Publications by authors named "Frank J Schwebel"

Background: Individuals with a substance use disorder complete ecological momentary assessments (EMA) at lower rates than community samples. Previous research in tobacco users indicates that early log-in counts to smoking cessation websites predicted subsequent smoking cessation website usage. We extended this line of research to examine individuals who are seeking to change their drinking behaviors through mutual support groups.

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Article Synopsis
  • Machine learning offers potential for personalized addiction treatment, but its use in predicting alcohol-related problems has been limited.
  • This study utilized recursive partitioning with large samples of college students to identify key predictors and cut points for alcohol issues, focusing on demographic, alcohol use, and psychosocial factors.
  • Findings show that coping with depression and binge drinking frequency are crucial predictors for alcohol-related problems, emphasizing the importance of targeting these areas in treatment strategies.
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  • Cognitive behavioral therapy (CBT) is a widely used method for treating substance use disorders but hasn't been formally assessed using the American Psychological Association's criteria for psychological treatments.
  • A review of five meta-analyses showed that CBT has small to moderate positive effects on reducing substance use, especially noticeable within the first 1 to 6 months after treatment.
  • CBT received a "strong recommendation" as an effective treatment for substance use disorders, supported by its outcomes, quality of evidence, and effectiveness across diverse populations.
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Commensurate measures of alcohol-related consequences across countries and cultures are critical for addressing the global burden of hazardous alcohol use. The Rutgers Alcohol Problem Index (RAPI), developed and validated in the United States, is a popular measure of alcohol problems. This study examined measurement invariance of the RAPI across samples of U.

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: The Transtheoretical Model supports that readiness to change should predict actual substance-related behavior change. This relationship is surprisingly modest. Across several behavioral domains, individuals tend to have unrealistic expectations regarding the amount of effort and time required to successfully change one's behaviors, dubbed the False Hope Syndrome.

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Purpose Of Review: Understanding dynamic relationships between negative affect and substance use disorder (SUD) outcomes, including craving, may help inform adaptive and personalized interventions. Recent studies using intensive longitudinal methods were reviewed to examine relationships between negative affect and the outcomes of either craving or substance use during and following SUD treatment.

Recent Findings: Results on associations between negative affect and craving/substance use were mixed and difficult to synthesize, given methodological differences across studies.

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Objective: Psychosocial intervention and Alcoholics Anonymous (AA)/mutual help organization attendance are both associated with alcohol use disorder (AUD) outcomes. However, no research has explored the relative or interactive associations of psychosocial intervention and AA attendance with AUD outcomes.

Method: This was a secondary analysis of data from the Project MATCH (Matching Alcoholism Treatments to Client Heterogeneity) outpatient arm participants ( = 952), who were randomly assigned to complete 12-session cognitive-behavioral therapy (CBT, = 301), 12-session 12-step facilitation (TSF, = 335), or 4-session motivational enhancement therapy (MET, = 316).

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Psychological need satisfaction and need frustration, proposed by self-determination theory, may serve as conditions that foster health-promoting and health-impairing behaviors related to cannabis use. In the present study, we examined the measurement model of psychological need satisfaction and need frustration and their associations with cannabis protective behavioral strategies use, negative cannabis-related consequences, and cannabis use severity. Data were from 1394 college students from 10 universities across the U.

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Recent research demonstrates unique relations of types of motivation for drinking responsibly based on self-determination theory and drinking motives with alcohol-related outcomes among college students. In the present study, we sought to extend prior research by using a person-centered approach to simultaneously consider types of motivation within and across these motivational constructs as well as their synergistic relations with alcohol-related outcomes. We used cross-sectional survey data from 2,808 college students at 10 universities in eight states across the United States who reported past-month alcohol use ( = 20.

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Introduction: The goals of individuals seeking treatment for alcohol use disorder (AUD) are typically quantified as abstinent or nonabstinent (e.g., moderate drinking) goals.

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Article Synopsis
  • - This study analyzed the University of Rhode Island Change Assessment Scale (URICA) to see if it consistently measures stages of change in alcohol use disorder treatment across different groups and time periods using data from Project MATCH, a major clinical trial.
  • - The researchers found that while the URICA demonstrated consistent measurement across certain demographics and treatment conditions, it did not maintain this consistency across different time points (baseline to post-treatment).
  • - The findings suggest that there is a need for reliable measures that can assess changes over time to better understand how stages of change influence treatment outcomes for alcohol use disorder.
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Objective: Online support groups for individuals with substance use disorders are regularly used, yet little is known about participant engagement patterns. Preliminary research has examined utilization and perceived benefits of an abstinence-focused online social network. This study sought to extend these findings by examining participant characteristics, engagement, and perceived benefits of online support groups for individuals with broader personal substance use goals (Harm reduction, Abstinence, and Moderation Support [HAMS]).

