Addictive behaviors最新文献_第2页

Cannabis use in pregnancy: Key findings from 2021-2023 National Survey on Drug Use and Health data 怀孕期间使用大麻：2021-2023年全国药物使用和健康数据调查的主要发现。

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2026-05-01 Epub Date: 2026-01-23 DOI: 10.1016/j.addbeh.2026.108621

Christina N. Wysota , Scott E. Sherman , Lorien C. Abroms , Akhgar Ghassabian , Sasha Hernandez , Kelly C. Young-Wolff , Erin S. Rogers

Objective

It is critical to understand the characteristics of people who use cannabis during pregnancy. We examined the prevalence and sociodemographic and clinical correlates of current, recent, former, and never cannabis use among pregnant individuals in the U.S.

Methods

We analyzed pooled data from 1,992 pregnant participants in the National Survey on Drug Use and Health (NSDUH) from 2021 to 2023. We used multinomial regression to identify correlates of cannabis use status (i.e., never use vs. current [past 30-day], recent [past 2–12-month], and former [nonuse in the past year], respectively).

Results

Overall, nearly 7% of pregnant participants reported current cannabis use. Among current users, 31% reported any doctor-recommended cannabis use in the past year and 52% bought their cannabis from a dispensary. Compared to never users, current cannabis use was more likely among those aged 18–25 (vs. 26+; Relative Risk Ratio [RRR] = 2.08, 95% CI: 1.04–4.18), unmarried (vs. married; RRR = 2.54, 95% CI: 1.05–6.14), with greater education (vs. < high school; RRR = 2.97, 95% CI: 1.42–6.23), past 30-day cigarette use (RRR = 2.57, 95% CI: 1.11–5.94), alcohol use (RRR = 7.24, 95% CI: 1.52–34.49), e-cigarette use (RRR = 4.92, 95% CI: 1.71–14.10), or serious psychological distress (RRR = 6.25, 95% CI: 2.46–15.85); current use was less likely among those perceiving some risk of weekly cannabis use (vs. no risk; RRR = 0.07, 95% CI: 0.03–0.14). Recent use (vs. never use) was less likely in states where cannabis was illegal (RRR = 0.45, 95% CI: 0.22–0.95).

Conclusion

Cannabis use during pregnancy remains high among certain subgroups. Future research should develop tailored interventions targeting motivations of cannabis use during pregnancy, such as risk perceptions and polysubstance use, which negatively impact maternal and fetal health.

目的：了解怀孕期间使用大麻的人的特征是至关重要的。我们研究了美国孕妇中目前、最近、曾经和从未使用大麻的流行程度、社会人口学和临床相关因素。方法：我们分析了2021年至2023年全国药物使用和健康调查（NSDUH）中1992名孕妇的汇总数据。我们使用多项回归来确定大麻使用状态的相关性（即，从不使用与当前[过去30天]，最近[过去2-12个月]和以前[过去一年未使用]分别）。结果：总体而言，近7%的怀孕参与者报告目前使用大麻。在目前的使用者中，31%的人报告在过去一年中有医生建议的大麻使用，52%的人从药房购买大麻。与从未使用过大麻的人群相比，目前使用大麻的人群更可能是18-25岁（相对于26岁以上；相对风险比[RRR] = 2.08, 95% CI: 1.04-4.18）、未婚（相对于已婚；RRR = 2.54, 95% CI: 1.05-6.14）、受过高等教育的人群（相对于结论：在某些亚组中，怀孕期间使用大麻的人数仍然很高）。未来的研究应针对怀孕期间使用大麻的动机，如风险认知和多种物质的使用，制定有针对性的干预措施，这些干预措施会对孕产妇和胎儿健康产生负面影响。

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引用次数: 0

Longitudinal trends in the past 30-day co-use of nicotine/tobacco, alcohol, and cannabis among youth and adults in the PATH study 在适宜卫生技术研究中，过去30天内青少年和成人同时使用尼古丁/烟草、酒精和大麻的纵向趋势。

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2026-05-01 Epub Date: 2026-02-03 DOI: 10.1016/j.addbeh.2026.108633

Alexander W. Sokolovsky, Lauren Micalizzi, Cara M. Murphy

Introduction

The co-use of substances confers risks above single-product use and has significant public health implications. This study investigated trends in past 30-day co-use of nicotine/tobacco products with alcohol and cannabis in the US using Population Assessment of Tobacco and Health Study data from Waves 4–6 (December 2016-November 2021).

