Addictive behaviors最新文献_第10页

Mental health matters? An examination of how anxiety and depression influence the alcohol-e-cigarette use relationship 心理健康问题？关于焦虑和抑郁如何影响酒精-电子烟使用关系的研究。

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-09-26 DOI: 10.1016/j.addbeh.2025.108504

Veronica L. Richards , Jason A. Oliver , Steven J. Pan , Summer G. Frank-Pearce , Michael A. Smith , Catherine S. Nagawa , Amy M. Cohn

Background

E-cigarette use has grown in popularity and is independently associated with alcohol use and mental health (anxiety/depression), but the interactions between alcohol and anxiety/depression with e-cigarette use have not been examined. We examined whether anxiety/depression would influence the association of both alcohol use frequency and heavy episodic drinking (HED) with e-cigarette use frequency, hypothesizing that alcohol use would be more strongly related to e-cigarette use among those with current anxiety/depression.

Methods

N = 11,006 adults (55 % female; 71 % non-Hispanic White, M age = 42) completed assessments of demographics, past 30-day e-cigarette and alcohol use, and current symptoms of anxiety and depression. Regression models including past 30-day e-cigarette users only (N = 2,395) examined the moderating effects of anxiety/depression (yes/no) on the alcohol-e-cigarette frequency relationship, examining alcohol use frequency and HED separately.

Results

More than one-fifth (21.7 %) of the total sample reported any past 30-day e-cigarette use. Among e-cigarette users, past 30-day alcohol use frequency was associated with e-cigarette use frequency but did not significantly differ by mental health status (IRR = 1.02, 95 % 1.01, 1.02). HED was not associated with e-cigarette use frequency, regardless of mental health status (IRR = 1.02; 95 % CI: 0.93, 1.11).

Conclusion

The relationship between current alcohol use and e-cigarette use frequency was not statistically different between individuals who endorsed current anxiety and/or depression vs. those who did not. Findings support the need to consider other substance use within e-cigarette smoking prevention and cessation efforts. Additional longitudinal research is needed to infer directionality and causality.

背景：电子烟的使用越来越受欢迎，并且与酒精使用和心理健康（焦虑/抑郁）独立相关，但尚未研究酒精和焦虑/抑郁与电子烟使用之间的相互作用。我们研究了焦虑/抑郁是否会影响酒精使用频率和重度间歇性饮酒（HED）与电子烟使用频率的关联，并假设在当前焦虑/抑郁的人群中，酒精使用与电子烟使用的关系更为密切。方法：N = 11,006名成年人（55%为女性，71%为非西班牙裔白人，年龄为42岁）完成了人口统计、过去30天电子烟和酒精使用以及当前焦虑和抑郁症状的评估。仅包括过去30天电子烟使用者（N = 2395）的回归模型检查了焦虑/抑郁（是/否）对酒精-电子烟频率关系的调节作用，分别检查了酒精使用频率和HED。结果：超过五分之一（21.7%）的总样本报告过去30天使用过电子烟。在电子烟使用者中，过去30天的酒精使用频率与电子烟使用频率相关，但与心理健康状况没有显著差异（IRR = 1.02, 95% 1.01, 1.02）。无论心理健康状况如何，HED与电子烟使用频率无关（IRR = 1.02; 95% CI: 0.93, 1.11）。结论：当前酒精使用和电子烟使用频率之间的关系在承认当前焦虑和/或抑郁的个体与不承认当前焦虑和/或抑郁的个体之间没有统计学差异。研究结果支持在电子烟预防和戒烟工作中考虑其他物质使用的必要性。需要进一步的纵向研究来推断方向性和因果关系。

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引用次数: 0

Reactivity to electronic nicotine delivery system (ENDS) cues in adults who smoke cigarettes and vape cannabis 吸烟和吸电子大麻的成年人对电子尼古丁传递系统（ENDS）信号的反应。

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-09-24 DOI: 10.1016/j.addbeh.2025.108502

Krista Miloslavich , Emma I. Brett , Daniel J. Fridberg , Andrea C. King

Introduction

Prior research shows that in-person exposure to electronic nicotine delivery systems (ENDS) use increases desire for both cigarettes and ENDS. Distinct from nicotine ENDS use, cannabis vaping is on the rise, often in conjunction with nicotine vaping or combustible cigarettes, marking a need to understand how co-use impacts ENDS cue reactivity. This study leverages a remote cue-delivery paradigm to evaluate the impact of co-use of cigarettes and cannabis on reactivity to a remote ENDS cue.

