DRUG AND ALCOHOL DEPENDENCE

Revisiting the alcohol-aggression link: The impact of alcohol consumption patterns
Nagar M and Rabinovitz S
Laboratory studies have repeatedly reported a link between alcohol and aggression, yet many rely on single-dose administration methods and overlook variations in alcohol consumption patterns. The present study investigates the effects of alcohol on aggressive behavior using a double-blind, placebo-controlled cumulative drinking administration approach that mirrors the natural drinking behaviors often observed in pubs within a laboratory setting. This study also pioneers the examination of how alcohol consumption patterns (light or heavy) moderate the relationship between precise Breath Alcohol Concentration (BrAC) levels and extreme aggressive behavior. Seventy-five individuals who drink alcohol lightly (N=38) and heavily (N=37) were randomly assigned to alcohol (N=33) or placebo (N=42) conditions. Participants drank four drinks successively. Taylor's aggression paradigm was completed twenty minutes after each drink. Multilevel modeling was applied to analyze the effects of precise BrAC and account for within-person variability. Alcohol showed a dose-dependent effect on aggression; as alcohol levels rose, so did aggression (p<.001). Alcohol consumption pattern moderated the effect of cumulative BrAC on aggression, such that the effect was more substantial for as compared with individuals who drink lightly (p=.03). The current study highlights the moderating role of alcohol consumption pattern in the association between precise BrAC levels and extreme aggression, offering insights into individual differences in susceptibility to alcohol-induced aggression, and supporting the I meta-theory (Finkel, 2014). The Findings underscore the importance of investigating the interplay between acute and chronic alcohol use on behavior, challenging conventional thresholds for hazardous drinking classification. Implications for future studies, legislators, and policymakers are discussed.
Use of tobacco price-minimization strategies among public housing residents compared to U.S. low-income adults
Dearfield CT, Zarei K, Choi K and Bernat DH
Price minimization strategies (PMS) are ways for people to save money on tobacco purchases especially among those of lower socioeconomic status. This study assesses PMS and coupon receipt among public housing residents compared to U.S. low-income adults.
Correlates of post-hospitalization naltrexone adherence for alcohol use disorder
Y Bernstein E, Magane KM, Dukes KA, Palfai TP, Lee JH, Saitz R and Samet JH
Hospitalizations present an opportunity to initiate naltrexone for patients with alcohol use disorder (AUD). Understanding factors associated with post-hospitalization adherence could inform practice.
An examination of Black-White disparities in repeat nonfatal opioid overdose incidents, fatal drug overdose, and all-cause mortality in Detroit, Michigan
Victor G, Zettner C and Lee G
There has been an approximately 38 percent increase in overdose deaths for Black men since 2015 yet estimates vary between major metropolitan areas. It is crucial to examine local data to inform community-driven harm reduction and overdose prevention services. We used administrative data to examine the effect of demographic characteristics and repeated nonfatal opioid overdoses (NFOO) on drug-related and all-cause mortality.
Neurostructural features predict binge drinking in emerging adulthood: Evidence from a 5-year follow-up study
Pérez-García JM, Suárez-Suárez S, Rodríguez González MS, Rodríguez Holguín S, Cadaveira F and Doallo S
Binge drinking (BD) involves consuming large amounts of alcohol within a short timeframe, leading to a blood alcohol concentration of 0.08g/dL or above. This pattern of alcohol consumption is prevalent among young adults and has significant implications for brain structure and subsequent drinking behaviors.
Does sex moderate the effects of early life stress on peripheral inflammation in alcohol use disorder? A preliminary investigation
Kirsch DE, Grodin EN, Gillis AJ, Miotto K and Ray LA
Early life stress (ELS) increases risk for many medical and psychiatric illnesses, including alcohol use disorder (AUD). Females appear to be more vulnerable than males to adverse ELS-related health outcomes, including heavy alcohol use. The biological processes underlying sex differences in ELS-related drinking outcomes are not well understood. Inflammation is one biological mechanism linking ELS to adult alcohol use. This study tested whether biological sex moderates the relationship between ELS and peripheral inflammation in adults with AUD.
Physical activity and tobacco use among high school students in the United States, 2015-2021
Barroso CS, Chapman J, Garza P and Mantey DS
The relationship between physical activity and tobacco use among adolescents remains unclear. We examined this relationship using nationally representative data from the United States (U.S.).