Methods

All wave 4–6 PATH participants age 15+ were included in analyses. Changes across wave in past 30-day co-use of cigarettes, e-cigarettes, and other tobacco products (OTP; cigars, filtered cigars, smokeless, hookah, snus, and cigarillo) with alcohol and cannabis, moderated by age (15–17,18–24, 25–34,35–64, 65+), and controlling for demographics were investigated.

Results

Changes in co-use of tobacco products with cannabis and alcohol varied across age and product. Cigarette and alcohol co-use was most prevalent across all adult ages, with rates declining over time among young adults (18–24, 25–34) but stable in older adults (65+). Rates of e-cigarette and alcohol co-use increased among young adults, possibly supplanting alcohol and cigarette co-use. E-cigarette and alcohol co-use was the most popular pattern of co-use in youth, with initially increasing and then declining prevalence. Co-use of e-cigarette and cannabis increased at Wave 5 among those 15–17, 18–24, and 25–34, although this increase lessened in all groups except those age 25–34 at Wave 6. Cigarette and cannabis co-use rates, and co-use rates of OTP with both cannabis and alcohol were generally stable or decreasing.

Conclusions

Findings highlight the complex interplay between substance use patterns and developmental stages and the dynamic nature of co-use in ever-evolving tobacco and cannabis marketplaces.

前言：物质的共同使用带来的风险高于单一产品的使用，并具有重大的公共卫生影响。本研究利用第4-6次浪潮（2016年12月- 2021年11月）的烟草和健康研究人口评估数据，调查了美国过去30天内尼古丁/烟草制品与酒精和大麻共同使用的趋势。方法：所有4-6波15岁以上的PATH参与者纳入分析。调查了过去30天内香烟、电子烟和其他烟草产品（OTP、雪茄、过滤雪茄、无烟、水烟、鼻烟和小雪茄）与酒精和大麻共同使用的变化，并根据年龄（15-17岁、18-24岁、25-34岁、35-64岁、65岁以上）进行调节，并控制人口统计学。结果：烟草制品与大麻和酒精共同使用的变化因年龄和产品而异。烟酒混合使用在所有年龄段的成年人中最为普遍，随着时间的推移，年轻人（18-24岁、25-34岁）的比例下降，但老年人（65岁以上）的比例稳定。在年轻人中，电子烟和酒精混合使用的比例增加了，可能取代了酒精和香烟的混合使用。电子烟和酒精的共同使用是年轻人中最流行的共同使用模式，患病率先是上升，然后下降。在第5波中，15-17岁、18-24岁和25-34岁的人群中，电子烟和大麻的共同使用有所增加，尽管在第6波中，除了25-34岁的人群外，所有人群的这种增加都有所减少。香烟和大麻的共同使用率，以及OTP与大麻和酒精的共同使用率总体稳定或下降。结论：研究结果强调了物质使用模式与发育阶段之间的复杂相互作用，以及在不断发展的烟草和大麻市场中共同使用的动态性质。

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引用次数: 0

Problematic smartphone use and disengagement in first-year college students: A daily diary study of between- and within-person differences 大学一年级学生的智能手机使用问题和脱离：人与人之间和人与人之间差异的每日日记研究。

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2026-05-01 Epub Date: 2026-01-29 DOI: 10.1016/j.addbeh.2026.108625

