Pub Date : 2025-04-17DOI: 10.1016/j.abrep.2025.100610
Jannis Engel , Shane W. Kraus , Li Yan McCurdy , Marc N. Potenza
This article proposes minimum requirements for reporting efficacy in treatment studies of compulsive sexual behavior (CSB). CSB disorder (CSBD) is a condition whose diagnostic criteria were only recently defined by the World Health Organization. Multiple primary and secondary outcomes have been used in treatment trials of CSB, and possible neuropsychological measures have been considered. We suggest including clinical interviews, specifying the nature of the problem behavior and ensuring that the concerns are not entirely related to distress linked to moral judgments or paraphilic interests exclusively. The minimum requirements of reporting the efficacy of behavioral and pharmaceutical treatment outcome studies proposed are measures of: CSB symptom severity – problems in personal health, relationships, work and finance; these measures may be complemented by additional measures of quality of life or sexual health; behavioral engagement in CSB − frequency (in days per week) of CSB, including time spent thinking about or engaged in the pursuit of CSB; change processes – assessing mechanisms of change hypothesized. There are currently no objective (i.e., neuropsychological) measures that can provide a valid picture of the success of therapies. However, promising areas in the brain which reflect treatment changes include prefrontal areas and the reward system. We believe that the guidelines presented should promote harmonized clinical research involving the treatment of CSB and CSBD.
{"title":"Recommendations for Diagnosing and Quantifying treatment outcomes in clinical trials of compulsive sexual behavior disorder","authors":"Jannis Engel , Shane W. Kraus , Li Yan McCurdy , Marc N. Potenza","doi":"10.1016/j.abrep.2025.100610","DOIUrl":"10.1016/j.abrep.2025.100610","url":null,"abstract":"<div><div>This article proposes minimum requirements for reporting efficacy in treatment studies of compulsive sexual behavior (CSB). CSB disorder (CSBD) is a condition whose diagnostic criteria were only recently defined by the World Health Organization. Multiple primary and secondary outcomes have been used in treatment trials of CSB, and possible neuropsychological measures have been considered. We suggest including clinical interviews, specifying the nature of the problem behavior and ensuring that the concerns are not entirely related to distress linked to moral judgments or paraphilic interests exclusively. The minimum requirements of reporting the efficacy of behavioral and pharmaceutical treatment outcome studies proposed are measures of: <em>CSB symptom severity</em> – problems in personal health, relationships, work and finance; these measures may be complemented by additional measures of quality of life or sexual health; <em>behavioral engagement in CSB −</em> frequency (in days per week) of CSB, including time spent thinking about or engaged in the pursuit of CSB<em>; change processes</em> – assessing mechanisms of change hypothesized. There are currently no objective (i.e., neuropsychological) measures that can provide a valid picture of the success of therapies. However, promising areas in the brain which reflect treatment changes include prefrontal areas and the reward system. We believe that the guidelines presented should promote harmonized clinical research involving the treatment of CSB and CSBD.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"21 ","pages":"Article 100610"},"PeriodicalIF":0.0,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143868899","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}
Pub Date : 2025-04-17DOI: 10.1016/j.abrep.2025.100609
Maèva Flayelle , Mélina Andronicos , Daniel L. King , Joël Billieux
{"title":"Understanding the interplay between video game design features and dysregulated gaming patterns: A call to anchor future research directions in interactionist frameworks","authors":"Maèva Flayelle , Mélina Andronicos , Daniel L. King , Joël Billieux","doi":"10.1016/j.abrep.2025.100609","DOIUrl":"10.1016/j.abrep.2025.100609","url":null,"abstract":"","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"21 ","pages":"Article 100609"},"PeriodicalIF":0.0,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143850619","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}
Pub Date : 2025-04-16DOI: 10.1016/j.abrep.2025.100612
Rocco Servidio , Francesco Craig , Paolo Soraci , Stefano Boca , Renato Pisanti , Zsolt Demetrovics , Mark D. Griffiths
Fear of missing out (FoMO) and loneliness have been identified as significant contributors to problematic social media use (PSMU). However, no prior research has examined the interplay between trait FoMO, state FoMO, the moderating role of loneliness, and their combined influence on PSMU within a unified model. The present study addressed this gap by testing a moderated-mediation model to investigate how trait FoMO, state FoMO, and loneliness jointly impact PSMU. A cross-sectional online survey was conducted with 356 participants (55.6 % female; Mage = 21.7 years, SDage = 3.55) who completed the Trait-FoMO Scale, State-FoMO Scale, UCLA Loneliness Scale (Short Version), and the Bergen Social Media Addiction Scale. The results showed that females scored higher for PSMU than males, while age had no significant effect. Moderated-mediation analyses indicated that both trait-FoMO and state-FoMO were positively associated with PSMU. Moreover, state-FoMO partially mediated the relationship between trait-FoMO and PSMU, with loneliness moderating this pathway. More specifically, the association between trait-FoMO and state-FoMO was weaker at higher levels of loneliness but stronger when loneliness levels were low. These findings highlight FoMO as a major risk factor for PSMU, as well as emphasizing the importance of addressing loneliness in prevention and intervention efforts. This integrated model provides valuable insights for designing targeted strategies to mitigate the adverse effects of FoMO and loneliness on social media use.
