Addictive Behaviors Reports最新文献

Overlapping Phenotypes of Compulsive Buying-Shopping Disorder and Borderline Personality Disorder: An Evidence-Based Model 强迫性购物障碍和边缘型人格障碍的重叠表型：一个基于证据的模型

IF 2.8 Q1 Psychology

Addictive Behaviors Reports

Pub Date : 2026-01-23 DOI: 10.1016/j.abrep.2026.100669

Nora M. Laskowski, Luisa Sabel, Gerrit Brandt, Georgios Paslakis

Background

Compulsive Buying-Shopping Disorder (CBSD) and Borderline Personality Disorder (BPD) are two clinically relevant conditions that frequently co-occur. Previous studies suggest overlapping etiological pathways, yet a structured comparison of the two disorders is missing. This paper aimed to map and contrast the key psychological constructs associated with CBSD and BPD based on established diagnostic criteria and the existing literature.

Methods

A comprehensive, iterative literature search was conducted in PubMed and Google Scholar without publication date restrictions, including qualitative, quantitative, and review studies in English and German. Constructs were categorized based on the strength and consistency of the evidence, and findings were synthesized narratively and illustrated visually.

Results

Shared constructs include impulsivity, affective/emotional stability and regulation, self-regulation/control, self-concept/identity, attachment style/emotional dependence, decision-making, perfectionism, and novelty seeking. For CBSD, constructs such as cue-reactivity/craving, compulsivity, behavioral inhibition/activation system, materialism, attachment to possessions, and approach-oriented personality traits were more prominent. In contrast, BPD-specific constructs include internal representations of self and others/object relations, mentalization, chronic emptiness, perceptual/interpretation bias, non-suicidal self-injurious behavior, social relationships, and dissociative symptoms.

Conclusion

The resulting model offers a preliminary framework to distinguish shared and unique features of CBSD and BPD, supporting transdiagnostic understanding and contributing to improved diagnostic precision and intervention strategies.

强迫性购物障碍（CBSD）和边缘性人格障碍（BPD）是两种临床相关的疾病，经常同时发生。先前的研究表明重叠的病因途径，但缺乏对两种疾病的结构化比较。本文旨在根据已建立的诊断标准和现有文献，绘制和对比与CBSD和BPD相关的关键心理构念。方法在PubMed和谷歌Scholar中进行全面、迭代的文献检索，不受发表日期限制，包括定性、定量和英文和德文的综述研究。根据证据的强度和一致性对结构进行分类，并对结果进行综合叙述和视觉说明。结果共有构式包括冲动性、情感/情绪稳定与调节、自我调节/控制、自我概念/认同、依恋类型/情感依赖、决策、完美主义和追求新奇。在CBSD中，线索反应/渴望、强迫性、行为抑制/激活系统、物质主义、对财产的依恋和方法导向的人格特征等构念更为突出。相比之下，bpd特有的构念包括自我和他人/客体关系的内部表征、心理化、慢性空虚、知觉/解释偏见、非自杀性自伤行为、社会关系和分离症状。结论该模型提供了一个初步的框架来区分CBSD和BPD的共同特征和独特特征，支持跨诊断理解，有助于提高诊断精度和干预策略。

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引用次数: 0

Temporal patterns of adolescent screen time and compulsive internet use in Moroccan high school students 摩洛哥高中生屏幕时间与强迫性网络使用的时间模式

