Addictive behaviors最新文献

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Smoking cue reactivity and smoking motives in patients with early phase psychotic disorder 早期精神障碍患者的吸烟提示反应和吸烟动机
IF 3.7 2区 医学
Addictive behaviors Pub Date : 2025-05-27 DOI: 10.1016/j.addbeh.2025.108392
Marie-Eve Couture , Sherry Stewart , Sean Barrett , Phil Tibbo , Heather Milliken , Maria Alexiadis , Nancy Robertson , Kimberley P. Good
{"title":"Smoking cue reactivity and smoking motives in patients with early phase psychotic disorder","authors":"Marie-Eve Couture ,&nbsp;Sherry Stewart ,&nbsp;Sean Barrett ,&nbsp;Phil Tibbo ,&nbsp;Heather Milliken ,&nbsp;Maria Alexiadis ,&nbsp;Nancy Robertson ,&nbsp;Kimberley P. Good","doi":"10.1016/j.addbeh.2025.108392","DOIUrl":"10.1016/j.addbeh.2025.108392","url":null,"abstract":"<div><h3>Background</h3><div>Rates of tobacco smoking in individuals with psychosis are high and are unfortunately accompanied by low rates of successful smoking cessation. Exposure to smoking-related cues is shown to reliably enhance cigarette cravings in dependent people who smoke recruited from the general population. Recent data suggests that smoking-related cues do not affect people who smoke diagnosed with established schizophrenia to the same degree as non-psychotic populations. However, less is known about how individuals in the early phase of psychotic illness react to these cues. In addition, it is unknown whether the smoking motives of individuals with early phase psychosis (EPP) differ from those of non-psychotic individuals who smoke (NPS).</div></div><div><h3>Study design</h3><div>The present study compared cue-elicited cigarette cravings of EPP (n = 21, mean(sd) age27.6(7.8) years) to NPS (n = 40) in response to a smoking cue-reactivity paradigm and additionally, compared general self-reported motives for smoking across these groups.</div></div><div><h3>Study results</h3><div>Similar to those with established psychosis, EPP individuals were less sensitive to the cue-reactivity paradigm, suggesting that individuals in early phase of illness may not be affected by tobacco cues to the same degree as NPS. Further, comparison of smoking motives suggests no differences between the reasons for smoking reported by individuals with EPP and NPS.</div></div><div><h3>Conclusions</h3><div>These findings have implications for future studies aimed at identifying the source of the wide discrepancy in rates of tobacco smoking and smoking cessation across these two populations, and for the development of effective smoking cessation interventions for people who smoke with EPP.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"169 ","pages":"Article 108392"},"PeriodicalIF":3.7,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144212445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Untangling the role of emotion regulation in gambling and video gaming cravings: A replication and extension study 情绪调节在赌博和视频游戏渴望中的作用:一项复制和扩展研究
IF 3.7 2区 医学
Addictive behaviors Pub Date : 2025-05-26 DOI: 10.1016/j.addbeh.2025.108393
Francisco J. Rivero , Juan Ramón Barrada , Ismael Muela , José C. Perales , Jose López-Guerrero , Juan F. Navas , Elena-Aurora García-Gómez , Damien Brevers , Víctor Ciudad-Fernández
{"title":"Untangling the role of emotion regulation in gambling and video gaming cravings: A replication and extension study","authors":"Francisco J. Rivero ,&nbsp;Juan Ramón Barrada ,&nbsp;Ismael Muela ,&nbsp;José C. Perales ,&nbsp;Jose López-Guerrero ,&nbsp;Juan F. Navas ,&nbsp;Elena-Aurora García-Gómez ,&nbsp;Damien Brevers ,&nbsp;Víctor Ciudad-Fernández","doi":"10.1016/j.addbeh.2025.108393","DOIUrl":"10.1016/j.addbeh.2025.108393","url":null,"abstract":"<div><h3>Background</h3><div>Existing evidence suggests that urgency—the tendency to act rashly under intense positive or negative affect—reflects dysregulated incidental emotion regulation (ER). Urgency has been reported to predict the intensity and frequency of video gaming and gambling craving, but not the translation of craving onto severity of problem symptoms. However, the role of intentional ER strategies, such as cognitive reappraisal and expressive suppression, in craving control remains underexplored.