Addictive behaviors最新文献

{"title":"Adolescent extraversion and agreeableness predict adult alcohol use: A 22-Year prospective study","authors":"Ingmar H.A. Franken ,&nbsp;Peter Prinzie","doi":"10.1016/j.addbeh.2025.108303","DOIUrl":"10.1016/j.addbeh.2025.108303","url":null,"abstract":"<div><div>The Five Factor Model (FFM or Big 5) traits of extraversion, agreeableness, conscientiousness, neuroticism and openness, have all been associated with alcohol use. However, the vast majority of these studies have used cross-sectional designs, limiting the ability to evaluate the temporal relationships between childhood personality traits in adult alcohol use patterns.</div><div>In the current prospective community cohort study (N = 329), we examine the predictive value of FFM traits measured in childhood and adolescence (starting at 6–9 years of age; well before the typical age at which adolescents begin drinking) for alcohol use in adulthood (27–30 years of age), spanning an average of 22 years. Personality was assessed with the Hierarchical Personality Inventory for Children (H<em>i</em>PIC) across 5 consecutive waves utilizing multiple informants (child, mother, father, and teachers). Alcohol use was measured by the self-report Quantity-Frequency Variability Index (QFV).</div><div>A series of regression analyses indicates that during adolescence, high levels of extraversion and low levels of agreeableness are both (independently) associated with heavier drinking. These associations are robust and consistent from the first adolescent wave (age 12–15 years) to the last adolescent wave. Notably, informant-dependent measures from early childhood waves (ages 6–9) were not significant predictors, highlighting the importance of considering developmental context and informant variability. By leveraging a longitudinal design with temporally separated measures of personality and alcohol use, this study minimizes concerns about reverse causality. The results highlight the long-term relevance of adolescent personality traits in understanding adult drinking behavior and suggest that targeted prevention strategies focusing on highly extraverted and low-agreeable adolescents may help reduce harmful drinking patterns later in life.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"165 ","pages":"Article 108303"},"PeriodicalIF":3.7,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143463701","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":"Protective and risk factors in problematic mobile phone use among adolescents: A three-wave longitude study","authors":"Xiaoqing Ji ,&nbsp;Ningning Feng ,&nbsp;Tong Zhao ,&nbsp;Lijuan Cui","doi":"10.1016/j.addbeh.2025.108299","DOIUrl":"10.1016/j.addbeh.2025.108299","url":null,"abstract":"<div><div>Adolescents’ problematic mobile phone use (PMPU) has become increasingly severe. This study examined the changes in relationships between dimensions of PMPU, protective (positive psychological capital, i.e., optimism, hope, resilience, core self-evaluation) and risk (psychological distress, i.e., anxiety, depression, loneliness, and stress) factors within the network, aiming to identify the most influential factors over time and find the longitudinal predictive relationships between the factors and PMPU. A total of 1,170 Chinese adolescents participated over three waves (T1: January 2023, T2: August 2023, T3: February 2024). Cross-section network analysis showed that “core self-evaluation”, “depression”, “hope”, “loss of control”, and “stress_P” were the central nodes. “Stress_N” (sense of losing control and negative affective reactions) in risk factors and “affect control” (ability to regulate emotions) in protective factors were the bridge symptoms in the network across three timepoints. As shown in network comparison, the global strength of the network remained stable from T1 to T2 but increased from T2 to T3. The edge strength between “family support”, “anxiety” and the nodes of PMPU weakened across the time. While, correlations between “loneliness”, “goal planning”, “positive thinking”, “affect control” and PMPU nodes strengthened. The relationship between “Stress_N” and PMPU initially increasing before decreasing. Longitudinal cross-lagged network analysis revealed that “negative life consequence” and “craving” in PMPU strongly predicted protective/risk factors, while “hope,” “affect control,” and “core self-evaluation” were most susceptible to prediction. The findings highlight the significant role of “core self-evaluation” and “stress_N” in the development of adolescents’ PMPU and the negative results of PMPU. Additionally, the changes in the network over time suggest that the factors influencing PMPU evolve, with various protective/risk factors gaining or losing significance at different stages. The results of CLPN emphasize the negative outcome of PMPU. Therefore, targeting interventions on the internalized symptoms may help alleviate the severity of PMPU among adolescents.