IF 2.8 Q1 Psychology

Addictive Behaviors Reports

Pub Date : 2026-01-13 DOI: 10.1016/j.abrep.2026.100667

Samiha Imrani , Bouzekri Touri , Lucia Romo , Oulmann Zerhouni

Objective: Although compulsive internet use reflects interactions between personal vulnerabilities and situational triggers, adolescents’ day-to-day screen time patterns, especially in non-Western contexts, remain understudied. We aim to examine temporal patterns of screen time among Moroccan adolescents and their associations with compulsive internet use (CIU) and sociodemographic factors. Methods: This study uses an intensive daily design to capture short-term fluctuations in screen use across a week, identifying weekday–weekend shifts and other dynamics. A total of 334 Moroccan high school students (M_age = 16.02 years, 52 % female) from three public schools in urban and rural areas reported their daily screen time and CIU over seven consecutive days, their platform-specific usage and their scores on the CIUS. Latent class analysis (LCA) was used to identify subgroups with distinct weekly trajectories, and latent growth modeling (LGM) was used to assess temporal change. Linear mixed-effects models tested predictors, including age, sex, CIUS scores, school type, device preference, and primary internet activity. Results: Two distinct usage profiles emerged: steady-low and weekend-high. The weekend-high profile was more common among older girls and showed strong Sunday peaks. Mixed-effects and latent class models showed that higher CIUS scores, being female, and the day of the week (especially Sunday, with an increase of 74 min compared to weekdays) predicted heavier, multi-platform engagement. Conclusions: Moroccan adolescents show heterogeneous temporal patterns of screen use, with compulsive use linked to heavier, weekend-centered engagement. Prevention efforts should target overall exposure and high-risk time windows, especially on weekends.

目的：虽然强迫性网络使用反映了个人脆弱性和情境触发因素之间的相互作用，但青少年的日常屏幕时间模式，特别是在非西方环境下，仍未得到充分研究。我们的目标是检查摩洛哥青少年屏幕时间的时间模式及其与强迫性互联网使用（CIU）和社会人口因素的联系。方法：本研究采用密集的日常设计来捕捉一周内屏幕使用的短期波动，确定工作日-周末的变化和其他动态。共有来自城市和农村地区三所公立学校的334名摩洛哥高中生（年龄为16.02岁，52%为女性）报告了他们连续七天每天的屏幕时间和CIU，他们的平台特定使用情况和CIUS得分。使用潜类分析（LCA）来识别具有不同周轨迹的亚组，并使用潜增长模型（LGM）来评估时间变化。线性混合效应模型测试了预测因子，包括年龄、性别、CIUS分数、学校类型、设备偏好和主要的互联网活动。结果：出现了两种不同的使用情况：稳定低和周末高。周末高调在年龄较大的女孩中更为常见，并在周日出现了强烈的高峰。混合效应和潜在类别模型显示，女性的CIUS分数越高，一周中的哪一天（尤其是周日，与工作日相比增加了74分钟）预示着更重的多平台参与度。结论：摩洛哥青少年显示出不同的屏幕使用时间模式，强迫性使用与更重的、以周末为中心的接触有关。预防工作应针对整体暴露和高风险时间窗口，特别是周末。

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引用次数: 0

The effect of television advertising on gambling behaviour: a quasi-experimental study during the 2022 Qatar FIFA World Cup 电视广告对赌博行为的影响：2022年卡塔尔国际足联世界杯期间的准实验研究

IF 2.8 Q1 Psychology

Addictive Behaviors Reports

Pub Date : 2026-01-13 DOI: 10.1016/j.abrep.2026.100666

Ellen McGrane , Robert Pryce , Matt Field , Luke Wilson , Elizabeth Goyder

Introduction

Gambling is a recognised public health problem, and population-level advertising restrictions may be an effective way to reduce gambling-related harm. This study fills an important evidence gap by employing a quasi-experiment to estimate the impact of television gambling advertising on gambling behaviour during the 2022 Qatar World Cup. It exploits the variation in gambling advertising between two broadcasters to evaluate its impact on gambling behaviour in a real-world setting.

Methods

Poisson and Logistic panel data regression models using the broadcaster in place of gambling advertising are employed with individual fixed effects and match-level controls. Betting data is from a purposive sample of 365 men aged 18 to 45 who bet on football in England.

Results

Frequency of betting on football was 16 % to 24 % higher during games televised on a channel with gambling advertising compared to one without [IRR: 1.16 – 1.24,p < 0.01]. Furthermore, participants were 22 % to 33 % more likely to place a football bet during games that contained television gambling advertising [OR: 1.22 – 1.33, p < 0.01].

Conclusions

Using a pseudo-randomised quasi-experiment, this study found that television advertising significantly increased both the likelihood and frequency of betting during live football games in the sample studied. This raises concerns about the adequacy of current advertising restrictions in the UK and suggests that a policy which restricts television gambling advertising around live football might be an effective part of a wider public health strategy to tackle gambling-related harms. Future studies should replicate this design, using larger, more representative samples, to inform policy.