</div></div><div><h3>Method</h3><div>303 regular gamblers and 355 regular video gamers were assessed on urgency traits, ER strategies, self-reported craving, and gaming/gambling-related severity of problem symptoms. Using structural equation modeling (SEM), we tested hypotheses regarding: (1) the mediating role of craving in the relationship between positive/negative urgency and severity, and (2) the moderating role of ER strategies in the link between craving and severity.</div></div><div><h3>Results</h3><div>Results revealed that, in both activities, positive urgency—but not negative urgency—significantly predicted craving, replicating a positive urgency→craving→severity pathway. However, urgencies did not moderate the craving-severity relationship. Regarding intentional ER strategies, in the gaming sample, suppression moderated the association between craving and severity: cravings were more strongly associated with severity of problem symptoms in individuals more prone to use suppression. In the gambling sample, reappraisal moderated the impact of craving on severity: craving was less strongly associated with severity in individuals using reappraisal more often.</div></div><div><h3>Discussion</h3><div>These findings suggest that positive urgency operates similarly in gaming and gambling cravings, highlighting appetitive mechanisms in craving emergence. Intentional ER seems to influence severity in interaction with craving, with craving exerting a stronger impact on severity in individuals using less adaptive strategies.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"170 ","pages":"Article 108393"},"PeriodicalIF":3.7,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144298682","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}
引用次数: 0
Electroencephalography microstates predict 12-h abstinence-induced craving changes in young smokers 脑电图微观状态预测青少年吸烟者12小时戒断诱导的渴望变化
IF 3.7 2区 医学
Addictive behaviors Pub Date : 2025-05-24 DOI: 10.1016/j.addbeh.2025.108395
Fang Dong , Zhimin Zhou , Zhiwei Ren , Yongxin Cheng , Yuxin Ma , Juan Wang , Ting Xue , Dahua Yu , Gengdi Huang , Kai Yuan , Xiaoqi Lu
{"title":"Electroencephalography microstates predict 12-h abstinence-induced craving changes in young smokers","authors":"Fang Dong ,&nbsp;Zhimin Zhou ,&nbsp;Zhiwei Ren ,&nbsp;Yongxin Cheng ,&nbsp;Yuxin Ma ,&nbsp;Juan Wang ,&nbsp;Ting Xue ,&nbsp;Dahua Yu ,&nbsp;Gengdi Huang ,&nbsp;Kai Yuan ,&nbsp;Xiaoqi Lu","doi":"10.1016/j.addbeh.2025.108395","DOIUrl":"10.1016/j.addbeh.2025.108395","url":null,"abstract":"<div><div>Nicotine abstinence inhibits the function of the mesolimbic dopamine system to enhance craving. EEG microstates may provide spatiotemporal characteristics of global brain neuronal activity. However, little is known about the temporal dynamics and spatial topography of microstates in young smokers after abstinence. At the same time, in order to explore the neurophysiological mechanisms of craving induced by smoking abstinence, baseline microstates indicators were applied to predict craving changes. This study compared the microstates characteristics in 53 young male smokers and 48 matched nonsmokers. A 12-hour smoking abstinence procedure was designed for smokers, and their craving levels were measured using the Questionnaire on Smoking Urges (QSU). Furthermore, smokers were divided into high-craving and low-craving groups based on whether their craving changes increased after abstinence. We investigated the differences of microstates indicators before and after abstinence, and explored the relationships between baseline EEG microstates characteristics and smoking craving changes. The machine learning methods were used to predict abstinence-induced craving changes. We observed that the 12-h abstinence procedure significantly decreased the explained variance, duration, occurrence and coverage of microstates class D in 53 smokers. Craving changes induced by abstinence were significantly positively correlated with the explained variance, duration, occurrence and coverage of class D at baseline. The baseline microstates characteristics in smokers predicted abstinence-induced craving changes with an accuracy of 70.18%. These findings suggest that EEG microstates features can serve as key functional biomarkers for abstinence-induced craving in young smokers, providing novel insights for developing personalized abstinence intervention strategies based on EEG characteristics.