Distinct populations suppress or escalate intake of cocaine paired with aversive quinine
Powers RE, Fogel PA, Reeves JH, Madrid P and Moschak TM
Only a subset of individuals who encounter illicit drugs become persons with a substance use disorder. Individual differences in aversive reactions to drug-associated phenomena like smoke inhalation and unpleasant taste are predictors for continued use. While several preclinical studies have explored self-administration involving aversive cues, none have simultaneously introduced aversion with the initial drug self-administration. We aimed to develop such a model by pairing intravenous cocaine with intraoral quinine self-administration from the outset and investigate whether repeated exposure to an aversive stimulus would alter its hedonic value under laboratory conditions.
Minority stress mediates associations of sexual minority state policies and tobacco use among US sexual minority young adults
Romm KF, Vogel EA, Dyar C, Drabble LA, Cavazos-Rehg PA and Berg CJ
State policies surrounding sexual minority (SM) rights are associated with tobacco use among SM individuals. Research is scant regarding the role of distinct SM policy categories on SM young adults' (SMYAs) tobacco use and mechanisms explaining these associations.
An investigation of multimodal predictors of adolescent alcohol initiation
Moore A, Lewis B, Elton A, Squeglia LM and Nixon SJ
Early alcohol initiation is associated with negative, alcohol-related outcomes. While previous work identifies numerous risk factors for early use, the relative contributions of known predictors remains understudied. The current project addresses this gap by 1) prospectively predicting early alcohol initiation using measures of inhibition control, reward sensitivity, and contextual risk factors and 2) interrogating the relative importance of each domain.
The ACA Medicaid expansions and the supply of substance use disorder treatment services in Spanish
Laurito A and Cantor J
Given persistent disparities in substance use disorder (SUD) treatment for Spanish speakers, it is important to understand whether major health policy changes may improve access to linguistically competent services. We estimate changes in the supply of SUD treatment facilities that both accept Medicaid as payment and offer services in Spanish after the Medicaid expansions under the Affordable Care Act.
Frequency of supervised consumption service use and acute care utilization in people who inject drugs
Scheim AI, Bouck Z, Greenwald ZR, Ling V, Hopkins S, Johnson M, Bayoumi A, Gomes T and Werb D
Supervised consumption service (SCS) use among people who inject drugs may reduce acute care utilization; however, prior studies have been limited by self-reported outcomes and dichotomous exposures.
Selective dopamine D3 receptor partial agonist (±)VK4-40 reduces the reinforcing strength of d-amphetamine but not cocaine in rhesus monkeys responding under a progressive-ratio schedule of reinforcement
Allen MI, Lewis EA, Cao J, Newman AH and Nader MA
Although countless studies have aimed to identify and test novel therapeutics for stimulant misuse, there are still no FDA-approved pharmacotherapies for stimulant use disorders. One potential treatment target is the dopamine D3 receptor (D3R) and studies in rodents have suggested that the novel D3R partial agonist (±)VK4-40 may be effective at decreasing cocaine self-administration. However, no previous studies have examined the efficacy of (±)VK4-40 in reducing cocaine self-administration in nonhuman primates nor the generality of effects by examining self-administration of other stimulants using a within-subjects design.
Associations of discomfort intolerance, discomfort avoidance, and cannabis and alcohol use among persons with chronic pain receiving prescription buprenorphine for opioid use disorder
Haley DF, Stein MD, Bendiks S, Karzhevsky S, Pierce C, Dunn A, Herman DS, Anderson B and Weisberg RB
Chronic pain and non-prescribed substance use are associated with lower retention in opioid use disorder (OUD) treatment. We examined the associations of perceived capacity to tolerate uncomfortable physical sensations (discomfort intolerance and discomfort avoidance) and cannabis and alcohol use among persons with chronic pain receiving prescription buprenorphine for OUD.
An updated view on the influence of initial opioid prescription characteristics on long-term opioid use among opioid naïve patients
Smith AM, Shah A and Martin BC
This retrospective cohort study provides an updated view on the association between the likelihood of long-term opioid use (LTOU) and characteristics of the initial opioid prescription (dose, opioid type) and initial opioid prescription episode (days' supplied) among opioid-naïve patients utilizing IQVIA PharMetrics®Plus for Academics database representative of commercially insured patients in the US.