赌博是一个公认的公共卫生问题，在人口层面上限制广告可能是减少赌博相关危害的有效方法。本研究通过采用准实验来估计2022年卡塔尔世界杯期间电视赌博广告对赌博行为的影响，填补了一个重要的证据空白。它利用两家广播公司之间的赌博广告差异来评估其对现实世界中赌博行为的影响。方法采用广播公司代替博彩广告的spoisson和Logistic面板数据回归模型，采用单项固定效应和比赛水平控制。博彩数据来自365名年龄在18岁至45岁之间的英国男子，他们在英格兰赌足球。结果在有赌博广告的频道播放比赛时，投注足球的频率比没有广告的频道高16%到24% [IRR: 1.16 - 1.24,p < 0.01]。此外，在包含电视赌博广告的比赛中，参与者下注足球的可能性要高出22%至33% [OR: 1.22 - 1.33, p < 0.01]。通过一项伪随机准实验，本研究发现，在研究的样本中，电视广告显著增加了实况足球比赛期间投注的可能性和频率。这引起了人们对英国当前广告限制是否充分的担忧，并建议限制电视赌博广告围绕直播足球的政策可能是更广泛的公共卫生战略的有效组成部分，以解决与赌博相关的危害。未来的研究应该复制这一设计，使用更大、更有代表性的样本，为政策提供信息。

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引用次数: 0

Exposure to tobacco imagery in streaming television is associated with increased intentions to smoke and vape 接触流媒体电视中的烟草图像与吸烟和吸电子烟的意图增加有关

IF 2.8 Q1 Psychology

Addictive Behaviors Reports

Pub Date : 2026-01-13 DOI: 10.1016/j.abrep.2026.100668

Nathan A. Silver , Brenda Dimaya , Elexis C. Kierstead , Madison Iskra , Maeh Al-Shawaf , Michael A. Tynan , Jessica M. Rath

Introduction

Streaming platforms have changed the way we watch television. Although previous research has established a causal relationship between tobacco exposure on-screen and tobacco use, it’s unclear whether changes in the media environment brought about by streaming have altered this process. We hypothesize that youth and young adult’s intentions to use cigarettes and e-cigarettes in the future will be positively associated with greater exposure to tobacco imagery in streaming television.

Methods

A content analysis identifying the amount of tobacco imagery in 60 popular streaming shows with a new season airing between 2019–2022 and an online survey of 1032 15–24-year-olds were conducted to examine the relationship between exposure to tobacco imagery in streaming television and intentions to use.

Results

Compared to those with low exposure to tobacco imagery, moderate and high exposure was associated with 61% and 176% respectively higher odds of increased intentions to use e-cigarettes, and 104% and 168% respectively higher odds of increased intentions to smoke cigarettes. Significant interactions indicate that the relationship between high exposure and intentions to use e-cigarettes and cigarettes was weaker among those who had used a tobacco or nicotine product in the past 30 days.

Conclusion

The relationship between exposure to tobacco imagery and intentions to use tobacco or nicotine products in the future endures on streaming media. Future research is needed to parse differential influences on initiation versus cessation and better understand what kinds of depictions drive these relationships.

流媒体平台已经改变了我们看电视的方式。虽然之前的研究已经建立了在屏幕上接触烟草和吸烟之间的因果关系，但尚不清楚流媒体带来的媒体环境的变化是否改变了这一过程。我们假设，青少年和年轻人未来使用香烟和电子烟的意图将与更多地接触流媒体电视中的烟草图像呈正相关。方法进行内容分析，确定2019-2022年新一季播出的60个热门流媒体节目中的烟草图像数量，并对1032名15 - 24岁的年轻人进行在线调查，以研究流媒体电视中烟草图像的暴露与使用意图之间的关系。结果与烟草图像接触较少的人相比，中度和高度接触的人使用电子烟的意愿增加的几率分别高出61%和176%，吸烟意愿增加的几率分别高出104%和168%。重要的相互作用表明，在过去30天内使用过烟草或尼古丁产品的人群中，高暴露率与使用电子烟和香烟的意图之间的关系较弱。结论在流媒体上，接触烟草图像与未来使用烟草或尼古丁制品的意向之间存在相关性。未来的研究需要分析对开始和停止的不同影响，并更好地理解哪种描述驱动了这些关系。

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引用次数: 0

The relationship between food insecurity and tobacco or alcohol use in Great Britain: A representative population-based survey 英国食品不安全与烟酒使用之间的关系：一项具有代表性的人口调查

IF 2.8 Q1 Psychology

Addictive Behaviors Reports

Pub Date : 2026-01-07 DOI: 10.1016/j.abrep.2025.100659

Vera Helen Buss , Sharon Cox , Dimitra Kale , Leonie Brose , Tessa Langley , Megan Blake , Laura Hamilton , Kerry Brennan-Tovey , Lion Shahab , Jamie Brown

Introduction

Tobacco and alcohol use are linked to health disparities. In recent years, food insecurity, an indicator of disparities, has increased in Great Britain. This study examined the associations between food insecurity and tobacco or alcohol use.

