Addictive behaviors最新文献_第10页

Flavored combustible tobacco product initiation in two longitudinal youth cohorts in the US Population Assessment of Tobacco and Health Study: 2013–2016 and 2016–2019 美国烟草与健康人群评估研究：2013-2016 年和 2016-2019 年两个纵向青少年队列中调味可燃烟草制品的使用情况。

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2024-09-23 DOI: 10.1016/j.addbeh.2024.108176

Shannon Lea Watkins , Simon Page , Yoonsang Kim , Ganna Kostygina , Sherry Emery

Introduction

Flavored tobacco products increase appeal and lower barriers to nicotine addiction for young people. We compared environmental, psychosocial, behavioral, and demographic characteristics between youth who started with flavored and non-flavored (i.e., tobacco-flavored) combustible tobacco products (CTPs).

Methods

We analyzed two representative US youth cohorts (baseline age 12–15) from the Population Assessment of Tobacco and Health (PATH) Study (Wave 1 Cohort (W1) 2013–2016; Wave 4 Cohort (W4) 2016–2019). We first assessed baseline characteristics associated with any subsequent CTP initiation among youth with baseline never CTP use (W1 n=5,946; W4 n=8,240). Then, for baseline CTP-naïve youth with subsequent CTP initiation (new experimentation; W1 n=519; W4 n=538), we assessed baseline characteristics associated with subsequent initiation with flavored CTPs versus non-flavored.

Results

Most youth reporting new CTP experimentation initiated with flavored CTPs (W1:67.8%; W4:74.2%). Household norms, susceptibility, baseline experimentation with vaping, alcohol, and/or cannabis; and White race were associated with CTP experimentation. For both cohorts, frequent social media use was associated with flavored CTP initiation (W4 AOR:2.50, 95%CI:1.22,5.12) and Black youth (W4 AOR:0.12, 95%CI:0.06,0.25) were less likely to initiate with flavored CTPs than White youth. Among W1 Cohort youth, perceiving flavored product use as easier was positively associated with flavored CTP initiation (AOR:1.48, 95%CI:1.01,2.17). Among W4 Cohort youth, baseline vaping was negatively associated with flavored CTP initiation (AOR:0.10, 95%CI:0.05,0.20).

Conclusion

Frequent social media use was associated with flavored CTP initiation among youth who used CTPs. Youth who had ever vaped and Black youth were less likely to initiate with flavored CTPs.

导言：风味烟草制品增加了对青少年的吸引力并降低了尼古丁成瘾的障碍。我们比较了开始使用有香味和无香味（即烟草香味）可燃烟草制品（CTPs）的青少年的环境、社会心理、行为和人口特征：我们分析了烟草与健康人群评估（PATH）研究中两个具有代表性的美国青少年队列（基线年龄为 12-15 岁）（2013-2016 年第 1 波队列（W1）；2016-2019 年第 4 波队列（W4））。我们首先评估了基线从未使用过 CTP 的青少年（W1 n=5,946; W4 n=8,240）中与随后开始使用 CTP 相关的基线特征。然后，对于基线从未使用过 CTP 但随后开始使用 CTP 的青少年（新尝试；W1 n=519；W4 n=538），我们评估了随后开始使用有味 CTP 与无味 CTP 的相关基线特征：结果：大多数报告新尝试 CTP 的青少年都开始使用有味 CTP（W1：67.8%；W4：74.2%）。家庭规范、易感性、尝试吸食电子烟、酒精和/或大麻的基线以及白种人与尝试 CTP 有关。在两个队列中，频繁使用社交媒体与开始吸食有味 CTP 相关（W4 AOR:2.50，95%CI:1.22,5.12），黑人青少年（W4 AOR:0.12，95%CI:0.06,0.25）开始吸食有味 CTP 的可能性低于白人青少年。在 W1 组群的青少年中，认为使用风味产品更容易与开始使用风味 CTP 呈正相关（AOR:1.48, 95%CI:1.01,2.17）。在W4队列的青少年中，基线吸烟与开始使用加味CTP呈负相关（AOR：0.10，95%CI：0.05,0.20）：结论：在使用 CTPs 的青少年中，频繁使用社交媒体与开始使用有味 CTPs 有关。曾经吸食过烟草的青少年和黑人青少年开始吸食加味 CTP 的可能性较低。