Methods

A cannabis co-use group (N = 45, individuals who smoke cigarettes and vape cannabis) and a non-co-use group (n = 61, individuals who smoke cigarettes and do not vape cannabis) observed a study confederate drinking bottled water (control cue) and vaping an ENDS (active cue). Desire to use a cigarette, ENDS and cannabis were measured before the cues (baseline), post-water and post-ENDS cue.

Results

Multilevel models, controlling for sex and weekly ENDS use, examined cue reactivity across the co-use and non-co-use groups. Those who vaped cannabis in the past year reported both higher baseline ENDS and cannabis desire and heightened responses to the ENDS cue such that cue exposure significantly increased their desire for cigarettes, ENDS and cannabis.

Conclusions

This study provides the first evidence for differential ENDS cue-elicited desire in those who smoke cigarettes and vape cannabis. These findings suggest that co-use of cannabis and cigarettes may increase vulnerability to cravings, indicating a need for tailored prevention and intervention strategies for individuals who use both substances.

先前的研究表明，接触电子尼古丁传递系统（ENDS）会增加对香烟和电子尼古丁传递系统的渴望。与尼古丁终端的使用不同，大麻电子烟的使用正在增加，通常与尼古丁电子烟或可燃香烟一起使用，这表明有必要了解共同使用如何影响终端的线索反应。本研究利用远程线索传递范式来评估香烟和大麻共同使用对远程ENDS线索反应性的影响。方法：大麻共同使用组（N = 45，吸烟和吸电子烟的人）和非共同使用组（N = 61，吸烟但不吸电子烟的人）观察了一项研究，该研究将饮用瓶装水（对照线索）和吸电子烟（主动线索）联系起来。使用香烟、ENDS和大麻的欲望在提示前（基线）、喝水后和ENDS提示后被测量。结果：多层模型，控制性别和每周终端使用，检查提示反应在共同使用和非共同使用组。那些在过去一年中吸过大麻的人报告了更高的基线ENDS和大麻欲望，并且对ENDS提示的反应增强，因此暗示暴露显着增加了他们对香烟、ENDS和大麻的渴望。结论：本研究提供了首个证据，证明ENDS线索在吸烟和吸电子大麻人群中引发的欲望不同。这些发现表明，同时使用大麻和香烟可能会增加对渴望的脆弱性，这表明需要为同时使用这两种物质的个人制定量身定制的预防和干预策略。

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引用次数: 0

Sip, savor, but don’t spill: mindfulness enhances alcohol enjoyment without boosting consumption 小口啜饮，细细品味，但不要洒出来：正念增强了酒精的享受，但不会刺激消费。

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-09-24 DOI: 10.1016/j.addbeh.2025.108505

Ran Ma , Xingzhe Wu , Wei Xu

Brief mindfulness meditation induction effectively reduces addictive behaviors in clinical populations, yet their impact on non-addicted individuals remains unclear. This study investigated whether brief mindfulness practice amplifies alcohol enjoyment and consumption in healthy young adults. Across two randomized controlled trials (Study 1: N = 67; Study 2: N = 89), participants with low-risk drinking profiles completed a 16-minute mindfulness induction or a neutral control task, followed by alcohol tasting and behavioral measures. Results revealed that mindfulness significantly enhanced subjective alcohol enjoyment (Study 1: d = 0.45, p = 0.01; Study 2: d = 0.45, p = 0.04) and increased positive affect while reducing negative emotion (d = 0.95–1.20, p < 0.001), but did not alter actual consumption. An Implicit Association Test (IAT) in Study 2 showed no group differences in implicit attitudes toward alcohol versus tea. These findings indicate that brief mindfulness may intensify affective and sensory responses without increasing use—possibly due to a dissociation between reward sensitivity and behavioral impulse. The results align with dual-process theories of mindfulness (e.g., Monitor and Acceptance Theory, Mindfulness-to-Meaning Theory), and highlight the importance of aligning mindfulness practices with motivational and regulatory goals to avoid unintended reinforcement of substance-related pleasure in non-addicted populations.