Methods

Data were drawn from a representative cross-sectional study of people aged ≥16 years in Great Britain (N = 4,056), conducted in January‒February 2025. Food insecurity was measured with the 6-item Household Food Security Scale, divided into high/marginal, low, or very low food security. Logistic regression models with food insecurity (combining low and very low food insecurity) as the outcome and adjusted for age, gender, nation of residence, socioeconomic position, financial hardship and smoking or alcohol consumption (measured using AUDIT-C score), were used to derive odds ratios (OR_adj).

Results

Overall, 7.9 % (95 % CI: 6.9, 8.9) reported low and 9.6 % (8.6, 10.7) very low food security. Smoking was associated with food insecurity (OR_adj = 1.75; 95 % CI: 1.32, 2.31). People who abstained from alcohol were more likely to be food insecure compared with those who drank at increasing (AUDIT-C 5: OR_adj = 0.62; 0.41, 0.93) or higher risks of harm (AUDIT-C 8: OR_adj = 0.63; 0.40, 0.97); however, this relationship was moderated by psychological distress.

Conclusion

Food insecurity was associated with higher smoking prevalence. Among people experiencing distress, those abstaining from alcohol and at risk of dependence appeared more likely to experience food insecurity than those drinking at other levels. These findings suggest the need for interventions that offer support for smoking, alcohol and which address underlying stressors of food insecurity.

烟草和酒精的使用与健康差距有关。近年来，作为不平等指标的食品不安全状况在英国有所加剧。这项研究调查了食品不安全与吸烟或饮酒之间的关系。方法数据来自于2025年1 - 2月在英国进行的一项具有代表性的横断面研究，研究对象为年龄≥16岁的人群（N = 4056）。粮食不安全是用6项家庭粮食安全量表来衡量的，分为高/边际、低或极低粮食安全。以粮食不安全（结合低粮食不安全和极低粮食不安全）为结果，并根据年龄、性别、居住国、社会经济地位、经济困难和吸烟或饮酒（使用AUDIT-C评分测量）进行调整的Logistic回归模型用于得出优势比（ORadj）。结果总体而言，7.9% （95% CI: 6.9, 8.9）的人报告粮食安全水平较低，9.6%（8.6,10.7）的人报告粮食安全水平非常低。吸烟与食品不安全相关（ORadj = 1.75; 95% CI: 1.32, 2.31）。与饮酒的人相比，不饮酒的人更有可能出现粮食不安全（audit - c5: ORadj = 0.62; 0.41, 0.93）或更高的危害风险（audit - c8: ORadj = 0.63; 0.40, 0.97）；然而，这种关系被心理困扰所缓和。结论食品不安全与高吸烟率相关。在经历痛苦的人群中，那些戒酒并有依赖风险的人似乎比其他级别饮酒的人更有可能经历粮食不安全。这些发现表明，需要采取干预措施，为吸烟和酗酒提供支持，并解决粮食不安全的潜在压力因素。

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引用次数: 0

E-liquid flavor alters nicotine exposure, puff topography, and subjective effects under ad libitum use conditions 在任意使用条件下，电子烟液体香精改变尼古丁暴露、雾化地形和主观效应

IF 2.8 Q1 Psychology

Addictive Behaviors Reports

Pub Date : 2026-01-06 DOI: 10.1016/j.abrep.2026.100665

Arit M. Harvanko , Conor A. Ruzycki , Jacob McDonald , Eric D. Claus , Megan Schroeder , Carolina Ramôa

Introduction

Electronic nicotine delivery systems (ENDS) are most often used with e-liquids having fruit, and menthol or mint flavor, with tobacco flavor being least prevalent. This study evaluated the effect of a tobacco, fruit, and menthol e-liquid flavor on ENDS abuse liability.

