Addictive behaviors最新文献_第4页

Smartphones are not addictive: a proposal to distinguish between rewards and reward delivery vehicles 智能手机不会让人上瘾：一项区分奖励和奖励递送工具的建议

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-12-11 DOI: 10.1016/j.addbeh.2025.108585

Dar Meshi , Jens Binder

引用次数: 0

Investigation into the psychometric properties of the Brief Religious Coping Scale (Brief RCOPE) in adults with substance use disorder 成人物质使用障碍患者简易宗教应对量表（RCOPE）的心理测量特征研究

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-12-09 DOI: 10.1016/j.addbeh.2025.108584

Charles A. Manzler , Ben Lewis , Scott Teitelbaum , Robert C. Schlauch

Many individuals turn to religion in their efforts to deal with difficult times in their lives, and research has consistently linked indices of religious coping to measures of health and well-being. The Brief Religious Coping Scale (Brief RCOPE) is the most commonly used measure of religious coping in the literature; however, relatively little has been reported about the psychometric properties of the brief version. Moreover, the examination of this scale among individuals with a substance use disorder (SUD), a disorder highly associated with major life stressors for which religious coping may serve as a principle form of coping, has been largely overlooked. Therefore, the current study sought to examine the psychometric properties of the Brief RCOPE in a sample of 1290 adults undergoing residential treatment for SUD. Results from confirmatory factor analyses supported the theorized two-factor structure of positive (PRC) and negative (NRC) religious coping, as well as measurement invariance across sex and across time. Validity was established through significant, differential associations between PRC and NRC at pre-treatment and a range of psychosocial outcomes at pre- and post-treatment. This study provides evidence that the Brief RCOPE is a reliable and valid tool for assessing religious coping among adults with SUD. Its strong psychometric performance supports its potential for use in clinical settings to help clinicians understand and address patients’ spiritual experiences in recovery.

许多人在努力应对生活中的困难时期时求助于宗教，研究一直将宗教应对指数与健康和幸福措施联系起来。简要宗教应对量表（Brief Religious Coping Scale，简称RCOPE）是文献中最常用的宗教应对量表；然而，关于简短版本的心理测量特性的报道相对较少。此外，在物质使用障碍（一种与主要生活压力源高度相关的障碍，宗教应对可能是应对的主要形式）患者中对该量表的检查在很大程度上被忽视了。因此，目前的研究试图在1290名接受SUD住院治疗的成年人样本中检查简短RCOPE的心理测量特性。验证性因子分析的结果支持积极（PRC）和消极（NRC）宗教应对的理论双因素结构，以及跨性别和跨时间的测量不变性。通过PRC和NRC在治疗前以及治疗前和治疗后一系列社会心理结果之间的显著差异关联，建立了有效性。本研究提供了证据，证明简短的RCOPE是评估成人宗教应对的可靠和有效的工具。其强大的心理测量性能支持其在临床环境中使用的潜力，以帮助临床医生理解和解决患者在康复中的精神体验。

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引用次数: 0

Performing identity and risk: chemsex, misogyny, and algorithmic exclusion in queer Reddit spaces 表演身份和风险：酷儿Reddit空间中的化学性、厌女症和算法排斥

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-12-08 DOI: 10.1016/j.addbeh.2025.108582