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"169 ","pages":"Article 108395"},"PeriodicalIF":3.7,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144184548","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}
引用次数: 0
Global burden of disease related to tobacco products and trends projected: 1990–2021 与烟草制品有关的全球疾病负担和预测趋势:1990-2021年
IF 3.7 2区 医学
Addictive behaviors Pub Date : 2025-05-24 DOI: 10.1016/j.addbeh.2025.108391
Quanzheng Chen , Chuan Zhang , Fengjin Zhong, Yuxuan Huang, Yuanyu Zeng, Shuna Zhang
{"title":"Global burden of disease related to tobacco products and trends projected: 1990–2021","authors":"Quanzheng Chen ,&nbsp;Chuan Zhang ,&nbsp;Fengjin Zhong,&nbsp;Yuxuan Huang,&nbsp;Yuanyu Zeng,&nbsp;Shuna Zhang","doi":"10.1016/j.addbeh.2025.108391","DOIUrl":"10.1016/j.addbeh.2025.108391","url":null,"abstract":"<div><h3>Background</h3><div>The use of tobacco products is considered to be one of the most serious public health threats worldwide, and this study aims to assess the global burden of various diseases caused by tobacco use, provide the necessary scientific basis for public health authorities, and propose tobacco control policies and interventions.</div></div><div><h3>Methods</h3><div>This study analyzed the major burden of disease caused by tobacco products using the Global Burden of Disease (GBD) database from 1990 to 2021. Age Standardization Rate (ASR), annual Percentage Change (EAPC) were calculated using R4.2.3 software. Disease burden prediction analysis with the help of BAPC and INLA software packages.</div></div><div><h3>Results</h3><div>The study findings indicated that from 1990 to 2021, the number of deaths and disability-adjusted life years (DALYs) attributable to tobacco products increased annually worldwide. Cardiovascular diseases and chronic respiratory diseases are the primary disease types caused by tobacco products, with the disease burden significantly higher in males than females. Significant disparities were observed between regions with different Socio-Demographic Index (SDI) levels. High SDI countries experienced more pronounced reductions in burden, whereas countries with low, middle, and middle-high SDI levels bore higher disease burdens. By 2040, the number of deaths and disease burden attributable to tobacco products globally is projected to continue increasing annually, albeit at a slower rate.</div></div><div><h3>Conclusion</h3><div>Despite a reduction in the global disease burden caused by tobacco, countries with low, middle, and middle-high SDI levels continue to bear a substantial burden.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"169 ","pages":"Article 108391"},"PeriodicalIF":3.7,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144124004","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}
引用次数: 0
Profiling gamers: The role of mental health, attachment and social factors in gaming behaviors 剖析玩家:心理健康、依恋和社交因素在游戏行为中的作用
IF 3.7 2区 医学
Addictive behaviors Pub Date : 2025-05-22 DOI: 10.1016/j.addbeh.2025.108390
Cátia Martins Castro , David Dias Neto