Methods

Fifty-two regular ENDS users participated in a double-blinded, randomized, crossover-design study. Study conditions were ENDS (KangerTech CUPTI) with tobacco, menthol, or fruit flavor e-liquids with 1.2 % (all flavors) or 0 % (fruit only) freebase nicotine concentration. On separate days participants used the study products for 10 prescribed puffs and 1 h of ad libitum use. Plasma nicotine concentration, puff topography, and subjective effects were measured.

Results

Following ad libitum use, tobacco flavor ENDS were associated with significantly lower plasma nicotine levels than other nicotine-containing ENDS. Significantly fewer puffs were taken from the tobacco flavor ENDS than other products, and the 0% nicotine fruit flavor ENDS was associated with greater puff duration and puff volumes than other products. Tobacco flavor was rated significantly lower than other flavors on product liking (e.g., “tastes good” or “pleasant”), while only the 0% nicotine fruit flavor ENDS was associated with significantly greater withdrawal symptoms (e.g., ENDS craving, or urge to use an ENDS) compared to the other flavors.

Conclusions

Tobacco flavor ENDS were rated lower on liking, and associated with less nicotine exposure and fewer puffs taken, but comparably attenuated withdrawal symptoms to other flavor ENDS, while the non-nicotine fruit flavor did not affect withdrawal symptoms.

电子尼古丁输送系统（ENDS）最常用于含有水果、薄荷或薄荷味的电子液体，烟草味最不普遍。本研究评估了烟草、水果和薄荷醇电子液体香料对ENDS滥用的影响。方法采用双盲、随机、交叉设计的方法，对52名经常使用ENDS的患者进行研究。研究条件是ENDS (KangerTech CUPTI)，含有烟草、薄荷醇或水果味电子液体，尼古丁浓度为1.2%（所有口味）或0%（仅水果）。在不同的日子里，参与者使用研究产品进行10次规定的抽吸和1小时的自由使用。测量血浆尼古丁浓度、雾化地形和主观效应。结果随意使用后，烟草香精ENDS与其他含尼古丁ENDS相比，血浆尼古丁水平显著降低。与其他产品相比，烟草味ENDS的吞吐量明显减少，0%尼古丁水果味ENDS的吞吐时间和吞吐量都比其他产品长。与其他口味相比，烟草口味在产品喜好上的评分明显低于其他口味（例如，“味道好”或“令人愉快”），而与其他口味相比，只有0%尼古丁的水果味ENDS与更大的戒断症状（例如，对ENDS的渴望或使用ENDS的冲动）相关。结论烟草香精对尼古丁的喜爱程度较低，尼古丁暴露较少，吸烟量较少，但与其他香精相比，其对戒断症状的影响较小，而不含尼古丁的水果香精对戒断症状没有影响。

{"title":"E-liquid flavor alters nicotine exposure, puff topography, and subjective effects under ad libitum use conditions","authors":"Arit M. Harvanko , Conor A. Ruzycki , Jacob McDonald , Eric D. Claus , Megan Schroeder , Carolina Ramôa","doi":"10.1016/j.abrep.2026.100665","DOIUrl":"10.1016/j.abrep.2026.100665","url":null,"abstract":"<div><h3>Introduction</h3><div>Electronic nicotine delivery systems (ENDS) are most often used with e-liquids having fruit, and menthol or mint flavor, with tobacco flavor being least prevalent. This study evaluated the effect of a tobacco, fruit, and menthol e-liquid flavor on ENDS abuse liability.</div></div><div><h3>Methods</h3><div>Fifty-two regular ENDS users participated in a double-blinded, randomized, crossover-design study. Study conditions were ENDS (KangerTech CUPTI) with tobacco, menthol, or fruit flavor e-liquids with 1.2 % (all flavors) or 0 % (fruit only) freebase nicotine concentration. On separate days participants used the study products for 10 prescribed puffs and 1 h of <em>ad libitum</em> use. Plasma nicotine concentration, puff topography, and subjective effects were measured.</div></div><div><h3>Results</h3><div>Following <em>ad libitum</em> use, tobacco flavor ENDS were associated with significantly lower plasma nicotine levels than other nicotine-containing ENDS. Significantly fewer puffs were taken from the tobacco flavor ENDS than other products, and the 0% nicotine fruit flavor ENDS was associated with greater puff duration and puff volumes than other products. Tobacco flavor was rated significantly lower than other flavors on product liking (e.g., “tastes good” or “pleasant”), while only the 0% nicotine fruit flavor ENDS was associated with significantly greater withdrawal symptoms (e.g., ENDS craving, or urge to use an ENDS) compared to the other flavors.</div></div><div><h3>Conclusions</h3><div>Tobacco flavor ENDS were rated lower on liking, and associated with less nicotine exposure and fewer puffs taken, but comparably attenuated withdrawal symptoms to other flavor ENDS, while the non-nicotine fruit flavor did not affect withdrawal symptoms.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"23 ","pages":"Article 100665"},"PeriodicalIF":2.8,"publicationDate":"2026-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145925162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Etiology of longitudinal associations between subjective effects and substance use disorders in a clinical sample 临床样本中主观效应与物质使用障碍之间纵向关联的病因学

