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Regional brain activity of resting-state fMRI and auditory oddball ERP with multimodal approach in individuals with internet gaming disorder. 网络游戏障碍患者静息状态fMRI和多模态听觉古怪ERP脑区活动的研究。
IF 7.8 1区 医学 Q1 Psychology Pub Date : 2023-11-21 Print Date: 2023-12-22 DOI: 10.1556/2006.2023.00063
Minkyung Park, Joon Hwan Jang, So Young Yoo, Areum Choi, Heejung Kim, Jung-Seok Choi

Background and aims: Resting-state brain activity may be associated with the ability to perform tasks; however, a multimodal approach involving resting-state functional magnetic resonance imaging (fMRI) and event-related potentials (ERPs) has not been widely used to investigate addictive disorders.

Methods: We explored resting-state fMRI and auditory oddball ERP values from 26 with internet gaming disorder (IGD) patients and 27 age- and intelligence quotient-matched healthy controls (HCs). To assess the characteristics of resting-state fMRI, we calculated regional homogeneity (ReHo), amplitude of low-frequency fluctuation (ALFF), and fractional amplitude of low-frequency fluctuation (fALFF); we also calculated the P3 component of the ERPs.

Results: Compared with HCs, the individuals with IGD exhibited significant decreases in ReHo and fALFF values in the left inferior occipital gyrus, increased ReHo and ALFF values in the right precuneus, increased ALFF in the left superior frontal gyrus, and lower P3 amplitudes in the midline centro-parietal area during the auditory ERP task. Furthermore, the regional activity of resting-state fMRI in the right inferior temporal gyrus and the occipital regions were positively correlated with the P3 amplitudes in IGD patients, whereas ReHo values of the left hippocampus and the right amygdala were negatively correlated with P3.

Discussion and conclusions: Our results suggest that IGD patients have difficulty interacting effectively with cognitive function and sensory processing, although its interpretations need some cautions. The findings in this study will broaden the overall understanding of the neurobiological mechanisms that underlie IGD pathophysiology.

背景和目的:静息状态下的大脑活动可能与执行任务的能力有关;然而,包括静息状态功能磁共振成像(fMRI)和事件相关电位(ERPs)在内的多模态方法尚未广泛用于研究成瘾性疾病。方法:对26例网络游戏障碍(IGD)患者和27例年龄和智商匹配的健康对照(hc)进行静息态功能磁共振成像(fMRI)和听觉古怪ERP值的检测。为了评估静息状态fMRI的特征,我们计算了区域均匀性(ReHo)、低频波动幅度(ALFF)和低频波动分数幅度(fALFF);我们还计算了erp的P3部分。结果:与正常人相比,IGD组在听觉ERP任务中表现出左侧枕下回ReHo和fALFF值明显降低,右侧叶前叶ReHo和ALFF值明显升高,左侧额上回ALFF值明显升高,顶叶中线中央区P3振幅明显降低。IGD患者静息状态fMRI右侧颞下回和枕部区域的区域活动与P3波幅呈正相关,而左侧海马和右侧杏仁核的ReHo值与P3呈负相关。讨论和结论:我们的研究结果表明,IGD患者难以有效地与认知功能和感觉加工相互作用,尽管其解释需要一些谨慎。本研究的发现将扩大对IGD病理生理学基础的神经生物学机制的全面理解。
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引用次数: 0
Five-week of solution-focused group counseling successfully reduces internet addiction among college students: A pilot study. 为期五周的以解决方案为中心的小组咨询成功地减少了大学生的网络成瘾:一项试点研究。
IF 7.8 1区 医学 Q1 Psychology Pub Date : 2023-11-15 Print Date: 2023-12-22 DOI: 10.1556/2006.2023.00064
Yu Pu, Yuting Liu, Yawei Qi, Ziyou Yan, Xinhe Zhang, Qinghua He

Background and aims: In the digital age, Internet addiction (IA) was deemed an epidemic and few treatments had been effectively developed for it. Here, we proposed a solution-focused group counseling (SFGC) as a potentially solution to reduce Internet addiction among college students. The present study examined the short- and long-term effect of a five-week solution-focused group counseling intervention on Internet addiction.