Jeong Jin Yu

Existing evidence suggests that problematic smartphone use (PSU) and disengagement may form part of a spiraling process. This investigation explores this process among first-year undergraduates, distinguishing within-person fluctuations from between-person rank order stability. Over 30 consecutive days, 104 first-year undergraduates in China (M_age = 18.62, SD = 0.96, 55.1% female) completed daily surveys that assessed PSU and disengagement. Dynamic structural equation modeling indicated a bidirectional lagged association whereby higher-than-usual PSU on a given day was prospectively associated with higher-than-usual disengagement the next day, and higher-than-usual disengagement on a given day was prospectively associated with higher-than-usual PSU the next day. Individuals with higher PSU than their peers tended to report greater disengagement, with PSU consistently amplifying its impact on disengagement. Neither family socioeconomic status nor gender significantly influenced the model. The findings highlight a harmful cycle of daily reinforcement at the within-person level, coupled with consistent associations at the between-person level. Given the importance of the first year of university, the findings underscore the need for targeted interventions that address both PSU and disengagement and aim to attenuate their bidirectional association.

现有证据表明，有问题的智能手机使用（PSU）和脱离接触可能是螺旋式上升过程的一部分。本研究探讨了一年级本科生的这一过程，区分了人内部波动和人之间的秩序稳定性。在连续30天的时间里，104名中国一年级本科生（Mage = 18.62, SD = 0.96, 55.1%为女性）完成了评估PSU和脱离状态的日常调查。动态结构方程模型显示了一种双向滞后关联，即某一天比平时高的PSU与第二天比平时高的脱离相关，而某一天比平时高的脱离与第二天比平时高的PSU相关。与同龄人相比，PSU较高的个体往往表现出更大的脱离感，而PSU不断放大其对脱离感的影响。家庭社会经济地位和性别对模型都没有显著影响。研究结果强调了一种有害的循环，即每天在个人层面上的强化，以及在个人层面上的一致联系。鉴于大学第一年的重要性，研究结果强调了有针对性的干预措施的必要性，以解决PSU和脱离接触的问题，并旨在减弱它们的双向关联。

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引用次数: 0

Social media interventions and the moderation of baseline substance use: A secondary data analysis 社交媒体干预与基线物质使用的缓和：一项二手数据分析

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2026-04-01 Epub Date: 2026-01-08 DOI: 10.1016/j.addbeh.2026.108611

Devin C. Tomlinson , Erin E. Bonar , Autumn Rae Florimbio , Jason E. Goldstick , Sean D. Young , Maureen A. Walton

Background

Substance use is a significant public health problem with peak prevalence among adolescents and emerging adults (EAs). We present a secondary data analysis evaluating the moderating effect of baseline substance use on intervention outcomes from a randomized controlled trial of social media-delivered interventions for risky drinking among adolescents and EAs.

Methods

Adolescents and EAs (ages 16 to 24; N = 955, 54.5 % female, 62.6 % white) were randomized to one of three conditions: social media intervention (SMI), social media intervention + incentives (SMI + I), and control. Using negative binomial regression models, we examined the extent to which baseline substance use (an index of the sum of frequencies of use for nine substances) moderated the effect of the SMI and SMI + I conditions on 3-, 6-, and 12-month substance use outcomes.

Results

The interaction between baseline substance use and the SMI + I treatment condition, compared to control, was significant at 3-months (estimate = -0.024; p = 0.009), wherein individuals with higher baseline substance use had lower substance use at 3-months compared to the control condition. The interaction was not statistically significant at 6-months (p = 0.055) or 12-months (p = 0.782). The interaction with baseline substance use index was not significant for the SMI condition compared to the control condition.

Conclusions

Individuals in the SMI + I condition with higher baseline substance use had lower substance use at the 3-month follow-up compared to the control condition, suggesting that additional incentives for interaction benefited individuals in the short-term, particularly those with higher baseline substance use. Future work should explore the moderating role of subgroup characteristics to inform future tailoring of intervention content for substance use.