IF 2.8 Q1 Psychology

Addictive Behaviors Reports

Pub Date : 2026-01-02 DOI: 10.1016/j.abrep.2025.100664

Shelley Alyse Gresko , Robin P. Corley , Erik G. Willcutt , Michael C. Stallings , Christian J. Hopfer , Soo Hyun Rhee

Background

Subjective effects (SEs) are positively associated with substance use disorders in clinical samples. However, the etiology of these associations remains unclear. The present study utilized a clinical sample selected for elevated polysubstance use disorder (SUD) criteria to address the following questions: Are positive and negative polysubstance SEs and SUD criteria associated? Are cross-sectional and longitudinal results consistent? Is there evidence for common genetic influences between SEs and SUDs?

Methods

Cross-sectional and longitudinal analyses using the Defries Fulker regression method were conducted in clinical probands (n = 476) and their full (n = 557) and half siblings (n = 65). SEs were assessed in adolescence and SUD criteria were assessed once in adolescence and twice in adulthood.

Results

SEs were correlated with SUD criteria from adolescence to adulthood in clinical probands (r = 0.12–0.40) and during adolescence (r = 0.36–0.39) in full siblings of clinical probands. Results were inconsistent with common genetic influences between elevated SUDs and SEs.

Conclusions

Elevated SUDs and SEs were mostly explained by familial influences independent of genetics. There was little support for common genetic influences on elevated SUDs and SEs, possibly due to low power. Future research should focus on individual factors driving associations between these constructs.

在临床样本中，主观效应（SEs）与物质使用障碍呈正相关。然而，这些关联的病因尚不清楚。本研究使用了一个临床样本来选择多物质使用障碍（SUD）标准，以解决以下问题：阳性和阴性多物质SEs与SUD标准是否相关？横断面和纵向结果一致吗？有证据表明SEs和sud之间存在共同的遗传影响吗？方法采用Defries Fulker回归法对临床先证（n = 476）及其全兄妹（n = 557）和同父异母兄弟姐妹（n = 65）进行横断面和纵向分析。在青春期评估SEs，在青春期评估SUD标准一次，在成年期评估两次。结果在临床先证者的青春期至成年期（r = 0.12-0.40）和在青春期（r = 0.36-0.39）的全兄弟姐妹中（r = 0.36-0.39）， ssi与SUD标准相关。结果与sud升高和SEs升高之间常见的遗传影响不一致。结论sud和SEs的升高主要受家族性影响，与遗传无关。很少有证据支持遗传因素对sud和se升高的共同影响，可能是由于低功率。未来的研究应侧重于驱动这些构念之间关联的个体因素。

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引用次数: 0

Coping, escapism, and fantasy motives and depression symptoms mediate the relationship between emotion dysregulation and gaming disorder 应对、逃避、幻想动机和抑郁症状介导情绪失调与游戏障碍的关系

IF 2.8 Q1 Psychology

Addictive Behaviors Reports

Pub Date : 2025-12-30 DOI: 10.1016/j.abrep.2025.100663

Christian Bäcklund , Daniel Eriksson Sörman , Hanna M. Gavelin , Orsolya Király , Zsolt Demetrovics , Jessica K. Ljungberg

Background

Studies have shown that emotion dysregulation, depression symptoms, and escapism motives are associated with Gaming Disorder (GD) symptoms. Findings indicate a discrepancy between the World Health Organization (WHO) and the American Psychiatric Association (APA) GD symptoms frameworks.