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"165 ","pages":"Article 108299"},"PeriodicalIF":3.7,"publicationDate":"2025-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143428098","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":"Network analysis of adverse childhood experiences and problematic internet use among Chinese adolescents","authors":"Lu Li ,&nbsp;Xiuqiong Feng ,&nbsp;Shengyu Luo ,&nbsp;Jinghua Li ,&nbsp;Dan Xu ,&nbsp;Weiqing Chen ,&nbsp;Vivian Yawei Guo","doi":"10.1016/j.addbeh.2025.108300","DOIUrl":"10.1016/j.addbeh.2025.108300","url":null,"abstract":"<div><h3>Background</h3><div>The association between adverse childhood experiences (ACEs) and problematic internet use (PIU) in adolescents has received increasing attention. However, item-level associations between ACEs and PIU remained underexplored. This study utilized network analysis to explore these complex interactions and enhance understanding of the linking pathways.</div></div><div><h3>Methods</h3><div>From November to December 2021, 6685 Chinese adolescents aged 11–20 self-reported their internet use through the Young Diagnostic Questionnaire (YDQ). ACEs were assessed via the Childhood Trauma Questionnaire-Short Form and the Adverse Childhood Experiences-International Questionnaire. An ACE-PIU network was constructed based on the Ising model, with centrality and bridge centrality indices calculated. Network stability and accuracy were assessed using a case-dropping bootstrap procedure. The Network Comparison Test was applied to examine gender and age differences.</div></div><div><h3>Results</h3><div>Among participants, 52.2 % were boys and the mean age was 14.5 years. Network analysis identified PIU2 (“need for increased online time”), PIU5 (“staying online longer than intended”), and PIU6 (“risking significant relationships/opportunities due to internet use”) as central nodes in the ACE-PIU network model. Additionally, ACE6 (“household mental illness”) and ACE2 (“emotional abuse”) within the ACE cluster, along with PIU8 (“using the internet to escape problems”) and PIU7 (“lying about internet use”) within the PIU cluster, emerged as bridge nodes linking the ACE and PIU clusters. No significant differences in network structures or global strengths were observed across gender or age groups.</div></div><div><h3>Conclusion</h3><div>The identification of central and bridge nodes within the ACE-PIU network provides insights regarding the potential pathways linking ACEs to PIU among Chinese adolescents.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"165 ","pages":"Article 108300"},"PeriodicalIF":3.7,"publicationDate":"2025-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143453470","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":"Distinct roles of specific metacognitive beliefs in adolescent problematic mobile phone use: A Cross-Lagged panel network analysis","authors":"Lingfeng Gao ,&nbsp;Xiaoru Zhu ,&nbsp;Gabriele Caselli ,&nbsp;Yunfei Wang ,&nbsp;Xiaowei Chu ,&nbsp;Haide Chen","doi":"10.1016/j.addbeh.2025.108291","DOIUrl":"10.1016/j.addbeh.2025.108291","url":null,"abstract":"<div><div>Problematic mobile phone use (PMPU) among adolescents is increasingly recognized as a significant behavioral health concern. Previous studies have found general metacognitive beliefs can positively predict PMPU. However, the longitudinal relationship between specific metacognitive beliefs and addictive behaviors has not been fully explored. This study aimed to explore the longitudinal relationship between metacognitions about mobile phone use, metacognitions about desire thinking, and PMPU among adolescents using cross-lagged panel network analysis. A sample of 993 adolescents were surveyed at two points over six months. Findings indicated that negative metacognitions about mobile phone use and positive metacognitions about desire thinking emerged as two prominent bridge nodes. Negative metacognitions about mobile phone use were strongly associated with withdrawal and relapse symptoms, while positive metacognitions about desire thinking correlated with tolerance and relapse. These results suggest that interventions aimed at addressing PMPU should consider the distinct impacts of different metacognitive beliefs and tailor their approaches accordingly.