders), a history of drug and alcohol dependency, past suicide intent and/or behaviour, and exposure to suicide. Key proximal risk factors included acute mental health symptoms, financial issues, interpersonal problems, intoxication, and recent stressful life events.</div></div><div><h3>Conclusions</h3><div>We found that 23 people who died by suicide had gambling documented in their coronial file between 2015 and 2020. Numerous socioeconomic factors, interpersonal issues, and mental health conditions including addiction were also present at the time of death. The numbers in this study are likely an underrepresentation and support the need for improvements in data collection.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"163 ","pages":"Article 108267"},"PeriodicalIF":3.7,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143070155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictors of treatment attrition among individuals in substance use disorder treatment: A machine learning approach","authors":"Jill A. Rabinowitz ,&nbsp;Jonathan L. Wells ,&nbsp;Geoffrey Kahn ,&nbsp;Jennifer D. Ellis ,&nbsp;Justin C. Strickland ,&nbsp;Martin Hochheimer ,&nbsp;Andrew S. Huhn","doi":"10.1016/j.addbeh.2025.108265","DOIUrl":"10.1016/j.addbeh.2025.108265","url":null,"abstract":"<div><h3>Background</h3><div>Early treatment discontinuation in substance use disorder treatment settings is common and often difficult to predict. We leveraged a machine learning approach (i.e., random forest) to identify individuals at risk for treatment attrition, and specific factors associated with treatment discontinuation.</div></div><div><h3>Method</h3><div>Participants (N = 29,809) were individuals ≥ 18 years who attended substance use disorder treatment facilities in the United States. Using random forest, we aimed to predict three outcomes (1) leaving against medical advice (AMA), (2) discharging involuntarily, and (3) discharging early for any reason. Predictors included participant demographics, substance use the month before and at intake, indices of mental and physical health, as well as treatment center and program type.</div></div><div><h3>Findings</h3><div>We observed low to moderate area under the curve (range = 0.631–0.671), high negative predictive values (range = 0.853–0.965), and low positive predictive values (0.088–0.336) across the three treatment attrition outcomes. The most robust predictors of the three outcomes included treatment center, treatment type, and participant age. Additional predictors of the three outcomes included employment status; reason for treatment; primary drug at intake and frequency of use; prescription opioid, benzodiazepine, or heroin use at intake; living status at intake; and driving under the influence prior to treatment.</div></div><div><h3>Conclusions</h3><div>Our models were able to accurately identify individuals who remained in treatment, but not those who left treatment prematurely. The most robust predictors of treatment discontinuation were treatment center and program type, suggesting that targeting treatment facility features may have a significant impact on reducing treatment attrition and improving long-term recovery.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"163 ","pages":"Article 108265"},"PeriodicalIF":3.7,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076500","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":"Examining the Relationship of Cannabis use Patterns, Mental Health, and Sociodemographic Factors: A Focus on Cannabis Vaping, Smoking and Dual-Use","authors":"Jack Y.C. Chung ,&nbsp;Carmen C.W. Lim ,&nbsp;Jason P. Connor ,&nbsp;Wayne Hall ,&nbsp;Daniel Stjepanović ,&nbsp;Gary C.K. Chan","doi":"10.1016/j.addbeh.2025.108263","DOIUrl":"10.1016/j.addbeh.2025.108263","url":null,"abstract":"<div><h3>Background</h3><div>Cannabis vaping, and co-use with cannabis smoking, can exacerbate the risks of developing respiratory diseases and cannabis dependence. This study aims to examine the mental health profiles and sociodemographic correlates of adults who vape cannabis and engage in dual cannabis use (vaping/ smoking), compared to those who smoke cannabis.</div></div><div><h3>Methods</h3><div>The most recent, cross-sectional wave of the Population Assessment of Tobacco and Health Study (Wave 6) was used in this study. Data were restricted to adults (18 + years) who currently use cannabis (<em>n</em> = 7,178). Participants were classified as ‘cannabis smoking only,’ ‘cannabis vaping only,’ ‘dual-use,’ or ‘other cannabis use methods only.’ Multinomial logistic regression was used to examine the sociodemographic, internalizing and externalizing symptom factors of cannabis vaping and dual-use compared to cannabis smoking.</div></div><div><h3>Results</h3><div>Over 56 % of participants currently smoked cannabis only, 9.1 % vaped cannabis only, while 20.0 % were engaging in dual-use. Adults experiencing severe externalizing symptoms (vs. mild symptoms) had higher odds of engaging in dual-use than smoking cannabis only (OR = 1.89, 99.5 %CI: 1.48, 2.40). Those with White racial background (vs. African-American background) (OR = 3.90, 99.5 %CI: 2.31, 6.58) and earning a higher income (vs. lower income) (OR = 2.56, 99.5 %CI: 1.79, 3.66) had higher odds of currently vaping cannabis only, compared to smoking cannabis only.