Methods: Thirty-two participants were recruited and randomly assigned to either the experimental or control group, and twenty-six participants completed the whole intervention. The experimental group (n = 14) received the intervention, while control group (n = 12) did not. The revised version of the Chinese Internet Addiction Scale (CIAS-R), the Future Time Perspective, and resting-state EEG were administered pre-intervention, post-intervention, and at two follow-up tests (one month and six months after intervention).

Results: The results showed that the scores of the CIAS-R in the experimental group were significantly decreased after intervention, and these effects could be sustained for one month and six months follow-ups. Additionally, the intervention conducted an increase in future time perspective. EEG results further suggested that the alpha, beta, and gamma absolute power decreased after the intervention.

Conclusion: These results from the pilot-study primarily suggested that solution-focused group counseling could be an effective intervention for Internet addiction.

背景和目的:在数字时代,网瘾(IA)被认为是一种流行病,很少有有效的治疗方法。在此,我们提出了一个以解决方案为中心的小组咨询(SFGC)作为减少大学生网络成瘾的潜在解决方案。本研究考察了为期五周的以解决方案为中心的小组咨询干预对网络成瘾的短期和长期影响。方法:招募32名受试者,随机分为实验组和对照组,其中26名受试者完成了整个干预过程。实验组(n = 14)进行干预,对照组(n = 12)不进行干预。在干预前、干预后以及干预后1个月和6个月的两次随访测试中分别使用修订版中国网络成瘾量表(CIAS-R)、未来时间视角和静息状态脑电图。结果:实验组干预后CIAS-R评分明显下降,且可持续1个月及随访6个月。此外,干预还增加了对未来时间的看法。脑电图结果进一步表明,干预后α、β和γ绝对功率下降。结论:这些初步研究的结果初步表明,以解决方案为中心的团体咨询可能是一种有效的网络成瘾干预措施。
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引用次数: 0
Deep learning(s) in gaming disorder through the user-avatar bond: A longitudinal study using machine learning. 通过用户-化身结合在游戏障碍中的深度学习:一项使用机器学习的纵向研究。
IF 7.8 1区 医学 Q1 Psychology Pub Date : 2023-11-09 Print Date: 2023-12-22 DOI: 10.1556/2006.2023.00062
Vasileios Stavropoulos, Daniel Zarate, Maria Prokofieva, Noirin Van de Berg, Leila Karimi, Angela Gorman Alesi, Michaella Richards, Soula Bennet, Mark D Griffiths

Background and aims: Gaming disorder [GD] risk has been associated with the way gamers bond with their visual representation (i.e., avatar) in the game-world. More specifically, a gamer's relationship with their avatar has been shown to provide reliable mental health information about the user in their offline life, such as their current and prospective GD risk, if appropriately decoded.

Methods: To contribute to the paucity of knowledge in this area, 565 gamers (Mage = 29.3 years; SD =10.6) were assessed twice, six months apart, using the User-Avatar-Bond Scale (UABS) and the Gaming Disorder Test. A series of tuned and untuned artificial intelligence [AI] classifiers analysed concurrently and prospectively their responses.

Results: Findings showed that AI models learned to accurately and automatically identify GD risk cases, based on gamers' reported UABS score, age, and length of gaming involvement, both concurrently and longitudinally (i.e., six months later). Random forests outperformed all other AIs, while avatar immersion was shown to be the strongest training predictor.

Conclusion: Study outcomes demonstrated that the user-avatar bond can be translated into accurate, concurrent and future GD risk predictions using trained AI classifiers. Assessment, prevention, and practice implications are discussed in the light of these findings.