{"title":"Profiling gamers: The role of mental health, attachment and social factors in gaming behaviors","authors":"Cátia Martins Castro ,&nbsp;David Dias Neto","doi":"10.1016/j.addbeh.2025.108390","DOIUrl":"10.1016/j.addbeh.2025.108390","url":null,"abstract":"<div><h3>Background and Aims</h3><div>This study examines the association of mental health, social and relational contexts, and gaming-related characteristics on the psychological profiles of video game players based on emotional regulation and motivations for gaming.</div></div><div><h3>Methods</h3><div>A multinomial logistic regression analysis was conducted on an international sample of 5.255 gamers aged 16 to 69 (<em>M</em> = 25.6 years, <em>SD</em> = 6.46). Participants included 49.87 % men (<em>M</em> = 26.4, <em>SD</em> = 7.06), 43.24 % women (<em>M</em> = 25.1, <em>SD</em> = 5.77), and 9.29 % non-binary individuals (<em>M</em> = 23.3, <em>SD</em> = 5.24) from 112 countries. Mental health, attachment styles, social interactions, and gaming behaviors were analyzed into four profiles: avoidant, engaged, relational, and dysregulated.</div></div><div><h3>Results</h3><div>The avoidant profile, linked to older gamers, exhibited low distress, secure attachment, and offline social preferences, reflecting healthier habits. The engaged profile, the largest group, showed secure attachment and active integration of gaming into social contexts. The relational profile presented insecure attachment and emotional regulation difficulties. The dysregulated profile, associated with younger gamers, was characterized by high distress, emotional dysregulation, substance use, and a preference for online interactions.</div></div><div><h3>Conclusions</h3><div>The profiles dysregulated and relational are associated with insecure attachment and mental health difficulties, whereas the profiles engaged and avoidant are associated with secure attachment and low levels of psychological distress. These findings underscore the complex interplay of psychological, social, and gaming-related factors associated with gaming profiles, offering insights for further study on harm prevention and promoting non-problematic gaming behaviors.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"169 ","pages":"Article 108390"},"PeriodicalIF":3.7,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144124003","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}
引用次数: 0
Examining the individual and combined influence of negative affect and nicotine cue provocation on craving to vape nicotine among e-cigarette users 考察负面情绪和尼古丁线索刺激对电子烟使用者尼古丁渴望的个体和综合影响
IF 3.7 2区 医学
Addictive behaviors Pub Date : 2025-05-17 DOI: 10.1016/j.addbeh.2025.108378
Laura J. Long , Jake Samora , Teresa Indriolo , Emilie G. Huber , Yanjia Geng , Lantian Ouyang , Santiago Papini , Jasper A.J. Smits , Michael W. Otto
{"title":"Examining the individual and combined influence of negative affect and nicotine cue provocation on craving to vape nicotine among e-cigarette users","authors":"Laura J. Long ,&nbsp;Jake Samora ,&nbsp;Teresa Indriolo ,&nbsp;Emilie G. Huber ,&nbsp;Yanjia Geng ,&nbsp;Lantian Ouyang ,&nbsp;Santiago Papini ,&nbsp;Jasper A.J. Smits ,&nbsp;Michael W. Otto","doi":"10.1016/j.addbeh.2025.108378","DOIUrl":"10.1016/j.addbeh.2025.108378","url":null,"abstract":"<div><div>Identifying cues for craving to vape (nicotine) in e-cigarette users can inform cessation treatments. Both proximal (e.g., holding e-cigarette) and distal (e.g., smoking environment images) environmental cues and negative affective cues can elicit nicotine craving. Virtual reality (VR) environments provide an efficient, replicable method for cue exposure with a high degree of realism, and lends itself to studying the additive or interactive effects of negative affect on cue reactivity. The current study examined the effects of cue provocation in negative and neutral affect contexts among 50 e-cigarette users. Our fully-within subject design examined the factorial combination of these internal (negative affect induction or not) and external (proximal or distal nicotine) cues. We hypothesized exposure to both in vivo proximal cues (holding e-cigarette) and distal cues presented via a VR headset (social smoking environment) would induce cravings to vape nicotine. Furthermore, we expected induced negative affect would produce higher cravings to vape nicotine compared to their natural affective state. Finally, we hypothesized an interaction between affective and nicotine vaping cues, with participants showing the greatest reactivity to cues following negative affect induction. We found that affective and external cue exposure had additive but not interactive effects on craving to vape nicotine, with evidence that both in vivo (proximal vaping cues) and VR headset-based (distal smoking cues) led to increased cravings. These findings demonstrate the efficacy of VR headset-presented cues on cravings to vape nicotine among e-cigarette users and show that negative affect induction can have additive effects on cue-induced craving.