Sezai Tunca

This study examines how LGBTQ+ identities, chemsex experiences, and digital misogyny intersect and are discursively negotiated within Anglophone Reddit spaces. Adopting an integrative mixed-methods design, it analyzes 509,327 posts and comments drawn from four LGBTQ+ -oriented subreddits through semantic co-occurrence mapping, sentiment and subjectivity profiling, lexical diversity metrics, and qualitative thematic coding. The analytical framework connects three mutually constitutive axes—identity performance, affective discourse, and platform/algorithmic dynamics—to capture how individual narratives are shaped by both cultural hierarchies and sociotechnical infrastructures. Findings show that identity expressions cluster around themes of community belonging, family disclosure, and self-recognition, while trans and nonbinary users remain disproportionately exposed to hypersexualization and digital exclusion. Chemsex discourse is predominantly marked by negative affect—loneliness, shame, and stigma—but also includes solidarity and harm-reduction dialogue, revealing ambivalent forms of care within digital queer cultures. Digital misogyny and algorithmic silencing appear as layered phenomena, manifesting both in external harassment and intra-community norm enforcement. The study contributes theoretically by integrating critical chemsex scholarship with digital queer theory, demonstrating that affective harm is simultaneously interpersonal and infrastructural. Methodologically, it adapts a transparent computational–qualitative triad suitable for analyzing large-scale online discourse. Practically, the results inform platform governance (bias audits, transparent moderation) and public health communication (embedding community-based, empathetic language in harm-reduction outreach). While limited to English-language Reddit data, the framework offers transferable insights into how LGBTQ+ users negotiate vulnerability, resilience, and belonging in digital environments.

本研究探讨了LGBTQ+身份、化学性经历和数字厌女症是如何在英语Reddit空间中相交和讨论的。采用综合混合方法设计，通过语义共现映射、情感和主观性分析、词汇多样性指标和定性主题编码，分析了来自四个LGBTQ+的子reddit的509,327篇帖子和评论。分析框架连接了三个相互构成的轴——身份表现、情感话语和平台/算法动态——以捕捉文化等级和社会技术基础设施如何塑造个人叙事。研究结果表明，身份表达集中在社区归属、家庭披露和自我认可的主题上，而跨性别和非二元用户仍然不成比例地暴露于过度性化和数字排斥之中。Chemsex话语主要以负面影响为特征——孤独、羞耻和耻辱——但也包括团结和减少伤害的对话，揭示了数字酷儿文化中相互矛盾的关怀形式。数字厌女症和算法沉默似乎是分层现象，既表现在外部骚扰中，也表现在社区内部规范的执行中。该研究通过将批判性化学性研究与数字酷儿理论相结合，在理论上做出了贡献，证明了情感伤害同时是人际和基础设施造成的。在方法上，它采用了一种透明的计算-定性三位一体，适合于分析大规模的在线话语。实际上，这些结果为平台治理（偏见审计、透明调节）和公共卫生沟通（在减少伤害的外展活动中嵌入基于社区的同情语言）提供了信息。虽然仅限于英文Reddit数据，但该框架提供了关于LGBTQ+用户如何在数字环境中协商脆弱性、弹性和归属感的可转移见解。

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引用次数: 0

Social support, online social support, and problematic social media use: A three-level meta-analysis 社会支持、在线社会支持和有问题的社交媒体使用：一个三层次的元分析

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-12-02 DOI: 10.1016/j.addbeh.2025.108579

Liangrong Huang , Miaomiao Zeng , Xue Wen

Numerous studies have examined the relationship between social support and problematic social media use; however, findings are inconsistent. Hence, this study employed a three-level meta-analysis to clarify the relationship between social support and problematic social media use. Additionally, a meta-analysis was conducted to examine the relationship between online social support and problematic social media use and to identify potential moderators of this relationship. After searching and screening the literature, this meta-analysis included a total of 65 studies, with 235 effect sizes and 52,738 participants. The results showed a negative correlation between social support and problematic social media use (r = -0.178, p < 0.001), and a positive correlation between online social support and problematic social media use (r = 0.399, p < 0.001). Age and educational stage significantly moderated the association between social support and problematic social media use. Online social support measurement and problematic social media use measurement significantly moderated the association between online social support and problematic social media use. It is suggested that treatment for problematic social media use should attend to individuals’ levels of social support and online social support.