{"title":"Loneliness moderates the predictive effect of the trait-state FoMO pathway on problematic social media use","authors":"Rocco Servidio , Francesco Craig , Paolo Soraci , Stefano Boca , Renato Pisanti , Zsolt Demetrovics , Mark D. Griffiths","doi":"10.1016/j.abrep.2025.100612","DOIUrl":"10.1016/j.abrep.2025.100612","url":null,"abstract":"<div><div>Fear of missing out (FoMO) and loneliness have been identified as significant contributors to problematic social media use (PSMU). However, no prior research has examined the interplay between trait FoMO, state FoMO, the moderating role of loneliness, and their combined influence on PSMU within a unified model. The present study addressed this gap by testing a moderated-mediation model to investigate how trait FoMO, state FoMO, and loneliness jointly impact PSMU. A cross-sectional online survey was conducted with 356 participants (55.6 % female; <em>M</em><sub>age</sub> = 21.7 years, <em>SD<sub>age</sub></em> = 3.55) who completed the Trait-FoMO Scale, State-FoMO Scale, UCLA Loneliness Scale (Short Version), and the Bergen Social Media Addiction Scale. The results showed that females scored higher for PSMU than males, while age had no significant effect. Moderated-mediation analyses indicated that both trait-FoMO and state-FoMO were positively associated with PSMU. Moreover, state-FoMO partially mediated the relationship between trait-FoMO and PSMU, with loneliness moderating this pathway. More specifically, the association between trait-FoMO and state-FoMO was weaker at higher levels of loneliness but stronger when loneliness levels were low. These findings highlight FoMO as a major risk factor for PSMU, as well as emphasizing the importance of addressing loneliness in prevention and intervention efforts. This integrated model provides valuable insights for designing targeted strategies to mitigate the adverse effects of FoMO and loneliness on social media use.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"21 ","pages":"Article 100612"},"PeriodicalIF":0.0,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143852052","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}
Pub Date : 2025-04-15DOI: 10.1016/j.abrep.2025.100611
Deanna M. Halliday , Anna V. Song , Nhung Nguyen
Background
Concurrent use of cigarettes with e-cigarette or cannabis (co-use) is common. It is unclear whether people who want to quit smoking cigarettes would also be interested in quitting using e-cigarettes/cannabis (co-cessation).
Methods
In a survey of 391 Californian adults, participants reported past 30-day use of and intentions to quit cigarettes, e-cigarettes, and cannabis, and reasons for using e-cigarettes and/or cannabis. Using cross-tabulation tables, we examined the relationship between cigarette, e-cigarette, and cannabis cessation intentions. We subsequently examined how the reasons for using e-cigarettes and cannabis related to e-cigarette and cannabis use frequency, while controlling for cigarette use and demographic characteristics.
Results
Of those who used both cigarettes and e-cigarettes and planned to quit smoking within the next 30 days, 68.9 % also planned to quit using e-cigarettes. Of those who used both cigarettes and cannabis and intended to quit smoking within 30 days, 30.0 % also wanted to quit using cannabis within the same period. Using e-cigarettes or cannabis to aid with cigarette cessation had no impact on e-cigarette or cannabis use frequency.