Objective

The current study aimed to investigate the serial mediating effect of depression symptoms and coping, escapism and fantasy motives on the relationship between emotion dysregulation and GD symptoms and compare the WHO and APA frameworks.

Methods

Data was collected through an online survey utilizing validated self-reported measures. The final convenience sample consisted of 678 video game players (68.44 % men [n = 464], 29.65 % women [n = 201], and 1.92 % reported ’other’ as gender identification [n = 13]) with an average age of 29.50 years (SD = 8.92). Structural equation modeling (SEM) was used to analyze the mediating effects.

Results

The results showed that depression symptoms and a composite measure of coping, escapism, and fantasy motivations, in sequence, fully mediated the relationship between emotion dysregulation and GD symptoms within the WHO framework and partially mediated it within the APA framework.

Conclusions

The results indicate that individuals with emotion dysregulation and higher levels of depression symptoms may use video games as an emotion regulation strategy. Managing emotion dysregulation and coping in the context of video games may aid in the clinical course for gaming disorder and co-occurring depression. Future research should utilize longitudinal designs to investigate study variables.

研究表明情绪失调、抑郁症状和逃避动机与游戏障碍（GD）症状有关。研究结果表明，世界卫生组织（WHO）和美国精神病学协会（APA）的GD症状框架之间存在差异。目的探讨抑郁症状与应对、逃避和幻想动机在情绪失调与焦虑症状关系中的串行中介作用，并比较WHO和APA框架。方法通过在线调查收集数据，采用有效的自我报告方法。最终方便样本包括678名电子游戏玩家（68.44%为男性[n = 464]， 29.65%为女性[n = 201]， 1.92%为性别认同（n = 13）），平均年龄为29.50岁（SD = 8.92）。采用结构方程模型（SEM）分析其中介效应。结果抑郁症状和应对动机、逃避动机和幻想动机的复合测量依次在WHO框架内完全介导情绪失调与焦虑症状的关系，在APA框架内部分介导。结论情绪失调和抑郁症状较高的个体可能将电子游戏作为一种情绪调节策略。在电子游戏的背景下管理情绪失调和应对可能有助于游戏障碍和并发抑郁症的临床过程。未来的研究应利用纵向设计来调查研究变量。

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引用次数: 0

Problematic social media use among recreational cannabis users in Québec: A Cross-Sectional study 娱乐性大麻使用者的社交媒体使用问题：一项横断面研究

IF 2.8 Q1 Psychology

Addictive Behaviors Reports

Pub Date : 2025-12-29 DOI: 10.1016/j.abrep.2025.100662

Roni Deli-Houssein , Catherine Hudon , Isabelle Dufour , Nathalie Carrier , Natalia Muñoz Gómez , Amélie Deschamps , Anne-Marie Auger , Magaly Brodeur

Background

Over the past decade, Canada has legalized recreational cannabis, and the rising popularity of social media has coincided with the emergence of problematic social media use (PSMU) as a potential behavioural addiction. This study aims to describe social media use and identify factors associated with PSMU among adult recreational cannabis users in Québec, Canada.

Methods

This cross-sectional study includes 1406 participants who used both social media and cannabis. Data was collected using validated instruments measuring PSMU (BSMAS), online fear of missing out (On-FoMO), risk for problematic cannabis use (CAST), mental health variables (GAD-7, PHQ-8), and sociodemographic characteristics. A regression model was used to identify factors associated with PSMU.

Results

Approximately 27.9 % of participants exhibited PSMU. Increased odds of PSMU were associated with a younger age (18–20 years), male sex at birth, and higher CAST, PHQ-8, and On-FoMO scores. Use of Telegram, TikTok, Twitter (X) and Facebook Dating was associated with increased odds of PSMU, whereas use of Snapchat and Threads was associated with reduced odds.

Conclusions

This study is among the first to examine PSMU in adult cannabis users. Among them, prevalence of PSMU is higher than estimates for the general population. The odds of PSMU vary by social media platform. These findings suggest a need for targeted public health strategies that address social media and cannabis use.