物质使用是一个重要的公共卫生问题，在青少年和初成人（ea）中患病率最高。我们提出了一项辅助数据分析，评估了基线物质使用对干预结果的调节作用，该结果来自一项随机对照试验，该试验是针对青少年和ea中危险饮酒的社交媒体干预。方法将16 ~ 24岁的青少年和青少年青少年（N = 955，女性54.5%，白人62.6%）随机分为三组：社交媒体干预（SMI）、社交媒体干预+激励（SMI + I）和对照组。使用负二项回归模型，我们检查了基线物质使用（九种物质使用频率总和的指数）在多大程度上调节了SMI和SMI + I条件对3个月、6个月和12个月物质使用结果的影响。结果与对照组相比，基线物质使用与SMI + I治疗条件之间的相互作用在3个月时显著（估计= -0.024;p = 0.009），其中基线物质使用较高的个体在3个月时的物质使用低于对照组。6个月时（p = 0.055）和12个月时（p = 0.782）相互作用无统计学意义。与对照组相比，重度精神分裂症患者与基线物质使用指数的相互作用不显著。结论：在3个月的随访中，与对照组相比，具有较高基线药物使用水平的SMI + I个体的药物使用水平较低，这表明额外的互动激励在短期内使个体受益，特别是那些基线药物使用水平较高的个体。未来的工作应该探索亚群特征的调节作用，以告知未来对物质使用的干预内容的定制。

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引用次数: 0

Synthesising the available evidence to identify the health impact of gambling harm and gambling problems 综合现有证据，确定赌博危害和赌博问题对健康的影响

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2026-04-01 Epub Date: 2026-01-08 DOI: 10.1016/j.addbeh.2026.108612

Catherine Tulloch , Matthew Browne , Alex M.T. Russell , Matthew Rockloff

Gambling-related harm (GRH) significantly impacts health-related quality of life (HRQoL), though its measurement remains challenging due to varied methodologies. This study synthesises existing research on HRQoL effects of gambling, highlighting the complementary strengths of direct and indirect elicitation methods. We reviewed studies measuring GRH’s impact on HRQoL, focusing on the maximum effect of severe problems and the shape of the impact curve across the harm spectrum. Results revealed consistent maximum HRQoL disutility of approximately 0.45 for severe gambling problems in direct elicitation studies, while indirect methods showed scaling that implies an arguably implausible maximum. We propose a novel hybrid approach that leverages the strengths of both methods: using direct elicitation to establish the maximum impact and indirect methods to determine the relative impacts across the harm spectrum. This approach mitigates attribution biases in direct measures for lower levels of harm while still benefiting from their ability to accurately capture the impact of gambling at severe levels. To assess lower levels of impact, it uses relative scaling from indirect methods that better reflect how quality of life changes as harms accumulate. Our final best-of-both-worlds estimate synthesises available evidence of GRH’s impact on HRQoL, grounded in recognised public health metrics.

赌博相关伤害（GRH）显著影响与健康相关的生活质量（HRQoL），尽管由于各种方法，其测量仍然具有挑战性。本研究综合了赌博对HRQoL影响的现有研究，突出了直接和间接引出方法的互补优势。我们回顾了衡量GRH对HRQoL影响的研究，重点关注严重问题的最大影响和危害范围内影响曲线的形状。结果显示，在直接启发研究中，严重赌博问题的HRQoL负效用最大值约为0.45，而间接方法显示，缩放意味着一个可能不太可能的最大值。我们提出了一种新的混合方法，利用两种方法的优势：使用直接启发来确定最大影响，使用间接方法来确定整个危害范围的相对影响。这种方法减轻了对较低程度伤害的直接测量中的归因偏见，同时仍然受益于它们在严重程度上准确捕捉赌博影响的能力。为了评估较低水平的影响，它使用了间接方法的相对尺度，这种方法更好地反映了生活质量随着危害的积累而发生的变化。我们最终的两全其美的估计综合了GRH对HRQoL影响的现有证据，以公认的公共卫生指标为基础。

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引用次数: 0

Problematic cannabis use and attachment insecurities as Joint predictors of Depression: Cross-Sectional and longitudinal models 有问题的大麻使用和依恋不安全感作为抑郁症的联合预测因子：横断面和纵向模型