Significance
Those who intended to quit smoking cigarettes within 30-days also expressed interest in quitting e-cigarettes or cannabis within the same period. Using e-cigarettes or cannabis to quit smoking was not related to higher frequency e-cigarette or cannabis use. Future interventions may promote co-cessation of cigarettes, e-cigarettes, and cannabis simultaneously.
{"title":"E-cigarette and cannabis use among current and recently quit smokers: Co-use and Co-cessation","authors":"Deanna M. Halliday , Anna V. Song , Nhung Nguyen","doi":"10.1016/j.abrep.2025.100611","DOIUrl":"10.1016/j.abrep.2025.100611","url":null,"abstract":"<div><h3>Background</h3><div>Concurrent use of cigarettes with e-cigarette or cannabis (co-use) is common. It is unclear whether people who want to quit smoking cigarettes would also be interested in quitting using e-cigarettes/cannabis (co-cessation).</div></div><div><h3>Methods</h3><div>In a survey of 391 Californian adults, participants reported past 30-day use of and intentions to quit cigarettes, e-cigarettes, and cannabis, and reasons for using e-cigarettes and/or cannabis. Using cross-tabulation tables, we examined the relationship between cigarette, e-cigarette, and cannabis cessation intentions. We subsequently examined how the reasons for using e-cigarettes and cannabis related to e-cigarette and cannabis use frequency, while controlling for cigarette use and demographic characteristics.</div></div><div><h3>Results</h3><div>Of those who used both cigarettes and e-cigarettes and planned to quit smoking within the next 30 days, 68.9 % also planned to quit using e-cigarettes. Of those who used both cigarettes and cannabis and intended to quit smoking within 30 days, 30.0 % also wanted to quit using cannabis within the same period. Using e-cigarettes or cannabis to aid with cigarette cessation had no impact on e-cigarette or cannabis use frequency.</div></div><div><h3>Significance</h3><div>Those who intended to quit smoking cigarettes within 30-days also expressed interest in quitting e-cigarettes or cannabis within the same period. Using e-cigarettes or cannabis to quit smoking was not related to higher frequency e-cigarette or cannabis use. Future interventions may promote co-cessation of cigarettes, e-cigarettes, and cannabis simultaneously.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"21 ","pages":"Article 100611"},"PeriodicalIF":0.0,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143850620","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}
Pub Date : 2025-04-13DOI: 10.1016/j.abrep.2025.100607
Yi Wang , Brian J. Hall , Yuran Chen , Chun Chen
Objective
Problematic Internet Use (PIU) has many adverse effects on youth mental health, including heightened risks of depression and anxiety. However, few studies have systematically investigated the internal heterogeneity of PIU symptoms among rural Chinese adolescents. Data was collected from 5,271 rural Chinese adolescents from two secondary schools in Guizhou and Sichuan at two waves. This study aimed to identify PIU profiles at T1 and examine their relationships with subsequent anxiety, depression, and stress after six months at T2.
Methods
A Latent Profile Analysis (LPA) was conducted to first identify PIU symptom profiles. Then, a “three-step” logistic regression mixed model was conducted to explore the association between PIU patterns and demographic correlates. Anxiety, depression, and stress symptoms collected at the second wave were compared across PIU profiles by using a Bolck-Croon-Hagenaars (BCH) approach.
Results
The study found that (1) The patterns of PIU among rural adolescents could be divided into four subgroups: low PIU group (57.18%), medium PIU group (15.65%), high PIU group (9.01%), and self-blame group (18.16%), which is a uniquely identified group. (2) Being female, an ethnic minority, living off-campus, having left-behind experiences, and having fewer siblings were risk factors for high PIU group membership. (3) The order of severity for anxiety, depression, and stress was as follows: high PIU, medium PIU, self-blame, and low PIU groups. (4) The self-blame group had relatively lower anxiety, depression, and stress scores than the medium PIU group, despite the fact that the self-blame group had higher PIU scores than the medium PIU group, which further strengthens the importance of using a person-centered approach.
