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Yuan W, Chen M, Wang DW, Li QH, Yin YY, Li B, Wang HR, Hu J, Gong YD, Yuan TF, Yu TG. Computational markers of risky decision-making predict for relapse to alcohol. Eur Arch Psychiatry Clin Neurosci 2024; 274:353-362. [PMID: 37148307 DOI: 10.1007/s00406-023-01602-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/21/2022] [Accepted: 03/29/2023] [Indexed: 05/08/2023]
Abstract
BACKGROUND Relapse remains the major challenge in treatment of alcohol use disorder (AUD). Aberrant decision-making has been found as important cognitive mechanism underlying relapse, but factors associated with relapse vulnerability are unclear. Here, we aim to identify potential computational markers of relapse vulnerability by investigating risky decision-making in individuals with AUD. METHODS Forty-six healthy controls and fifty-two individuals with AUD were recruited for this study. The risk-taking propensity of these subjects was investigated using the balloon analog risk task (BART). After completion of clinical treatment, all individuals with AUD were followed up and divided into a non-relapse AUD group and a relapse AUD group according to their drinking status. RESULTS The risk-taking propensity differed significantly among healthy controls, the non-relapse AUD group, and the relapse AUD group, and was negatively associated with the duration of abstinence in individuals with AUD. Logistic regression models showed that risk-taking propensity, as measured by the computational model, was a valid predictor of alcohol relapse, and higher risk-taking propensity was associated with greater risk of relapse to drink. CONCLUSION Our study presents new insights into risk-taking measurement and identifies computational markers that provide prospective information for relapse to drink in individuals with AUD.
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Affiliation(s)
- Wei Yuan
- Department of Addiction Medicine, Shandong Mental Health Center, Jinan, 250014, China
| | - Meng Chen
- Brain and Cognitive Neuroscience Research Center, Liaoning Normal University, Dalian, 116029, China
| | - Duan-Wei Wang
- Department of Addiction Medicine, Shandong Mental Health Center, Jinan, 250014, China
| | - Qian-Hui Li
- Division of Gastroenterology, Seventh Affiliated Hospital of Sun Yat-Sen University, Shenzhen, 518107, China
| | - Yuan-Yuan Yin
- School of Mental Health, Wenzhou Medical University, Wenzhou, 325035, China
| | - Bin Li
- Department of Addiction Medicine, Shandong Mental Health Center, Jinan, 250014, China
| | - Hai-Rong Wang
- Department of Addiction Medicine, Shandong Mental Health Center, Jinan, 250014, China
| | - Ji Hu
- School of Life Science and Technology, ShanghaiTech University, Shanghai, 201210, China
| | - Yuan-Dong Gong
- Department of Addiction Medicine, Shandong Mental Health Center, Jinan, 250014, China.
| | - Ti-Fei Yuan
- Shanghai Key Laboratory of Psychotic Disorders, Brain Health Institute, National Center for Mental Disorders, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
- Co-Innovation Center of Neuroregeneration, Nantong University, Nantong, Jiangsu, China.
| | - Tian-Gui Yu
- Department of Addiction Medicine, Shandong Mental Health Center, Jinan, 250014, China.
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Lehman SM, Thompson EL, Adams AR, Hawes SW, Pacheco-Colón I, Granja K, Paula DC, Gonzalez R. Motives for Cannabis Use and Risky Decision Making Influence Cannabis Use Trajectories in Teens. Brain Sci 2023; 13:1405. [PMID: 37891774 PMCID: PMC10605550 DOI: 10.3390/brainsci13101405] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2023] [Revised: 09/22/2023] [Accepted: 09/29/2023] [Indexed: 10/29/2023] Open
Abstract
The current study will examine the interactive effects of motives for cannabis use (i.e., health or recreational) and risky decision making (DM) on cannabis use trajectories among adolescents. Data from 171 adolescents, aged 14-17 at the initial visit (baseline), were prospectively analyzed across five time points approximately six months apart. Latent growth curve modeling and linear regression analyses were used. We found a significant interactive effect of "recreational motives" and risky DM on the rate of cannabis use over time. Specifically, among those less likely to use cannabis for recreational purposes, riskier DM was associated with a faster increase in the rate of use over time relative to those with lower risky DM. Additionally, a significant main effect showed that those with a greater proclivity to use cannabis for health purposes had higher initial levels of use at baseline and faster increases in the rate of use over time. Regardless of risky DM, using cannabis for health purposes is associated with faster increases in cannabis use escalation. Additionally, risky DM does impact the association between recreational motives for use and cannabis use trajectories. Future work should examine these associations with additional motives for cannabis use that have been previously validated within the literature.