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引用次数: 0

How stress influences e-cigarette health message perceptions and intentions to abstain from vaping among young adults who vape 压力如何影响吸食电子烟的年轻人对电子烟健康信息的认知和戒烟意向

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2024-09-23 DOI: 10.1016/j.addbeh.2024.108174

Donghee N. Lee , Hye Min Kim , Elise M. Stevens

Purpose

While most U.S. young adults attribute e-cigarette use (vaping) to stress coping, it is relatively unknown how young adults’ stress levels influence their e-cigarette health message responses and vaping abstinence intentions.

Methods

In an online crowdsourcing study, young adults who currently vape (N = 346, M_age = 25.24) were assessed for their past-30-day stress levels. Then, they saw a message about the health effects of vaping and were asked questions about the messages and their vaping abstinence intentions. We performed multiple regressions to examine the main effects of stress levels on message evaluation (message perceptions, effects perceptions) and intentions to abstain from vaping. We then examined the indirect effects of stress levels on abstinence intentions mediated by each message outcome, respectively. Models controlled for sociodemographic characteristics, mental health status, and past-30-day e-cigarette use and cigarette smoking.

Results

Participants with higher stress levels reported more negative message evaluation (ps < 0.05). Additionally, participants with higher stress levels reported lower abstinence intentions via more negative message perceptions (b = -0.02, SE = 0.01, 95 % CI = -0.041, −0.004). Likewise, participants with higher stress levels reported lower abstinence intentions via more negative effects perceptions (b = -0.03, SE = 0.01, 95 % CI = -0.046, −0.008).

Conclusions

Higher stress levels were associated with negative message evaluation among young adults who vape. Additionally, the association of stress levels and abstinence intentions was mediated by negative message evaluation. Public health officials may need to account for stress levels in young adults to increase the effects of e-cigarette health messages on their intentions to abstain from vaping.

目的虽然大多数美国年轻人将使用电子烟（吸食）归因于应对压力，但年轻人的压力水平如何影响他们对电子烟健康信息的反应和戒烟意向却相对未知。方法在一项在线众包研究中，对目前吸食电子烟的年轻人（N = 346，Mage = 25.24）过去 30 天的压力水平进行了评估。然后，他们看到了一条关于吸烟对健康影响的信息，并被问到了关于这些信息和他们戒烟意向的问题。我们进行了多重回归，以检验压力水平对信息评价（信息感知、效果感知）和禁烟意愿的主要影响。然后，我们分别考察了压力水平对戒烟意向的间接影响，这些影响是由每个信息结果中介的。模型控制了社会人口学特征、心理健康状况以及过去 30 天内电子烟使用情况和吸烟情况。此外，压力水平越高的参与者对负面信息的感知越多，戒烟意愿越低（b = -0.02，SE = 0.01，95 % CI = -0.041，-0.004）。同样，压力水平较高的参与者通过更多的负面影响感知来降低戒烟意愿（b = -0.03，SE = 0.01，95 % CI = -0.046，-0.008）。此外，压力水平与戒烟意愿之间的关系受负面信息评价的影响。公共卫生官员可能需要考虑年轻人的压力水平，以提高电子烟健康信息对他们戒烟意愿的影响。

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引用次数: 0

Long-term impact of maternal prenatal smoking on EEG brain activity and internalizing/externalizing problem symptoms in young adults 母亲产前吸烟对青少年脑电图活动和内化/外化问题症状的长期影响

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2024-09-23 DOI: 10.1016/j.addbeh.2024.108175

Karina Janson , Nathalie E. Holz , Anna Kaiser , Pascal Aggensteiner , Sarah Baumeister , Daniel Brandeis , Tobias Banaschewski , Frauke Nees , IMAC-Mind Consortium

Objective

The objective of this study was to investigate the impact of smoking during pregnancy on the development of the child. While previous research has established its detrimental effects during early childhood, understanding potential long-term consequences into adulthood remains limited. This study specifically aimed to explore the influence of prenatal smoking exposure on brain activity and whether internalizing and externalizing symptoms are influenced by prenatal smoking exposure in a cohort of young adults.

