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Understanding drunkorexia behaviors among college students using the theory of planned behavior 用计划行为理论理解大学生醉酒行为。
IF 2.5 4区 医学
Alcohol Pub Date : 2025-02-01 DOI: 10.1016/j.alcohol.2024.12.008
Amir Bhochhibhoya , Shannon N. Speed , Rose Marie Ward , Paul Branscum
{"title":"Understanding drunkorexia behaviors among college students using the theory of planned behavior","authors":"Amir Bhochhibhoya ,&nbsp;Shannon N. Speed ,&nbsp;Rose Marie Ward ,&nbsp;Paul Branscum","doi":"10.1016/j.alcohol.2024.12.008","DOIUrl":"10.1016/j.alcohol.2024.12.008","url":null,"abstract":"<div><div>Drunkorexia refers to high-risk behaviors that involve the intersection of disordered eating behaviors and risky alcohol consumption. This study utilized the extended Theory of Planned Behavior (TPB) to identify potential psychosocial factors that contribute to drunkorexia among students (484 undergraduate students) from a midwestern Mid-sized university. This cross-sectional study used online surveys designed to measure various drunkorexia-related behaviors including alcohol consumption, calorie restriction, excessive exercise, and purging utilizing antecedents of the TPB. About one-fourth of participants reported engagement in drunkorexia. The extended TPB model reported strong predictive validity for intention for calorie restriction, excessive exercise, and purging with instrumental attitudes and capacity being significant predictors for all three behaviors. Findings provide more profound insight regarding patterns of drunkorexia that could inform future theory-based interventions to address drunkorexia among college students.</div></div>","PeriodicalId":7712,"journal":{"name":"Alcohol","volume":"122 ","pages":"Pages 55-61"},"PeriodicalIF":2.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142923967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Burden of alcohol use and inclusion of alcohol use disorder medications in the essential medicine lists across 132 countries: An observational study 132 个国家的酒精使用负担以及将酒精使用障碍药物纳入基本药物清单的情况:一项观察性研究。
IF 2.5 4区 医学
Alcohol Pub Date : 2025-02-01 DOI: 10.1016/j.alcohol.2024.02.007
Arpit Parmar , Dinesh Prasad Sahu , Priyamadhaba Behera
{"title":"Burden of alcohol use and inclusion of alcohol use disorder medications in the essential medicine lists across 132 countries: An observational study","authors":"Arpit Parmar ,&nbsp;Dinesh Prasad Sahu ,&nbsp;Priyamadhaba Behera","doi":"10.1016/j.alcohol.2024.02.007","DOIUrl":"10.1016/j.alcohol.2024.02.007","url":null,"abstract":"<div><div>Harmful use of alcohol affects the health of the population. The treatment coverage of alcohol use disorders (AUD) varies among countries. The study aimed to determine the inclusion of AUD medicines in various national Essential Medicine Lists (EMLs) and its association with alcohol consumption. It was a secondary data analysis of alcohol consumptions and AUD-related medicines in EML. Data were extracted from the WHO Global Essential Medicines database and the WHO Global Status Report on Alcohol and Health 2018. Data were extracted for 194 countries. Only 132 of 194 countries (68.0%) had EML, and among the 132 countries only 27.3% had included AUD medicines in their EML. Only 36 countries had included any of the AUD medicines in their EML. Disulfiram was included by 23 countries, while acamprosate and naltrexone were included by only four and 19 countries, respectively. Among the countries, 36.1% were from upper-middle income countries and 16.65 were from low-income countries. The inclusion of AUD medicines in national EML was neither associated with alcohol consumption parameters nor the alcohol consumption-related policy parameters. Considering the high prevalence of AUD and its complications, there is an urgent need to focus on including AUD medicines in national EMLs for making AUD treatment available and accessible across the world.</div></div>","PeriodicalId":7712,"journal":{"name":"Alcohol","volume":"122 ","pages":"Pages 111-114"},"PeriodicalIF":2.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139998444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Detecting the comorbidity of attention deficit hyperactivity disorder (ADHD) in a population of outpatients with alcohol use disorder (AUD): The role of personality traits, age at first alcohol use and level of craving 检测酒精使用障碍(AUD)门诊患者中注意力缺陷多动障碍(ADHD)的合并症:人格特征、首次饮酒年龄和渴求程度的作用。