背景和目的:游戏障碍风险与游戏玩家在游戏世界中与视觉表现(即化身)的联系方式有关。更具体地说,玩家与其化身的关系已被证明可以在离线生活中提供关于用户的可靠心理健康信息,例如,如果适当解码,他们当前和未来的GD风险。方法:为了解决该领域知识匮乏的问题,565名游戏玩家(Mage=29.3岁;SD=10.6)使用用户化身债券量表(UABS)和游戏障碍测试进行了两次评估,间隔六个月。一系列调整和未调整的人工智能分类器同时并前瞻性地分析了它们的反应。结果:研究结果表明,人工智能模型学会了根据玩家报告的UABS分数、年龄和参与游戏的时间,同时和纵向(即六个月后),准确、自动地识别GD风险案例。随机森林的表现优于所有其他AI,而化身沉浸感被证明是最强的训练预测因素。结论:研究结果表明,使用经过训练的人工智能分类器,用户化身纽带可以转化为准确、并发和未来的GD风险预测。根据这些发现讨论了评估、预防和实践的影响。
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引用次数: 0
Heterogeneity of gaming disorder: A clinically-based typology for developing personalized interventions. 游戏障碍的异质性:开发个性化干预的临床类型学。
IF 7.8 1区 医学 Q1 Psychology Pub Date : 2023-11-07 Print Date: 2023-12-22 DOI: 10.1556/2006.2023.00059
Chih-Hung Ko, Orsolya Király, Zsolt Demetrovics, Mark D Griffiths, Takahiro A Kato, Masaru Tateno, Ju-Yu Yen

Background: The eleventh revision of the International Classification of Diseases (ICD-11) defines the three key diagnostic criteria for gaming disorder (GD). These are loss of control over gaming, gaming as a priority over daily activities, and impaired functioning due to gaming. While this definition has implications for the prevention and treatment of GD, there is significant heterogeneity in the symptoms and etiology of GD among individuals, which results in different treatment needs. Cognitive control, emotional regulation, and reward sensitivity are three critical dimensions in the etiology model for GD. Aspects such as gender, comorbidity, motivation for gaming, stage or severity of GD, and risk factors all contribute to the heterogeneity of etiology among individuals with the disorder.

Method: On the basis of clinical symptoms and comorbidity characteristics among approximately 400 patients with gaming disorder, the present paper proposes a clinical typology of patients with GD based on the authors' clinical experience in treating individuals with GD.

Results: The findings indicated three common types of patients with GD: (i) impulsive male patients with attention deficit hyperactivity disorder (ADHD), (ii) dysphoria patients with dysfunctional coping skills, and (iii) isolated patients with social anxiety. The paper also discusses the presentation and treatment priority for these patients.

Conclusion: Personalized treatments for patients with GD should be developed to fit their individual needs. Future studies should examine the heterogeneity of GD and confirm these types, as well as obtain evidence-based information that can help in the development of personalized treatment. Treatment resources should be developed, and professionals should be trained to provide integrated individualized treatment.

背景:国际疾病分类(ICD-11)第十一次修订版定义了游戏障碍(GD)的三个关键诊断标准。这些是对游戏失去控制,游戏优先于日常活动,以及游戏导致的功能受损。虽然这一定义对GD的预防和治疗有意义,但GD的症状和病因在个体之间存在显著的异质性,这导致了不同的治疗需求。认知控制、情绪调节和奖励敏感性是GD病因模型中的三个关键维度。性别、共病、游戏动机、GD的阶段或严重程度以及风险因素等因素都导致了GD患者病因的异质性。方法:根据近400例游戏障碍患者的临床症状及共病特点,本文根据作者治疗GD的临床经验,提出了GD患者的临床分型。结果:研究结果表明,GD患者有三种常见类型:(i)患有注意力缺陷多动障碍(ADHD)的冲动型男性患者,以及(iii)具有社交焦虑的孤立患者。本文还讨论了这些患者的表现和治疗优先级。结论:GD患者应制定个性化治疗方案,以满足其个人需求。未来的研究应该检查GD的异质性,确认这些类型,并获得有助于开发个性化治疗的循证信息。应开发治疗资源,并培训专业人员提供综合个性化治疗。
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引用次数: 0
Emotional processing deficits in individuals with problematic pornography use: Unpleasant bias and pleasant blunting. 有问题的色情作品使用者的情绪处理缺陷:令人不快的偏见和愉快的直率。
IF 7.8 1区 医学 Q1 Psychology Pub Date : 2023-11-03 Print Date: 2023-12-22 DOI: 10.1556/2006.2023.00058
Jianfeng Wang, Hong Li