Methods

Utilizing data from 176 participants (mean age M = 24.68, SD = 0.49) and their mothers enrolled in a longitudinal risk study (MARS), we employed Generalized Additive Mixed Models (GAMMs) to analyze electroencephalography (EEG) power at rest and behavioral outcomes derived from the Young Adult-Self-Report (YASR) scales. Both covariate-unadjusted and −adjusted models were used, taking into account participant variables such as sex and age, as well as maternal factors like psychopathology and alcohol consumption, in addition to smoking and alcohol intake by the participants themselves.

Results

The study revealed a significant impact of prenatal smoking on delta and theta band power, indicating decreased slower brain activity in prenatally exposed individuals compared to unexposed counterparts. Additionally, individuals exposed to prenatal smoking exhibited significantly higher levels of externalizing behavior. While this association was strongly influenced by maternal psychopathology, the child’s gender, and the child’s own substance use, the effect on delta power band remained after adjusting for covariates.

Conclusion

The findings suggest that prenatal smoking exposure may have enduring effects on brain activity patterns in young adulthood. Conversely, the influence on externalizing behaviors depended on familial factors (maternal psychopathology) and the lifestyle of the individual (substance use).

本研究的目的是调查孕期吸烟对儿童发育的影响。虽然以往的研究已经证实了吸烟对儿童早期发育的不利影响，但对其成年后可能产生的长期影响的了解仍然有限。本研究的具体目的是探讨产前吸烟暴露对大脑活动的影响，以及产前吸烟暴露是否会影响年轻成人的内化和外化症状。方法利用参加纵向风险研究（MARS）的 176 名参与者（平均年龄 M = 24.68，SD = 0.49）及其母亲的数据，我们采用了广义加性混合模型（GAMMs）来分析静息状态下的脑电图（EEG）功率和来自年轻成人自我报告（YASR）量表的行为结果。研究结果表明，产前吸烟对 delta 和 theta 波段的功率有显著影响，表明与未暴露于产前吸烟的人相比，暴露于产前吸烟的人大脑活动减慢。此外，暴露于产前吸烟的个体表现出明显更高水平的外化行为。研究结果表明，产前吸烟可能会对成年后的大脑活动模式产生持久影响。相反，对外化行为的影响取决于家庭因素（母亲的精神病理学）和个人的生活方式（药物使用）。

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引用次数: 0

Use of cannabis among youth who vape nicotine 吸食尼古丁的青少年使用大麻的情况

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2024-09-22 DOI: 10.1016/j.addbeh.2024.108173

Danielle R. Davis, Krysten W. Bold, Ran Wu, Meghan E. Morean, Grace Kong, Suchitra Krishnan-Sarin

Background

Youth e-cigarette use remains a public health concern and many youth want to quit. However, cannabis use is common among youth who use e-cigarettes, which may interfere with nicotine cessation efforts. This study aimed to investigate cannabis use among youth who vape nicotine and are motivated to quit nicotine.

Methods

Connecticut youth (N=223, M_age = 17.3 [SD=1.7] years) who completed an intake for a vaping cessation study reported on their nicotine vaping, cannabis products used, reasons for use, frequency of use, and readiness to quit cannabis. Descriptives characterized population. Regressions were used to examine association of cannabis use and nicotine vaping.

