Addictive behaviors最新文献_第5页

The interacting role of fear of missing out in attentional bias dynamics during problematic social media use 在有问题的社交媒体使用过程中，害怕错过的注意力偏差动态的相互作用。

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-11-14 DOI: 10.1016/j.addbeh.2025.108550

Yang Wang , Lei Zhang , Jon D. Elhai , Christian Montag , Haibo Yang

Problematic social media use (PSMU) is increasingly conceptualized as a behavioral addiction involving attentional bias toward social media icons. Although fear of missing out (FoMO) contributes to PSMU maintenance, its dynamic interactive role in attentional bias dynamics remains unclear. Guided by the I-PACE model and attentional bias theory, this study examined whether and when FoMO modulates gaze-based attentional bias toward social media icons in PSMU. 912 university students completed online screening for PSMU and FoMO; 55 meeting PSMU criteria (M_age = 19.60) were categorized into high- or low-FoMO groups. Participants performed a visual dot-probe task with social/non-social app icons while eye-tracking recorded gaze behavior across four 500 ms time windows. Results revealed FoMO significantly interacted with attentional bias in two critical phases: During early processing (0–500 ms), the PSMU/high-FoMO group exhibited attentional orienting deceleration to social media icons, whereas PSMU/low-FoMO showed attentional maintenance. In later processing (1000–1500 ms), PSMU/high-FoMO demonstrated attentional vigilance-maintenance, while PSMU/low-FoMO displayed avoidance. These findings indicate FoMO exerts a temporally dynamic interaction effect on attentional bias in PSMU—characterized by initial orienting delays followed by sustained attentional engagement with social media icons. This supports reconceptualizing FoMO as a core psychological mechanism that reinforces PSMU through biased attentional dynamics, advancing theoretical alignment with the I-PACE framework.

有问题的社交媒体使用（PSMU）越来越被定义为一种行为成瘾，涉及对社交媒体图标的注意力偏见。虽然错失恐惧（fear of missing out, FoMO）有助于PSMU维持，但其在注意偏置动力学中的动态交互作用尚不清楚。在I-PACE模型和注意偏向理论的指导下，本研究考察了FoMO是否以及何时调节了PSMU中基于注视的对社交媒体图标的注意偏向。912名大学生完成PSMU和FoMO在线筛查；55名符合PSMU标准（Mage = 19.60）的患者被分为高fomo组和低fomo组。参与者使用社交/非社交应用程序图标进行视觉点探测任务，同时眼动追踪记录了四个500毫秒时间窗口内的凝视行为。结果表明，FoMO与注意偏向在两个关键阶段显著相互作用：在加工早期（0 ~ 500 ms）， PSMU/高FoMO组对社交媒体图标的注意定向减速，而PSMU/低FoMO组对社交媒体图标的注意保持。在加工后期（1000 ~ 1500 ms）， PSMU/高fomo表现为注意警戒维持，而PSMU/低fomo表现为回避。这些研究结果表明，FoMO对psmu的注意偏差具有时间动态交互作用，其特征是最初的定向延迟，随后是对社交媒体图标的持续注意参与。这支持将FoMO重新定义为一种核心心理机制，通过偏向性注意动力学加强PSMU，推进与I-PACE框架的理论一致性。

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引用次数: 0

AAT-App+: A double-blind, pilot randomised controlled trial of a novel personalised smartphone intervention to reduce hazardous and harmful alcohol consumption among middle–older adults AAT-App+：一项双盲、试点随机对照试验，旨在通过一种新的个性化智能手机干预来减少中老年人的有害酒精消费。

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-11-13 DOI: 10.1016/j.addbeh.2025.108560

G.L. Bolt , B. Rowland , H. Piercy , J. Bradshaw , D.I. Lubman , V. Manning

Background

Given increased rates of problematic alcohol use among middle-older age adults, novel, accessible alcohol interventions are needed. This pilot RCT explored the feasibility, acceptability, and preliminary effectiveness of personalised smartphone-delivered alcohol approach bias modification (ApBM) in Australians (≥55 years) drinking at hazardous/harmful levels (AUDIT ≥ 8).

Method

Double-blinded parallel two-arm pilot RCT in Victoria, Australia (July 2022–January 2023). Community-based ≥ 55-year-olds received ‘AAT-App+’ (n = 96) or sham training (n = 92) over four-weeks. Feasibility was defined as recruitment of ≥ 100 participants within the recruitment window and 50 % adherence to four sessions. Acceptability was defined as User Version Mobile Application Rating Scale (uMARS) mean scores ≥ 3. The primary preliminary effectiveness outcome was past-week standard drinks at week four relative to baseline.