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"165 ","pages":"Article 108291"},"PeriodicalIF":3.7,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143463702","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":"Does cannabis and electronic nicotine delivery system (ENDS) use interfere with cigarette smoking cessation in young adulthood?","authors":"Sarah Danzo ,&nbsp;Marina Epstein ,&nbsp;Rick Kosterman ,&nbsp;Max A. Halvorson ,&nbsp;Justin D. Caouette ,&nbsp;Karryn Satchell ,&nbsp;Margaret R. Kuklinski ,&nbsp;Sabrina Oesterle","doi":"10.1016/j.addbeh.2025.108289","DOIUrl":"10.1016/j.addbeh.2025.108289","url":null,"abstract":"<div><h3>Aims</h3><div>Reducing combustible cigarette smoking is a major public health concern. Research identifies both electronic nicotine delivery systems (ENDS) and cannabis use as factors that are related to combustible cigarette cessation. The current study examined whether using substances in similar ways (e.g., inhaling them) triggers the urge to smoke, thereby undermining attempts to quit.</div></div><div><h3>Design</h3><div>Analyses examined how using ENDS and smoking or vaping cannabis, both separately and together, were associated with reductions in daily combustible cigarette smoking among young adult smokers.</div></div><div><h3>Participants</h3><div>Three waves of data from the Community Youth Development Study, including 909 participants who reported daily cigarette smoking at age 23, 26, and/or 28, were included in analyses.</div></div><div><h3>Setting</h3><div>Participants were dispersed throughout 48 US states.</div></div><div><h3>Measurements</h3><div>Latent growth modeling was used to model daily cigarette smoking over time. Models using past-month ENDS use, past-month smoking/vaping cannabis, and past-month co-use of ENDS and cannabis (using ENDS and smoking/vaping cannabis within the past month) as time-varying covariates were tested.</div></div><div><h3>Findings</h3><div>Over time, there was a tendency towards cessation of daily combustible cigarette use among this smoking sample. Smoking/vaping cannabis was associated with a decreased rate of daily combustible cigarette cessation among the sample, whereas ENDS use was associated with an increased rate of daily smoking cessation. The predicted additive effect of using ENDS and smoking/vaping cannabis was not significant.</div></div><div><h3>Conclusions</h3><div>Among young adult daily cigarette smokers, smoking cannabis, on its own, poses a risk to quitting combustible cigarettes, while using ENDS may promote cigarette cessation, possibly through substitution.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"164 ","pages":"Article 108289"},"PeriodicalIF":3.7,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143387148","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":"Modes of cannabis use, frequency of use, and cannabis use problems: A latent profile analysis of modes of cannabis use","authors":"Christina Dyar ,&nbsp;Elise Green ,&nbsp;Isaac C. Rhew","doi":"10.1016/j.addbeh.2025.108285","DOIUrl":"10.1016/j.addbeh.2025.108285","url":null,"abstract":"<div><h3>Background</h3><div>While studies have linked different modes of cannabis use (CU) with CU problems and consequences, they have typically focused on unique effects of individual modes. Few studies have examined more complex patterns (e.g., using multiple modes). Studies that have typically combine modes and frequency of use, making it impossible to determine whether differences between patterns of use result from differing modes or differing frequencies of use.</div></div><div><h3>Methods</h3><div>We used data from 338 sexual minority women and gender diverse individuals (18–25 years old) who used cannabis (populations at high risk for CU disorder) to identify groups based on their modes of CU and examine associations between mode-based groups on CU frequency and consequences.</div></div><div><h3>Results</h3><div>Four groups were identified: smoking [reference], vaping concentrates, edible use, and multiple modes of use. Those who predominately used edibles tended to engage in less frequent CU and reported fewer problems compared to those who predominately smoked cannabis. Individuals who predominately vaped concentrates experienced more problems and more frequent CU at follow-up compared to those who predominately smoked cannabis, controlling for CU problems and frequency at baseline. Using multiple modes per day was not associated with frequency or problems.</div></div><div><h3>Conclusions</h3><div>Lower CU problems identified among those who predominately used edibles were attributed to their lower frequency CU. Findings also indicate that vaping concentrates may be associated with increasing cannabis frequency and consequences. As the study sample was comprised of sexual minority women and gender diverse young adults, future research should determine whether results generalize to other populations.