Results

Most reported cannabis use (lifetime: 92.4 %; past-month: 68.6 %). Cannabis smoking and vaping were highly prevalent (smoking: lifetime − 90.8 %, current − 63.6 %; vaping: lifetime − 90.8 %, current − 63.1 %). Most reported preferring smoking cannabis (58.7 %) over other routes of administration. Common reasons for cannabis use, were psychoactive (e.g., getting high), physical (e.g., improving sleep), and social (e.g., partying). Cannabis use frequency and preferring smoking cannabis (vs. other modes) was positively associated with more frequent nicotine vaping (ps < 0.05). Participants averaged 6.3 (of 10) on a readiness to quit cannabis scale, a moderate desire to quit.

Conclusions

Cannabis use across multiple routes of administration was common among youth seeking help quitting vaping nicotine. Heaviness of cannabis and nicotine use appear to be associated, raising interesting harm-reduction challenges for those seeking to quit nicotine vaping. Understanding cannabis and nicotine co-use is important for targeting treatment for use of both substances.

背景青少年使用电子烟仍然是一个公共卫生问题，许多青少年希望戒烟。然而，吸食大麻在使用电子烟的青少年中很常见，这可能会干扰戒除尼古丁的努力。本研究旨在调查吸食尼古丁并有戒烟动机的青少年使用大麻的情况。方法康涅狄格州的青少年（人数=223，年龄=17.3 [SD=1.7]岁）完成了一项吸食尼古丁戒烟研究的调查，报告了他们吸食尼古丁的情况、使用的大麻产品、使用的原因、使用的频率以及戒除大麻的准备情况。描述了人群的特征。结果大多数人报告了大麻使用情况（终生：92.4%；上月：68.6%）。吸食和吸食大麻的比例很高（吸食：终生-90.8%，当前-63.6%；吸食：终生-90.8%，当前-63.1%）。大多数人报告说，与其他吸食途径相比，他们更喜欢吸食大麻（58.7%）。吸食大麻的常见原因包括精神作用（如兴奋）、身体作用（如改善睡眠）和社交作用（如聚会）。大麻使用频率和更喜欢吸食大麻（与其他方式相比）与更频繁地吸食尼古丁呈正相关（ps < 0.05）。在戒除吸食尼古丁寻求帮助的青少年中，通过多种途径吸食大麻的现象很普遍。大麻和尼古丁的大量使用似乎是相关的，这给那些寻求戒除吸食尼古丁的人带来了减少危害的挑战。了解大麻和尼古丁的共同使用对于针对使用这两种物质的治疗非常重要。

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引用次数: 0

Changes in the harm perceptions of different types of tobacco products for youth and adults: Waves 1–5 of the population assessment of tobacco and health (PATH) study, 2013–2019 青少年和成人对不同类型烟草制品危害认知的变化：2013-2019年烟草与健康人群评估（PATH）研究第1-5波

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2024-09-20 DOI: 10.1016/j.addbeh.2024.108168

Maansi Bansal-Travers , Cheryl Rivard , Andrew Anesetti-Rothermel , Aura Lee Morse , Anikah H. Salim , Haijun Xiao , Izabella Zandberg , MeLisa R. Creamer , Heather L. Kimmel , Eva Sharma , Kristie Taylor , Andrew Hyland , Geoffrey T. Fong

Introduction

Tobacco harm perceptions are associated with tobacco use for both youth and adults, but it is unknown how these harm perceptions have changed over time in a changing tobacco product landscape.

Methods

Data from Waves 1–5 of the Population Assessment of Tobacco and Health (PATH) Study were analyzed to examine perceptions of harm of eight non-cigarette tobacco products compared to cigarettes. Perceptions of harm were assessed with the questions, “Is smoking/using [product] less harmful, about the same, or more harmful than smoking cigarettes?”.

Results

The share of participants who perceived non-cigarette combustible products as posing similar harm to cigarettes increased over time, while the share of participants who perceived non-combustible products as less harmful than cigarettes decreased over time.

Conclusions

Tobacco harm perceptions are changing over time, along with the tobacco product marketplace and regulatory environment.