IF 2.5 4区 医学
Alcohol Pub Date : 2025-02-01 DOI: 10.1016/j.alcohol.2024.11.001
Monica L. Roman , Clément Vansteene , Daphnée Poupon , Philip Gorwood
{"title":"Detecting the comorbidity of attention deficit hyperactivity disorder (ADHD) in a population of outpatients with alcohol use disorder (AUD): The role of personality traits, age at first alcohol use and level of craving","authors":"Monica L. Roman ,&nbsp;Clément Vansteene ,&nbsp;Daphnée Poupon ,&nbsp;Philip Gorwood","doi":"10.1016/j.alcohol.2024.11.001","DOIUrl":"10.1016/j.alcohol.2024.11.001","url":null,"abstract":"<div><div>Attention-deficit/hyperactivity disorder (ADHD) commonly affects individuals with alcohol use disorder (AUD). However, despite the negative outcomes associated with this comorbidity, ADHD is underdiagnosed in this population. We aim to identify clinical parameters and propose cutoff scores enabling the detection of ADHD among patients with AUD. We retrospectively analyzed data from 199 patients, out of a global sample of 412 who were consecutively admitted to a day hospital for alcohol-related problems between 2009 and 2022. We found that lower level of self-directedness, higher levels of novelty seeking, self-transcendence, harm avoidance and craving, and earlier first alcohol consumption could accurately predict the presence of ADHD in AUD (AUC = 0.926). Self-directedness and novelty seeking had the best predictive abilities: a self-directedness score below 52 was associated with an accuracy of 82% and, combined with a novelty seeking score over 53, the accuracy reached 85%. Such findings could be useful to help clinicians detect ADHD in patients with AUD so that they can receive the adequate care.</div></div>","PeriodicalId":7712,"journal":{"name":"Alcohol","volume":"122 ","pages":"Pages 63-70"},"PeriodicalIF":2.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142592294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Association between 5-HTRs gene polymorphism and alcohol use disorder in Han males from Yunnan, China 中国云南汉族男性 5-HTRs 基因多态性与酒精使用障碍的关系
IF 2.5 4区 医学
Alcohol Pub Date : 2025-01-29 DOI: 10.1016/j.alcohol.2025.01.008
Kuan Li , Wei Wei , Yue Wang , Ning Zhang , Jianjun Bao , Xulan Zhang , Xinjian Zheng , Fei Zhao , Xiaopei Yang , Jiahui Peng , Changqing Gao , Shurong Zhong
{"title":"Association between 5-HTRs gene polymorphism and alcohol use disorder in Han males from Yunnan, China","authors":"Kuan Li ,&nbsp;Wei Wei ,&nbsp;Yue Wang ,&nbsp;Ning Zhang ,&nbsp;Jianjun Bao ,&nbsp;Xulan Zhang ,&nbsp;Xinjian Zheng ,&nbsp;Fei Zhao ,&nbsp;Xiaopei Yang ,&nbsp;Jiahui Peng ,&nbsp;Changqing Gao ,&nbsp;Shurong Zhong","doi":"10.1016/j.alcohol.2025.01.008","DOIUrl":"10.1016/j.alcohol.2025.01.008","url":null,"abstract":"<div><div>Alcohol use disorder (AUD) has become a very serious medical and social problem. It is found that genetic polymorphisms of the 5-hydroxytryptamine receptors (<em>5-HTRs</em>) genes were associated with the risk of AUD. However, the results are controversial among different ethnic groups. At present, the correlation between <em>5-HTRs</em> gene polymorphism and AUD in Han population from Yunnan Province remains unclear. In this study, 13 single nucleotide polymorphisms (SNPs) of <em>HTR1B</em>, <em>HTR2A</em>, <em>HTR3A, HTR3B</em> and <em>HTR7</em> were detected by universal fluorescent probe technique. The CT genotype frequency of <em>HTR3A</em> rs1062613 was significantly higher in AUD case group than that in control group (<em>P</em> = 0.037, OR = 2.193, 95% CI: 1.048–4.366). The study indicated that the genetic polymorphisms of <em>5-HTRs</em> were significantly associated with risk of AUD in Han male from Yunnan, China. In addition, this study further demonstrated the impact of alcohol on human health, especially liver damage, by analyzing the blood biochemical indicators of patients with AUD and combining them with their medical history.