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Affiliation(s)
- Sarah M. Lehman
- Center for Children and Families, Department of Psychology, Florida International University, Miami, FL 33199, USA; (E.L.T.); (A.R.A.); (S.W.H.); (K.G.); (D.C.P.); (R.G.)
| | - Erin L. Thompson
- Center for Children and Families, Department of Psychology, Florida International University, Miami, FL 33199, USA; (E.L.T.); (A.R.A.); (S.W.H.); (K.G.); (D.C.P.); (R.G.)
| | - Ashley R. Adams
- Center for Children and Families, Department of Psychology, Florida International University, Miami, FL 33199, USA; (E.L.T.); (A.R.A.); (S.W.H.); (K.G.); (D.C.P.); (R.G.)
| | - Samuel W. Hawes
- Center for Children and Families, Department of Psychology, Florida International University, Miami, FL 33199, USA; (E.L.T.); (A.R.A.); (S.W.H.); (K.G.); (D.C.P.); (R.G.)
| | - Ileana Pacheco-Colón
- Division of Neuropsychology, Department of Neurology, University of Miami Health System, Miami, FL 33136, USA;
| | - Karen Granja
- Center for Children and Families, Department of Psychology, Florida International University, Miami, FL 33199, USA; (E.L.T.); (A.R.A.); (S.W.H.); (K.G.); (D.C.P.); (R.G.)
| | - Dayana C. Paula
- Center for Children and Families, Department of Psychology, Florida International University, Miami, FL 33199, USA; (E.L.T.); (A.R.A.); (S.W.H.); (K.G.); (D.C.P.); (R.G.)
| | - Raul Gonzalez
- Center for Children and Families, Department of Psychology, Florida International University, Miami, FL 33199, USA; (E.L.T.); (A.R.A.); (S.W.H.); (K.G.); (D.C.P.); (R.G.)
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Grigsby TJ, Lopez A, Albers L, Rogers CJ, Forster M. A Scoping Review of Risk and Protective Factors for Negative Cannabis Use Consequences. Subst Abuse 2023; 17:11782218231166622. [PMID: 37056398 PMCID: PMC10087658 DOI: 10.1177/11782218231166622] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2022] [Accepted: 03/13/2023] [Indexed: 04/15/2023]
Abstract
Objective Numerous reviews have examined risk and protective factors for alcohol-related negative consequences, but no equivalent review of risk and protective factors exists for cannabis-related negative consequences (CRNCs)-a gap filled by the present study. This scoping review examined survey-based research of risk and protective factors for CRNCs such as neglecting responsibilities, blacking out, or needing more cannabis. Methods Three databases (PubMed, PsycINFO, and Google Scholar) were searched for peer-reviewed manuscripts published between January 1, 1990, and December 31, 2021. A qualitative synthesis was performed using the matrix method and the results were organized using the socioecological model as a framework. Results Eighty-three studies were included in the review. There was considerable variation in measures and operationalizations of CRNCs across studies. Risk factors were identified in the intrapersonal (depression, social anxiety, PTSD, impulsivity, sensation seeking, motives, expectancies), interpersonal/community (trauma, victimization, family and peer substance use, social norms), and social/policy (education, employment, community attachment, legalization, availability of substances) domains of influence. Protective behavioral strategies were a robust protective factor for CRNCs. Males consistently reported more CRNCs than females, but there were no differences observed across race. Conclusions Future research should identify person- and product-specific patterns of CRNCs to refine theoretical models of cannabis misuse and addiction. Public health interventions to reduce the risk of negative consequences from cannabis should consider utilizing multilevel interventions to attenuate the cumulative risk from a combination of psychological, contextual, and social influences.
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Affiliation(s)
- Timothy J. Grigsby
- Department of Social and Behavioral
Health, University of Nevada, Las Vegas, Las Vegas, NV, USA
- Timothy J. Grigsby, Department of Social
and Behavioral Health, University of Nevada, Las Vegas, 4505 S. Maryland Pkwy,
Las Vegas, NV 89154, USA.