方法分析了烟草与健康人群评估（PATH）研究第1-5波的数据，研究了8种非卷烟烟草制品与卷烟相比的危害认知。结果认为非卷烟可燃产品的危害与卷烟相似的参与者比例随着时间的推移而增加，而认为非可燃产品的危害小于卷烟的参与者比例随着时间的推移而减少。

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引用次数: 0

Does Self-Reported smoking cessation fatigue predict making quit attempts and sustained abstinence among adults who smoke Regularly? 自我描述的戒烟疲劳能否预测经常吸烟的成年人的戒烟尝试和持续戒烟？

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2024-09-19 DOI: 10.1016/j.addbeh.2024.108171

Claudia M. Cea , Hua-Hie Yong , Ron Borland , Christine E. Sheffer , Matilda K. Nottage , K. Michael Cummings

Background

Quitting smoking is difficult and many people who smoke experience cessation fatigue (CF) as a result of multiple failed attempts. This study examined the association of CF with making and sustaining a smoking quit attempt.

Methods

Data analysed were 4,139 adults (aged 18 years or older) who smoked daily or weekly and participated in the 2018 and 2020 International Tobacco Control Four Country Smoking and Vaping Surveys (ITC 4CV) conducted in Australia, Canada, England, and the US. CF was assessed at baseline using a single question: “To what extent are you tired of trying to quit smoking?” with response options: “Not at all tired”; “Slightly tired”; “Moderately tired”; “Very tired”; or “Extremely tired”. We used binary logistic regression models to test the hypothesis that baseline CF would predict lower odds of both making a quit attempt and sustaining abstinence for a month or longer at follow-up adjusted for socio-demographic and smoking/vaping-related covariates.

Results

Persons who currently smoked and reported at least some CF were more likely to make a quit attempt, but less likely to sustain abstinence for at least one month, than those who reported no CF. These associations were independent of socio-demographic variables, and they did not differ by country.

Conclusion

Contrary to expectation, CF was positively associated with making a quit attempt and non-linearly associated with lower rates of sustained abstinence at follow-up. While these findings should be replicated, they suggest that people with CF may benefit from targeted support to remain abstinent after a quit attempt.

背景戒烟很难，许多吸烟者因多次尝试戒烟失败而产生戒烟疲劳（CF）。本研究探讨了戒烟疲劳（CF）与戒烟尝试和持续戒烟尝试之间的关系。方法所分析的数据来自澳大利亚、加拿大、英国和美国进行的2018年和2020年国际烟草控制四国吸烟和吸食电子烟调查（ITC 4CV）中每天或每周吸烟的4139名成年人（18岁或18岁以上）。基线时使用一个问题对 CF 进行评估："您在多大程度上对戒烟感到厌倦？回答选项为："完全不累"、"略累"、"中度累"、"非常累 "或 "极度累"。我们使用二元逻辑回归模型来检验一个假设，即基线CF将预测较低的戒烟尝试几率，以及在随访时持续戒烟一个月或更长时间的几率，并对社会人口学和吸烟/吸食毒品相关的协变量进行调整。结果与没有报告CF的人相比，目前吸烟并报告至少有一些CF的人更有可能尝试戒烟，但持续戒烟至少一个月的可能性较低。结论与预期相反，CF与尝试戒烟呈正相关，与随访时持续戒烟率较低呈非线性相关。虽然这些研究结果应予以重复，但它们表明，CF 患者可能会受益于有针对性的支持，从而在尝试戒烟后保持戒烟。

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引用次数: 0

Does perceived vaping addiction predict subsequent vaping cessation behaviour among adults who use nicotine vaping products regularly? 在经常使用尼古丁电子烟产品的成年人中，感知到的电子烟成瘾会预测他们随后的电子烟戒断行为吗？

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2024-09-19 DOI: 10.1016/j.addbeh.2024.108172

Anouk Koops , Hua-Hie Yong , Ron Borland , Ann McNeill , Andrew Hyland , Valerie Lohner , Ute Mons

Background

This study aimed to investigate whether perceived vaping addiction is a predictor of quitting nicotine vaping product (NVP) use among adults who have ever smoked and currently vape exclusively or predominantly in four countries: Australia, Canada, the US, and England.