在临床人群中，短暂的正念冥想诱导有效地减少了成瘾行为，但它们对非成瘾个体的影响尚不清楚。这项研究调查了短暂的正念练习是否会增加健康年轻人的酒精享受和消费。在两项随机对照试验（研究1:N = 67；研究2:N = 89）中，低风险饮酒的参与者完成了16分钟的正念诱导或中性对照任务，随后进行了酒精品尝和行为测量。结果显示，正念显著增强了主观酒精享受（研究1:d = 0.45,p = 0.01；研究2:d = 0.45,p = 0.04），增加了积极情绪，减少了消极情绪(d = 0.95-1.20,p

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引用次数: 0

Affective predictors of day-level impaired control over alcohol use 日水平酒精使用控制受损的情感预测因子

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-09-24 DOI: 10.1016/j.addbeh.2025.108506

Jack T. Waddell , Angelica DeFalco , Noah E. Emery

Rationale: Impaired control over alcohol use is a core aspect of Alcohol Use Disorder symptomatology. However, research regarding how impaired control manifests at the day-level, and what temporally proceeds it in daily life, remains underdeveloped. The current study tested whether three aspects of impaired control, namely restraint difficulties, drinking more than planned, and drinking longer than planned, had shared versus unique variability within- and between-individuals, and if pre-drinking positive and negative affect predicted such variability.

Methods

College students (N = 256) completed 14-days of ecological momentary assessment. Morning surveys assessed prior-day drinking, and random surveys assessed positive/negative affect, drinking behavior, and impaired control. Multilevel models tested the structure of day-level impaired control items within- and between-individuals and their pre-drinking affective antecedents.

Results

At the within-person level, day-level restraint difficulties, drinking more than planned, and drinking longer than planned loaded well onto a latent factor, whereas between-person drinking more than planned loaded onto a latent factor highly but restraint difficulties and drinking longer than planned did not. Pre-drinking affect did not predict latent factors at either level. However, when specifying items as correlated outcomes, deviations in pre-drinking positive and negative affect predicted drinking more than planned at the within-person level and person-aggregated pre-drinking negative affect predicted restraint difficulties at the between-person level. Findings did not differ as a function of hazardous drinking.

Conclusions

Findings demonstrate complexities of modeling impaired control items within- and between-individuals and suggest that pre-drinking affect was related to drinking more than planned and restraint difficulties, albeit in different ways.

理由：酒精使用控制受损是酒精使用障碍症状学的一个核心方面。然而，关于控制能力受损如何在日常水平上表现出来，以及在日常生活中暂时发生的研究仍然不发达。目前的研究测试了控制障碍的三个方面，即克制困难、饮酒过量和饮酒时间超过计划，是否在个体内部和个体之间具有共同的变异性和独特的变异性，以及饮酒前的积极和消极影响是否预测了这种变异性。方法对256名大学生进行为期14天的生态瞬时评价。早间调查评估了前一天的饮酒情况，随机调查评估了积极/消极影响、饮酒行为和控制能力受损。多层次模型测试了个体内部和个体之间的日水平受损控制项目的结构及其饮酒前的情感前因。结果人内水平、日水平约束困难、超量饮酒和超长饮酒对潜在因素的负荷较高，人间水平超量饮酒对潜在因素的负荷较高，而约束困难和超长饮酒对潜在因素的负荷较低。饮酒前的影响不能预测两种水平的潜在因素。然而，当指定项目作为相关结果时，预饮酒积极和消极影响的偏差在个人层面上预测饮酒多于计划，而个人汇总的预饮酒消极影响预测人际层面上的克制困难。研究结果并没有因为有害饮酒而有所不同。结论：研究结果表明，在个体内部和个体之间建立受损控制项目的模型是复杂的，并表明饮酒前影响与饮酒的关系比计划和克制困难更大，尽管方式不同。

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引用次数: 0

Differences in substance use initiation patterns among biracial and monoracial adolescents: an integrative data analysis of two nationally representative samples 双种族和单种族青少年物质使用开始模式的差异：两个具有全国代表性样本的综合数据分析。

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-09-21 DOI: 10.1016/j.addbeh.2025.108503

Ai Bo , Alejandro Martinez , Daniel J. Bauer , Trenette Clark Goings

Background

Adolescence is a critical period for substance use initiation, with consequences for addiction and psychosocial problems in adulthood. However, differences in initiation by key variables such as age and racialized/ethnic group remain understudied.