Conclusions
Addressing the profiles of PIU is vital for rural Chinese adolescent mental health, necessitating tailored interventions.
{"title":"Latent profiles of problematic internet use and their six-month subsequent psychopathology outcomes","authors":"Yi Wang , Brian J. Hall , Yuran Chen , Chun Chen","doi":"10.1016/j.abrep.2025.100607","DOIUrl":"10.1016/j.abrep.2025.100607","url":null,"abstract":"<div><h3>Objective</h3><div>Problematic Internet Use (PIU) has many adverse effects on youth mental health, including heightened risks of depression and anxiety. However, few studies have systematically investigated the internal heterogeneity of PIU symptoms among rural Chinese adolescents. Data was collected from 5,271 rural Chinese adolescents from two secondary schools in Guizhou and Sichuan at two waves. This study aimed to identify PIU profiles at T1 and examine their relationships with subsequent anxiety, depression, and stress after six months at T2.</div></div><div><h3>Methods</h3><div>A Latent Profile Analysis (LPA) was conducted to first identify PIU symptom profiles. Then, a “three-step” logistic regression mixed model was conducted to explore the association between PIU patterns and demographic correlates. Anxiety, depression, and stress symptoms collected at the second wave were compared across PIU profiles by using a Bolck-Croon-Hagenaars (BCH) approach.</div></div><div><h3>Results</h3><div>The study found that (1) The patterns of PIU among rural adolescents could be divided into four subgroups: low PIU group (57.18%), medium PIU group (15.65%), high PIU group (9.01%), and self-blame group (18.16%), which is a uniquely identified group. (2) Being female, an ethnic minority, living off-campus, having left-behind experiences, and having fewer siblings were risk factors for high PIU group membership. (3) The order of severity for anxiety, depression, and stress was as follows: high PIU, medium PIU, self-blame, and low PIU groups. (4) The self-blame group had relatively lower anxiety, depression, and stress scores than the medium PIU group, despite the fact that the self-blame group had higher PIU scores than the medium PIU group, which further strengthens the importance of using a person-centered approach.</div></div><div><h3>Conclusions</h3><div>Addressing the profiles of PIU is vital for rural Chinese adolescent mental health, necessitating tailored interventions.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"21 ","pages":"Article 100607"},"PeriodicalIF":0.0,"publicationDate":"2025-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143843897","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}
Pub Date : 2025-04-13DOI: 10.1016/j.abrep.2025.100605
Takayuki Harada , Tomohiro Shirasaka , Toshiaki Baba , Aya Mizusawa , Alfonso Villaroman , Rosalina Noguera-Caoile , Ma. Alodia Mercado , Jasmin Peralta , Keigo Hatto , Shogo Kanamori
Introduction
In the Philippines, an estimated 1.8 million people use methamphetamine. Despite the government’s anti-drug campaign, repressive methods have been ineffective. Thus, treatment and human services are needed. We developed a cognitive–behavioral therapy (CBT) program for residential and rehabilitation center-based treatment and examined its effectiveness.
Methods
In this block-randomized single-blinded trial, control group participants received therapeutic community-type treatment only, while the intervention group additionally participated in our CBT program for 6 months. Primary outcomes were methamphetamine re-use, measured by urine tests and self-report at 3-months post-discharge, and self-reported well-being at pre-discharge and 3-months post-discharge.
Findings
Participants (n = 326) were randomized into intervention (n = 162) and control (n = 164) groups. At follow-up, 3/27 (11.11 %) and 1/27 (3.70 %) participants in the respective groups had positive urine tests for drug re-use (χ2(1) = 1.08, n.s., r = 0.037, 95 %CI [-0.064, 0.212]). The self-reported drug re-use rate was significantly higher in the intervention group (χ2(1) = 9.18, p < 0.01, r = 0.14 (95 %CI [0.050, 0.231]). However, pre-discharge self-rated health (F(1, 311) = 6.32, p < 0.025, η2 = 0.02, 95 %CI [0.001, 0.06]) and problem-focused coping (F(1, 311) = 6.50, p < 0.025, η2 = 0.021, 95 %CI [0.001, 0.06]) were significantly better among intervention group participants than among control participants.