Background and aims: A growing body of evidence indicates a connection between emotional processes and the emergence and progression of addiction. However, scant research has examined the involvement of emotional processing within the framework of problematic pornography use (PPU). This study aimed to examine the electrophysiological and subjective differences in emotional processing between male individuals with PPU and healthy controls (HCs) following exposure to everyday affective images.

Methods: Event-related potentials (ERPs) were recorded from 42 PPU participants (mean age = 20.14 years, SD = 1.35) and 45 HCs (mean age = 20.04 years, SD = 1.45) during an oddball task, in which unpleasant, pleasant, and neutral images were presented as deviant stimuli, while a neutral kettle image served as the standard stimulus. The Self-Assessment Manikin (SAM) was employed to assess participants' subjective experience on the dimensions of valence and arousal.

Results: Regarding subjective measures of emotion, individuals with PPU reported lower valence ratings for unpleasant images compared to HCs. In terms of electrophysiological measures of emotion, PPU participants reported larger P2 amplitudes for unpleasant pictures compared to both pleasant and neutral pictures. Moreover, HCs showed enhanced P3 amplitudes in response to pleasant images compared to neutral images, whereas this effect was not observed in PPU participants.

Discussion and conclusion: These findings indicate that individuals with PPU may display deficits in emotional processing characterized by enhanced responsiveness to negative stimuli and attenuated responsiveness to positive stimuli. The heightened sensitivity to negative stimuli may contribute to the inclination of individuals with PPU to engage in pornography as a coping mechanism for stress regulation. Conversely, their diminished sensitivity to positive stimuli presents a challenge in seeking alternative natural rewards to counter potentially addictive behaviors.