Objectives

This study examined age and peer influence in relation to alcohol, cannabis, and cigarette initiation across eight racialized/ethnic groups (Asian or Pacific Islanders, Black, Indigenous, Hispanic White, White, Biracial White-Asian, Biracial White-Black, and Biracial White-Indigenous) to compare biracial groups with their monoracial counterparts.

Methods

Using integrated data analysis with Add Health (n = 15,844; mean age = 15.6) and Monitoring the Future (MTF; n = 9,600; mean age 18.4), we applied discrete-time survival analysis to estimate initiation hazards during adolescence (ages 12–18), accounting for racialized/ethnic group, sex, and peer substance use.

Results

The hazards for new initiations of alcohol and cannabis followed a quadratic function of age, peaking around ages 16 and 18. Cigarette use initiation, in contrast, had a relatively flat hazard function. Biracial youth typically showed intermediate or higher risk of substance use initiation relative to their monoracial peers depending on the specific subgroups and substances considered. Peer substance use was associated with increased initiation across all groups, with stronger effects during peak initiation ages and variations in magnitude across racialized groups.

Conclusion

Our findings show substance use initiation risks and susceptibility to peer influence differ between biracial and monoracial adolescents and between specific biracial subgroups, highlighting the need to consider subgroup differences when addressing adolescent substance use.

背景：青春期是物质使用开始的关键时期，其后果是成人期的成瘾和社会心理问题。然而，年龄和种族/民族等关键变量在开始治疗方面的差异仍未得到充分研究。目的：本研究考察了8个种族/民族群体（亚洲或太平洋岛民、黑人、土著、西班牙裔白人、白人、白人-亚洲混血儿、白人-黑人混血儿和白人-土著混血儿）中年龄和同伴对酒精、大麻和吸烟的影响，并将混血儿群体与单一种族群体进行比较。方法：使用Add Health （n = 15,844，平均年龄= 15.6）和Monitoring the Future （MTF, n = 9,600，平均年龄18.4）的综合数据分析，我们应用离散时间生存分析来估计青春期（12-18岁）的起始危害，考虑到种族/民族、性别和同伴物质使用。结果：初次接触酒精和大麻的危害遵循年龄的二次函数，在16岁和18岁左右达到峰值。相比之下，卷烟开始使用的危害函数相对平缓。根据所考虑的具体亚群体和物质，混血儿青年相对于单种族同龄人通常表现出中等或更高的物质使用开始风险。在所有群体中，同伴物质使用与开始吸毒的增加有关，在开始吸毒的高峰年龄和不同种族群体的程度差异中，这种影响更强。结论：我们的研究结果表明，在混血儿和单混血儿青少年之间以及特定的混血儿亚群体之间，物质使用的开始风险和对同伴影响的易感性存在差异，这突出了在解决青少年物质使用问题时考虑亚群体差异的必要性。

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引用次数: 0

Understanding cigarette smoking and cessation among adults with intellectual disability in residential services: A multiperspective study 了解居住服务中智力残疾成人的吸烟和戒烟：一项多视角研究

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-09-21 DOI: 10.1016/j.addbeh.2025.108500

Amalia Udeanu , Gloria Garcia-Fernandez , Juan Antonio García-Aller , Patricia Solís-García , Chris Swerts , Laura E. Gómez

Background

Cigarette smoking is prevalent among adults with intellectual disability (ID), yet much remains to be understood about their smoking and cessation experiences, contributing to ongoing healthcare inequalities. This study aims to understand smoking experiences and cessation barriers and facilitators among people with ID in residential services, using a multiperspective approach.