Conclusions
Although without significant effect on drug re-use, the intervention had a small positive effect on patients’ well-being, coping skills, and other psychological variables. Additional research is required to develop effective treatments for methamphetamine use in this region.
{"title":"Residential cognitive–behavioral therapy versus therapeutic community for patients with methamphetamine use disorders in the Philippines: A randomized controlled trial","authors":"Takayuki Harada , Tomohiro Shirasaka , Toshiaki Baba , Aya Mizusawa , Alfonso Villaroman , Rosalina Noguera-Caoile , Ma. Alodia Mercado , Jasmin Peralta , Keigo Hatto , Shogo Kanamori","doi":"10.1016/j.abrep.2025.100605","DOIUrl":"10.1016/j.abrep.2025.100605","url":null,"abstract":"<div><h3>Introduction</h3><div>In the Philippines, an estimated 1.8 million people use methamphetamine. Despite the government’s anti-drug campaign, repressive methods have been ineffective. Thus, treatment and human services are needed. We developed a cognitive–behavioral therapy (CBT) program for residential and rehabilitation center-based treatment and examined its effectiveness<strong>.</strong></div></div><div><h3>Methods</h3><div>In this block-randomized single-blinded trial, control group participants received therapeutic community-type treatment only, while the intervention group additionally participated in our CBT program for 6 months. Primary outcomes were methamphetamine re-use, measured by urine tests and self-report at 3-months post-discharge, and self-reported well-being at pre-discharge and 3-months post-discharge.</div></div><div><h3>Findings</h3><div>Participants (n = 326) were randomized into intervention (n = 162) and control (n = 164) groups. At follow-up, 3/27 (11.11 %) and 1/27 (3.70 %) participants in the respective groups had positive urine tests for drug re-use (χ<sup>2</sup>(1) = 1.08, n.s., r = 0.037, 95 %CI [-0.064, 0.212]). The self-reported drug re-use rate was significantly higher in the intervention group (χ<sup>2</sup>(1) = 9.18, p < 0.01, r = 0.14 (95 %CI [0.050, 0.231]). However, pre-discharge self-rated health (F(1, 311) = 6.32, p < 0.025, η<sup>2</sup> = 0.02, 95 %CI [0.001, 0.06]) and problem-focused coping (F(1, 311) = 6.50, p < 0.025, η<sup>2</sup> = 0.021, 95 %CI [0.001, 0.06]) were significantly better among intervention group participants than among control participants.</div></div><div><h3>Conclusions</h3><div>Although without significant effect on drug re-use, the intervention had a small positive effect on patients’ well-being, coping skills, and other psychological variables. Additional research is required to develop effective treatments for methamphetamine use in this region.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"21 ","pages":"Article 100605"},"PeriodicalIF":0.0,"publicationDate":"2025-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143830091","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}
Pub Date : 2025-04-13DOI: 10.1016/j.abrep.2025.100608
Emily C. Rowe , Ashlee R.L. Coles , Laura M. Harris-Lane , Nick Harris , Lisa Bishop , Rachel Howells , Jennifer Donnan
Background
Despite cannabis legalization in Canada, stigma towards cannabis consumers remains evident, particularly toward younger cannabis consumers. Our study examined how stigma towards a young cannabis consumer differed by age and gender. Additionally, we explored the impacts of the participants’ cannabis consumption, age, and gender identity on their perceptions of stigma.
Methods
Canadian citizens, ages 18 years and older completed an online cross-sectional survey using an experimental vignette design (N = 1,114). Participants were randomly assigned to read one of six vignettes depicting a cannabis consumer that varied by age (14, 21, and 28 years) and gender (man, woman). Participants completed the Social Distance Survey as the dependent measure of stigma. Two factorial ANOVAs were conducted to assess the impacts of the vignette character’s age and gender, as well as the participant’s age and gender identity, on stigma.
Results
Participants (Mage = 48.42, SD = 16.64) displayed more stigmatizing attitudes towards adolescent consumers (14-years-old) compared to 21-years-old or 28-years-old consumers. Additionally, older participants (70 + years) displayed more stigmatizing attitudes than younger participants (18–29 and 30–39 years old). Finally, participants who had not consumed cannabis within the past 6-months displayed more stigmatizing attitudes than those who reported any cannabis use frequency.