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"164 ","pages":"Article 108285"},"PeriodicalIF":3.7,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143378863","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 and consequences of unplanned drinking among young adults","authors":"Brian Suffoletto ,&nbsp;Tammy Chung","doi":"10.1016/j.addbeh.2025.108286","DOIUrl":"10.1016/j.addbeh.2025.108286","url":null,"abstract":"<div><h3>Objective</h3><div>Unplanned drinking, or drinking that violates intentions to limit alcohol consumption, has been linked to significant alcohol-related consequences in college students; however, predictors and outcomes remain incompletely understood among other populations of young adults. This study identified person- and event-level predictors of unplanned drinking and explore the association of unplanned drinking with negative alcohol-related consequences in a racially and educationally diverse cohort of young adults.</div></div><div><h3>Method</h3><div>A total of 938 young adults (aged 18–25; 70 % female; 60 % non-college; 37 % Black) participating in a randomized trial testing text-message alcohol interventions completed ecological momentary assessments (EMA) reporting drinking intentions and alcohol consumption twice weekly for at least 4 weeks over a 14 week period. Controlling for intervention effects, mixed-effects models examined predictors of unplanned drinking days, and zero-inflated negative binomial regression models assessed the relationship between frequency of unplanned drinking and negative alcohol consequences at a 14-week follow-up.</div></div><div><h3>Results</h3><div>Participants reported alcohol consumption on 16.9 % of days when they had no plan to drink. Odds of unplanned drinking was higher for older age (adjusted Odds Ratio [aOR] = 1.06, p &lt; 0.01), Black race (aOR = 1.25, p &lt; 0.01), higher AUDIT-C score (aOR = 1.14, p &lt; 0.001), and higher negative urgency score (aOR = 1.05, p &lt; 0.01), weekends (aOR = 1.63, p &lt; 0.001) and the presence of friends drinking (aOR = 9.37, p &lt; 0.001). Compared to participants in the lowest unplanned drinking day category, those in the highest category showed a 26 % higher negative alcohol consequence rate ratio (RR = 1.26, 95 % CI [1.07, 1.48]).</div></div><div><h3>Conclusions</h3><div>Unplanned drinking in young adults is strongly influenced by social context and individual risk factors. This behavior, when extreme, was associated with increased negative alcohol-related consequences. Interventions targeting impulsivity and peer influence may reduce unplanned drinking and mitigate its harmful effects.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"165 ","pages":"Article 108286"},"PeriodicalIF":3.7,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143420344","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":"Targeting craving with EMDR therapy: Future directions","authors":"Junilla K. Larsen ,&nbsp;Wiebren Markus ,&nbsp;Reinout W. Wiers ,&nbsp;Ad de Jongh","doi":"10.1016/j.addbeh.2025.108288","DOIUrl":"10.1016/j.addbeh.2025.108288","url":null,"abstract":"<div><div>Eye movement desensitization and reprocessing (EMDR) therapy may be a promising approach when targeting addiction-related memory representations that trigger craving. We propose a link with cue-reactivity mechanisms targeted by both cognitive bias modification training and cue-exposure therapy, including increased cue-devaluation, reduction in cognitive biases, and violation of dysfunctional expectancies. In this commentary, we propose a framework explaining the effects of addiction-focused EMDR therapy based on insights from working memory and inferential processing accounts, empirical evidence of underlying EMDR mechanisms, and the broader cue-exposure literature. It points to new directions for future addiction-focused EMDR therapy, by optimizing procedures, by more strongly taxing working memory, better violate dysfunctional expectancies, inhibiting cue-reactive related memories and lowering craving and inhibiting addictive responses. We hope that this framework will inspire future research investigating the underlying mechanisms as well as potential boundary conditions (e.g., arousal) that may moderate these mechanisms across a wider set of addictive-like domains.