Methods

This qualitative study involved 10 adults with ID who smoked cigarettes daily and 10 support professionals purposively recruited from residential services. In-depth face-to-face interviews were conducted to explore experiences of tobacco use and cessation. Data were analyzed using Interpretative Phenomenological Analysis.

Results

Six superordinate themes emerged: (1) smoking initiation as a social behavior and identity construction; (2) current smoking as a daily routine, shared activity, and source of gratification; (3) access to cigarettes and smoking regulation by support professionals; (4) ambivalent motivation to quit, with health concerns as transient triggers; (5) cessation barriers, including risk minimization, social influences, low self-efficacy, and limited knowledge of interventions; and (6) perceived cessation aids, including distraction and social support. Certain support practices—i.e., restricting access to cigarettes or using them as a reward—were experienced as limiting, underscoring tensions between health promotion and autonomy.

Conclusions

Findings highlight the need for rights-based, person-centered cessation approaches for people with ID. Cessation strategies should extend beyond pharmacology to include emotional, social, and environmental dimensions, while aligning with individuals’ values and experiences. Professionals require training to balance health promotion with self-determination. Future interventions should prioritize empowerment and provide tailored, evidence-based support addressing personal and contextual factors.

背景吸烟在智力残疾（ID）成年人中很普遍，但他们的吸烟和戒烟经历仍有待了解，这导致了持续的医疗不平等。本研究旨在运用多视角的方法，了解居住服务中ID人群的吸烟经历、戒烟障碍和促进因素。方法采用定性研究方法，对10名每天吸烟的成年ID患者和10名有目的的从住宿服务机构招募的支持专业人员进行研究。进行了深入的面对面访谈，以探索烟草使用和戒烟的经历。数据分析采用解释性现象学分析。结果：(1)吸烟起始作为一种社会行为和身份建构；(2)目前吸烟是一种日常习惯、共同活动和满足的来源；(3)辅助专业人员的香烟获取和吸烟管理；(4)以健康顾虑为短暂诱因的矛盾性戒烟动机；(5)戒烟障碍，包括风险最小化、社会影响、自我效能低和干预措施知识有限；(6)感知戒烟辅助，包括分心和社会支持。某些支持实践——例如：例如，限制吸烟或将吸烟作为奖励——被认为是限制，强调了健康促进和自主之间的紧张关系。结论：研究结果强调了对ID患者采取以权利为基础、以人为本的戒烟方法的必要性。戒烟策略应超越药理学，包括情感、社会和环境方面，同时与个人的价值观和经历保持一致。专业人员需要接受培训，以平衡促进健康与自我决定之间的关系。未来的干预措施应优先考虑赋权，并针对个人和环境因素提供量身定制的循证支持。

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引用次数: 0

The relationship between nicotine craving and state anxiety in daily and non-daily nicotine users 每日及非每日尼古丁使用者尼古丁渴求与状态焦虑的关系

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-09-18 DOI: 10.1016/j.addbeh.2025.108501

Arwynn A. McKinty , Laura E. Hatz , Weichen Liu , Gianna Andrade , Neal Doran , Kelly E. Courtney

Anxiety as a broad construct has been linked to nicotine craving, frequency of use, and relapse rates. However, there is limited research on the relationship between state anxiety and nicotine craving. This study explored the association between state anxiety and pre-cue versus post-cue craving among adults who use nicotine and tobacco products (NTPs) at different frequencies. Participants with either non-daily (n = 34) or daily (n = 80) NTP use completed a laboratory assessment including a virtual reality (VR) NTP cue-exposure paradigm and self-report assessments of state anxiety and nicotine craving. NTP use group membership was a significant predictor of pre-cue and post-cue craving, with daily NTP users exhibiting greater pre-cue (p = 0.001) and post-cue (p < 0.001) craving than non-daily users. State anxiety was positively associated with pre-cue craving (p = 0.03) but not post-cue craving. Notably, non-daily users showed a significant negative relationship between state anxiety and post-cue craving (p = 0.01). The results of this study suggest that NTP use (especially daily use), and state anxiety are more strongly associated with pre-cue craving, as opposed to post-cue-induced craving. This study provides insight into how the relationship between state anxiety and nicotine craving varies pre and post cue-exposure, which may inform treatment and intervention efforts targeting transient affective states to prevent or reduce nicotine craving.