Results

Feasibility and acceptability were good, with n = 188 recruited, 69 % training adherence, and ‘good’ uMARS functionality/aesthetics and ‘acceptable’ quality ratings among responders (n = 94). Retention rates were 56 % for primary effectiveness outcome. Linear mixed modelling using intention-to-treat analysis showed a significant mean reduction of 6.9 past-week standard drinks relative to baseline overall (p<.001), but no significant group-by-time interaction at the primary endpoint (β = −1.90, p=.43, 95 %CI [−6.62, 2.82]). The groups differed significantly favouring ApBM after two-weeks of training (β = -5.28, p=.03, 95 %CI [−10.01;−0.56]). There were no adverse events throughout the training window.

Conclusion

Personalised smartphone ApBM is feasible and acceptable to middle-to-older adults, but we found no evidence to suggest it reduced alcohol consumption any more than sham-training beyond the acute period. Further work is needed prior to large-scale RCT progression to mitigate attrition and optimise study design.

背景：考虑到中老年成人中问题酒精使用率的增加，需要新的、可获得的酒精干预措施。该试点RCT探讨了在澳大利亚（≥55岁）饮酒达到危险/有害水平（AUDIT≥8）的人群中，使用个性化智能手机提供的酒精方法偏差修正（ApBM）的可行性、可接受性和初步有效性。方法：在澳大利亚维多利亚进行双盲平行双臂先导随机对照试验（2022年7月- 2023年1月）。社区≥55岁的患者接受为期四周的“AAT-App+”（n = 96）或假训练（n = 92）。可行性定义为在招募窗口内招募≥100名参与者，并有50%的依从性参加4个疗程。可接受性定义为用户版移动应用评定量表（uMARS）平均分≥3分。主要的初步有效性结果是在第四周相对于基线的过去一周的标准饮酒量。结果：可行性和可接受性良好，招募了n = 188人，69%的培训依从性，响应者的uMARS功能/美学和质量评分为“良好”（n = 94）。主要疗效的保留率为56%。使用意向治疗分析的线性混合模型显示，相对于基线总体而言，过去一周的标准饮酒量平均减少了6.9。结论：个性化智能手机ApBM对于中老年人来说是可行和可接受的，但我们没有发现证据表明，在急性期之后，它比假训练更能减少饮酒量。在大规模的随机对照试验进展之前，需要进一步的工作来减轻损耗和优化研究设计。

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引用次数: 0

Relationship between Problematic Internet Use and emotional variables in childhood and adolescence: systematic review of longitudinal evidence 儿童期和青春期有问题的互联网使用与情绪变量的关系：纵向证据的系统回顾。

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-11-13 DOI: 10.1016/j.addbeh.2025.108561

Víctor José Villanueva-Blasco , Mariel García-Guerra , Antonio Rial-Boubeta

Purpose

Problematic Internet Use (PIU) has been associated with emotional difficulties in childhood and adolescence. However, the directionality of this relationship remains unclear due to the lack of terminological consensus and wide variability in prevalence estimates. This systematic review aims to synthesize the longitudinal evidence on the directionality of the relationship between emotional variables (depression, anxiety, emotional dysregulation) and PIU in children and adolescents.

Method

Following PRISMA guidelines, five databases were consulted (Scopus, Web of Science, PsycNet, ProQuest Central, PubMed). After the screening process, 31 longitudinal studies met the inclusion criteria. Methodological quality was assessed using QualSyst. Registered in PROSPERO (CRD42024627122). The search strategy did not impose limits by year of publication.

Results

Most studies support a bidirectional relationship between emotional distress and PIU, although some identify unidirectional patterns depending on the conceptualization used. Advanced analyses (such as cross-lagged panel models and latent class analyses) reveal persistent comorbidity trajectories and highlight key mediators such as low self-esteem and maladaptive emotional regulation strategies.

Conclusions

Emotional problems and PIU tend to mutually reinforce each other over time. Greater conceptual clarity, culturally sensitive assessment tools, and early interventions focused on developing emotional skills and healthy digital habits are needed.

