Publications by authors named "Emily Levitt"

Aims: Structured clinical interviewing is considered the gold standard in psychiatric diagnosis. The Diagnostic Assessment Research Tool (DART) is a novel modularized, non-copywritten, semi-structured interview; however, no studies have examined the psychometric properties of its alcohol use disorder (AUD) module. The primary aims of this study were to: (i) validate the factor structure of the DART AUD module and (ii) examine measurement invariance across several key demographic and subgroup factors.

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Article Synopsis
  • - The study explores how social network analysis (SNA) can help identify alcohol use disorder (AUD) by examining the social relationships of individuals, particularly among university students.
  • - Two studies compared individuals with AUD to matched drinkers without AUD using different SNA methods, finding that indicators of network alcohol severity were effective in distinguishing between the two groups.
  • - The research suggests that social network indicators are promising tools for clinical assessments of AUD, with a simpler assessment method yielding results comparable to more detailed evaluations.
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Purpose Of Review: Precision medicine prioritizes characterization of individual patient parameters to optimize care and this review evaluates measurement-based care (MBC) as a strategy for doing so in the treatment of substance use disorders (SUD). Measurement-based care refers to the systematic use of validated assessments to inform diagnosis and treatment planning, with varying frequency of assessments. Despite the seemingly obvious grounds for the use of MBC in treating SUD, systematic implementation to date has been limited.

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  • The study investigates how genetic factors (polygenic risk scores) influence various alcohol-related behaviors and motivations in a sample of 1,534 Europeans.
  • It finds that genetic predispositions correlate positively with motivations for drinking and the reinforcing effects of alcohol, particularly showing strong associations with measures like drinks per week and the AUDIT score.
  • The research highlights the importance of understanding genetic influences on alcohol use through different behavioral lenses, while also calling for more extensive studies with diverse phenotypes to deepen insights in this area.
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  • Delay discounting refers to the tendency to prefer smaller immediate rewards over larger delayed ones, and is suggested to relate to various mental health issues, including PTSD, which has been less studied.
  • A meta-analysis reviewed 13 articles encompassing 6,897 participants, finding a small but significant positive link between PTSD symptoms and delay discounting behavior.
  • The studies mainly lacked consideration of other psychiatric conditions, making the relationship with PTSD less specific, yet the findings align with previous research on delay discounting in mental health contexts.
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Few multi-wave longitudinal studies have examined changes in drinking across extended periods of the coronavirus 2019 (COVID-19) pandemic. Using multiple indicators over three years, the current study examined: a) overall drinking changes; b) sex, income, age, and pre-COVID drinking level as moderators of changes; and c) the clinical significance of the observed changes. Using a longitudinal observational cohort design with nonclinical adults from the general community (N = 1395), assessments were collected over nine waves, two pre-COVID (April 2019 and October 2019) and seven intra-COVID (April 2020-April 2022).

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Multiple viruses, including pathogenic viruses, bacteriophages, and even plant viruses, cause a phenomenon termed superinfection exclusion whereby a currently infected cell is resistant to secondary infection by the same or a closely related virus. In alphaviruses, this process is thought to be mediated, at least in part, by the viral protease (nsP2) which is responsible for processing the nonstructural polyproteins (P123 and P1234) into individual proteins (nsP1-nsP4), forming the viral replication complex. Taking a synthetic biology approach, we mimicked this naturally occurring phenomenon by generating a superinfection exclusion-like state in mosquitoes, rendering them refractory to alphavirus infection.