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"169 ","pages":"Article 108378"},"PeriodicalIF":3.7,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144071165","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}
引用次数: 0
The reciprocal relations between parental psychological control and adolescents’ problematic mobile phone use: A four-wave longitudinal study 父母心理控制与青少年问题手机使用的相互关系:一项四波纵向研究
IF 3.7 2区 医学
Addictive behaviors Pub Date : 2025-05-17 DOI: 10.1016/j.addbeh.2025.108389
Shuang Li , Ningning Feng , Lijuan Cui
{"title":"The reciprocal relations between parental psychological control and adolescents’ problematic mobile phone use: A four-wave longitudinal study","authors":"Shuang Li ,&nbsp;Ningning Feng ,&nbsp;Lijuan Cui","doi":"10.1016/j.addbeh.2025.108389","DOIUrl":"10.1016/j.addbeh.2025.108389","url":null,"abstract":"<div><div>Parental psychological control has long been considered as a negative related factor of adolescents’ problematic mobile phone use, but the influence of different strategies of psychological control is unclear. This longitudinal study aims to examine the reciprocal effects between parental psychological control and adolescents’ problematic mobile phone use, focusing on three strategies of psychological control. During four waves (T1: January 2023; T2: August 2023; T3: February 2024; T4: August 2024), a total of 1,374 Chinese adolescents completed the questionnaires of parental psychological control and problematic mobile phone use. The RI-CLPM analysis showed that parental psychological control predicted subsequent adolescents’ problematic mobile phone use positively at within-family levels, and adolescents’ problematic mobile phone use predicted subsequent parental psychological control positively at within-family levels. Further each strategy analysis suggests that authority assertion, love withdrawal, and guilt induction predicted subsequent adolescents’ problematic mobile phone use positively. Conversely, adolescents’ problematic mobile phone use predicted subsequent authority assertion and love withdrawal positively but did not predict guilt induction. The vicious cycle between certain psychological control strategies (i.e., authority assertion and love withdrawal) and adolescents’ problematic mobile phone use demonstrates the effects of negative family functioning. These findings provide a new scientific basis for the family-oriented intervention of adolescents’ problematic mobile phone use.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"169 ","pages":"Article 108389"},"PeriodicalIF":3.7,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144105301","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}
引用次数: 0
Exploring a diverse set of specifications related to associations between adolescent smoking, vaping, and emotional problems: a multiverse analysis 探索与青少年吸烟、电子烟和情绪问题之间的关联相关的各种规范:多元宇宙分析
IF 3.7 2区 医学
Addictive behaviors Pub Date : 2025-05-12 DOI: 10.1016/j.addbeh.2025.108380
Jillian Halladay , Rachel Visontay , Matthew Sunderland , Amy-Leigh Rowe , Scarlett Smout , Emma Devine , Emily Stockings , Jack L. Andrews , Katrina E. Champion , Lauren Gardner , Nicola Newton , Maree Teesson , Tim Slade