焦虑作为一个广泛的结构与尼古丁的渴望、使用频率和复发率有关。然而，关于状态焦虑和尼古丁渴望之间关系的研究有限。本研究探讨了不同频率使用尼古丁和烟草制品（NTPs）的成年人的状态焦虑与提示前和提示后渴望之间的关系。非每日（n = 34）或每日（n = 80）使用NTP的参与者完成了实验室评估，包括虚拟现实（VR） NTP提示暴露范式和状态焦虑和尼古丁渴望的自我报告评估。NTP使用群体成员是提示前和提示后渴望的显著预测因子，每日NTP用户比非每日用户表现出更大的提示前（p = 0.001）和提示后（p < 0.001）渴望。状态焦虑与提示前的渴望呈正相关（p = 0.03），但与提示后的渴望无关。值得注意的是，非日常使用者在状态焦虑和提示后渴望之间表现出显著的负相关（p = 0.01）。本研究的结果表明，NTP的使用（尤其是日常使用）和状态焦虑与提示前的渴望更密切相关，而不是提示后引起的渴望。本研究揭示了焦虑状态和尼古丁渴望之间的关系在暴露前后是如何变化的，这可能为针对短暂情感状态的治疗和干预工作提供信息，以防止或减少尼古丁渴望。

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引用次数: 0

Hazardous alcohol use among patients with psychiatric disorders: Findings from phosphatidylethanol (PEth) screening in healthcare 精神疾病患者的危险酒精使用：医疗保健中磷脂酰乙醇（PEth）筛查的结果

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-09-18 DOI: 10.1016/j.addbeh.2025.108496

V. Månsson , A. Hammarberg , M. Hårdstedt , R. LoMartire

Identifying hazardous alcohol use among patients with psychiatric disorders is important for improving treatment outcomes. This study aimed to describe the prevalence of hazardous alcohol use across 20 psychiatric diagnoses using phosphatidylethanol (PEth) blood sampling.

We conducted a cross-sectional analysis of PEth samples collected between 2017 and 2023 from a regional Swedish healthcare database, linked to clinician-assessed psychiatric diagnoses. Participants were adults (≥18 years) with a psychiatric disorder (N = 18,240). Hazardous alcohol use was defined as a PEth concentration > 0.30 µmol/L (∼210 µg/L). Marginal risk ratios (RR) were estimated using logistic regression adjusted for sex, age, comorbidity, season, and healthcare setting.

In the sample (mean age: 40 years; 58.7 % female), 7.4 % screened positive for hazardous use. The highest prevalence was observed in patients with substance use disorder (12 %, RR: 1.87, 95 % CI: 1.57–2.23) and panic disorder (8.8 %, RR: 1.43, 95 % CI: 1.19–1.70). Lower prevalence was seen in patients with exhaustion syndrome (5.4 %), ADHD (5.0 %), and obsessive–compulsive disorder (4.2 %). Panic disorder remained significantly associated with hazardous use after adjustment. Male sex (RR: 1.79, 95 % CI: 1.58–2.02) and age, with the highest risk observed around 60 years, were both strongly associated with increased risk.

Hazardous alcohol use is prevalent among patients with psychiatric disorders when assessed with PEth. Targeted screening, especially among older men and patients with panic disorder, may improve identification and intervention.

确定精神障碍患者的危险酒精使用对改善治疗结果很重要。本研究旨在通过磷脂酰乙醇（PEth）血液采样来描述20种精神病诊断中有害酒精使用的流行程度。我们对2017年至2023年间从瑞典地区医疗数据库收集的PEth样本进行了横断面分析，这些样本与临床评估的精神病诊断有关。参与者为患有精神障碍的成年人（≥18岁）（N = 18,240）。有害饮酒被定义为含苯醚浓度0.30µmol/L（~ 210µg/L）。边际风险比（RR）使用经性别、年龄、合并症、季节和医疗环境调整的逻辑回归进行估计。在样本中（平均年龄：40岁；58.7%为女性），7.4%的人危险使用筛查呈阳性。物质使用障碍（12%,RR: 1.87, 95% CI: 1.57-2.23）和惊恐障碍（8.8%,RR: 1.43, 95% CI: 1.19-1.70）患者的患病率最高。疲惫综合征（5.4%）、多动症（5.0%）和强迫症（4.2%）患者的患病率较低。调整后，惊恐障碍仍与危险使用显著相关。男性（RR: 1.79, 95% CI: 1.58-2.02）和年龄（60岁左右观察到的风险最高）都与风险增加密切相关。当用PEth评估时，危险酒精使用在精神障碍患者中普遍存在。有针对性的筛查，特别是在老年男性和恐慌症患者中，可能会改善识别和干预。