许多研究已经调查了社会支持和有问题的社交媒体使用之间的关系；然而，研究结果并不一致。因此，本研究采用三层次元分析来阐明社会支持与问题社交媒体使用之间的关系。此外，还进行了一项荟萃分析，以检验在线社会支持与有问题的社交媒体使用之间的关系，并确定这种关系的潜在调节因素。在检索和筛选文献后，本荟萃分析共纳入65项研究，有235个效应量和52,738名参与者。结果显示，社会支持与问题社交媒体使用呈负相关（r = -0.178, p < 0.001），在线社会支持与问题社交媒体使用呈正相关（r = 0.399, p < 0.001）。年龄和教育阶段显著调节了社会支持与有问题的社交媒体使用之间的关系。在线社会支持测量和问题社交媒体使用测量显著调节了在线社会支持与问题社交媒体使用之间的关联。建议对社交媒体使用问题的治疗应关注个人的社会支持水平和在线社会支持水平。

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引用次数: 0

Restricting choice of e-cigarette flavor and device type increases choices to use combusted cigarettes among adults who dual use both products: Results from a within-subjects randomized trial 限制电子烟口味和设备类型的选择增加了双重使用两种产品的成年人使用燃烧香烟的选择：一项受试者内随机试验的结果。

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-12-01 DOI: 10.1016/j.addbeh.2025.108578

Dana Rubenstein , Lauren R. Pacek , Michael J. Green , Maggie M. Sweitzer , Rachel Kozink , Alicia Holloway , Eric C. Donny , Tracy T. Smith , F. Joseph McClernon

Introduction

Data from real-world e-cigarette (EC) flavor bans suggest that such bans may increase combusted cigarette (CC) use. However, experimental data are needed to better understand how EC characteristics affect EC appeal and CC use.

Methods

Participants were adults who used both CC and flavored EC. They made 10 choices per session between taking two puffs from an EC or CC (supplied by study) or abstaining. EC type was unblinded and varied across three counterbalanced sessions: 1) own device and flavor, 2) study device with a non-tobacco-flavored e-liquid, and 3) study device with a tobacco-flavored e-liquid. Analyses evaluated EC appeal and choices to use EC, CC, or abstain.

Results

Participants (n = 41) reported using CCs on 22.1 days/month and ECs on 26.9 days/month. Appeal of study EC was lower than participants’ own EC, and participants made fewer choices for EC during tobacco-flavor EC versus own device sessions (p = 0.006). Relative to own device sessions, participants made a greater number of choices for CC when study EC were available (p’s < 0.05), regardless of flavor.

Discussion

Regulators and public health officials should be aware that restricting EC characteristics such as device type and flavor may increase consumption of CC among people who use both products, especially people who find restricted EC less appealing than their own device. Findings are consistent with real-world sales data following EC flavor bans.

导读：来自现实世界电子烟（EC）风味禁令的数据表明，此类禁令可能会增加燃烧香烟（CC）的使用。然而，需要实验数据来更好地了解EC特性如何影响EC的吸引力和CC的使用。方法：参与者是同时使用CC和调味EC的成年人。每个疗程中，他们在抽两口EC或CC（由研究提供）或不抽之间做出10个选择。EC类型是无盲的，并且在三个平衡阶段有所不同：1)自己的设备和风味，2)使用非烟草味电子液体的研究设备，以及3)使用烟草味电子液体的研究设备。分析评估了EC的吸引力和使用EC、CC或弃权的选择。结果：参与者（n = 41）报告使用CCs的时间为22.1天/月，使用ec的时间为26.9天/月。研究EC的吸引力低于参与者自己的EC，参与者在烟草味EC期间对EC的选择少于自己的设备会话（p = 0.006）。相对于自己的设备，当研究EC可用时，参与者对CC的选择更多(p讨论：监管机构和公共卫生官员应该意识到，限制EC的特征，如设备类型和风味，可能会增加使用两种产品的人对CC的消费，特别是那些发现限制EC不如自己的设备有吸引力的人。研究结果与欧盟香料禁令后的实际销售数据一致。

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引用次数: 0

Nicotine and cannabis vaping among U.S. emerging young adults: Findings from 2022 and 2023 National Survey on Drug Use and Health 美国新兴年轻人吸食尼古丁和大麻：来自2022年和2023年全国药物使用和健康调查的结果。

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-11-30 DOI: 10.1016/j.addbeh.2025.108577

Nayoung Kim , Joy Haizelden , Gracie Avery , Mercy Mumba

Objectives

With recent rise in nicotine and cannabis vaping and growing evidence of their negative health effects, especially when co-vaped, understanding vaping patterns is important. This study examined national prevalence and factors associated with nicotine and cannabis vaping among U.S. emerging young adults.