Conclusions
Stigma remains a concern, particularly toward younger cannabis consumers. These findings highlight the importance of developing targeted, early interventions, and education strategies aimed at reducing stigma, especially among those who hold more stigmatizing attitudes, such as non-cannabis consumers and older individuals, which could help mitigate negative outcomes like decreased help-seeking behavior and social isolation.
Impact Statement
Stigma toward cannabis consumers was greatest for younger consumers (14-years-old), followed by 21 and 28-year-olds. Specifically, older generations (70 + year old’s) endorsed more stigma compared to younger generations. There were no main effects on stigma toward cannabis consumers based on the vignette character’s gender or research participants’ gender identity.
{"title":"Exploring cannabis consumption stigma in Canada with consideration of age and gender differences","authors":"Emily C. Rowe , Ashlee R.L. Coles , Laura M. Harris-Lane , Nick Harris , Lisa Bishop , Rachel Howells , Jennifer Donnan","doi":"10.1016/j.abrep.2025.100608","DOIUrl":"10.1016/j.abrep.2025.100608","url":null,"abstract":"<div><h3>Background</h3><div>Despite cannabis legalization in Canada, stigma towards cannabis consumers remains evident, particularly toward younger cannabis consumers. Our study examined how stigma towards a young cannabis consumer differed by age and gender. Additionally, we explored the impacts of the participants’ cannabis consumption, age, and gender identity on their perceptions of stigma.</div></div><div><h3>Methods</h3><div>Canadian citizens, ages 18 years and older completed an online cross-sectional survey using an experimental vignette design (<em>N</em> = 1,114). Participants were randomly assigned to read one of six vignettes depicting a cannabis consumer that varied by age (14, 21, and 28 years) and gender (man, woman). Participants completed the Social Distance Survey as the dependent measure of stigma. Two factorial ANOVAs were conducted to assess the impacts of the vignette character’s age and gender, as well as the participant’s age and gender identity, on stigma.</div></div><div><h3>Results</h3><div>Participants (<em>Mage</em> = 48.42, <em>SD</em> = 16.64) displayed more stigmatizing attitudes towards adolescent consumers (14-years-old) compared to 21-years-old or 28-years-old consumers. Additionally, older participants (70 + years) displayed more stigmatizing attitudes than younger participants (18–29 and 30–39 years old). Finally, participants who had not consumed cannabis within the past 6-months displayed more stigmatizing attitudes than those who reported any cannabis use frequency.</div></div><div><h3>Conclusions</h3><div>Stigma remains a concern, particularly toward younger cannabis consumers. These findings highlight the importance of developing targeted, early interventions, and education strategies aimed at reducing stigma, especially among those who hold more stigmatizing attitudes, such as non-cannabis consumers and older individuals, which could help mitigate negative outcomes like decreased help-seeking behavior and social isolation.</div></div><div><h3>Impact Statement</h3><div>Stigma toward cannabis consumers was greatest for younger consumers (14-years-old), followed by 21 and 28-year-olds. Specifically, older generations (70 + year old’s) endorsed more stigma compared to younger generations. There were no main effects on stigma toward cannabis consumers based on the vignette character’s gender or research participants’ gender identity.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"21 ","pages":"Article 100608"},"PeriodicalIF":0.0,"publicationDate":"2025-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143922290","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}
Pub Date : 2025-04-13DOI: 10.1016/j.abrep.2025.100606
Tyrone L. Burleigh , Trent Footitt , Michelle Colder Carras , Connor Conkey-Morrison , Dylan R. Poulus , Vasileios Stavropoulos
The experience of online flow, characterized by immersion and time distortion, may enhance gaming enjoyment but also contribute to disordered gaming patterns. The present paper examined online flow components and their associations with disordered gaming symptoms among 565 role-playing-gamers. Network analysis identified the centrality of time distortion and loss of control within flow states and highlighted their connections to disordered gaming indicators, such as impaired control and gaming prioritization. Enjoyment and positive challenge were core features within flow, suggesting they support adaptive engagement. However, pathways linking prolonged immersion with gaming disorder symptoms indicate that intense flow experiences may increase problematic gaming risks. These findings reveal a nuanced interaction between online flow and disordered gaming, where adaptive enjoyment and challenge can coexist with maladaptive control loss. Overall, the findings highlight how elements of flow can differentially affect gaming outcomes, contributing both to healthy engagement and potential disorder.