</div></div>","PeriodicalId":7712,"journal":{"name":"Alcohol","volume":"124 ","pages":"Pages 55-63"},"PeriodicalIF":2.5,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Circulating microRNAs and alcohol consumption in the multiethnic cohort study 多种族队列研究中的循环microrna与酒精消耗
IF 2.5 4区 医学
Alcohol Pub Date : 2025-01-27 DOI: 10.1016/j.alcohol.2025.01.007
Nicholas Acuna , Song-Yi Park , David V. Conti , Mariana C. Stern , Anna H. Wu , Iona Cheng , Lynne R. Wilkens , Xiao-Ou Shu , Veronica Wendy Setiawan
{"title":"Circulating microRNAs and alcohol consumption in the multiethnic cohort study","authors":"Nicholas Acuna ,&nbsp;Song-Yi Park ,&nbsp;David V. Conti ,&nbsp;Mariana C. Stern ,&nbsp;Anna H. Wu ,&nbsp;Iona Cheng ,&nbsp;Lynne R. Wilkens ,&nbsp;Xiao-Ou Shu ,&nbsp;Veronica Wendy Setiawan","doi":"10.1016/j.alcohol.2025.01.007","DOIUrl":"10.1016/j.alcohol.2025.01.007","url":null,"abstract":"<div><div>Excessive alcohol consumption is a significant public health concern and contributes to liver diseases and cancer. Modifiable lifestyle factors including alcohol consumption can influence circulating microRNAs (miRNAs), which are increasingly used as biomarkers for early disease detection. Yet limited studies have identified miRNAs associated with alcohol intake, particularly in multiethnic populations. We aimed to assess the association of alcohol consumption and circulating miRNAs in the Multiethnic Cohort Study. Participants (N = 917) had alcohol consumption data collected at baseline and miRNA data collected at follow-up. Negative binomial models were used to assess the association between alcohol consumption (continuous and categorical [nondrinkers: 0 g of ethanol/day; light drinkers: &lt;28 g of ethanol/day for men and &lt;14 g of ethanol/day for women; and heavy drinkers: ≥28 g of ethanol/day for men and ≥14 g of ethanol/day for women]) and miRNAs. Stratified analyses also examined categories by sex, race/ethnicity, smoking status, and body mass index. Overall, there were 52% non-drinkers, 37 % light drinkers, and 11 % were heavy drinkers. We did not detect an association of miRNAs with alcohol intake in continuous models after correcting for multiple comparisons. However, we did find an inverse association for light drinkers [incidence rate ratio (IRR) = 0.59, p = 8.21E-04] and heavy drinkers (IRR = 0.44, p = 1.47E-03) compared to nondrinkers for miR-451a. Additionally, miR-320e (IRR = 0.63, p = 1.61E-03) had an inverse association with alcohol intake for light drinkers compared to nondrinkers. Subgroup analysis also suggested there were differences by subgroups, underscoring that miRNAs used to detect chronic diseases may be subgroup specific. When stratified by case-control status, we found that among controls both light and heavy drinkers were associated with miR-451a. We identified an association for light and heavy drinkers with miR-451a and mir-320e, miRNAs associated with cancers and liver diseases, in comparison to nondrinkers.</div></div>","PeriodicalId":7712,"journal":{"name":"Alcohol","volume":"124 ","pages":"Pages 105-110"},"PeriodicalIF":2.5,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143070122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
KCa2 channel positive modulation reduces alcohol drinking in female C57BL/6J mice KCa2通道正向调节减少雌性C57BL/6J小鼠的饮酒。
IF 2.5 4区 医学
Alcohol Pub Date : 2025-01-27 DOI: 10.1016/j.alcohol.2025.01.005
Kathy L. Lindquist, Audrey E. Padula, Natalie S. Katzenmeyer, Hannah N. Potts, Jennifer A. Rinker, Patrick J. Mulholland