背景和目的:越来越多的证据表明,情绪过程与成瘾的出现和发展之间存在联系。然而,很少有研究在有问题的色情使用(PPU)的框架内研究情感处理的参与。本研究旨在检验PPU男性个体与健康对照组(HC)在接触日常情感图像后情绪处理的电生理和主观差异。方法:在一项奇怪的任务中,记录42名PPU参与者(平均年龄=20.14岁,SD=1.35)和45名HC(平均年龄20.04岁,SD=1.45)的事件相关电位(ERPs),其中不愉快、愉快和中性的图像作为异常刺激,而中性的水壶图像作为标准刺激。自我评估模型(SAM)用于评估参与者在效价和唤醒维度上的主观体验。结果:在情绪的主观测量方面,与HC相比,PPU患者对不愉快图像的效价较低。在情绪的电生理测量方面,PPU参与者报告说,与愉快和中性图片相比,不愉快图片的P2振幅更大。此外,与中性图像相比,HC对愉快图像的反应显示出增强的P3振幅,而在PPU参与者中没有观察到这种影响。讨论和结论:这些发现表明,PPU患者可能表现出情绪处理缺陷,其特征是对负面刺激的反应增强,对正面刺激的反应减弱。对负面刺激的敏感性增强可能有助于PPU患者倾向于从事色情活动,将其作为压力调节的应对机制。相反,他们对积极刺激的敏感性降低,这对寻找替代性的自然奖励来对抗潜在的成瘾行为提出了挑战。
{"title":"Emotional processing deficits in individuals with problematic pornography use: Unpleasant bias and pleasant blunting.","authors":"Jianfeng Wang, Hong Li","doi":"10.1556/2006.2023.00058","DOIUrl":"10.1556/2006.2023.00058","url":null,"abstract":"<p><strong>Background and aims: </strong>A growing body of evidence indicates a connection between emotional processes and the emergence and progression of addiction. However, scant research has examined the involvement of emotional processing within the framework of problematic pornography use (PPU). This study aimed to examine the electrophysiological and subjective differences in emotional processing between male individuals with PPU and healthy controls (HCs) following exposure to everyday affective images.</p><p><strong>Methods: </strong>Event-related potentials (ERPs) were recorded from 42 PPU participants (mean age = 20.14 years, SD = 1.35) and 45 HCs (mean age = 20.04 years, SD = 1.45) during an oddball task, in which unpleasant, pleasant, and neutral images were presented as deviant stimuli, while a neutral kettle image served as the standard stimulus. The Self-Assessment Manikin (SAM) was employed to assess participants' subjective experience on the dimensions of valence and arousal.</p><p><strong>Results: </strong>Regarding subjective measures of emotion, individuals with PPU reported lower valence ratings for unpleasant images compared to HCs. In terms of electrophysiological measures of emotion, PPU participants reported larger P2 amplitudes for unpleasant pictures compared to both pleasant and neutral pictures. Moreover, HCs showed enhanced P3 amplitudes in response to pleasant images compared to neutral images, whereas this effect was not observed in PPU participants.</p><p><strong>Discussion and conclusion: </strong>These findings indicate that individuals with PPU may display deficits in emotional processing characterized by enhanced responsiveness to negative stimuli and attenuated responsiveness to positive stimuli. The heightened sensitivity to negative stimuli may contribute to the inclination of individuals with PPU to engage in pornography as a coping mechanism for stress regulation. Conversely, their diminished sensitivity to positive stimuli presents a challenge in seeking alternative natural rewards to counter potentially addictive behaviors.</p>","PeriodicalId":15049,"journal":{"name":"Journal of Behavioral Addictions","volume":null,"pages":null},"PeriodicalIF":7.8,"publicationDate":"2023-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10786232/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71434320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
How does parents' psychological distress relate to adolescents' problematic gaming? The roles of parent-adolescent relationship and adolescents' emotion regulation. 父母的心理困扰与青少年有问题的游戏有何关系?父母-青少年关系与青少年情绪调节的作用。
IF 7.8 1区 医学 Q1 Psychology Pub Date : 2023-10-30 Print Date: 2023-12-22 DOI: 10.1556/2006.2023.00060
Li Lin, Ruyi Ding, Shiguang Ni

Background and aims: Emerging research has identified parents' psychological distress as a potential risk factor that increases adolescents' vulnerability to problematic gaming. This study attempted to address "why" from a relational perspective. We hypothesized that parents' psychological distress may link to adolescents' problematic gaming through the mediation of parent-child relationship quality, while the mediating effects of parent-child relationship quality may vary depending on adolescents' emotion regulation.

Methods: We collected data from 4,835 parent-child dyads in China (parental age = 41.45 ± 4.53 years; adolescent age = 13.50 ± 1.00 years). Structural Equation Modeling (SEM) was utilized to analyze the relationships among the variables under study.

Results: Parent-reported parental depression/anxiety was related to worse adolescent-reported parent-child relationship, which in turn related to more severe adolescent-reported problematic gaming. Moreover, the mediating effects of parent-child relationship quality were weaker when adolescents used more expressive suppression (but not cognitive reappraisal).

Discussion and conclusions: The findings of this study highlight the need to consider both parent-child relationships and adolescents' active role in their own emotion regulation in order to understand parental influence on adolescent problematic gaming.