{"title":"Exploring a diverse set of specifications related to associations between adolescent smoking, vaping, and emotional problems: a multiverse analysis","authors":"Jillian Halladay ,&nbsp;Rachel Visontay ,&nbsp;Matthew Sunderland ,&nbsp;Amy-Leigh Rowe ,&nbsp;Scarlett Smout ,&nbsp;Emma Devine ,&nbsp;Emily Stockings ,&nbsp;Jack L. Andrews ,&nbsp;Katrina E. Champion ,&nbsp;Lauren Gardner ,&nbsp;Nicola Newton ,&nbsp;Maree Teesson ,&nbsp;Tim Slade","doi":"10.1016/j.addbeh.2025.108380","DOIUrl":"10.1016/j.addbeh.2025.108380","url":null,"abstract":"<div><h3>Purpose</h3><div>The epidemiological landscape of adolescent smoking, vaping, and emotional problems has drastically changed over the past two decades. Whether and why these problems co-occur remains unclear, though this understanding is crucial for global policy and prevention efforts. The nature of co-occurring problems may be influenced by different researcher decisions when defining, operationalizing, and modeling these relationships. This study uses multiverse analysis (also known as specification curve analysis or vibration of effects), which models all justifiable measurement and analytic specifications in a single sample, to unpack the impact of researcher decisions when modeling these relationships.</div></div><div><h3>Methods</h3><div>Multiverse analyses were done with 3,648 unique models using a longitudinal sample of 6,639 Australian adolescents (aged ∼14.7–15.7, 2021–2022).</div></div><div><h3>Results</h3><div>Consistent co-occurrence of smoking or vaping and emotional problems was seen across unadjusted or only demographic-adjusted cross-sectional models (100 %). However, the temporality of relationships, choice of confounders, and operationalization of emotional problems substantially impacted findings. Emotional problems appeared to lead to reports of past 6 month smoking more-so than the reverse (88 % vs. 9 % unadjusted/demographic-adjusted), depression-focused measures yielded more consistent associations with smoking or vaping than anxiety-focused, and certain confounders (i.e., conduct, ADHD, other substances) explained most of the associations between adolescent smoking or vaping and emotional problems. Decision related to missingness or binary versus continuous outcomes did not meaningfully impact findings.</div></div><div><h3>Conclusions</h3><div>While adolescent smoking or vaping and emotional problems commonly co-occur, methodological choices regarding timing, definitions, and confounding significantly influence the perceived strength of these relationships. Hence, such nuances demand careful consideration when interpreting evidence for policy.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"169 ","pages":"Article 108380"},"PeriodicalIF":3.7,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144105300","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}
引用次数: 0
Biomarkers of secondhand smoke and vaping exposure among U.S. Adolescents 美国青少年二手烟和电子烟暴露的生物标志物
IF 3.7 2区 医学
Addictive behaviors Pub Date : 2025-05-11 DOI: 10.1016/j.addbeh.2025.108381
Hongying Daisy Dai , Amber K Brown Keebler , Brian Young
{"title":"Biomarkers of secondhand smoke and vaping exposure among U.S. Adolescents","authors":"Hongying Daisy Dai ,&nbsp;Amber K Brown Keebler ,&nbsp;Brian Young","doi":"10.1016/j.addbeh.2025.108381","DOIUrl":"10.1016/j.addbeh.2025.108381","url":null,"abstract":"<div><h3>Background</h3><div>Despite reductions in smoking use among adults and adolescents, e-cigarette use has increased, raising a new public health concern.</div></div><div><h3>Methods</h3><div>We analyzed Wave 4 (2016–2018) data from the Population Assessment of Tobacco and Health (PATH) Study to assess biomarkers of exposure to secondhand smoke and vaping aerosols among U.S. adolescents (age range 12–17). Participants with no current tobacco use in the past 30 days were divided into four mutually exclusive groups: no exposure, exposure to secondhand smoke (SHS) only, exposure to secondhand aerosol (SHA) only, and dual exposure to both (SHD).