Method

Data analysed (n = 574) came from participants (aged 18 + ) who completed the International Tobacco Control (ITC) Four Country Smoking and Vaping survey in 2018 and again in 2020. Baseline inclusion criteria were: (1) currently not smoking or non-daily smoking; and (2) using NVPs daily/weekly for a period of at least 4 months. Association of self-reported baseline levels of perceived vaping addiction with making any attempts to quit vaping and successful attempts reported at follow-up were examined using logistic regression models, controlling for potential sociodemographic and smoking/vaping-related confounders.

Results

Participants who perceived themselves as being addicted to vaping were less likely to attempt to quit vaping than those who perceived themselves as not addicted. Among those who tried, those who perceived themselves being addicted were also less likely to succeed than those who perceived themselves as not addicted. No significant country differences in associations were observed for both outcomes.

Conclusions

Perceived vaping addiction was shown to have predictive utility for vaping cessation behaviours, possibly acting as an indicator of task difficulty, and thus may serve as a useful screening tool for identifying NVP users who may benefit from tailored cessation support programs if they want to stop using these products.

背景本研究旨在调查四个国家中曾经吸烟但目前只吸食或主要吸食尼古丁的成年人中，感知到的吸食成瘾是否是戒烟尼古丁吸食产品（NVP）使用的预测因素：所分析的数据（n = 574）来自于2018年和2020年完成国际烟草控制（ITC）四国吸烟和吸食电子烟调查的参与者（18岁以上）。基线纳入标准为(1)目前不吸烟或非每天吸烟；(2)每天/每周使用 NVPs 至少 4 个月。在控制了潜在的社会人口学和吸烟/吸烟相关混杂因素的情况下，使用逻辑回归模型研究了自我报告的觉察到的吸烟成瘾基线水平与任何戒烟尝试和随访时报告的成功戒烟尝试之间的关系。在尝试戒烟的人中，认为自己上瘾的人也比认为自己没有上瘾的人更不可能戒烟成功。结论研究表明，认为自己吸食上瘾的人对戒烟行为具有预测作用，可能是任务难度的一个指标，因此可以作为一种有用的筛查工具，用于识别那些希望戒烟的非自愿戒烟者，如果他们想停止使用这些产品，可以从量身定制的戒烟支持计划中获益。

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引用次数: 0

The longitudinal relationships between problematic smartphone use and anxiety symptoms among Chinese college students: A cross-lagged panel network analysis 中国大学生智能手机使用问题与焦虑症状之间的纵向关系：跨滞后面板网络分析

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2024-09-18 DOI: 10.1016/j.addbeh.2024.108170

Yuhao Wang , Yunjiao Luo , Na Yan , Louisa Esi Mackay , Yingxue Wang , Yihan Wang , Blen Dereje Shiferaw , Xinyu Shen , Yiran Zhu , Wei Wang

Anxiety and problematic smartphone use (PSPU) are prevalent issues among college students, and traditional research has tended to focus on cross-sectional data and grounded only in overall levels, thereby ignoring the complex interactions between the two over time. The development of network analysis methods has provided a new perspective for in-depth exploration of the relationship. This study aimed to explore the complex longitudinal interactions and specific pathways between problematic smartphone use and anxiety among Chinese college students from an internal specific symptom perspective. This study constructed a cross-lagged network model using longitudinal data on problematic smartphone use and anxiety symptoms in two waves of college students collected from 2022 to 2023 (N=741, M_age = 18.49, SD=0.81, 45.6 % male). The study found that anxiety symptoms and problematic smartphone use interacted with each other and had a vicious cycle of symptoms over time, with the effects of anxiety symptoms being more pronounced. “Feeling afraid” and “Uncontrollable worrying” had the most significant effects on the other symptoms, with “Impatient without the phone” and “Can’t stand not having a phone” were more likely to be influenced by other symptoms. “Feeling afraid” may be a bridge symptom in the network to connect the anxiety and problematic smartphone use communities. The findings suggest that accurately intervening in the intrinsic link between problematic smartphone use and anxiety symptoms can combat the exacerbation of both problems simultaneously, resulting in more effective and comprehensive treatment.