背景和目的:新出现的研究表明,父母的心理困扰是一个潜在的风险因素,会增加青少年对问题游戏的脆弱性。这项研究试图从关系的角度来探讨“为什么”。我们假设,父母的心理困扰可能通过亲子关系质量的中介与青少年的问题游戏有关,而亲子关系品质的中介作用可能因青少年的情绪调节而异。方法:我们收集了4835名中国亲子二人组(父母年龄=41.45±4.53岁;青少年年龄=13.50±1.00岁)的数据。结构方程建模(SEM)用于分析所研究变量之间的关系。结果:父母报告的父母抑郁/焦虑与青少年报告的亲子关系恶化有关,而青少年报告的问题游戏则更严重。此外,当青少年使用更多的表达抑制(但不是认知重新评价)时,亲子关系质量的中介作用较弱。讨论和结论:本研究的结果强调,需要考虑亲子关系和青少年在自身情绪调节中的积极作用,以了解父母对青少年问题游戏的影响。
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引用次数: 0
Alterations in voxel based morphometry and resting state functional connectivity in men with compulsive sexual behavior disorder in the Sex@Brain study. 在Sex@Brain研究中,强迫性性行为障碍男性中基于体素形态学和静息状态功能连接的改变。
IF 7.8 1区 医学 Q1 Psychology Pub Date : 2023-10-24 Print Date: 2023-12-22 DOI: 10.1556/2006.2023.00056
Jannis Engel, Athina Gkavanozi, Maria Veit, Jonas Kneer, Tillmann H C Kruger, Christopher Sinke

Aim: Compulsive Sexual Behavior Disorder (CSBD) is a new category in ICD-11. Research examining underlying brain mechanisms is sparse. Research into neurobiological differences can be helpful in advancing the possibilities of new diagnostic approaches and therapeutic methods. The present study aimed to examine brain matter volume and resting state functional connectivity (rs-FC) in CSBD.

Methods: Structural and rs-FC magnetic resonance imaging and data from questionnaires were collected in 30 men with CSBD and 32 age- and education-matched controls. Whole brain voxel based morphometry (VBM) and seed based rs-FC in a-priori defined seeds were analyzed.

Results: Structural analyses showed that men with CSBD had significantly increased gray matter volume in the right cerebellum, middle occipital and superior frontal lobe. No differences in rs-FC could be detected when using these brain structures as seed regions in rs-FC. In contrast, literature based rs-FC analysis revealed decreased rs-FC between the right orbital middle frontal cortex (mOFC) and the right gyrus rectus, as well as between left pallidum and right post/precentral gyrus in men with CSBD. In the left amygdala we observed increased rs-FC with precuneus in this group. In addition, most of these measures correlated with symptom severity.

Conclusion: Structural findings may underscore the idea that the cerebellum plays an important role in sexual arousal and CSBD. Perhaps, a simultaneous activation of the left amygdala and the precuneus reflects a constant sexual occupation of men with CSBD. Furthermore, lower connectivity between mOFC and gyrus rectus in CSBD may support the assumption that sexual stimuli are evaluated more positively because inhibition is decreased.