Methods

Cross-sectional data from the 2022 and 2023 National Survey on Drug Use and Health were used to assess past-month rates of exclusive nicotine vaping, exclusive cannabis vaping, and co-vaping (versus no vaping) and examine its associations with sociodemographic characteristics, mental health, other substance use (e.g., tobacco, alcohol, binge drinking), substance use disorders (nicotine dependence, alcohol use disorder), and cannabis legalization.

Results

Among emerging adults, 16.0% reported exclusive nicotine vaping, 4.3% exclusive cannabis vaping, and 8.1% co-vaping in the past month. Non-Hispanic White individuals, those with lower education, and those identified as sexual minorities reported higher rates of vaping. Severe psychological distress, tobacco and alcohol co-use, and alcohol use disorder increased odds of all vaping behaviors. Medical cannabis legalization significantly increased odds of exclusive cannabis vaping and co-vaping, but not exclusive nicotine vaping.

Conclusions

Vaping patterns vary by certain sociodemographic characteristics and cannabis policy. Mental health challenges and substances co-use consistently elevated risks of all forms of vaping among this vulnerable population.

目的：随着最近尼古丁和大麻电子烟的增加，以及越来越多的证据表明它们对健康的负面影响，特别是当共同吸电子烟时，了解电子烟的模式很重要。这项研究调查了美国新兴年轻人中尼古丁和大麻电子烟的全国流行程度和相关因素。方法：使用2022年和2023年全国药物使用和健康调查的横断面数据来评估过去一个月纯尼古丁电子烟、纯大麻电子烟和共同电子烟（与不电子烟相比）的比率，并检查其与社会人口特征、心理健康、其他物质使用（如烟草、酒精、酗酒）、物质使用障碍（尼古丁依赖、酒精使用障碍）和大麻合法化的关系。结果：在刚刚成年的人群中，16.0%的人在过去一个月里只吸尼古丁电子烟，4.3%的人只吸大麻电子烟，8.1%的人同时吸电子烟。非西班牙裔白人、受教育程度较低的人以及被认定为性少数群体的人吸电子烟的比例更高。严重的心理困扰、烟酒混合使用以及酒精使用障碍增加了所有电子烟行为的几率。医用大麻合法化显著增加了吸食大麻和共同吸食大麻的几率，但没有增加吸食尼古丁的几率。结论：吸电子烟模式因某些社会人口特征和大麻政策而异。在这一弱势群体中，精神健康挑战和药物共同使用持续增加了各种形式的电子烟风险。

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引用次数: 0

Smartphone restriction modulates intrinsic neural activity in problematic smartphone users: Evidence from resting-state fMRI 智能手机限制调节问题智能手机用户的内在神经活动：来自静息状态功能磁共振成像的证据。

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-11-27 DOI: 10.1016/j.addbeh.2025.108575

Sophie H. Haage , Mike M. Schmitgen , Gudrun M. Henemann , Julian Koenig , Marie-Luise Otte , Patrick Bach , Nadine D. Wolf , Robert Christian Wolf