在过去的十年里，加拿大已经将娱乐性大麻合法化，社交媒体的日益普及恰逢社交媒体使用问题（PSMU）作为潜在行为成瘾的出现。本研究旨在描述社交媒体的使用情况，并确定与加拿大quacimbec成年休闲大麻使用者中PSMU相关的因素。方法这项横断面研究包括1406名既使用社交媒体又使用大麻的参与者。使用经过验证的仪器收集数据，测量PSMU （BSMAS）、在线错失恐惧（On-FoMO）、问题大麻使用风险（CAST）、心理健康变量（GAD-7、PHQ-8）和社会人口特征。采用回归模型确定与PSMU相关的因素。结果约27.9%的参与者表现为PSMU。PSMU的几率增加与年龄较小（18-20岁）、出生性别为男性、CAST、PHQ-8和On-FoMO得分较高有关。使用Telegram、TikTok、Twitter (X)和Facebook Dating会增加患PSMU的几率，而使用Snapchat和Threads则会降低患PSMU的几率。这项研究是首次对成年大麻使用者的PSMU进行研究。其中，PSMU的患病率高于一般人群的估计。PSMU的几率因社交媒体平台而异。这些发现表明，有必要制定有针对性的公共卫生战略，解决社交媒体和大麻使用问题。

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引用次数: 0

Influence of residential greenness and season on discontinuation of medication treatment for opioid use disorder across rural to urban community types 住宅绿化和季节对城乡社区类型阿片类药物使用障碍停药的影响

IF 2.8 Q1 Psychology

Addictive Behaviors Reports

Pub Date : 2025-12-26 DOI: 10.1016/j.abrep.2025.100661

Melissa N. Poulsen , Cara M. Nordberg , Karen Bandeen-Roche , Joseph DeWalle , Wade Berrettini , Brian S. Schwartz

Introduction

Medications for opioid use disorder (MOUD) are standard of care for opioid use disorder (OUD), but high rates of treatment discontinuation limit their impact on recovery. Nature exposure and engagement holds promise as a potential adjunctive treatment to MOUD through stress reduction and mental health benefits. This study evaluated whether nature exposure influenced MOUD treatment participation by analyzing associations of residential greenness with MOUD discontinuation across a diverse geography in Pennsylvania, while considering interrelated factors—season and community type.

Methods

We analyzed electronic health records from 2,570 adults receiving MOUD from an outpatient addiction treatment program. Weekly MOUD participation was derived from medication days’ supply of buprenorphine or naltrexone. Average weekly greenness (normalized difference vegetation index) was assigned to buffers surrounding participants’ residential address. We applied mixed-effects logistic regression of pooled person-weeks in treatment to model the odds of MOUD discontinuation, clustered by patient and with robust standard errors.

Results

In models adjusted for sociodemographic factors, residential greenness was not associated with MOUD discontinuation. We observed associations of season with MOUD discontinuation: compared to spring weeks, the odds of MOUD discontinuation were 20–27% higher during summer, fall, and winter weeks. In season-stratified models, we observed a non-linear association of greenness and MOUD discontinuation during the spring season.

Conclusions

Understanding factors contributing to MOUD discontinuation is essential to improving recovery outcomes for those with OUD. Findings suggest that passive greenness exposure may have little influence on MOUD participation but identified the potential importance of season on MOUD outcomes.

阿片类药物使用障碍（mod）的药物治疗是阿片类药物使用障碍（OUD）的标准护理，但高停药率限制了它们对康复的影响。自然暴露和参与有望通过减轻压力和心理健康益处作为mod的潜在辅助治疗。本研究在考虑季节和社区类型等相关因素的情况下，通过分析宾夕法尼亚州不同地理区域的住宅绿化与mod中断的关系，评估自然暴露是否影响mod治疗的参与。方法：我们分析了2570名从门诊成瘾治疗项目中接受mod治疗的成年人的电子健康记录。每周的mod参与来源于用药日丁丙诺啡或纳曲酮的供应。平均每周绿化率（归一化植被指数）被分配到参与者居住地址周围的缓冲区。我们采用混合效应逻辑回归，对治疗中汇总的人周进行建模，按患者聚类，并具有稳健的标准误差。结果在调整了社会人口因素的模型中，住宅绿化与mod停用无关。我们观察到季节与mod停药的关联：与春季周相比，夏季、秋季和冬季周mod停药的几率高出20-27%。在季节分层模型中，我们观察到春季绿度与mod中断呈非线性关联。结论了解导致OUD停药的因素对改善OUD患者的康复效果至关重要。研究结果表明，被动的绿化暴露可能对mod参与影响不大，但确定了季节对mod结果的潜在重要性。

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引用次数: 0