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Limited ecological momentary assessment and daily diary work have examined the role of subjective intoxication and subjective effects when engaging in simultaneous relative to alcohol\u2010 or cannabis\u2010only use, and studies have yielded mixed results. As such, subjective experiences serve as important internal cues for decision making; this study aimed to examine the level of subjective intoxication and effects across simultaneous, alcohol\u2010only, and cannabis\u2010only occasions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Participants were 119 college students aged 18\u201325 who reported weekly simultaneous use at baseline. Participants enrolled in a 4\u2010week ecological momentary assessment study with up to eight prompts per day collected on weekend days.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Multilevel models revealed that relative to alcohol\u2010 and cannabis\u2010only days, simultaneous use days were not significantly associated with subjective alcohol or cannabis intoxication, respectively. Peak levels of subjective alcohol effects were, however, significantly stronger during simultaneous use occasions relative to alcohol\u2010only use occasions. Subjective cannabis effects were not significantly different between simultaneous and cannabis\u2010only use days.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Study findings suggest that \u201cadding\u201d cannabis to an alcohol use occasion may bolster subjective effects such as feeling clumsy, confused, and having difficulty concentrating. Findings also highlight that subjective effects, rather than degree of impairment\/intoxication, more strongly differentiates alcohol and simultaneous use occasions, and may serve as a useful momentary intervention target in future work.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/acer.70101","type":"journal-article","created":{"date-parts":[[2025,6,13]],"date-time":"2025-06-13T08:25:13Z","timestamp":1749803113000},"page":"1818-1827","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparing subjective effects and intoxication on simultaneous alcohol and cannabis use occasions relative to alcohol\u2010 or cannabis\u2010only occasions"],"prefix":"10.1111","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8187-6538","authenticated-orcid":false,"given":"Ashley N.","family":"Linden\u2010Carmichael","sequence":"first","affiliation":[{"name":"University of Oregon  Eugene Oregon 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