Addictive behaviors最新文献

{"title":"Measuring cannabis use and cannabis-related consequences among college students who engage in simultaneous alcohol and cannabis use: Associations by type of cannabis product and mode of use on weekend days with cannabis","authors":"Jennifer L. Shipley ,&nbsp;Shou-Chun Chiang ,&nbsp;Ashley N. Linden-Carmichael","doi":"10.1016/j.addbeh.2025.108534","DOIUrl":"10.1016/j.addbeh.2025.108534","url":null,"abstract":"<div><h3>Introduction</h3><div>Patterning of cannabis use behavior is evolving as legalization of recreational use increases across the US, with rates highest among young adults. Modalities (e.g., vaping) for using cannabis are increasing in prevalence. Importantly, certain types (e.g., cannabis concentrates) and modes (e.g., bong use) of cannabis are associated with increased cannabis-related risks. Previous research in young adult samples has predominately used cross-sectional studies, limiting our understanding of within-individual differences in use behaviors and outcomes. The current study aimed to describe the type and modes of cannabis used and to examine within-individual differences in number of hits and negative consequences by type and mode of cannabis use.</div></div><div><h3>Methods</h3><div>Participants (<em>n</em> = 88) were current college students, ages 18–25 years (<em>M</em>_age = 20.49, <em>SD</em> = 1.22) who endorsed weekly simultaneous alcohol and cannabis use and enrolled in a 4-weekend ecological momentary assessment study. Cannabis use behavior (type, mode, number of hits, and substance use consequences) was assessed during each morning prompt.</div></div><div><h3>Results</h3><div>Plant was the most endorsed type of cannabis used and bongs were the most endorsed mode used. Multilevel models revealed that participants reported more hits on days when they used a joint, vape, blunt, or other modes of use compared to bong use and greater odds of experiencing negative consequences on days when they used a joint or blunt, compared to bong use.</div></div><div><h3>Conclusion</h3><div>Findings suggest that select modes are linked with heavier use and more consequences. Findings may be used to inform just-in-time interventions that target higher-risk cannabis use and select cannabis use behaviors.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"173 ","pages":"Article 108534"},"PeriodicalIF":3.6,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145384506","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":"Cannabis use among new mothers. A feasibility mixed-method study to investigate motives and perceptions","authors":"Samantha A. Chuisano ,&nbsp;Paul Miriani ,&nbsp;Omayma Alshaarawy","doi":"10.1016/j.addbeh.2025.108554","DOIUrl":"10.1016/j.addbeh.2025.108554","url":null,"abstract":"<div><h3>Objective</h3><div>To assess the feasibility of recruiting new mothers (0–12 months postpartum) who use cannabis through social media and conducting a mixed-methods study to characterize their cannabis use. This pilot study aimed to gather preliminary data on use motives, behaviors, and objective toxicology to inform future large-scale research.</div></div><div><h3>Methods</h3><div>We employed a cross-sectional, mixed-methods design. Participants were recruited via targeted Facebook advertisements in the Greater Lansing area, Michigan (mid-sized metropolitan region). Eligible participants completed a self-administered quantitative survey on cannabis use and beliefs during a clinic visit, where urine and breastmilk samples were also collected for toxicology analysis. Subsequently, a subset of participants completed a virtual, semi-structured qualitative interview. Interview transcripts were analyzed using an inductive thematic approach.</div></div><div><h3>Results</h3><div>Social media recruitment reached 196 individuals who completed screening; 21 (11 %) were eligible. Of these, 12 mothers (57 % of eligible) completed the clinic visit and provided biospecimens. Participants reported frequent cannabis use (mean of 24 out of the previous 30 days), primarily via smoking. Toxicology analysis confirmed significant concentrations of delta-9 tetrahydrocannabinol (THC) metabolites in urine and breastmilk. Qualitative analysis (n = 9) identified four key themes: 1) Cannabis use as therapy or treatment, 2) Influences on discussion of cannabis, 3) Risk determination of cannabis use, and 4) Individual risk mitigation behaviors. Interviews revealed predominantly negative interactions with healthcare providers regarding cannabis use and a perceived lack of evidence-based guidelines. Mixed methods integration demonstrated agreement between quantitative and qualitative findings.