</div></div><div><h3>Results</h3><div>Among 2,379 adolescents (mean[SD] of age = 14.4[0.02]), 1.5 % reported SHA, 18.3 % reported SHS, and 2.8 % reported SHD. Mean concentrations of cotinine were significantly higher among those exposed to SHA only (0.5 ng/mg creatinine, p = 0.04), SHS (3.0,p &lt; 0.0001), or SHD (2.5,p &lt; 0.0001) than among those with no exposure (0.2). As compared to the no-exposure group, both SHS and SHD groups also had higher mean concentrations of carcinogen, NNAL (4.1 and 2.8 pg/mg creatinine, respectively, vs. 0.9, p &lt; 0.0001) and exposure to SHS had a higher level of CYMA (1.8 vs. 1.1 ng/mg creatinine, p &lt; 0.0001). In comparison with the SHA group, the SHS and SHD groups had 6.8 and 3.6 times higher levels of cotinine and 4.6 and 2.2 times higher levels of NNAL, respectively; the SHS group also had higher levels of AAMA and CYMA.</div></div><div><h3>Conclusions</h3><div>Secondhand vaping aerosol poses a lower exposure risk to youth non-tobacco users than combustible cigarette smoke. The distinct exposure patterns emphasize the importance of implementing tobacco-free policies to reduce youth exposure to environments where combustible tobacco or e-cigarette use occurs.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"169 ","pages":"Article 108381"},"PeriodicalIF":3.7,"publicationDate":"2025-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143948782","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}
引用次数: 0
Temporal effects of environmental tobacco smoke exposure: An ecological momentary assessment study among adolescent never- and experimental smokers 环境烟草烟雾暴露的时间效应:青少年从不吸烟和实验性吸烟的生态瞬间评估研究
IF 3.7 2区 医学
Addictive behaviors Pub Date : 2025-05-09 DOI: 10.1016/j.addbeh.2025.108379
Daan H.G. Hulsmans , Joyce Dieleman , Marloes Kleinjan , Maartje Luijten , Roy Otten
{"title":"Temporal effects of environmental tobacco smoke exposure: An ecological momentary assessment study among adolescent never- and experimental smokers","authors":"Daan H.G. Hulsmans ,&nbsp;Joyce Dieleman ,&nbsp;Marloes Kleinjan ,&nbsp;Maartje Luijten ,&nbsp;Roy Otten","doi":"10.1016/j.addbeh.2025.108379","DOIUrl":"10.1016/j.addbeh.2025.108379","url":null,"abstract":"<div><h3>Background</h3><div>Previous cross-sectional research provided evidence for a relationship between environmental tobacco smoke (ETS) exposure and symptoms indicative of nicotine dependence in adolescent never- and experimental smokers. This study aims to examine temporal associations between nicotine dependence-like symptoms and ETS exposure, and whether this differs between never- and experimental smokers.</div></div><div><h3>Methods</h3><div>Ecological momentary assessment data were collected in a sample of Dutch adolescent never-smokers (<em>n</em> = 105; <em>M</em><sub>age</sub> = 14.48; 30.5% male) and experimental smokers (<em>n</em> = 72; <em>M</em><sub>age</sub> = 16.57; 30.6% male). Participants self-rated dependence-related symptoms (pleasant, unpleasant, autonomy over smoking, dizziness, wanting, withdrawal-related symptoms) and ETS exposure three times a day for three weeks. Binomial generalized linear mixed effects models were applied examining 1) the association between ETS exposure and symptoms within the same interval, 2) whether ETS exposure precedes symptoms, and 3) vice versa.</div></div><div><h3>Results</h3><div>Analyses revealed a positive association between unpleasant symptoms and ETS exposure during ETS exposure for never-smokers. The experimental smokers experienced less autonomy over smoking within the same time interval, less wanting shortly after ETS exposure and fewer pleasant symptoms in the interval preceding ETS exposure. We did not find that ETS exposure precedes dependence-like symptoms.</div></div><div><h3>Conclusions</h3><div>Temporal effects of ETS exposure differ between never- and experimental smokers. ETS exposure has a potentially aversive effect in never-smokers, while in experimental smokers may potentially contribute to developing nicotine dependence. Future research should increase the frequency of momentary assessments to investigate the processes in more detail.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"168 ","pages":"Article 108379"},"PeriodicalIF":3.7,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143927517","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}
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