焦虑和有问题的智能手机使用（PSPU）是大学生中普遍存在的问题，传统的研究往往关注横截面数据，只立足于总体水平，从而忽视了两者之间随着时间推移而产生的复杂互动关系。网络分析方法的发展为深入探讨两者之间的关系提供了新的视角。本研究旨在从内部特定症状的角度探讨中国大学生问题智能手机使用与焦虑之间复杂的纵向互动关系和具体路径。本研究利用2022年至2023年收集的两波大学生问题智能手机使用和焦虑症状的纵向数据（N=741，Mage=18.49，SD=0.81，45.6%为男性），构建了一个交叉滞后网络模型。研究发现，焦虑症状和问题智能手机的使用相互影响，并随着时间的推移出现恶性循环，焦虑症状的影响更为明显。"感到恐惧 "和 "无法控制的担心 "对其他症状的影响最为明显，而 "没有手机就不耐烦 "和 "无法忍受没有手机 "更容易受到其他症状的影响。"感到恐惧 "可能是连接焦虑和问题智能手机使用群体的网络中的一个桥梁症状。研究结果表明，准确地干预问题智能手机使用与焦虑症状之间的内在联系，可以同时解决这两个问题的恶化，从而获得更有效、更全面的治疗。

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引用次数: 0

Effects of exercise interventions on Internet addiction among college students: A systematic review and meta-analysis of randomized controlled trials 运动干预对大学生网络成瘾的影响：随机对照试验的系统回顾和荟萃分析

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2024-09-17 DOI: 10.1016/j.addbeh.2024.108159

Yan Yan , Xiangrong Qin , Liangru Liu , Weiyang Zhang , Bowen Li

Background

Internet addiction (IA) has gradually emerged as a significant public health concern, especially among college students. This study aims to systematically investigate and quantitatively analyze the effects of exercise interventions on IA among college students and provides an objective assessment of the available evidence. For this study, IA is defined as compulsive, excessive Internet use, including via mobile phones, that disrupts daily life and causes significant distress, and we combine Internet addiction and mobile phone addiction in our analysis to provide a comprehensive understanding of this phenomenon.

Methods

The search for eligible studies was conducted from inception until May 2024 across various databases including Web of Science, PubMed, Embase, Cochrane Library, China National Knowledge Infrastructure (CNKI), and Wan Fang. The risk of bias within the included studies was assessed utilizing the Cochrane Collaboration’s risk of bias tool, while methodological quality was evaluated using the modified Jadad Scale.

Findings

A meta-analysis of 19 pairwise comparisons showed that exercise interventions significantly reduced the total IA scores (g = −1.25). Furthermore, the interventions resulted in significant reductions in anxiety (g = −1.30), loneliness (g = −1.57), stress (g = −0.77), inadequacy (g = −1.77), mental health (g = −1.08), fatigue (g = −0.66), and depression (g = −0.56).

Conclusions

Exercise interventions showed efficacy in decreasing levels of IA and alleviating psychological symptoms in college students with IA. The optimal types of exercise for college students suffering from IA are open motor skill and the combination of both open and closed skill. However, future work is needed given the limited randomized controlled trials and the high heterogeneity of the included studies.

背景网络成瘾（IA）已逐渐成为一个重要的公共健康问题，尤其是在大学生中。本研究旨在系统调查和定量分析运动干预对大学生网络成瘾的影响，并对现有证据进行客观评估。在本研究中，IA被定义为强迫性、过度使用互联网（包括通过手机），从而扰乱日常生活并造成严重困扰的行为，我们在分析中将网络成瘾和手机成瘾结合起来，以提供对这一现象的全面理解。方法从开始到2024年5月，我们在各种数据库（包括Web of Science、PubMed、Embase、Cochrane Library、中国国家知识基础设施（CNKI）和万方数据库）中对符合条件的研究进行了检索。纳入研究的偏倚风险采用 Cochrane 协作组织的偏倚风险工具进行评估，方法学质量则采用修改后的 Jadad 量表进行评估。研究结果对 19 项成对比较进行的荟萃分析表明，运动干预可显著降低 IA 总分（g =-1.25）。此外，干预措施还能显著降低焦虑（g =-1.30）、孤独（g =-1.57）、压力（g =-0.77）、不足（g =-1.77）、心理健康（g =-1.08）、疲劳（g =-0.66）和抑郁（g =-0.56）。对于患有 IA 的大学生来说，最佳的运动类型是开放性运动技能以及开放性和封闭性技能的结合。然而，由于随机对照试验有限，且纳入研究的异质性较高，因此未来的工作仍需努力。