</div></div><div><h3>Conclusions</h3><div>This study demonstrates the feasibility of recruiting postpartum cannabis users via social media and collecting rich mixed-methods data, including objective biospecimens. The methodology and preliminary results provide a strong foundation for future larger studies on the impact of postpartum cannabis use on maternal and infant health.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"173 ","pages":"Article 108554"},"PeriodicalIF":3.6,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145527074","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":"AAT-App+: A double-blind, pilot randomised controlled trial of a novel personalised smartphone intervention to reduce hazardous and harmful alcohol consumption among middle–older adults","authors":"G.L. Bolt ,&nbsp;B. Rowland ,&nbsp;H. Piercy ,&nbsp;J. Bradshaw ,&nbsp;D.I. Lubman ,&nbsp;V. Manning","doi":"10.1016/j.addbeh.2025.108560","DOIUrl":"10.1016/j.addbeh.2025.108560","url":null,"abstract":"<div><h3>Background</h3><div>Given increased rates of problematic alcohol use among middle-older age adults, novel, accessible alcohol interventions are needed. This pilot RCT explored the feasibility, acceptability, and preliminary effectiveness of personalised smartphone-delivered alcohol approach bias modification (ApBM) in Australians (≥55 years) drinking at hazardous/harmful levels (AUDIT ≥ 8).</div></div><div><h3>Method</h3><div>Double-blinded parallel two-arm pilot RCT in Victoria, Australia (July 2022–January 2023). Community-based ≥ 55-year-olds received ‘AAT-App+’ (<em>n =</em> 96) or sham training (<em>n =</em> 92) over four-weeks. Feasibility was defined as recruitment of ≥ 100 participants within the recruitment window and 50 % adherence to four sessions. Acceptability was defined as User Version Mobile Application Rating Scale (uMARS) mean scores ≥ 3. The primary preliminary effectiveness outcome was past-week standard drinks at week four relative to baseline.</div></div><div><h3>Results</h3><div>Feasibility and acceptability were good, with <em>n =</em> 188 recruited, 69 % training adherence, and ‘good’ uMARS functionality/aesthetics and ‘acceptable’ quality ratings among responders (<em>n =</em> 94)<strong>.</strong> Retention rates were 56 % for primary effectiveness outcome. Linear mixed modelling using intention-to-treat analysis showed a significant mean reduction of 6.9 past-week standard drinks relative to baseline overall (<em>p&lt;</em>.001), but no significant group-by-time interaction at the primary endpoint (<em>β</em> = −1.90, <em>p=</em>.43, 95 %CI [−6.62, 2.82]). The groups differed significantly favouring ApBM after two-weeks of training (<em>β</em> = -5.28, <em>p=</em>.03, 95 %CI [−10.01;−0.56]). There were no adverse events throughout the training window.</div></div><div><h3>Conclusion</h3><div>Personalised smartphone ApBM is feasible and acceptable to middle-to-older adults, but we found no evidence to suggest it reduced alcohol consumption any more than sham-training beyond the acute period. Further work is needed prior to large-scale RCT progression to mitigate attrition and optimise study design.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"173 ","pages":"Article 108560"},"PeriodicalIF":3.6,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145552113","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":"Disconnected emotions, connected behaviors: Symptom network features of problematic mobile phone use across different alexithymia profiles","authors":"Jie Gu ,&nbsp;Weilong Xiao ,&nbsp;Xinwei Li ,&nbsp;Hanyu Liang","doi":"10.1016/j.addbeh.2025.108537","DOIUrl":"10.1016/j.addbeh.2025.108537","url":null,"abstract":"<div><div>Problematic mobile phone use (PMPU) has been associated with individual-level psychological traits, notably alexithymia—a personality construct characterized by difficulty identifying and describing emotions, and a tendency toward externally oriented thinking. However, the heterogeneity of alexithymia in relation to PMPU remains insufficiently explored. In this study, 2345 university students completed the Toronto Alexithymia Scale and the Mobile Phone Addiction Index. Latent profile analysis identified four distinct alexithymia subtypes: Healthy Expression, Typical Alexithymia, Mild Emotional Processing Difficulties, and High Externally Oriented Thinking. Within each subgroup, psychological network analysis was used to examine the structural interconnections of PMPU symptoms. Core PMPU symptoms varied across profiles, with distraction, inability to reduce use, and feeling lost without the phone emerging as central nodes in most networks. Bridge symptoms linking emotional and behavioral dimensions also differed by profile. Network comparison tests revealed significant differences in overall structure and connectivity between groups. These findings underscore the complexity and heterogeneity of emotional processing mechanisms in PMPU and suggest the value of personalized, profile-specific intervention strategies.