{"title":"KCa2 channel positive modulation reduces alcohol drinking in female C57BL/6J mice","authors":"Kathy L. Lindquist,&nbsp;Audrey E. Padula,&nbsp;Natalie S. Katzenmeyer,&nbsp;Hannah N. Potts,&nbsp;Jennifer A. Rinker,&nbsp;Patrick J. Mulholland","doi":"10.1016/j.alcohol.2025.01.005","DOIUrl":"10.1016/j.alcohol.2025.01.005","url":null,"abstract":"<div><div>Although men have historically exhibited higher levels of alcohol use disorder (AUD) diagnosis, the gap between men and women has been diminishing quickly. Preclinical screening for pharmacological treatments for AUD has typically focused solely on males, ignoring the possibility that males and females may differ mechanistically for the same behavioral phenotype. To ensure the efficacy of treatment targets across the sexes, it is crucial to study the pharmacological effects of AUD treatments in males and females. While positive K<sub>Ca</sub>2 channel modulation can reduce ethanol consumption and seeking behaviors, withdrawal-induced hyperexcitability, and negative affective behaviors in male rodents, the effect of K<sub>Ca</sub>2 channel modulation on female ethanol consumption has not been reported. To determine the efficacy of K<sub>Ca</sub>2 channel positive modulation in female C57BL/6J mice, we assessed the ability of the K<sub>Ca</sub>2 channel positive modulator 1-EBIO to affect locomotor activity, voluntary home cage ethanol intake prior to and following chronic intermittent ethanol (CIE) exposure, and voluntary home cage sucrose drinking. There were no significant changes to distance traveled in an open field apparatus following administration of 1-EBIO in our locomotor assay. In ethanol drinking mice, 1-EBIO significantly reduced ethanol consumption in air controls and CIE exposed mice, without altering water consumption. While administration of 1-EBIO did not affect consumption of sucrose in male mice, 1-EBIO significantly increased sucrose intake in females. Together, these data provide further evidence that K<sub>Ca</sub>2 channel positive modulation is a promising therapeutic target to reduce ethanol drinking in males and females alike.</div></div>","PeriodicalId":7712,"journal":{"name":"Alcohol","volume":"124 ","pages":"Pages 97-103"},"PeriodicalIF":2.5,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Effects of daridorexant on rest/wake activity patterns and drinking in adult rats exposed to chronic ethanol vapor in adolescence daridorexant对青春期暴露于慢性乙醇蒸气的成年大鼠休息/清醒活动模式和饮酒的影响。
IF 2.5 4区 医学
Alcohol Pub Date : 2025-01-25 DOI: 10.1016/j.alcohol.2025.01.006
L.R. Amodeo , D.N. Wills , J. Benedict , C.L. Ehlers
{"title":"Effects of daridorexant on rest/wake activity patterns and drinking in adult rats exposed to chronic ethanol vapor in adolescence","authors":"L.R. Amodeo ,&nbsp;D.N. Wills ,&nbsp;J. Benedict ,&nbsp;C.L. Ehlers","doi":"10.1016/j.alcohol.2025.01.006","DOIUrl":"10.1016/j.alcohol.2025.01.006","url":null,"abstract":"<div><div>Disturbance in sleep and activity rhythms are significant health risks associated with alcohol use during adolescence. Many investigators support the theory of a reciprocal relationship between disrupted circadian rhythms, sleep patterns, and alcohol usage. However, in human studies it is difficult to disentangle other factors (i.e. lifestyle, psychiatric, genetic) when determining what is causal in the relationship between substance use and sleep/activity disruptions. To this end, we used an animal model of adolescent alcohol exposure whereby male and female Wistar rats are exposed to 5 weeks of intermittent alcohol vapor during adolescence (P22-P57). Five days after ethanol vapor rats were allowed to select to drink alcohol or water in a two-bottle choice procedure for a period of 5 h, 4 days a week for 6 weeks. Activity data was collected using a “Fitbit-like” device during vapor exposure, during acute withdrawal, and after 3 weeks of protracted withdrawal. Significant changes in rest/wake activity and circadian