Problematic smartphone use (PSU) has been associated with withdrawal-like symptoms and altered intrinsic neural activity (INA). While previous studies suggest that PSU affects brain function, little is known about how INA is modulated by smartphone restriction. This longitudinal fMRI study investigated group- and time-dependent changes in resting-state INA following short-term smartphone deprivation. 36 participants (aged 18–29; 22 female) were categorized into PSU (n = 19) and non-PSU (n = 17) groups using the Smartphone Addiction Scale–Short Version (SAS-SV). Resting-state fMRI scans were obtained before and after a 72-hour period of smartphone restriction. Psychometric measures included the Mannheim Craving Scale (MaCS) and the Smartphone Addiction Inventory (SPAI). A significant group-by-time interaction revealed INA changes in the left inferior frontal gyrus, bilateral posterior cingulate cortex, right middle frontal and precentral gyri, and left calcarine cortex. INA increased over time in the non-PSU group but decreased in the PSU group in prefrontal and cingulate areas. In contrast, sensorimotor and occipital regions showed increased INA over time in PSU individuals. Associations between neural activity and MaCS scores indicated that greater craving was linked to reduced INA in the posterior cingulate cortex. Within the PSU group, higher smartphone-use severity, as measured by the SPAI, was associated with altered INA in occipital, parietal, and cerebellar regions. These findings suggest PSU is linked to distinct and state-dependent neurofunctional alterations that may reflect withdrawal-related processes and maladaptive reward and cognitive control mechanisms.

有问题的智能手机使用（PSU）与戒断样症状和内在神经活动（INA）的改变有关。虽然之前的研究表明PSU会影响大脑功能，但人们对限制使用智能手机如何调节INA知之甚少。这项纵向fMRI研究调查了短期智能手机剥夺后静息状态INA的组和时间依赖性变化。36名参与者（18-29岁，22名女性）使用智能手机成瘾量表-短版本（SAS-SV）分为PSU组（n = 19）和非PSU组（n = 17）。在限制使用智能手机72小时之前和之后，分别获得静息状态fMRI扫描。心理测量包括曼海姆渴望量表（MaCS）和智能手机成瘾量表（SPAI）。显著的组-时间交互作用显示，INA在左侧额下回、双侧后扣带皮层、右侧额中回和中央前回以及左侧脑胼胝体皮层发生改变。随着时间的推移，非PSU组的INA增加，而PSU组的前额叶和扣带区INA减少。相比之下，PSU个体的感觉运动区和枕区随着时间的推移显示INA增加。神经活动和MaCS评分之间的关联表明，更大的渴望与后扣带皮层INA减少有关。在PSU组中，SPAI测量的更高的智能手机使用严重程度与枕部、顶叶和小脑区域的INA改变有关。这些发现表明，PSU与不同的和状态依赖性的神经功能改变有关，这些改变可能反映了戒断相关的过程和不适应的奖励和认知控制机制。

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引用次数: 0

Prevalence of Internet gaming disorder in young adults: a systematic review and meta-analysis 青少年网络游戏障碍的流行：一项系统回顾和荟萃分析

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-11-26 DOI: 10.1016/j.addbeh.2025.108576

Júlia Gisbert-Pérez , Claudio Longobardi , Manuel Martí-Vilar , Sofia Mastrokoukou , Laura Badenes-Ribera

Internet Gaming Disorder (IGD) is recognized as a condition for further study in DSM-5-TR and officially classified in ICD-11. Although gaming problems seem like an adolescent concern, growing evidence indicates that young adults are also vulnerable. This systematic review and meta-analysis aimed to estimate the global prevalence of IGD among young adults and identify sociodemographic and methodological moderators associated with its variability. Ninety-six analytical samples from 93 studies published (2015–2025) were included, comprising 149,601 participants aged 18–35 (M_age = 23.53 years, SD_age = 6.28; 51.22 % female). Generalized linear mixed models were applied to compute pooled prevalence estimates. The pooled prevalence of IGD was 6.1 % (95 % CI: 5.03–7.40). Prevalence was significantly higher in gamer-only samples (8.1 %, 95 % CI: 5.91–11.01) compared to mixed samples, including gamers and non-gamers (5.47 %, 95 % CI: 4.33–6.90). Moderator analyses showed that IGD prevalence differed by diagnostic instrument (IGDS and DSM-V criteria > IGDT-10) and by sample size, and a trend also emerged suggesting lower prevalence with higher proportions of women. In gamer-only samples, prevalence increased over time and in studies with a higher risk of bias. In mixed samples, prevalence differed by instrument (IGDS > GAS) and was negatively associated with sample size. These findings indicate that IGD is more prevalent among young adults than in the general population, especially among gamers. The variability observed across studies highlights the need for methodological consistency and the use of validated diagnostic tools to improve comparability and inform prevention and intervention strategies.