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2026-04-01 Epub Date: 2026-01-07 DOI: 10.1016/j.addbeh.2026.108604

Or Gliksberg , Dvora Shmulewitz , Vera Skvirsky , Maor Daniel Levitin , Daniel Feingold , Ariel Kor , Shaul Lev-Ran , Mario Mikulincer

Cannabis use, depression, and attachment insecurities (anxiety, avoidance) have been previously linked, though typically examined using bivariate methods. This study tested cross-sectional and longitudinal associations among these constructs, assessing whether problematic cannabis use contributes to depression, and whether attachment insecurities exacerbate this effect. Data were collected from 1,745 Jewish Israeli adults at two timepoints (2024 = T1; 2025 = T2) of whom 412 reported lifetime cannabis use. Problematic cannabis use, depression, and attachments insecurities were assessed with the ASSIST, PHQ-9 and ECR ,respectively. Analyses in the full sample examined the full range of cannabis involvement, including no use, and in the lifetime-user subsample the impact of problematic use severity. Cross-sectional models at T1 and T2 tested whether depressive symptoms were predicted by problematic cannabis use and moderated by attachment anxiety and avoidance. A longitudinal model examined whether problematic cannabis use and attachment insecurities at T1 predicted changes in depression from T1 to T2. At both timepoints, attachment anxiety significantly moderated the cannabis-depression association (p = 0.013 at T1, p = 0.002 at T2), with a stronger link at higher anxiety levels. Similar patterns appeared in the lifetime-user subsample. Longitudinally, a significant three-way interaction (p = 0.014) indicated that increases in depression were greatest among individuals high in both anxiety and avoidance, while avoidance buffered this effect among users. Attachment insecurities are key vulnerability factors that intensify the depressive impact of problematic cannabis use. These findings underscore the importance of developing clinical interventions targeting both substance use and attachment-related vulnerabilities and emotional dysregulation.

大麻使用、抑郁和依恋不安全感（焦虑、回避）之前已经联系起来，尽管通常使用双变量方法进行检验。本研究测试了这些结构之间的横断面和纵向关联，评估有问题的大麻使用是否会导致抑郁，以及依恋不安全感是否会加剧这种影响。在两个时间点（2024 = T1; 2025 = T2）收集了1,745名犹太以色列成年人的数据，其中412人报告终生使用大麻。使用ASSIST、PHQ-9和ECR分别对有问题的大麻使用、抑郁和依恋不安全感进行评估。整个样本的分析检查了大麻参与的全部范围，包括不使用，在终身用户子样本中，问题使用严重程度的影响。T1和T2的横断面模型测试了抑郁症状是否可以通过有问题的大麻使用来预测，并通过依恋焦虑和回避来缓解。一个纵向模型检验了T1时有问题的大麻使用和依恋不安全感是否预测了从T1到T2的抑郁变化。在两个时间点，依恋焦虑显著调节大麻与抑郁的关联（T1时p = 0.013， T2时p = 0.002），且焦虑水平越高，关联越强。在终身用户子样本中也出现了类似的模式。纵向上，显著的三方交互作用（p = 0.014）表明，在焦虑和回避都高的个体中，抑郁的增加最大，而回避在使用者中缓冲了这种影响。依恋不安全感是加剧问题大麻使用的抑郁影响的关键脆弱性因素。这些发现强调了开发针对物质使用和依恋相关脆弱性以及情绪失调的临床干预措施的重要性。

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引用次数: 0

Longitudinal study of probable compulsive sexual behavior disorder and problematic pornography use profiles: their prospective impact on psychopathology during wartime 可能的强迫性性行为障碍和有问题的色情使用档案的纵向研究：他们对战时精神病理学的预期影响。

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2026-04-01 Epub Date: 2025-12-20 DOI: 10.1016/j.addbeh.2025.108589

Yaniv Efrati , Dvora Shmulewitz , Vera Skvirsky , Merav Vider , Ariel Kor , Shaul Lev-Ran , Mario Mikulincer