目的:强迫性行为障碍(CSBD)是ICD-11中的一个新类别。对大脑潜在机制的研究很少。对神经生物学差异的研究有助于推进新的诊断方法和治疗方法的可能性。本研究旨在检测CSBD患者的脑物质体积和静息状态功能连接(rs-FC)。方法:收集30名CSBD患者和32名年龄和教育程度匹配的对照组的结构和rs-FC磁共振成像和问卷数据。分析了先验定义种子中基于全脑体素的形态计量学(VBM)和基于种子的rs FC。结果:结构分析显示,患有CSBD的男性右小脑、枕中叶和额上叶灰质体积显著增加。当使用这些大脑结构作为rs FC的种子区域时,不能检测到rs FC的差异。相反,基于文献的rs FC分析显示,患有CSBD的男性右眶额中皮质(mOFC)和右直肌之间以及左苍白球和右中央后/中央前回之间的rs FC降低。在左侧杏仁核中,我们观察到该组楔前叶的rs FC增加。此外,这些指标大多与症状严重程度相关。结论:结构发现可能强调小脑在性唤起和CSBD中起着重要作用。也许,左侧杏仁核和楔前叶的同时激活反映了患有CSBD的男性持续的性行为。此外,CSBD中mOFC和直肌之间较低的连接性可能支持这样一种假设,即由于抑制作用降低,性刺激被更积极地评估。
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引用次数: 0
The vicious cycle of family dysfunction and problematic gaming and the mediating role of self-concept clarity among early adolescents: A within-person analysis using random intercept cross-lagged panel modeling 青少年早期家庭功能障碍和问题游戏的恶性循环以及自我概念清晰度的中介作用:一项使用随机截距交叉滞后面板模型的个人分析
1区 医学 Q1 Psychology Pub Date : 2023-10-18 DOI: 10.1556/2006.2023.00054
Jianhua Zhou, Haiyan Zhao, Li'an Wang, Dandan Zhu
Abstract Backgrounds and aims Family dysfunction is a significant risk factor for adolescent problematic gaming, yet few studies have investigated the bidirectional relations between changes in family dysfunction and adolescent problematic gaming and potential mediating mechanisms. This study thus examined the bidirectional relations between family dysfunction and adolescent problematic gaming and the mediating role of self-concept clarity within this relation. Methods Participants included 4,731 Chinese early adolescents (44.9% girls; M age = 10.91 years, SD = 0.72) who were surveyed at four time points 6 months apart. Results Random intercept cross-lagged panel modeling found (a) family dysfunction directly predicts increased problematic gaming, (b) adolescent problematic gaming directly predicts increased experience of family dysfunction, (c) family dysfunction indirectly predicts problematic gaming via self-concept clarity, and (d) adolescent problematic gaming indirectly predicts family dysfunction via self-concept clarity. Discussion and conclusions The present study suggests that adolescents may be trapped in a vicious cycle between family dysfunction and problematic gaming either directly or indirectly through impairing their self-concept clarity. Findings indicate fostering youth self-concept clarity is essential to break the vicious circle between dysfunctional experiences in the family and problematic gaming among adolescents.
背景与目的家庭功能障碍是青少年问题游戏的重要危险因素,但家庭功能障碍变化与青少年问题游戏的双向关系及其可能的中介机制研究较少。本研究旨在探讨家庭功能障碍与青少年问题游戏之间的双向关系,以及自我概念清晰度在这种关系中的中介作用。方法纳入4731名中国早期青少年(44.9%为女孩;M年龄= 10.91岁,SD = 0.72),分别于4个时间点(间隔6个月)进行调查。随机截取交叉滞后面板模型发现:(a)家庭功能障碍直接预测问题游戏的增加,(b)青少年问题游戏直接预测家庭功能障碍的增加,(c)家庭功能障碍通过自我概念清晰度间接预测问题游戏,(d)青少年问题游戏通过自我概念清晰度间接预测家庭功能障碍。讨论与结论本研究表明,青少年可能会直接或间接地通过损害自我概念清晰度而陷入家庭功能障碍与问题游戏之间的恶性循环。研究结果表明,培养青少年自我概念的清晰度对于打破家庭功能失调经历与青少年问题游戏之间的恶性循环至关重要。
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引用次数: 0
Plasma concentration of leptin is related to food addiction in gambling disorder: Clinical and neuropsychological implications 血浆瘦素浓度与赌博障碍患者的食物成瘾有关:临床和神经心理学意义
1区 医学 Q1 Psychology Pub Date : 2023-10-17 DOI: 10.1556/2006.2023.00051