网络游戏障碍（IGD）在DSM-5-TR中被确认为需要进一步研究的疾病，并在ICD-11中被正式分类。虽然游戏问题似乎是青少年的问题，但越来越多的证据表明，年轻人也很容易受到影响。本系统综述和荟萃分析旨在估计年轻人中IGD的全球患病率，并确定与其变异性相关的社会人口统计学和方法学调节因素。纳入了来自93项已发表研究（2015-2025）的96个分析样本，包括149601名18-35岁的参与者（年龄= 23.53岁，年龄= 6.28岁，51.22%为女性）。应用广义线性混合模型计算合并患病率估计。IGD的总患病率为6.1% （95% CI: 5.03-7.40）。与包括玩家和非玩家的混合样本（5.47%,95% CI: 4.33-6.90）相比，仅游戏玩家样本的患病率明显更高（8.1%,95% CI: 5.91-11.01）。调节分析显示，IGD患病率因诊断工具（IGDS和DSM-V标准>； IGDT-10）和样本量而异，而且还出现了一种趋势，即女性比例较高，患病率较低。在仅针对游戏玩家的样本中，患病率随着时间的推移而增加，并且在偏见风险较高的研究中也会增加。在混合样本中，患病率因仪器（IGDS >； GAS）而异，并与样本量呈负相关。这些发现表明，IGD在年轻人中比在一般人群中更为普遍，尤其是在游戏玩家中。研究中观察到的可变性强调了方法一致性和使用经过验证的诊断工具的必要性，以提高可比性，并为预防和干预策略提供信息。

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引用次数: 0

Perceptual distortions of social support in multi-age cohort as a function of internet addiction and attention control 网络成瘾与注意控制对多年龄群体社会支持知觉扭曲的影响

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-11-22 DOI: 10.1016/j.addbeh.2025.108566

S.R. Sangeetha, Neriah Samraksha, Shreya M. Karakatti, D. Patteswari

Background

Internet addiction and attention control increasingly influence how individuals across age groups perceive social support. This study explored the psychological impact of excessive internet use and attentional regulation within a diverse Indian population.

Objectives

The study aimed (a) to examine perceptual distortions of social support across the lifespan as a function of individual differences in internet addiction and attention control; (b) to explore how socio-demographic factors such as sex and socioeconomic status (SES) influence attention control and perceived social support in the context of internet addiction; and (c) to investigate how age and SES jointly shape patterns of internet addiction, attention control, and perceived social support in a multi-age cohort.

Methods

A cross-sectional design was used to collect data from 399 participants in Mysuru through purposive sampling. Standardized instruments included the Internet Addiction Test, Attention Control Scale, and Multidimensional Scale of Perceived Social Support. Analyses were conducted using SPSS v.27, employing multiple regression and MANOVA.

Results

The regression model significantly predicted perceived social support, F(2, 396) = 20.87, p = 0.001, R² = 0.095. Internet addiction was a significant negative predictor of perceived social support (β = –.260, p = 0.001) meanwhile attention control was not (β = 0.099, p = 0.053). MANOVA showed significant effects of age (p = 0.013) and an Age × SES interaction (p = 0.019) on internet addiction. sex and SES main effects were non-significant.

Conclusion

Perceptual distortions of social support are not simply the result of screen time, but are mediated by age and class. These findings underscore internet addiction as a psychosocial outcome shaped by unequal digital environments.