目的：有问题的互联网使用（PIU）与儿童和青少年的情绪困难有关。然而，由于缺乏术语共识和流行率估计的广泛差异，这种关系的方向性仍然不清楚。本系统综述旨在综合儿童和青少年情绪变量（抑郁、焦虑、情绪失调）与PIU之间关系的纵向证据。方法：按照PRISMA指南，查阅5个数据库（Scopus, Web of Science, PsycNet, ProQuest Central, PubMed）。经过筛选，31项纵向研究符合纳入标准。采用QualSyst评估方法学质量。在普洛斯彼罗注册（CRD42024627122）。搜索策略没有按出版年份施加限制。结果：大多数研究支持情绪困扰和PIU之间的双向关系，尽管一些研究认为单向模式取决于所使用的概念化。高级分析（如交叉滞后面板模型和潜在类别分析）揭示了持续的共病轨迹，并强调了关键的中介因素，如低自尊和适应不良的情绪调节策略。结论：随着时间的推移，情绪问题与PIU呈相互强化的趋势。需要更清晰的概念、具有文化敏感性的评估工具，以及侧重于发展情感技能和健康数字习惯的早期干预措施。

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引用次数: 0

Witnessed overdose history and response among overdose survivors who use non-prescribed opioids in an overdose prevention trial 在过量预防试验中，使用非处方阿片类药物的过量幸存者见证了过量的历史和反应。

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-11-11 DOI: 10.1016/j.addbeh.2025.108558

Nicole C. McCann , Shapei Yan , Vanessa M. McMahan , Zachary C. Rich , Emily Pope , Andrew Rolles , Sarah Brennan , Xochitl Luna Marti , Sarah Kosakowski , Tim Matheson , Phillip O. Coffin , Alexander Y. Walley

Background

The REpeated-dose Behavioral intervention to reduce Opioid Overdose Trial (REBOOT) evaluated motivational interviewing for overdose prevention, focusing partly on witnessed overdose response. We assessed participants’ witnessed overdose history and REBOOT’s impact on overdose response among opioid overdose survivors using non-prescribed opioids in Boston and San Francisco.

Methods

We described participants’ witnessed overdose and naloxone administration history over the four months preceding enrollment and the number and characteristics of witnessed overdoses reported during the study. We then used generalized estimating equations to test if the intervention affected if participants responded “me” to who, if anyone, responded to a witnessed overdose by assessing responsiveness, calling 911, performing rescue breathing, doing chest compressions, or administering naloxone during 16-month follow-up.

Results

Of 265 participants, most (83 %) witnessed at least one overdose in the four months preceding enrollment; 68 % of these participants had administered naloxone. In the 16-month post-enrollment follow-up, 250 (94 %) participants witnessed 597 overdoses. In 94 % of these, participants reported that somebody (themselves or others) responded. REBOOT had no significant impact on whether participants personally responded to overdoses: 67 % of control and 72 % of intervention participants personally responded pre-enrollment (p = 0.39), versus 63 % and 62 % post-enrollment (p = 0.97).

Conclusion

Most REBOOT participants witnessed a recent opioid overdose preceding enrollment. After enrollment, nearly all witnessed overdoses were responded to; the intervention had no effect on whether the participant personally responded. Given near-universal response, there was little room for improving overdose response. Future research should test similar interventions in communities with less prior overdose prevention exposure.

背景：重复剂量行为干预减少阿片类药物过量试验（REBOOT）评估了动机性访谈对过量预防的作用，部分关注了目睹的过量反应。我们评估了参与者的用药过量史，以及REBOOT对波士顿和旧金山使用非处方阿片类药物的阿片类药物过量幸存者用药过量反应的影响。方法：我们描述了参与者在入组前4个月的用药过量和纳洛酮用药史，以及研究期间报告的用药过量的数量和特征。在16个月的随访中，我们使用广义估计方程来测试干预是否会影响参与者对谁做出“我”的反应，如果有人对目睹的过量药物做出反应，通过评估反应性、拨打911、进行抢救呼吸、做胸外按压或服用纳洛酮。结果：在265名参与者中，大多数（83%）在入组前4个月内至少发生一次过量用药；68%的参与者服用了纳洛酮。在入组后16个月的随访中，250名（94%）参与者发现597例过量用药。在其中的94%，参与者报告说有人（他们自己或其他人）回应了。REBOOT对参与者个人是否对过量用药有反应没有显著影响：67%的对照组和72%的干预参与者在入组前有反应（p = 0.39），而63%和62%的入组后有反应（p = 0.97）。结论：大多数REBOOT参与者在入组前都经历过阿片类药物过量。入组后，几乎所有的过量用药都有反应；干预对参与者是否亲自回应没有影响。鉴于几乎普遍的反应，几乎没有改善过量反应的空间。未来的研究应该在用药过量预防暴露较少的社区中测试类似的干预措施。