| | - Andrea Lopez
- Department of Social and Behavioral
Health, University of Nevada, Las Vegas, Las Vegas, NV, USA
| | - Larisa Albers
- Department of Population and Public
Health Sciences, University of Southern California, Los Angeles, CA, USA
| | - Christopher J. Rogers
- Department of Health Sciences,
California State University, Northridge, Northridge, CA, USA
| | - Myriam Forster
- Department of Health Sciences,
California State University, Northridge, Northridge, CA, USA
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Odoardi S, Biosa G, Mestria S, Valentini V, De Giovanni N, Cittadini F, Strano Rossi S. DRUG-IMPAIRED DRIVING AND TRAFFIC COLLISIONS: STUDY ON A CROSS SECTION OF THE ITALIAN POPULATION. Drug Test Anal 2022; 15:477-483. [PMID: 36082405 DOI: 10.1002/dta.3366] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2022] [Revised: 08/30/2022] [Accepted: 09/06/2022] [Indexed: 11/11/2022]
Abstract
The present study focuses on the association between road accidents and the presence of drugs of abuse markers in the biological fluids of the drivers. Biological fluids collected from 1,236 drivers involved in road accidents (54 fatal and 1,182 non-fatal crashes) in the Rome area were analysed for alcohol and psychotropic drugs, as required by judicial authorities. The substance most frequently detected was alcohol (in 19% of non-fatal and 32% of fatal crashes), followed by cannabinoids (12% of non-fatal crashes) and cocaine (9% of non-fatal and 20% of fatal crashes). The results obtained for cocaine and cannabinoids in blood and urine were compared. We observed the absence or low concentrations of the active drug in blood (cocaine was often below 5 ng/mL and THC below 1 ng/mL), whereas urinary concentrations of metabolites were generally high (benzoylecgonine 250 - above 5000 ng/mL, THCCOOH 15-270 ng/mL). The risk of being involved in a road accident if cocaine or cannabis markers were present in the urine specimens was evaluated compared to a control population. The odds ratios calculated, being 8.13 for cannabis and 5.32 for cocaine, suggest a strong association between the presence of these drugs in the urine of drivers and traffic accidents, regardless of their presence in blood samples. The present data suggest that the chance of being involved in a road accident is higher than in the control population even if the subject is no longer "under the influence" of cannabis or cocaine at the time of the accident.
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Affiliation(s)
- Sara Odoardi
- Department of Healthcare Surveillance and Bioethics, Section of Legal medicine, Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario IRCCS A. Gemelli, Rome, Italy
| | - Giulia Biosa
- Department of Healthcare Surveillance and Bioethics, Section of Legal medicine, Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario IRCCS A. Gemelli, Rome, Italy
| | - Serena Mestria
- Department of Healthcare Surveillance and Bioethics, Section of Legal medicine, Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario IRCCS A. Gemelli, Rome, Italy
| | - Valeria Valentini
- Department of Healthcare Surveillance and Bioethics, Section of Legal medicine, Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario IRCCS A. Gemelli, Rome, Italy
| | - Nadia De Giovanni
- Department of Healthcare Surveillance and Bioethics, Section of Legal medicine, Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario IRCCS A. Gemelli, Rome, Italy
| | - Francesca Cittadini
- Department of Healthcare Surveillance and Bioethics, Section of Legal medicine, Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario IRCCS A. Gemelli, Rome, Italy
| | - Sabina Strano Rossi
- Department of Healthcare Surveillance and Bioethics, Section of Legal medicine, Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario IRCCS A. Gemelli, Rome, Italy
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Thompson EL, Pacheco-Colón I, Lehman SM, Adams AR, Hawes SW, Paula DC, Granja K, Pulido WJ, Gonzalez R. Sex differences in bidirectional associations between conduct problems and cannabis use across two years of adolescence. Drug Alcohol Depend 2021; 228:109098. [PMID: 34601274 PMCID: PMC8595624 DOI: 10.1016/j.drugalcdep.2021.109098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/24/2021] [Revised: 07/27/2021] [Accepted: 09/16/2021] [Indexed: 10/20/2022]
Abstract
BACKGROUND There is a large body of research that has identified bidirectional associations between conduct problems and cannabis use. Despite growing knowledge regarding comorbidities between conduct problems and cannabis use, it remains unclear whether these findings generalize across both males and females. The current study examined sex differences in longitudinal associations between conduct problems and cannabis use in a predominantly Hispanic sample of adolescents followed over a two-year period. METHODS Participants were 401 adolescents (89.8% Hispanic, 46% female; Mage = 15.5) taking part in a two-year longitudinal investigation examining the associations between neurocognitive functioning and cannabis use. The sample consisted predominantly of youth selected for risk of cannabis escalation, with 90% reporting using cannabis, nicotine, or alcohol prior to baseline. Negative binomial cross-lagged regressions and simple slope difference tests were used for all analyses. RESULTS We found support for bidirectional associations between conduct problems and cannabis use, controlling for demographics, covariates, and baseline frequencies. Simple slope difference tests revealed that there was a significant, positive association between baseline cannabis use and subsequent conduct problems among females but not males. In contrast, the association between baseline conduct problems and subsequent frequency of cannabis use did not differ as a function of sex. CONCLUSIONS Our results underscore the importance of viewing cannabis use as a risk factor for maladjustment rather than solely as a consequence, particularly among female adolescents. Information gained from temporal sequencing of cannabis use and conduct problem symptoms can guide the selection of intervention programs for referred youth.
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