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"173 ","pages":"Article 108537"},"PeriodicalIF":3.6,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145446776","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":"Relationship between Problematic Internet Use and emotional variables in childhood and adolescence: systematic review of longitudinal evidence","authors":"Víctor José Villanueva-Blasco ,&nbsp;Mariel García-Guerra ,&nbsp;Antonio Rial-Boubeta","doi":"10.1016/j.addbeh.2025.108561","DOIUrl":"10.1016/j.addbeh.2025.108561","url":null,"abstract":"<div><h3>Purpose</h3><div>Problematic Internet Use (PIU) has been associated with emotional difficulties in childhood and adolescence. However, the directionality of this relationship remains unclear due to the lack of terminological consensus and wide variability in prevalence estimates. This systematic review aims to synthesize the longitudinal evidence on the directionality of the relationship between emotional variables (depression, anxiety, emotional dysregulation) and PIU in children and adolescents.</div></div><div><h3>Method</h3><div>Following PRISMA guidelines, five databases were consulted (Scopus, Web of Science, PsycNet, ProQuest Central, PubMed). After the screening process, 31 longitudinal studies met the inclusion criteria. Methodological quality was assessed using QualSyst. Registered in PROSPERO (CRD42024627122). The search strategy did not impose limits by year of publication.</div></div><div><h3>Results</h3><div>Most studies support a bidirectional relationship between emotional distress and PIU, although some identify unidirectional patterns depending on the conceptualization used. Advanced analyses (such as cross-lagged panel models and latent class analyses) reveal persistent comorbidity trajectories and highlight key mediators such as low self-esteem and maladaptive emotional regulation strategies.</div></div><div><h3>Conclusions</h3><div>Emotional problems and PIU tend to mutually reinforce each other over time. Greater conceptual clarity, culturally sensitive assessment tools, and early interventions focused on developing emotional skills and healthy digital habits are needed.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"173 ","pages":"Article 108561"},"PeriodicalIF":3.6,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145552037","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":"Characterizing sociodemographic differences in substance use treatment need and receipt among pregnant women in the U.S.","authors":"Lourah M. Kelly,&nbsp;Megan M. Kelly,&nbsp;Kathryn A. Sabella,&nbsp;Caridad C. Ponce Martinez,&nbsp;Kimberly A. Yonkers","doi":"10.1016/j.addbeh.2025.108562","DOIUrl":"10.1016/j.addbeh.2025.108562","url":null,"abstract":"<div><h3>Objective</h3><div>Sociodemographic disparities in SUD treatment need and receipt among women inform public health initiatives. While rates of SUD among pregnant women are lower than those who are not pregnant, an investigation of whether and how sociodemographic disparities of SUD treatment need and receipt among pregnant women can further accelerate SUD related risk prevention for both mothers and babies.</div></div><div><h3>Method</h3><div>We analyzed data from pregnant women who completed the 2015–2019 National Survey of Drug Use and Health (unweighted <em>N</em> = 3,461). We used logistic regression models to test odds of 1) past-year SUD treatment need and 2) SUD treatment receipt among pregnant women. Models included age, race and ethnicity, income, education, marital status, sexual orientation, mental illness, and survey year as independent variables; interactions between income and racial/ethnic group were also included.</div></div><div><h3>Results</h3><div>7.8% of pregnant women had a SUD and 1.2% (20% of those with treatment need) received SUD treatment. Unmarried, bisexual (vs heterosexual), non-Hispanic/Latina Black (vs non-Hispanic/Latina White), and women with mental illness showed increased odds of a SUD. An income by race interaction indicated Hispanic/Latina women of lower income were <em>less</em> likely to have SUD than White women of higher income. Of those with a treatment need, married women and women aged 18–25 (vs 26–34 and 35+) had lower odds of receiving treatment.