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引用次数: 0

Sex difference in the longitudinal association between depressive symptoms and internet gaming disorder among Chinese adolescents: An explanatory analysis at the aggregate and symptom level 中国青少年抑郁症状与网络游戏障碍纵向关联的性别差异：总体和症状水平的解释分析

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-09-17 DOI: 10.1016/j.addbeh.2025.108499

Pu Peng , Zhangming Chen , Silan Ren , Ying He , Jinguang Li , Aijun Liao , Linlin Zhao , Xu Shao , Shanshan Chen , Ruini He , Yudiao Liang , Youguo Tan , Jinsong Tang , Xiaogang Chen , Yanhui Liao

Background

While sex differences in depressive symptoms and Internet Gaming Disorder (IGD) are well-documented, the existence of sex differences in their interrelations remains unclear.

Methods

This longitudinal study of 57,985 Chinese gamers (mean age: 14.12 ± 1.45 years, girls: 45.4 %) assessed sex differences in the association between IGD and depressive symptoms. We analyzed this relationship at two levels: (1) an aggregate level, using total scores from the Internet Gaming Disorder Scale-Short Form (IGDS9-SF) and the 9-item Patient Health Questionnaire (PHQ-9) via cross-lagged panel models (CLPM), and (2) a symptom level, examining individual symptoms as nodes in cross-lagged panel network analyses (CLPN). We compared cross-lagged effect strengths and identified key central symptoms (highly influential individual symptoms) and bridge symptoms (symptoms linking IGD and depression) within the IGD-depression network for boys and girls.

Results

Girls showed higher prevalence, incidence, and persistence of depression; boys had higher rates for IGD. A bidirectional association emerged between IGD and depression for both sexes. However, the strength of these reciprocal predictions (IGD ↔ depression) was significantly greater in boys. Additionally, bridge symptoms differed by sex: in boys, the bridge symptoms included Worthlessness, Psychomotor Problems, Suicidal Thoughts, and Escapism. In girls, the bridge symptoms were Suicidal Thoughts, Escapism, Concentration Difficulties, and Anhedonia.

Discussion

Significant sex differences were observed in both the epidemiology and the associations between IGD and depressive symptoms at aggregate and symptom levels. These findings underscore the necessity for sex-specific interventions to effectively address the intertwined nature of IGD and depression among adolescents.

虽然抑郁症状和网络游戏障碍（IGD）的性别差异已被充分记录，但性别差异在其相互关系中的存在尚不清楚。方法对57,985名中国游戏玩家（平均年龄：14.12±1.45岁，女孩：45.4%）进行纵向研究，评估IGD与抑郁症状相关性的性别差异。我们在两个层面上分析了这种关系：(1)总体层面，通过交叉滞后面板模型（CLPM）使用网络游戏障碍量表-简表（IGDS9-SF）和9项患者健康问卷（PHQ-9）的总分；(2)症状层面，在交叉滞后面板网络分析（CLPN）中将个体症状作为节点进行检查。我们比较了交叉滞后效应的强度，并在男孩和女孩的IGD-抑郁症网络中确定了关键的中心症状（高度影响的个体症状）和桥梁症状（将IGD和抑郁症联系起来的症状）。结果女生抑郁症的患病率、发病率和持续性较高；男孩患IGD的几率更高。在两性中，IGD和抑郁症之间存在双向关联。然而，这些相互预测（IGD↔抑郁）的强度在男孩中明显更大。此外，桥梁症状因性别而异：在男孩中，桥梁症状包括无价值、精神运动问题、自杀念头和逃避主义。在女孩中，桥梁症状是自杀念头、逃避、注意力集中困难和快感缺乏。在总体和症状水平上，在流行病学和IGD与抑郁症状之间的关联方面观察到显著的性别差异。这些发现强调了针对性别的干预措施的必要性，以有效地解决青少年IGD和抑郁症相互交织的本质。