The relationship between young people, social media use and alcohol use: A prospective cohort study
Cheng B, Lim CCW, Teixeira JP, Gullo MJ, Chan GCK and Connor JP
Social media use is now a significant part of modern daily life. Little is known about how social media impacts young peoples' drinking behaviours and drinking-related consequences. This cohort study aims to explore the prospective relationship between social media use and future drinking.
Does implementation of office based addiction treatment by a nurse care manager increase the duration of OUD treatment in primary care? A secondary analysis of the PROUD randomized control trial
Weinstein ZM, Yu O, Wartko PD, Samet JH, Bobb JF, Braciszewski JM, Arnsten JH, Murphy MT, Horigian VE, Stotts AL, Beers D and Bradley K
Implementation of office-based addiction treatment (OBAT) by nurse care managers increases overall use of OUD medication, but it is unknown whether it increases treatment duration among treated patients.
Applying a behavioral economic approach to understanding smoking processes: The indirect effect of past quit experiences
Robison J, Aston ER, Matoska CT, Smit T, Neighbors C, Businelle M, Zvolensky MJ and Garey L
The Cigarette Purchase Tasks (CPT) measures the relative reinforcing value of cigarettes (i.e., cigarette demand). Extant work supports a relation between cigarette demand and smoking dependence and abstinence. However, little work has focused on how demand relates to cognitive processes hindering smoking cessation (i.e., negative affect reduction smoking motives and expectancies, perceived barriers for quitting) or explanatory variables (i.e., negative quit-related experiences) that may underlie such relations.
Neighborhood demographics in relation to marketing and regulation-related factors among cannabis retailers in 5 US cities
Berg CJ, Schleicher NC, Cavazos-Rehg PA, Romm KF, LoParco CR, Cui Y, Wang Y, McCready DM, Chakraborty R and Henriksen L
This study assessed differences in cannabis retailer practices by neighborhood sociodemographics, which can inform disparity-relevant interventions.
Association between gender diversity and substance use experimentation in early adolescents
Shao IY, Low P, Sui S, Otmar CD, Ganson KT, Testa A, Santos GM, He J, Baker FC and Nagata JM
Gender diversity, encompassing gender identity beyond traditional binary frameworks, has been associated with substance use during adolescence. However, there is a paucity of studies that consider different dimensions of gender diversity. This study investigates associations between multiple dimensions of gender diversity and substance experimentation in early adolescents.
Rural houselessness among people who use drugs in the United States: Results from the National Rural Opioid Initiative
Ballard AM, Kesich Z, Crane HM, Feinberg J, Friedmann PD, Go VF, Jenkins WD, Korthuis PT, Miller WC, Pho MT, Seal DW, Smith GS, Stopka TJ, Westergaard RP, Zule WA, Young AM and Cooper HL
Over the last two decades, houselessness and drug-related epidemics both have expanded from urban to rural regions across the United States (US). However, our understanding of the relationship between rural houselessness, drug use, and drug-related harms has not kept pace. The current study addresses this gap by describing houselessness among a large cohort of people who use drugs (PWUD) from rural communities across 10 states.
Correlates of nicotine patch adherence in daily life
Potter LN, Jones DR, Braudt DB, Nahum-Shani I, Lam CY, Fagundes C and Wetter DW
African Americans who smoke are disproportionately affected by the health consequences of smoking. Nicotine replacement therapy (NRT) is effective for helping people successfully quit, yet there are well-documented issues with nicotine patch adherence. This study aimed to examine the real-time associations of risk factors for patch non-adherence [lapse, motivation, self-efficacy, urge, cigarette availability] with patch adherence in a sample of African Americans who smoke and are attempting to quit.
The burden of alcohol and substance use disorders in adolescents and young adults
Danpanichkul P, Duangsonk K, Díaz LA, Chen VL, Rangan P, Sukphutanan B, Dutta P, Wanichthanaolan O, Ramadoss V, Sim B, Tung D, Siranart N, Noritake H, Takahashi H, Noureddin M, Leggio L, Yang JD, Fallon MB, Arab JP, Winder GS, Liangpunsakul S, Mellinger JL and Wijarnpreecha K
Substance use disorders (SUDs) play a major role in global preventable disability and mortality. Even though they impact patients of all ages, adolescents and young adults (AYAs) are at increased risk of substance use at a later age. We aim to assess the burden of SUDs and alcohol-related harms in AYAs.