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  • Cannabis use is increasing among college students, with the potential for severe cases to lead to cannabis use disorder, negatively impacting psychosocial functioning.
  • This study used machine learning, specifically decision tree learning, to analyze large data sets from 7000 undergraduate students and identify predictors of cannabis use status and consequences.
  • Findings indicated that beliefs about cannabis and negative reinforcement motives are key predictors of cannabis use disorder symptoms, while frequency of use is linked to negative consequences.
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Objective: Use of protective behavioral strategies (PBS) has been associated with reduced alcohol-related harms among college students. However, most of this research has been conducted among U.S.

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Objective: The high rate of statistically significant findings in the sciences that do not replicate in a new sample has been described as a "replication crisis." Few replication attempts have been conducted in studies of alcohol use disorder (AUD), and the best method for determining whether a finding replicates has not been explored. The goal of the current study was to conduct direct replications within a multisite AUD-randomized controlled trial and to test a range of replication metrics.

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We tested measurement invariance of the Readiness to Change Questionnaire (RCQ) to evaluate its utility in assessing the stages of change in the context of brief intervention for alcohol use in opportunistic settings. Participants ( = 596) were patients admitted from three Level I trauma centers who were randomly assigned to one of three brief alcohol interventions. The RCQ was administered at baseline and 3-month follow-up.

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Cannabis use disorder (CUD) is commonly assessed using self-report items based on its symptoms as defined by the Diagnostic and Statistical Manual of Mental Disorders (DSM) that are scored on a dichotomous scale (yes/no) to indicate symptom presence; however, scoring items on a dichotomy may result in relatively limited sensitivity for research. Thus, we developed a 13-item measure of CUD, the Self-Reported Symptoms of CUD (SRSCUD), based on the 11 symptoms described in the DSM-5 that is scored on a 4-point response scale indicating degree of severity. In the present study, we conduct an initial evaluation of the psychometric properties of the SRSCUD.

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Background: Cannabis protective behavioral strategies (PBS) are behaviors used before, during, after, and/or instead of cannabis use to reduce consumption, intoxication, and related harms. To leverage PBS to address the global health burden of cannabis use, especially in light of the changes in cannabis-related policies around the world, a better understanding of PBS across cultures is needed. In the present study, we conduct a cross-cultural examination of cannabis PBS use among college students.

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The purpose of the present study was to examine tests of interaction effects between cannabis protective behavioral strategies use and a range of risk/protective factors for negative cannabis-related consequences. We recruited 2,226 college students ( = 20.28,  = 3.

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Young adult drinkers engage in a range of drinking patterns from abstaining to heavy drinking in both the United States and Sweden. Heavy drinking during young adulthood in both countries is associated with a variety of negative consequences. Personalized feedback interventions have been identified as effective prevention strategies to prevent or reduce heavy drinking in the United States.

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Purpose: Addictive behaviors are difficult to change and result in high rates of relapse following change attempts. A number of effective treatment approaches have been developed to treat addictive behaviors (e.g.

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The purpose of the present study was to examine interaction effects between alcohol protective behavioral strategies (PBS) and a variety of risk and protective factors for experiencing negative alcohol-related consequences using data from a large, multi-site sample of college students. We recruited 5090 college students (71.2% female; 77.

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Objective: Text messaging has been proposed as a method for increasing the reach of interventions for harmful alcohol and other drug use. This paper describes the design of an automated text messaging adjunct to a substance use intervention intended to support adolescents and young adults attempting to change their alcohol and other drug use behavior. Feasibility and acceptability testing was conducted as part of this pilot study.

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Article Synopsis
  • * This review examines various definitions of recovery from AUD, highlighting insights from stakeholders and research involving those with AUD who seek treatment or define their own recovery journeys.
  • * The findings suggest that recovery is better viewed as a dynamic process involving ongoing behavioral changes and improved overall well-being, rather than just the absence of alcohol use and symptoms associated with AUD.
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