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引用次数: 0

Cannabis expectancies and associations with cannabis use and health functioning among adults with chronic pain 慢性疼痛成人的大麻预期以及与大麻使用和健康功能的关系

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2024-09-16 DOI: 10.1016/j.addbeh.2024.108166

Devin C. Tomlinson , Lara N. Coughlin , Kipling M. Bohnert , Mark A. Ilgen

Introduction

Cannabis is increasingly available to individuals in the United States, with the majority of states legalizing medical or recreational cannabis use. Cannabis expectancies (e.g., positive expectations from cannabis use) are related to more frequent cannabis use and associated with greater odds of lapse following a cessation attempt.

Methods

To evaluate the relationship between expectancies and cannabis- and health-related outcomes, we surveyed adults who used medical cannabis for chronic pain (n = 633; 52.2 % female; 82.1 % white) over a two-year period. Then, we performed a principal components analysis (PCA) on the Cannabis Expectancies Questionnaire to derive components of cannabis expectancies. We performed k-means clustering to identify subgroups with similar expectancies. The relationship between subgroup assignment and cannabis use outcomes (frequency, quantity), and physical and mental health functioning were evaluated.

Results

The PCA identified a three-component solution and k-means clustering identified four subgroups: low expectancies, negative expectancies, amotivation expectancies, and positive expectancies. Participants’ cannabis expectancies were dynamic over time. After adjusting for demographics, expectancy subgroup was able to predict six-month cannabis use frequency (χ2(3) = 11.244; p = 0.010) and mental health functioning (χ2(3) = 24.926; p < 0.001), but not quantity (χ2(3) = 2.741, p = 0.433) or physical health functioning (χ2(3) = 5.110, p = 0.164).

Conclusion

In a large cohort of individuals who use medical cannabis, four subgroups with differing cannabis expectancies emerged: low expectancies, negative expectancies, amotivation expectancies, and positive expectancies. These subgroups predicted subsequent outcomes and may be important for targeted intervention approaches to reduce cannabis use and improve functioning.

导言在美国，越来越多的人可以使用大麻，大多数州都将医疗或娱乐使用大麻合法化。为了评估预期与大麻和健康相关结果之间的关系，我们对两年内使用医用大麻治疗慢性疼痛的成年人（n = 633；52.2 % 为女性；82.1 % 为白人）进行了调查。然后，我们对大麻期望问卷进行了主成分分析 (PCA)，以得出大麻期望的成分。我们进行了 K-均值聚类，以确定具有相似预期的亚组。我们评估了亚组分配与大麻使用结果（频率、数量）以及身心健康功能之间的关系。结果PCA确定了一个由三部分组成的解决方案，k均值聚类确定了四个亚组：低预期、消极预期、非激励预期和积极预期。参与者的大麻预期随时间变化。对人口统计学进行调整后，预期亚组能够预测六个月的大麻使用频率（χ2(3) = 11.244; p = 0.010）和心理健康功能（χ2(3) = 24.926; p < 0.001），但不能预测数量（χ2(3) = 2.741, p = 0.结论在一大批使用医用大麻的个人中，出现了四个大麻预期不同的亚组：低预期、消极预期、非激励预期和积极预期。这些亚组预测了随后的结果，可能对减少大麻使用和改善功能的针对性干预方法非常重要。

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引用次数: 0