Research has shown that compulsive sexual behavior disorder (CSBD) and problematic pornography use (PPU) are associated with mental disorders. However, less is known about how trajectories of probable CSBD and PPU prospectively contribute to the evolvement of psychopathology during a stressful period. In this study, we applied latent profile analysis (LPA) to identify distinct latent profiles of participants’ probable CSBD and PPU across 2018 and 2022, prior to the October 2023 attack in Israel (Iron Swords War), and to examine how these profiles prospectively predict the evolvement of psychopathology during wartime. A longitudinal study surveying the in a community sample of Jewish population in Israel, aged 18–70, was conducted before October 7th 2023 attack and during the subsequent war. Participants completed self-report measures of probable CSBD and PPU, psychopathology (global distress, emotional dysregulation, PTSD, anxiety, depression), and level and kind of exposure to the October 7th attack. LPA revealed four distinct probable CSBD/PPU profiles during the two pre-war waves: ‘no disorder’ (n = 952; 80.54 %),‘recovery’ (n = 138; 11.68 %),‘delayed onset’ (n = 50; 4.23 %), and ‘chronic’ (n = 42; 3.55 %). Using T3 and T4 for the trajectory results, the no-disorder group consistently demonstrated the lowest levels of psychopathology and out-of-control behaviors during wartime, while the chronic group reported significantly higher distress; differential impacts among probable CSBD/PPU trajectory groups showed that the no-disorder group reported decreasing anxiety and depression during wartime in contrast to the chronic group that experienced increased PTSD severity. This research offers a nuanced understanding of probable CSBD/PPU profiles, showing how these profiles impact the evolvement of psychopathology during wartime.

研究表明，强迫性性行为障碍（CSBD）和有问题的色情使用（PPU）与精神障碍有关。然而，对于可能的CSBD和PPU的轨迹如何在压力时期促进精神病理的演变，我们知之甚少。在这项研究中，我们应用潜在特征分析（LPA）来识别2018年和2022年期间，在2023年10月以色列袭击（铁剑战争）之前，参与者可能的CSBD和PPU的不同潜在特征，并研究这些特征如何前瞻性地预测战时精神病理学的演变。在2023年10月7日袭击之前和随后的战争期间，对以色列18-70岁的犹太人社区样本进行了一项纵向研究。参与者完成了可能的CSBD和PPU，精神病理（整体困扰，情绪失调，创伤后应激障碍，焦虑，抑郁）以及10月7日袭击的暴露程度和类型的自我报告测量。LPA揭示了战前两波CSBD/PPU的四种不同的可能特征：“无障碍”（n = 952; 80.54%），“恢复”（n = 138; 11.68%），“延迟发病”（n = 50; 4.23%）和“慢性”（n = 42; 3.55%）。使用T3和T4作为轨迹结果，无障碍组在战争期间始终表现出最低水平的精神病理和失控行为，而慢性组则表现出明显更高的痛苦；在可能的CSBD/PPU轨迹组之间的差异影响表明，与经历创伤后应激障碍严重程度增加的慢性组相比，无障碍组在战时报告的焦虑和抑郁有所减少。这项研究提供了对可能的CSBD/PPU特征的细致理解，展示了这些特征如何影响战时精神病理学的演变。

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引用次数: 0

Gender-specific risk factors for gambling-related suicidal ideation: Evidence from a help-seeking population 与赌博有关的自杀意念的性别风险因素：来自求助者的证据

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2026-04-01 Epub Date: 2026-01-13 DOI: 10.1016/j.addbeh.2026.108616

Virve Marionneau , Sara Havuaho , Håkan Wall

People suffering from gambling problems are at a heightened risk of suicidal behaviours and ideations. Emerging evidence suggests that gambling-related suicidality may be more common amongst women, those with gambling-related debt and those gambling with fast-paced products such as electronic gambling machines. This study aims to investigate associations between gambling-related suicidal ideations and risk factors using logistic regression analysis. The analyses are conducted separately for women and men.