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引用次数: 0

Problematic smartphone use is related to depression and anxiety: A transdiagnostic and three-sample network analysis 有问题的智能手机使用与抑郁和焦虑有关：一个跨诊断和三样本网络分析

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-09-17 DOI: 10.1016/j.addbeh.2025.108498

Zhihua Guo , Rui Qiu , Tianqi Yang , Yue Gong, Yushan Li, Xia Zhu

Problematic smartphone use (PSU) is associated with depression and anxiety disorders. However, it remains unclear which PSU symptoms are the most important contributors to depression, anxiety, and their comorbidity. Therefore, we examined the symptom-level network of PSU and separate and comorbid depression and anxiety. Three regularized partial-correlation networks were estimated for each sample, including the PSU-depression-anxiety (P-D-A), PSU-depression (P-D), and PSU-anxiety (P-A) networks. Three independent Chinese samples encompassing 325 aged 18–36 years, 1047 aged 18–26 years, and 988 aged 18–40 years were recruited in 2022, 2023, and 2024, respectively. PSU, depression, and anxiety were assessed using Smartphone Application-Based Addiction Scale, Patient Health Questionnaire-9, and Generalized Anxiety Disorder-7, respectively. Centrality and bridge centrality indices were estimated, and network comparison tests (NCTs) were performed to compare the networks of the three samples pairwise. NCTs revealed comparable network structures and consistent roles of specific symptoms across three samples. In P-D-A networks, PSU symptom “relapse” and depression symptom “depressed or sad mood” consistently had the highest centrality, whereas PSU symptom “conflict” consistently presented the highest bridge centrality. In P-D networks, the central nodes were identical to those observed in the P-D-A networks. In P-A networks, PSU symptom “relapse” and anxiety symptom “uncontrollable worry” consistently functioned as the central nodes. These findings elucidated the consistent and central role of “relapse” in the development and maintenance of depression, anxiety, and their comorbidity, thus establishing its roles as transdiagnostic risk factor. Furthermore, the results showed that PSU symptom “conflict” was the bridge node responsible for comorbidity. The replicability of these findings was confirmed, and their implications were thoroughly discussed.

有问题的智能手机使用（PSU）与抑郁症和焦虑症有关。然而，目前尚不清楚哪些PSU症状是导致抑郁、焦虑及其合并症的最重要因素。因此，我们检查了PSU与单独和共病的抑郁和焦虑的症状水平网络。对每个样本估计三个正则化的部分相关网络，包括psu -抑郁-焦虑（P-D- a）， psu -抑郁（P-D）和psu -焦虑（P-A）网络。在2022年、2023年和2024年分别招募了年龄在18-36岁、18-26岁和18-40岁的3个独立的中国样本，分别为325人、1047人和988人。PSU、抑郁和焦虑分别使用基于智能手机应用程序的成瘾量表、患者健康问卷-9和广泛性焦虑障碍-7进行评估。估计中心性和桥梁中心性指数，并进行网络比较检验（nct）以两两比较三个样本的网络。nct揭示了三个样本中可比较的网络结构和特定症状的一致作用。在P-D-A网络中，PSU症状“复发”和抑郁症状“抑郁或悲伤情绪”始终具有最高的中心性，而PSU症状“冲突”始终具有最高的桥性中心性。在P-D网络中，中心节点与在P-D- a网络中观察到的相同。在P-A网络中，PSU症状“复发”和焦虑症状“无法控制的担忧”始终作为中心节点。这些发现阐明了“复发”在抑郁、焦虑及其合并症的发展和维持中的一致性和核心作用，从而确立了其作为跨诊断风险因素的作用。此外，结果显示PSU症状“冲突”是导致合并症的桥梁节点。这些发现的可重复性得到了证实，并对其含义进行了深入讨论。

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引用次数: 0