measures were seen during 24-h withdrawal and after 3 weeks of withdrawal. Four weeks following withdrawal, the effects of the dual orexin antagonist, Daridorexant, (DAX 30 mg, 100 mg, or vehicle control), on alcohol drinking and rest and activity rhythms were assessed over a 24 h period. Both daridorexant doses led to changes in circadian measures and rest/wake activity patterns. These results showed that daridorexant reduced activity, but it did not improve rest quality as measured by the mean inactive episode duration and inactive fragmentation ratio. Additionally, we did not find a significant difference in drinking behavior in animals treated with the orexin antagonist. Thus, it appears that data from this animal model do not support the use of this drug to improve adolescent alcohol-induced sleep disturbance and/or to decrease alcohol drinking.</div></div>","PeriodicalId":7712,"journal":{"name":"Alcohol","volume":"124 ","pages":"Pages 35-46"},"PeriodicalIF":2.5,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Maternal, paternal, and dual-parental alcohol exposures result in both overlapping and distinct impacts on behavior in adolescent offspring 母亲、父亲和双亲酒精暴露对青少年后代的行为既有重叠的影响,又有不同的影响。
IF 2.5 4区 医学
Alcohol Pub Date : 2025-01-22 DOI: 10.1016/j.alcohol.2025.01.004
Kara N. Thomas , Alison Basel , Hayden Reitz , Rachel Toler , Kelly R. Thomas , Luke J. Dotson , Tyler Brown , Alan Nguyen Pham , Siara K. Rouzer , Rajesh C. Miranda , Michael C. Golding
{"title":"Maternal, paternal, and dual-parental alcohol exposures result in both overlapping and distinct impacts on behavior in adolescent offspring","authors":"Kara N. Thomas ,&nbsp;Alison Basel ,&nbsp;Hayden Reitz ,&nbsp;Rachel Toler ,&nbsp;Kelly R. Thomas ,&nbsp;Luke J. Dotson ,&nbsp;Tyler Brown ,&nbsp;Alan Nguyen Pham ,&nbsp;Siara K. Rouzer ,&nbsp;Rajesh C. Miranda ,&nbsp;Michael C. Golding","doi":"10.1016/j.alcohol.2025.01.004","DOIUrl":"10.1016/j.alcohol.2025.01.004","url":null,"abstract":"<div><div>Emerging research reveals that alcohol use by fathers before conception can affect the growth and development of their offspring. Here, we used a C57BL/6J mouse model to study the effects of alcohol exposure on the behavior of the first-generation (F1) offspring, comparing the impacts of alcohol exposure by mothers, fathers, and both parents. Our goal was to determine how alcohol exposure by each parent or both parents influences the behavior of the offspring. We found that adolescent male offspring of alcohol-exposed fathers showed reduced anxiety-like behaviors as they spent more time in the center of the testing arena during the open field test. Both maternal and paternal alcohol exposure caused sex-specific increases in the nestlet shredding test while decreasing the number of buried marbles in the marble burying test. Interestingly, dual-parental alcohol exposure did not produce any significant changes in these same tests. However, during novel object recognition testing, we found that dual-parental male and female offspring exhibit an increased preference for novel objects, suggesting an increased risk preference. Finally, at sixteen weeks, male offspring of dual-exposed parents exhibited decreased voluntary physical activity on running wheels during the active phase, suggesting alterations in their circadian rhythms. Although differences in parental exposure histories between treatment groups make interpretation challenging, our findings suggest that exposure to alcohol by both parents may have unique effects on behavior and that studying both maternal and paternal alcohol use is essential for understanding the full range of factors influencing the penetrance and severity of alcohol-related phenotypes.</div></div>","PeriodicalId":7712,"journal":{"name":"Alcohol","volume":"124 ","pages":"Pages 65-77"},"PeriodicalIF":2.5,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Sex and gender differences in alcohol use disorder: Quo Vadis? 酒精使用障碍的性别差异:现状?