Mikel Etxandi, Isabel Baenas, Bernat Mora-Maltas, Roser Granero, Fernando Fernández-Aranda, Sulay Tovar, Neus Solé-Morata, Ignacio Lucas, Sabela Casado, Mónica Gómez-Peña, Laura Moragas, Amparo del Pino-Gutiérrez, Javier Tapia, Eduardo Valenciano-Mendoza, Marc N. Potenza, Ashley N. Gearhardt, Carlos Diéguez, Susana Jiménez-Murcia
Abstract Background Data implicate overlaps in neurobiological pathways involved in appetite regulation and addictive disorders. Despite different neuroendocrine measures having been associated with both gambling disorder (GD) and food addiction (FA), how appetite-regulating hormones may relate to the co-occurrence of both entities remain incompletely understood. Aims To compare plasma concentrations of ghrelin, leptin, adiponectin, and liver-expressed antimicrobial peptide 2 (LEAP-2) between patients with GD, with and without FA, and to explore the association between circulating hormonal concentrations and neuropsychological and clinical features in individuals with GD and FA. Methods The sample included 297 patients diagnosed with GD (93.6% males). None of the patients with GD had lifetime diagnosis of an eating disorder. FA was evaluated with the Yale Food Addiction Scale 2.0. All patients were assessed through a semi-structured clinical interview and a psychometric battery including neuropsychological tasks. Blood samples to measure hormonal variables and anthropometric variables were also collected. Results From the total sample, FA was observed in 23 participants (FA+) (7.7% of the sample, 87% males). When compared participants with and without FA, those with FA+ presented both higher body mass index (BMI) ( p < 0.001) and leptin concentrations, after adjusting for BMI ( p = 0.013). In patients with FA, leptin concentrations positively correlated with impulsivity, poorer cognitive flexibility, and poorer inhibitory control. Other endocrine measures did not differ between groups. Discussion and conclusions The present study implicates leptin in co-occurring GD and FA. Among these patients, leptin concentration has been associated with clinical and neuropsychological features, such as impulsivity and cognitive performance in certain domains.
背景数据表明,食欲调节和成瘾性障碍的神经生物学通路存在重叠。尽管不同的神经内分泌测量与赌博障碍(GD)和食物成瘾(FA)有关,但食欲调节激素如何与这两种实体的共同发生有关仍然不完全清楚。目的比较GD、合并FA和不合并FA患者血浆ghrelin、leptin、脂联素和肝脏表达抗菌肽2 (LEAP-2)的浓度,探讨GD和FA患者循环激素浓度与神经心理和临床特征之间的关系。方法297例确诊为GD的患者,其中男性占93.6%。所有GD患者都没有终生被诊断为饮食失调。采用耶鲁食物成瘾量表2.0对FA进行评估。所有患者均通过半结构化临床访谈和包括神经心理学任务在内的心理测量测试进行评估。还收集了血液样本,用于测量激素变量和人体测量变量。结果在总样本中,FA+患者23例(7.7%,男性87%)。当与没有FA的参与者相比,FA+的参与者表现出更高的身体质量指数(BMI) (p <0.001)和瘦素浓度,调整BMI后(p = 0.013)。在FA患者中,瘦素浓度与冲动性、较差的认知灵活性和较差的抑制控制呈正相关。其他内分泌指标在两组之间没有差异。讨论和结论本研究提示瘦素与GD和FA的共同发生有关。在这些患者中,瘦素浓度与临床和神经心理学特征有关,如某些领域的冲动和认知表现。
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引用次数: 1
8th International Conference on Behavioral Addictions (ICBA 2023) August 23–25, 2023 Incheon, South Korea 第八届行为成瘾国际会议(ICBA 2023)将于2023年8月23日至25日在韩国仁川举行
1区 医学 Q1 Psychology Pub Date : 2023-10-16 DOI: 10.1556/2006.2023.00800
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引用次数: 0
期刊
Journal of Behavioral Addictions
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