{"title":"Flowing in the net of disordered gaming: A network analysis approach","authors":"Tyrone L. Burleigh , Trent Footitt , Michelle Colder Carras , Connor Conkey-Morrison , Dylan R. Poulus , Vasileios Stavropoulos","doi":"10.1016/j.abrep.2025.100606","DOIUrl":"10.1016/j.abrep.2025.100606","url":null,"abstract":"<div><div>The experience of online flow, characterized by immersion and time distortion, may enhance gaming enjoyment but also contribute to disordered gaming patterns. The present paper examined online flow components and their associations with disordered gaming symptoms among 565 role-playing-gamers. Network analysis identified the centrality of time distortion and loss of control within flow states and highlighted their connections to disordered gaming indicators, such as impaired control and gaming prioritization. Enjoyment and positive challenge were core features within flow, suggesting they support adaptive engagement. However, pathways linking prolonged immersion with gaming disorder symptoms indicate that intense flow experiences may increase problematic gaming risks. These findings reveal a nuanced interaction between online flow and disordered gaming, where adaptive enjoyment and challenge can coexist with maladaptive control loss. Overall, the findings highlight how elements of flow can differentially affect gaming outcomes, contributing both to healthy engagement and potential disorder.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"21 ","pages":"Article 100606"},"PeriodicalIF":0.0,"publicationDate":"2025-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143830092","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}
Pub Date : 2025-04-05DOI: 10.1016/j.abrep.2025.100604
Erikas Simonavičius , Parvati R. Perman-Howe , Deborah Robson , Ann McNeill , Loren Kock , Jamie Brown , Leonie S. Brose
Aims
Psychological distress, smoking and alcohol use are interconnected. This study explores how distress and smoking independently, and in combination, are associated with alcohol consumption, past attempts and motivation to restrict alcohol use among people in Great Britain.
Methods
Pooled cross-sectional data of people (aged ≥ 16) in Great Britain (N = 87326) collected monthly from April 2020 to June 2023 in the nationally representative Smoking and Alcohol Toolkit Study. Multinomial and binary logistic regressions assessed how past 30-day distress (Kessler Psychological Distress Scale) and smoking were associated with alcohol use risk level (AUDIT-C), past-year attempts to restrict alcohol use, and motivation to restrict alcohol use in three months, adjusting for sex, age, socioeconomic and geographic characteristics.
Findings.
The interaction between distress and smoking on alcohol use risk level was significant. At all distress levels, odds of using alcohol at increasing or high risk were higher among participants who smoked in the past or currently. Moderate or serious distress was associated with lower odds of using alcohol at increasing risk among participants who did not smoke. Higher distress was positively associated with past-year attempts to restrict alcohol use, while smoking in those reporting low–to–moderate distress was negatively associated with past-year attempts. Higher distress was positively associated with motivation to restrict alcohol use in three months.
Conclusions
Smoking currently or in the past was independently associated with increased odds of using alcohol at increasing- or high-risk levels. Among those not smoking, higher distress was associated with reduced odds of using alcohol at increasing risk.