IF 2.5 4区 医学
Alcohol Pub Date : 2025-01-19 DOI: 10.1016/j.alcohol.2025.01.003
Katie Witkiewitz , Lorenzo Leggio
{"title":"Sex and gender differences in alcohol use disorder: Quo Vadis?","authors":"Katie Witkiewitz ,&nbsp;Lorenzo Leggio","doi":"10.1016/j.alcohol.2025.01.003","DOIUrl":"10.1016/j.alcohol.2025.01.003","url":null,"abstract":"","PeriodicalId":7712,"journal":{"name":"Alcohol","volume":"123 ","pages":"Pages 121-125"},"PeriodicalIF":2.5,"publicationDate":"2025-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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 mediating role of impulsivity on suicidal behaviour among higher education students with depression and substance abuse disorders 冲动性对抑郁症和药物滥用障碍大学生自杀行为的中介作用。
IF 2.5 4区 医学
Alcohol Pub Date : 2025-01-16 DOI: 10.1016/j.alcohol.2025.01.002
Rachel McHugh , Margaret McLafferty , Natasha Brown , Caoimhe Ward , Colum P. Walsh , Anthony J. Bjourson , Louise McBride , John Brady , Siobhan O'Neill , Elaine K. Murray
{"title":"The mediating role of impulsivity on suicidal behaviour among higher education students with depression and substance abuse disorders","authors":"Rachel McHugh ,&nbsp;Margaret McLafferty ,&nbsp;Natasha Brown ,&nbsp;Caoimhe Ward ,&nbsp;Colum P. Walsh ,&nbsp;Anthony J. Bjourson ,&nbsp;Louise McBride ,&nbsp;John Brady ,&nbsp;Siobhan O'Neill ,&nbsp;Elaine K. Murray","doi":"10.1016/j.alcohol.2025.01.002","DOIUrl":"10.1016/j.alcohol.2025.01.002","url":null,"abstract":"<div><h3>Background</h3><div>Alcohol and drug dependent individuals have consistently exhibited elevated impulsivity and some studies have indicated that impulsivity recorded in young adults predicts future alcohol abuse. Research also indicates that depressed individuals with higher impulsivity are more likely to report suicidal ideation even when they are less depressed, which may indicate that impulsivity could more strongly predict suicidality than severity of depressive symptoms.</div></div><div><h3>Objective</h3><div>The aim of this study was to investigate the mediating role of impulsivity on suicidal behaviour and self-harm among students with depression, alcohol and substance abuse disorders.</div></div><div><h3>Materials and methods</h3><div>Participants were first-year undergraduate students (n = 1829) across Ulster University (NI) and Letterkenny Institute of Technology - now known as Atlantic Technological University Donegal (ROI), who were recruited as part of the World Mental Health International College Student Initiative. Participants completed an online survey utilising the WMH-Composite International Diagnostic Interview Screening Scales (CIDI-SC). Mediation analyses were conducted in three different stages.</div></div><div><h3>Results</h3><div>A high prevalence of depression and substance use disorders, suicidal ideation, plans, attempts and self-harm were observed. Impulsivity was found to partially mediate the association between depression and suicidal behaviours and substance use disorders and suicidal behaviours. Impulsivity was significantly associated with suicide ideation, attempts and self-harm, but not suicide plans. Males were more likely to be impulsive, and higher levels of depression and substance use disorders were related to higher impulsivity.</div></div><div><h3>Conclusions</h3><div>The main findings of this study reinforce the role of impulsivity in mediating the relationship between depression and suicidality and substance use and suicidality. College wellbeing services may consider whether screening for impulsivity, rather than for example substance abuse, could be more beneficial and less prone to under-reporting, when assessing for suicide risk among vulnerable students.</div></div>","PeriodicalId":7712,"journal":{"name":"Alcohol","volume":"124 ","pages":"Pages 89-96"},"PeriodicalIF":2.5,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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