</div></div><div><h3>Conclusion</h3><div>SUD treatment need differed among pregnant women by marital status, sexual orientation, race and ethnicity, and mental illness, as did treatment receipt by marital status and age. Specialized outreach and engagement strategies are needed to ensure equitable access to SUD treatment during pregnancy.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"173 ","pages":"Article 108562"},"PeriodicalIF":3.6,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145558595","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 interacting role of fear of missing out in attentional bias dynamics during problematic social media use","authors":"Yang Wang ,&nbsp;Lei Zhang ,&nbsp;Jon D. Elhai ,&nbsp;Christian Montag ,&nbsp;Haibo Yang","doi":"10.1016/j.addbeh.2025.108550","DOIUrl":"10.1016/j.addbeh.2025.108550","url":null,"abstract":"<div><div>Problematic social media use (PSMU) is increasingly conceptualized as a behavioral addiction involving attentional bias toward social media icons. Although fear of missing out (FoMO) contributes to PSMU maintenance, its dynamic interactive role in attentional bias dynamics remains unclear. Guided by the I-PACE model and attentional bias theory, this study examined whether and when FoMO modulates gaze-based attentional bias toward social media icons in PSMU. 912 university students completed online screening for PSMU and FoMO; 55 meeting PSMU criteria (M_age = 19.60) were categorized into high- or low-FoMO groups. Participants performed a visual dot-probe task with social/non-social app icons while eye-tracking recorded gaze behavior across four 500 ms time windows. Results revealed FoMO significantly interacted with attentional bias in two critical phases: During early processing (0–500 ms), the PSMU/high-FoMO group exhibited attentional orienting deceleration to social media icons, whereas PSMU/low-FoMO showed attentional maintenance. In later processing (1000–1500 ms), PSMU/high-FoMO demonstrated attentional vigilance-maintenance, while PSMU/low-FoMO displayed avoidance. These findings indicate FoMO exerts a temporally dynamic interaction effect on attentional bias in PSMU—characterized by initial orienting delays followed by sustained attentional engagement with social media icons. This supports reconceptualizing FoMO as a core psychological mechanism that reinforces PSMU through biased attentional dynamics, advancing theoretical alignment with the I-PACE framework.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"173 ","pages":"Article 108550"},"PeriodicalIF":3.6,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145552076","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":"Exploring adverse childhood experiences (ACEs) among those seeking treatment for gambling problems: A mixed-methods study","authors":"Maria Moxey ,&nbsp;Emma Dennie ,&nbsp;Raffaello Rossi ,&nbsp;Hannah Sallis ,&nbsp;Annie Herbert","doi":"10.1016/j.addbeh.2025.108535","DOIUrl":"10.1016/j.addbeh.2025.108535","url":null,"abstract":"<div><h3>Study Overview</h3><div>This mixed-methods study explores the relationship between Adverse Childhood Experiences (ACEs) and gambling-related harm among individuals seeking treatment in the UK.</div></div><div><h3>Methodology</h3><div>Drawing on survey data from 195 clients across two treatment providers and in-depth interviews with ten participants, the study investigates the prevalence of ACEs, perceived links to gambling behaviour, and treatment experiences.</div></div><div><h3>Findings</h3><div>Quantitative findings revealed that 81.1 % of treatment-seekers reported at least one ACE, and 40.5 % reported four or more − five times higher than national population estimates. Women reported significantly higher proportions of ACE exposure than men, particularly in relation to emotional and sexual abuse. Participants with the most severe gambling problems also had the highest ACE prevalence. Qualitative interviews highlighted three key themes: intergenerational transmission of addiction, gambling as a form of emotional regulation, and mixed experiences of treatment. Some participants described gambling as a way to escape distress rooted in childhood trauma, while others expressed the importance of trauma-informed, person-centred counselling.</div></div><div><h3>Implications</h3><div>Overall, the findings suggest that ACEs are highly relevant to the development and treatment of gambling harm. We argue for routine ACE screening in gambling treatment services and call for more consistent integration of trauma-informed care to better support recovery among those with complex needs.