{"title":"Psychological distress, tobacco smoking and alcohol use: A population survey in Great Britain","authors":"Erikas Simonavičius , Parvati R. Perman-Howe , Deborah Robson , Ann McNeill , Loren Kock , Jamie Brown , Leonie S. Brose","doi":"10.1016/j.abrep.2025.100604","DOIUrl":"10.1016/j.abrep.2025.100604","url":null,"abstract":"<div><h3>Aims</h3><div>Psychological distress, smoking and alcohol use are interconnected. This study explores how distress and smoking independently, and in combination, are associated with alcohol consumption, past attempts and motivation to restrict alcohol use among people in Great Britain.</div></div><div><h3>Methods</h3><div>Pooled cross-sectional data of people (aged ≥ 16) in Great Britain (N = 87326) collected monthly from April 2020 to June 2023 in the nationally representative Smoking and Alcohol Toolkit Study. Multinomial and binary logistic regressions assessed how past 30-day distress (Kessler Psychological Distress Scale) and smoking were associated with alcohol use risk level (AUDIT-C), past-year attempts to restrict alcohol use, and motivation to restrict alcohol use in three months, adjusting for sex, age, socioeconomic and geographic characteristics.</div><div>Findings.</div><div>The interaction between distress and smoking on alcohol use risk level was significant. At all distress levels, odds of using alcohol at increasing or high risk were higher among participants who smoked in the past or currently. Moderate or serious distress was associated with lower odds of using alcohol at increasing risk among participants who did not smoke. Higher distress was positively associated with past-year attempts to restrict alcohol use, while smoking in those reporting low–to–moderate distress was negatively associated with past-year attempts. Higher distress was positively associated with motivation to restrict alcohol use in three months.</div></div><div><h3>Conclusions</h3><div>Smoking currently or in the past was independently associated with increased odds of using alcohol at increasing- or high-risk levels. Among those not smoking, higher distress was associated with reduced odds of using alcohol at increasing risk.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"21 ","pages":"Article 100604"},"PeriodicalIF":0.0,"publicationDate":"2025-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143792073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-04-05DOI: 10.1016/j.abrep.2025.100603
Tania Moretta , Elisa Wegmann
Empirical studies and theoretical models highlight that problematic use of social media can lead to significant functional impairments in several domains, such as social, relational, occupational, and psychological functioning, as well as physical health. However, social media use disorder is not currently recognized as an official disorder in major diagnostic systems, limiting comparability among studies, precise prevalence estimation, and ad-hoc preventive and treatment program development. The present work aims to classify social media use disorder as a pathological condition sharing main mechanisms and maladaptive patterns with addictive behaviors. We discuss diagnostic criteria for social media use disorder by integrating peculiar features of this maladaptive behavior with criteria for substance use disorders and behavioral addictions from major diagnostic systems (i.e., DSM-5 and ICD-11). Moreover, we address some controversies related to the classification of social media use disorder as a behavioral addiction and highlight literature findings indicating social media use disorder shares main alterations in mechanisms and processes characterizing addiction (i.e., maladaptive activation of reward systems and impairment of inhibitory control mechanisms). Despite the lack of studies including clinical populations and the need for future research to validate the proposed criteria and refine knowledge of the mechanisms underlying this condition, our work provides a structured framework for classifying and identifying social media use disorder.
{"title":"Toward the classification of social media use disorder: Clinical characterization and proposed diagnostic criteria","authors":"Tania Moretta , Elisa Wegmann","doi":"10.1016/j.abrep.2025.100603","DOIUrl":"10.1016/j.abrep.2025.100603","url":null,"abstract":"<div><div>Empirical studies and theoretical models highlight that problematic use of social media can lead to significant functional impairments in several domains, such as social, relational, occupational, and psychological functioning, as well as physical health. However, social media use disorder is not currently recognized as an official disorder in major diagnostic systems, limiting comparability among studies, precise prevalence estimation, and ad-hoc preventive and treatment program development. The present work aims to classify social media use disorder as a pathological condition sharing main mechanisms and maladaptive patterns with addictive behaviors. We discuss diagnostic criteria for social media use disorder by integrating peculiar features of this maladaptive behavior with criteria for substance use disorders and behavioral addictions from major diagnostic systems (i.e., DSM-5 and ICD-11). Moreover, we address some controversies related to the classification of social media use disorder as a behavioral addiction and highlight literature findings indicating social media use disorder shares main alterations in mechanisms and processes characterizing addiction (i.e., maladaptive activation of reward systems and impairment of inhibitory control mechanisms). Despite the lack of studies including clinical populations and the need for future research to validate the proposed criteria and refine knowledge of the mechanisms underlying this condition, our work provides a structured framework for classifying and identifying social media use disorder.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"21 ","pages":"Article 100603"},"PeriodicalIF":0.0,"publicationDate":"2025-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143807662","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}
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