</div></div><div><h3>Conclusions</h3><div>Our study has identified that mental health plays a significant role in cannabis use patterns, particularly with externalizing symptoms which are related to aggression and diagnoses of attention deficit disorders. This highlights the need for healthcare and mental health providers to address mental health symptoms when managing adult cannabis use.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"163 ","pages":"Article 108263"},"PeriodicalIF":3.7,"publicationDate":"2025-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Longitudinal impact of impulsivity and sensation-seeking on vaping initiation: The moderating role of peer vaping","authors":"Caroline North ,&nbsp;Keryn E. Pasch ,&nbsp;Miguel Pinedo ,&nbsp;Anna V. Wilkinson ,&nbsp;Alexandra Loukas","doi":"10.1016/j.addbeh.2025.108264","DOIUrl":"10.1016/j.addbeh.2025.108264","url":null,"abstract":"<div><div>Limited research indicates impulsivity and sensation-seeking are associated with electronic nicotine delivery systems (ENDS) use in young adulthood, however, no study has examined the moderating effect of peer ENDS use on these associations. We examined the impacts of impulsivity and sensation-seeking on ENDS use initiation and determined if peer ENDS use moderates these associations. Participants were 2,590 ENDS naïve (i.e., never used ENDS) young adults involved in multi-wave, 4.5-year longitudinal study (Fall, 2014 – Spring, 2019). At baseline, participants were 18–25 years old (<em>M</em> = 20.1; <em>SD</em> = 1.8), 66.5 % female, 34.2 % non-Hispanic white, 28.1 % Hispanic/Latino, 8.6 % Black, 21.6 % Asian, and 7.4 % identified as another race/ethnicity. Cox’s regression models were used to test hypotheses. Predictors were time-varying impulsivity and sensation-seeking, and the moderator was time-varying peer ENDS use. The outcome, ENDS use initiation, was assessed by querying ever ENDS use over 7 follow-up waves. Covariates included socio-demographic characteristics, past 30-day other tobacco use, cannabis use, and binge drinking. Nearly 29% of participants initiated ENDS use during the study period. Sensation-seeking predicted an increased risk of initiating ENDS use (HR = 1.12, 95 %CI:1.03,1.22), but impulsivity did not. Although peer ENDS use directly predicted an increased risk for initiating ENDS use (HR = 1.57, 95 %CI:1.46, 1.68), peer ENDS use did not moderate the associations of impulsivity and sensation-seeking on ENDS use initiation. The role of sensation-seeking on ENDS use initiation is independent of peer use. Prevention programs tailored to those high in sensation-seeking may consider changing attitudes about how desires for novel experiences can be achieved through healthier behaviors.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"163 ","pages":"Article 108264"},"PeriodicalIF":3.7,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017956","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":"A network analysis of clinician-rated posttraumatic stress disorder and substance use disorder symptom clusters in a sample of veterans seeking outpatient treatment","authors":"Rebecca E. Sistad Hall ,&nbsp;Brittany Stevenson ,&nbsp;Michelle J. Bovin ,&nbsp;Sarah Kleiman ,&nbsp;Dave Nelson ,&nbsp;Hildi J. Hagedorn ,&nbsp;Shannon Kehle-Forbes","doi":"10.1016/j.addbeh.2025.108249","DOIUrl":"10.1016/j.addbeh.2025.108249","url":null,"abstract":"<div><div>The presentation of comorbid post-traumatic stress disorder (PTSD) and substance use disorder (SUD) differs by substance type. The current study applied network analysis to explore the relationships between diagnostic symptom clusters by examining the strength and direction of unique associations between PTSD and SUD. Network analyses were estimated using a sample of 422 veterans diagnosed with co-occurring PTSD/SUD initiating psychotherapy for PTSD while receiving concurrent outpatient SUD treatment as part of a randomized clinical trial. Separate network models were estimated for PTSD and the three most common SUD in the sample: alcohol use disorder (AUD), cannabis use disorder (CUD) and stimulant use disorder (StUD). Trauma-related intrusions and alcohol-related social impairment were the bridging symptom clusters that connected PTSD and AUD. Symptom clusters that connected PTSD and CUD were trauma-related intrusions and hyperarousal symptoms. Trauma-related alterations in cognition and mood and stimulant-related pharmacological symptoms were the bridging symptom clusters that connected PTSD and StUD. Each network of symptom clusters culminated in the trauma-related avoidance cluster, suggesting avoidance may represent a final outcome of the downstream effects of these symptoms. Across models, PTSD and SUD symptom clusters both served as sources of activation driving the comorbidity. There were also few and relatively weak bridging symptom clusters that connected PTSD/SUD, suggesting symptom change in one disorder may have minimal effect on the other disorder. Therefore, simultaneously treating PTSD and SUD as well as employing individualized treatment planning to target prominent symptoms may be most beneficial for veterans with PTSD/SUD.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"163 ","pages":"Article 108249"},"PeriodicalIF":3.7,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017948","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}