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Article Synopsis
  • - The study investigates how resting state functional connectivity (rsFC) in the brain may predict responses to brief interventions for alcohol use disorder (AUD) in individuals scanned via fMRI before treatment.
  • - Forty-six individuals with AUD participated, and positive responses were defined as a decrease in alcohol consumption at a 3-month follow-up, with rsFC analyzed across different brain networks.
  • - Findings revealed that effective responders exhibited different patterns of rsFC in specific brain regions compared to non-responders, suggesting that these connectivity patterns could serve as neurobiological indicators for predicting treatment outcomes.
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Impulsivity refers to a number of conceptually related phenotypes reflecting self-regulatory capacity that are considered promising endophenotypes for mental and physical health. Measures of impulsivity can be broadly grouped into three domains, namely, impulsive choice, impulsive action, and impulsive personality traits. In a community-based sample of ancestral Europeans (n = 1534), we conducted genome-wide association studies (GWASs) of impulsive choice (delay discounting), impulsive action (behavioral inhibition), and impulsive personality traits (UPPS-P), and evaluated 11 polygenic risk scores (PRSs) of phenotypes previously linked to self-regulation.

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Objective: Impulsivity is a multidimensional construct consistently associated with problematic substance use, but less is known about its relevance to clinical outcomes. The current study examined whether impulsivity changed over the course of addiction treatment and whether the changes were associated with changes in other clinical outcomes.

Method: Participants were patients in a large inpatient addiction medicine program ( = 817; 71.

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The COVID-19 pandemic has been associated with major psychosocial disruptions and there is particular concern for individuals with substance use disorders. This study characterized the psychosocial and experiential impacts of the pandemic on individuals seeking alcohol use disorder (AUD) recovery, including pandemic impacts on self-reported drinking, heavy drinking, tobacco, cannabis, and stimulant use. Participants were 125 AUD+ individuals (% males: 57.

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Objective: Problematic internet use (PIU) is characterized by excessive or poorly controlled internet use resulting in impairment or distress. PIU is most prevalent during emerging adulthood, a period marked by an increase in psychiatric disorders, including substance use disorders (SUDs). In a sample of high-risk emerging adults, the aim of this study was to examine the relationship between PIU and quality of life (QoL), psychiatric disorders, and impulsivity.

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Background: The coronavirus disease 2019 (COVID-19) pandemic has imposed enormous adversity worldwide. Public health guidelines have been a first line of defense but rely on compliance with evolving recommendations and restrictions. This study sought to characterize adherence to and perceptions of public health guidelines over a one-year timeframe during the pandemic.

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Introduction: Valid multi-faceted measurement of motivation for substance use disorder (SUD) treatment is needed to help inform treatment approaches and predict outcomes. This study examined evidence of validity for the Treatment Entry Questionnaire (TEQ-9).

Methods: Data represented individuals entering inpatient SUD treatment ( = 1455).

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COVID-19 is a global pandemic and vaccination efforts may be impeded by vaccine hesitancy. The present study examined willingness to receive a COVID-19 vaccine, the associated reasons for willingness/unwillingness, and vaccine safety perceptions in a cross-sectional assessment of community adults in Ontario. One thousand three hundred sixty seven individuals (60.

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This chapter provides an overview over the behavioral economic index of impulsivity known as delay discounting. Specifically, delay discounting refers to an individual's preference for smaller immediate rewards over a larger delayed rewards. The more precipitously an individual discounts future rewards, the more impulsive they are considered to be.

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Background: Individuals' social networks exert a strong influence on alcohol use, but valid assessment of network drinking behavior is typically lengthy and high in participant burden. The aim of this study was to validate the Brief Alcohol Social Density Assessment (BASDA), an efficient measure of perceived alcohol use within a person's social network, in a sample of adult drinkers from the general community. Specifically, the convergent, criterion-related, incremental validity and internal validity were investigated by examining the BASDA in relation to other established measures of drinking motives, weekly drinking level, and severity of involvement.

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We propose a set of "best-practice complementary feeding behaviors," which were derived by combining principles of psychosocial care with current knowledge in nutritional sciences. We provide a theoretical rationale for assessing and describing complementary feeding practices in terms of what is fed, how food is prepared and given, who feeds the child, when food is fed (frequency and scheduling), and the feeding environment (where). We also discuss the significance of selected sociocultural determinants of these practices for the design of interventions.

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