网络成瘾和注意力控制越来越多地影响着不同年龄组的个体对社会支持的看法。本研究探讨了在不同的印度人口中过度使用互联网和注意力调节的心理影响。目的：本研究旨在(a)考察网络成瘾和注意力控制的个体差异对整个生命周期中社会支持的感知扭曲；(b)探讨性别和社会经济地位（SES）等社会人口因素如何影响网络成瘾背景下的注意控制和感知社会支持；(c)研究年龄和社会经济地位如何共同影响多年龄队列中网络成瘾、注意力控制和感知社会支持的模式。方法采用横断面设计，采用目的抽样的方法对399名参与者进行资料收集。标准化工具包括网络成瘾测试、注意控制量表和感知社会支持多维量表。采用SPSS v.27进行分析，采用多元回归和方差分析。结果回归模型显著预测感知社会支持，F(2,396) = 20.87, p = 0.001, R2 = 0.095。网络成瘾是感知社会支持的显著负向预测因子（β = -）。260, p = 0.001)，而注意控制不存在（β = 0.099, p = 0.053）。方差分析显示，年龄（p = 0.013）和年龄与社会经济地位的交互作用（p = 0.019）对网络成瘾有显著影响。性别和社会经济地位的主效应不显著。结论社会支持知觉扭曲不单纯是屏幕时间的结果，而受年龄和阶层的中介作用。这些发现强调了网络成瘾是由不平等的数字环境形成的一种社会心理后果。

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引用次数: 0

Application of the differential susceptibility to media effects model to comprehend emerging adults’ problematic smartphone use: A one-year longitudinal study 应用媒介效应差异敏感性模型理解新兴成人智能手机使用问题：一项为期一年的纵向研究

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-11-22 DOI: 10.1016/j.addbeh.2025.108568

Chun Feng , Hengyue Zhang , Ke Yu , Wen Zhao , Anise M.S. Wu

Considering the pervasive integration of smartphones into the daily lives and high prevalence of problematic smartphone phone use (PSU) among emerging adults, there is an urgency for an integrated perspective to understand their PSU for better intervention insights. This study aims to apply a multi-level theoretical framework, the Differential Susceptibility to Media Effects Model (DSMM), to PSU and evaluate not only the direct effects of dispositional (i.e., neuroticism), social (i.e., family adaptability), and developmental factors (i.e., inclusion of smartphone in the self [ISS]) on PSU but also the potential indirect effect of ISS. We obtained a sample of 801 Chinese emerging adults (559 females; M_age = 19.02 and SD_age = 0.88) through a one-year longitudinal study with two surveys (at wave 1 [W1] and wave 2 [W2]). Hierarchical regression analysis indicated that all baseline susceptibility factors (neuroticism [W1], family adaptability [W1], and ISS [W1]) significantly predicted PSU (W2) after controlling for both demographics and PSU (W2). The results of structural equation modeling further suggested that neuroticism (W1) and family adaptability (W1) were longitudinally associated with ISS (W2), which was in turn associated with PSU (W2). This study provided not only longitudinal evidence to support the application of DSMM to explain PSU but also insights into interventions using targeted approaches.

考虑到智能手机在日常生活中的普遍融入以及新兴成年人中智能手机使用问题（PSU）的高患病率，迫切需要从综合的角度来了解他们的PSU，以获得更好的干预见解。本研究旨在将媒介效应差异敏感性模型（DSMM）这一多层次理论框架应用于PSU，不仅评估性格因素（如神经质）、社会因素（如家庭适应性）和发展因素（如将智能手机纳入自我[ISS]）对PSU的直接影响，还评估其潜在的间接影响。我们通过为期一年的两次调查（第1波[W1]和第2波[W2]），获得了801名中国新兴成年人（559名女性，Mage = 19.02, SDage = 0.88）的样本。分层回归分析表明，在控制人口统计学和PSU （W2）后，所有基线易感因素（神经质[W1]、家庭适应性[W1]和ISS [W1]）均显著预测PSU （W2）。结构方程模型结果进一步表明，神经质（W1）和家庭适应性（W1）与ISS （W2）呈纵向相关，ISS （W2）与PSU （W2）呈纵向相关。这项研究不仅提供了纵向证据来支持应用DSMM来解释PSU，而且还提供了使用有针对性的方法进行干预的见解。

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