The data consisted of questionnaire responses from 2,800 help-seekers (1,746 men, 1,054 women), who enrolled in a Finnish online help service for gambling problems during 2019–2024. The survey focused on the following questionnaire measures: self-reported suicidal ideation (MARDS), problematic gambling products, gambling-related debt, at-risk alcohol use (AUDIT-C), problem gambling (NODS) and social support.

19.8 percent of all respondents reported suicidal ideation (25.5% of women, 16.4% of men). Both genders reported online EGMs, online casino products and land-based EGMs as causing most harm. However, we found no statistically significant associations between gambling products and suicidal ideation. Gambling-related debt was a significant risk factor for suicidal ideation for both genders. At-risk alcohol use was a risk factor for suicidality amongst women. Lack of social support was a risk factor for both genders.

In conclusion, we found that some risk factors for gambling-related suicidal ideation can differ across genders. Gambling-related debt can increase the risk of suicidality for both genders. Policy action is needed to prevent significant financial harm from gambling.

有赌博问题的人有更高的自杀行为和念头的风险。新出现的证据表明，与赌博有关的自杀行为可能在女性中更为常见，这些女性有与赌博有关的债务，以及那些使用电子赌博机等快节奏产品赌博的人。本研究旨在探讨赌博相关自杀意念与危险因素的关系。对女性和男性的分析是分开进行的。这些数据包括来自2,800名求助者（1,746名男性，1,054名女性）的问卷回答，他们在2019-2024年期间注册了芬兰在线帮助服务，以解决赌博问题。调查的重点是以下问卷测量：自我报告的自杀意念（MARDS）、有问题的赌博产品、赌博相关债务、有风险的酒精使用（审计- c）、有问题的赌博（NODS）和社会支持。19.8%的受访者报告有自杀意念（25.5%的女性，16.4%的男性）。男女都认为在线egm、在线赌场产品和陆上egm造成的危害最大。然而，我们发现赌博产品和自杀意念之间没有统计学上的显著关联。与赌博有关的债务是男性和女性产生自杀念头的重要风险因素。高危饮酒是妇女自杀的一个危险因素。缺乏社会支持对男女都是一个危险因素。综上所述，我们发现与赌博有关的自杀意念的一些危险因素在性别上是不同的。与赌博有关的债务会增加男性和女性的自杀风险。需要采取政策行动，防止赌博造成重大财务损失。

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引用次数: 0

Investigating the impact of loss accumulation periods on the predictive relationship between loss chasing and potential gambling harms 研究损失累积期对损失追逐与潜在赌博危害之间的预测关系的影响

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2026-04-01 Epub Date: 2026-01-06 DOI: 10.1016/j.addbeh.2026.108605

Timothy C. Edson, Matthew A. Tom, Debi A. LaPlante

This study builds on a growing body of research seeking to define multidimensional loss chasing. Analyzing data from 36,325 online sports bettors, the focus was to identify which loss accumulation period (loss period; i.e., immediate losses vs. daily, weekly, monthly, and total cumulative losses) maximizes the predictive relationship between loss chasing and diverse potential harm outcomes. We found that the daily loss period yielded the best predictive efficacy for two harm outcomes (loss trajectory and voluntary self-exclusion [VSE]). Loss chasing was not associated with a third harm outcome (percent change in net loss) for any loss period. Overall, the findings suggest that the loss accumulation period for loss chasing matters for predicting harms, with daily losses presenting the most potential importance and relevance to potential gambling harm. These findings can be used to inform new predictive models for identifying risk for gambling harm from betting records.