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"173 ","pages":"Article 108535"},"PeriodicalIF":3.6,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145446684","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":"Youth cannabis and alcohol use expectancies mediate associations between pre-adolescent cognitive function and subsequent use initiation","authors":"Stephanie K. Jones ,&nbsp;Rachel Tomko ,&nbsp;Nolan Ramer ,&nbsp;Bethany J. Wolf","doi":"10.1016/j.addbeh.2025.108533","DOIUrl":"10.1016/j.addbeh.2025.108533","url":null,"abstract":"<div><div>Youth substance use increases risk for developing substance use disorders. Previous work using the longitudinal ABCD Study® found distinct neurocognitive factors contribute to youth tobacco and alcohol initiation. Using data for 7776 ABCD Study® participants, this study expands prior work to examine prospective associations between early neurocognitive factors (general ability, executive function, learning and memory, and visuospatial and mental rotation) at ages 9–10 years (sample enrolled 2016–2018) and cannabis use by ages 13–14 years. We also test whether positive and negative tobacco smoking, alcohol, and cannabis expectancies mediate associations between neurocognitive factors and substance use initiation. Higher performance in general ability was associated with increased risk [OR = 1.23, 95 % CI 1.07–1.42] for cannabis use; positive cannabis expectancies mediated 72.6 % (p-value = 0.003) of the effect [Indirect effect: OR = 1.16, 95 % CI 1.12–1.20] and negative expectancies mediated −10.2 % (p-value = 0.04) of the effect [Indirect effect: OR = 0.98, 95 % CI 0.97–0.99]. Accuracy in visuospatial reasoning was protective [OR = 0.83, 95 % CI 0.73–0.95)] for cannabis use; the effect was not mediated by expectancies. Positive alcohol use expectancy mediated 36.3 % of the association between general ability and early alcohol use [OR = 1.15, 95 % CI 1.05–1.25; Indirect effect: OR = 1.05, 95 % CI 1.03–1.07]. Associations with early tobacco use were independent of tobacco expectancies. Developmentally appropriate expectancy-based interventions lowering positive expectancies and bolstering negative expectancies may be effective for preventing youth cannabis initiation. Interventions lowering positive alcohol expectancies may help prevent youth alcohol use.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"173 ","pages":"Article 108533"},"PeriodicalIF":3.6,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145415051","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":"Sexual diversity, adolescent mental health, and adult cannabis use: Longitudinal associations through cannabis use motives","authors":"Kira London-Nadeau ,&nbsp;Nina Pocuca ,&nbsp;Charlie Rioux ,&nbsp;Nicholas Chadi ,&nbsp;Sylvana M. Côté ,&nbsp;Jean-Sébastien Fallu ,&nbsp;Marie-Claude Geoffroy ,&nbsp;Christophe Huynh ,&nbsp;Robert-Paul Juster ,&nbsp;Jean R. Séguin ,&nbsp;Natalie Castellanos-Ryan","doi":"10.1016/j.addbeh.2025.108530","DOIUrl":"10.1016/j.addbeh.2025.108530","url":null,"abstract":"<div><h3>Purpose</h3><div>We examined prospective pathways between adolescent mental health and early adulthood cannabis use (CU) by sexual diversity, and the potential explanatory role of CU motives, accounting for confounders (demographics, CU frequency in adolescence).</div></div><div><h3>Methods</h3><div>Participants from the Quebec Longitudinal Study of Child Development self-reported at 17 years on depressive symptoms, anxiety symptoms, and CU frequency, and at 23 years on CU motives, frequency and problems (471 participants total; 425 heterosexual; 46 sexually diverse).</div></div><div><h3>Results</h3><div>Depression – but not anxiety – symptoms at 17 years predicted CU problems at 23 years among sexually diverse participants only. This association was fully explained through coping motives, which were strongly predicted by depression symptoms in sexually diverse youth. While coping motives also predicted CU problems in heterosexual participants, coping motives were not predicted by mental health at 17 in this group. Depression symptoms at 17 also predicted social motives for CU among sexually diverse participants only, but this was not associated with CU frequency and problems. Finally, enhancement motives predicted CU problems at 23 years in both heterosexual and sexually diverse participants, but were not predicted by mental health at 17 years.</div></div><div><h3>Conclusions</h3><div>Among sexually diverse youth, depression symptoms in adolescence may confer particular risk for later CU problems through CU for coping purposes. Increasing coping resources for sexually diverse adolescents experiencing psychological distress could help prevent later CU problems.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"173 ","pages":"Article 108530"},"PeriodicalIF":3.6,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145415050","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}