Associations between psychedelic use and cannabis use disorder in a nationally representative sample
Zech JM, Yaden DB and Jones GM
Cannabis Use Disorder (CUD) is an increasingly prevalent disorder affecting millions of Americans each year. Psychedelic compounds have recently been investigated for their therapeutic potential in treating substance use disorders, yet no prior work has examined the relationship between naturalistic use of specific psychedelic compounds and rates of disordered cannabis use.
Transdiagnostic factors predicting prescription opioid-use disorder severity: A 12-month prospective study in patients on long-term opioid therapy for chronic pain
Rodríguez-Espinosa S, Coloma-Carmona A, Pérez-Carbonell A, Román-Quiles JF and Carballo JL
Research has suggested that transdiagnostic factors related to reward, cognitive, and regulatory processes are involved in addictive behaviors and the experience of pain. However, studies of Prescription Opioid-Use Disorder (POUD) in a chronic pain population are scarce. This study aimed to analyze the predictive power of anticipatory pleasure experience, obsessive-compulsive behavior, cognitive control, emotion dysregulation, and sleep on POUD severity in chronic pain patients on long-term opioid therapy.
Characterizing and responding to stimulant overdoses: Findings from a mixed methods study of people who use cocaine and other stimulants in New England
Hughto JMW, Kelly PJA, Vento SA, Pletta DR, Noh M, Silcox J, Rich JD and Green TC
To explore people who use stimulants' (PWUS) stimulant overdose experiences and identify factors associated with calling 911 for personal and witnessed stimulant overdoses.
Effects of the kappa-opioid receptor antagonist nor-binaltorphimine on methamphetamine-vs-food choice in male rhesus monkeys
Banks ML and Rice KC
Kappa-opioid receptors (KOR) are hypothesized to be involved in mediating ongoing methamphetamine self-administration. Previous rat studies have demonstrated that treatment with the KOR antagonist nor-binaltorphimine (nor-BNI) decreases methamphetamine self-administration. However, KOR antagonist effects on methamphetamine self-administration in nonhuman primates are unknown.
Prevalence and correlates of negative side effects from vaping nicotine: Findings from the 2020 ITC four country smoking and vaping survey
Yong HH, Hughes L, Borland R, Gravely S, Cummings KM, Brose LS, Taylor E, Bansal-Travers M and Hyland A
This study examined prevalence and correlates of self-reported negative side effects from nicotine vaping product (NVP) use among people who currently or recently vape.
Dyadic cannabis use, alcohol use and relationship satisfaction: A daily diary study
Chen MY, Ito TA and Bryan AD
Intimate relationships are important contexts for understanding individuals' substance use patterns and trajectories. Using a dyadic daily diary design reporting over 14 consecutive days, the present study examined the association between cannabis use, alcohol use, and momentary relationship satisfaction among adult couples METHOD: Eligible individuals on Prolific were invited to participate. We identified 33 couples where both partners participated. Participants completed a baseline survey and a 14-day daily diary study assessing their daily cannabis use, alcohol use, and relationship satisfaction. Multilevel modeling was used, within an Actor-Partner Interdependence Model (APIM), to evaluate the individual and interactive effects of one's own use and their partner's use on relationship satisfaction RESULTS: Significant actor and partner effects of alcohol and cannabis use were found using both baseline and daily report data. For individuals who use cannabis more heavily among sampled couples, cannabis and alcohol co-use was associated with reduction in their own next-day relationship satisfaction while alcohol-only use was significantly associated with increased next-day satisfaction. There were no significant effects of one's own or their partner's effects for individuals who use cannabis more lightly.
Prospective association between screen use modalities and substance use experimentation in early adolescents
Nagata JM, Shim J, Low P, Ganson KT, Testa A, He J, Santos GM, Brindis CD, Baker FC and Shao IY
There are limited large-scale, prospective analyses examining contemporary screen use and substance use experimentation in early adolescents. The current study aimed to determine associations between eight forms of contemporary screen modalities and substance use experimentation one year later in a national cohort of 11-12-year-olds in the United States.