这项研究建立在越来越多的研究机构的基础上，这些研究试图定义多维损失追逐。分析来自36,325名在线体育投注者的数据，重点是确定哪个损失积累期（损失期，即即时损失与每日、每周、每月和总累积损失）最大限度地预测了损失追逐与各种潜在伤害结果之间的关系。我们发现每日损失期对两种伤害结果（损失轨迹和自愿自我排斥[VSE]）具有最佳的预测功效。在任何损失期间，追逐损失与第三种危害结果（净损失变化百分比）无关。总的来说，研究结果表明，追逐损失的损失积累期对预测危害很重要，每天的损失对潜在的赌博危害最有潜在的重要性和相关性。这些发现可以用来为新的预测模型提供信息，以从赌博记录中识别赌博危害的风险。

引用次数: 0

Metacognitive beliefs and addictions: A systematic review and meta-analysis with emphasis on the mediating role of desire thinking 元认知信念与成瘾：一项系统回顾和元分析，重点是欲望思维的中介作用

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2026-04-01 Epub Date: 2026-01-13 DOI: 10.1016/j.addbeh.2026.108613

Mehdi Akbari , Minoo Rahmani , Mahsa Sadat Navab Safiadin , Roya Forootan , Giovanni Mansueto

The Self-Regulatory Executive Function model and the Elaborated Intrusion Theory of desire highlight how dysfunctional metacognitions and desire thinking sustain addictive behaviors. Although some evidence suggests that desire thinking may act as a bridge linking metacognitive beliefs to addictive behaviors, no meta-analysis has investigated the potential mediating role of desire thinking in this relationship. To address this, we conducted a systematic review and meta-analysis in line with PRISMA guidelines. Searches across seven databases through May 2025 identified 156,312 records; after screening and eligibility checks, 14 studies (N = 7,093, male = 51.90%, mean age = 32.08, SD = 12.43) met inclusion criteria. Metacognitions showed robust positive associations with addictive behaviors (r = 0.29–.74), strongest for negative metacognitions about desire thinking and problematic smartphone/social media use. Positive metacognitions also correlated significantly, though effect sizes were smaller. Metacognitions were strongly related to desire thinking (r up to 0.62), particularly between negative metacognitions and verbal perseveration. Desire thinking itself was moderately to strongly associated with addictive behaviors (r = 0.34–.67), with imaginal prefiguration strongly predicting smartphone overuse (r = 0.63). Mediation analyses confirmed that both verbal perseveration and imaginal prefiguration transmitted effects of metacognitions onto addictive behaviors, with imagery-based pathways especially relevant for smartphone use. Moderator analyses revealed age, sex, and population type as significant moderators in selected models, highlighting stronger effects for females and general population samples. Findings highlight desire thinking as a process closely associated with various forms of addictive behaviors, underscoring its clinical relevance. Focusing on this association can enhance metacognitive interventions and deepen our understanding of addictive behaviors across different domains.

自我调节执行功能模型和欲望的精细入侵理论强调了功能失调的元认知和欲望思维如何维持成瘾行为。尽管一些证据表明，欲望思维可能是连接元认知信念和成瘾行为的桥梁，但没有meta分析调查欲望思维在这一关系中的潜在中介作用。为了解决这个问题，我们根据PRISMA指南进行了系统回顾和荟萃分析。截至2025年5月，对七个数据库的搜索确定了156,312条记录；经筛选和资格检查，14项研究（N = 7093，男性= 51.90%，平均年龄= 32.08,SD = 12.43）符合纳入标准。元认知与成瘾行为呈显著正相关（r = 0.29 -）。74)，关于欲望思维和有问题的智能手机/社交媒体使用的负面元认知最强。积极元认知也显着相关，尽管效应大小较小。元认知与欲望思维密切相关（r高达0.62），尤其是在消极元认知和言语坚持之间。欲望思维本身与成瘾行为有中至强相关（r = 0.34 -）。67)，想象预测强烈预测智能手机过度使用（r = 0.63）。中介分析证实，言语坚持和想象预设都将元认知的影响传递给了成瘾行为，其中基于图像的途径与智能手机的使用尤其相关。调节因子分析显示，年龄、性别和人口类型在选定的模型中是显著的调节因子，突出了对女性和一般人口样本的更强影响。研究结果强调了欲望思维是一个与各种形式的成瘾行为密切相关的过程，强调了其临床相关性。关注这种关联可以增强元认知干预，加深我们对不同领域成瘾行为的理解。

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