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"164 ","pages":"Article 108288"},"PeriodicalIF":3.7,"publicationDate":"2025-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143387149","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 association between pain and negative alcohol-related consequences among college students engaged in binge drinking: The moderating role of reward and relief drinking motives","authors":"Faith Holmes ,&nbsp;Luke Herchenroeder ,&nbsp;Victoria R. Votaw ,&nbsp;Tessa Frohe ,&nbsp;Ellen W. Yeung","doi":"10.1016/j.addbeh.2025.108287","DOIUrl":"10.1016/j.addbeh.2025.108287","url":null,"abstract":"<div><div>Binge drinking, defined as consuming 4 or more drinks for females and 5 or more for males within a two-hour timeframe, is common among college students and associated with harmful health outcomes. Similarly, pain is prevalent in this population and can negatively affect students’ psychological, social, and academic functioning. However, the limited research examining associations between pain and alcohol-related constructs among college students has yielded inconsistent results. Individual differences in levels of reward and relief drinking motives (i.e., drinking in response to positive affect/social situations versus negative affect/stressful situations) may contribute to the complex, heterogeneous nature of these associations. The aim of the present study was to examine the moderating effects of reward and relief drinking on the association between pain and alcohol-related negative consequences in college students who binge drink. Participants were 436 college students who had engaged in past-month binge drinking. Most participants identified as White (66.7 %) and female (78.2 %), with a mean age of 19.62 (<em>SD</em> = 1.56) years. Results revealed significant moderating effects of both reward and relief motives on the association between pain at time 1 and alcohol-related negative consequences at time 2. In participants with either higher levels of relief or lower levels of reward drinking greater pain was significantly associated with a higher number of alcohol-related negative consequences. In participants demonstrating higher levels of reward drinking, greater pain was significantly associated with a lower number of alcohol-related negative consequences. Our work indicates targeting pain as a possible intervention to prevent alcohol-related negative consequences among those who report lower levels of reward or higher levels of relief drinking.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"164 ","pages":"Article 108287"},"PeriodicalIF":3.7,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143376908","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":"Using Latent Class Analysis to Examine Polysubstance Use Patterns in Adolescents Aged 10-18: A Systematic Review","authors":"Neha Skandan ,&nbsp;Martin Hochheimer ,&nbsp;Jacob White ,&nbsp;Robert S LeComte ,&nbsp;Emma Pattillo ,&nbsp;Andrew S Huhn ,&nbsp;Jennifer D Ellis","doi":"10.1016/j.addbeh.2025.108281","DOIUrl":"10.1016/j.addbeh.2025.108281","url":null,"abstract":"<div><h3>Purpose</h3><div>Over half of substance use disorder (SUD) cases develop from substance use during adolescence. Studies have used latent class analysis (LCA) to determine adolescent polysubstance use patterns. This systematic review aims to provide an updated characterization of studies that examine patterns of adolescent polysubstance use.</div></div><div><h3>Methods</h3><div>This paper is part of a two-part systematic review examining patterns of polysubstance use. This review focuses on the adolescent literature, which includes study samples with mean age up to 18 years.</div></div><div><h3>Results</h3><div>A majority of the N=54 studies were conducted in the United States. Sample sizes (N=98 to N=418,702), number of substances used as indicators (3 to 15), and number of latent classes extracted (2 to 6) varied per study. Analyses with larger sample sizes tended to extract a greater number of latent classes (<em>Spearman’s rho</em> = .274, <em>p</em> = .022). The mean ages of samples (<em>Spearman’s rho</em> = .255, <em>p</em> = .181) nor the utilization of more substances as indicators (<em>Spearman’s rho</em> = 0.021, <em>p</em> = .861) were associated with the number of classes extracted. The Bayesian Information Criterion was the most used statistical fit index for the latent classes.</div></div><div><h3>Discussion</h3><div>Substantial heterogeneity existed regarding study methodologies, LCA solutions, and statistical measures. Analyses focusing on niche population samples tended to highlight patterns involving less commonly used substances among adolescents. Future studies should expand on the types of substances used as indicators to explore how polysubstance use patterns are influenced by unique geographical communities.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"164 ","pages":"Article 108281"},"PeriodicalIF":3.7,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143402905","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}