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引用次数: 0

Motives for posting and deleting alcohol-related content on social media: Longitudinal associations with behavior among adolescents and young adults 在社交媒体上发布和删除酒精相关内容的动机：与青少年和年轻人行为的纵向关联

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-11-11 DOI: 10.1016/j.addbeh.2025.108559

Dana M. Litt, Derek S. Falk, Melissa A. Lewis

Examining why adolescents and young adults post or delete alcohol-related content on social media has important implications for understanding and mitigating the influence of alcohol-related social media content on alcohol cognitions and use. This longitudinal study explored motives for posting and deleting alcohol content and their association with actual posting and deleting one month later. Survey data were collected from 306 adolescents and young adults recruited as part of a longitudinal experimental study examining alcohol-related content on social media and alcohol norms and use. Participants aged 15–20 (M = 18.39; SD = 1.32) indicated the top three motives for posting alcohol content: prove they were having fun, show they have an active social life, and make themselves look cool. The most endorsed motives for deleting alcohol-related social media content included: it being unflattering, feeling embarrassed, or fear of others sharing it. After controlling for relevant covariates, a negative binomial regression indicated that at baseline, alcohol-related posting motives related to making others jealous, posting about most things, and doing what friends do were significantly and positively associated with frequency of posting alcohol-related content one month later. Further, results of a linear regression indicated that the only baseline motive significantly associated with frequency of deleting alcohol-related content at 1-month follow-up was finding the content unflattering. Overall, results suggest that there are unique motives associated with both posting and deleting alcohol-related content on social media, which has implications for preventative interventions aiming to reduce alcohol-related social media behavior.

研究为什么青少年和年轻人在社交媒体上发布或删除与酒精有关的内容，对于理解和减轻与酒精有关的社交媒体内容对酒精认知和使用的影响具有重要意义。这项纵向研究探讨了发布和删除酒精内容的动机，以及它们与一个月后实际发布和删除的关系。调查数据来自306名青少年和年轻人，这是一项纵向实验研究的一部分，该研究调查了社交媒体上与酒精相关的内容以及酒精规范和使用情况。年龄在15-20岁的参与者（M = 18.39; SD = 1.32）表示，发布酒精内容的三大动机是：证明自己玩得开心，显示自己有活跃的社交生活，让自己看起来很酷。删除与酒精有关的社交媒体内容的最受认可的动机包括：不讨人喜欢、感到尴尬或害怕别人分享。在控制相关协变量后，负二项回归表明，在基线时，与酒精相关的发布动机（让别人嫉妒、发布大多数事情、做朋友做的事情）与一个月后发布酒精相关内容的频率显著正相关。此外，线性回归的结果表明，在1个月的随访中，唯一与删除酒精相关内容频率显著相关的基线动机是发现内容不讨人喜欢。总体而言，研究结果表明，在社交媒体上发布和删除与酒精相关的内容都有独特的动机，这对旨在减少与酒精相关的社交媒体行为的预防性干预具有重要意义。

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引用次数: 0

Cannabis use among new mothers. A feasibility mixed-method study to investigate motives and perceptions 新妈妈使用大麻。可行性混合方法研究，以调查动机和看法

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-11-10 DOI: 10.1016/j.addbeh.2025.108554

Samantha A. Chuisano , Paul Miriani , Omayma Alshaarawy

Objective

To assess the feasibility of recruiting new mothers (0–12 months postpartum) who use cannabis through social media and conducting a mixed-methods study to characterize their cannabis use. This pilot study aimed to gather preliminary data on use motives, behaviors, and objective toxicology to inform future large-scale research.

Methods

We employed a cross-sectional, mixed-methods design. Participants were recruited via targeted Facebook advertisements in the Greater Lansing area, Michigan (mid-sized metropolitan region). Eligible participants completed a self-administered quantitative survey on cannabis use and beliefs during a clinic visit, where urine and breastmilk samples were also collected for toxicology analysis. Subsequently, a subset of participants completed a virtual, semi-structured qualitative interview. Interview transcripts were analyzed using an inductive thematic approach.

Results

Social media recruitment reached 196 individuals who completed screening; 21 (11 %) were eligible. Of these, 12 mothers (57 % of eligible) completed the clinic visit and provided biospecimens. Participants reported frequent cannabis use (mean of 24 out of the previous 30 days), primarily via smoking. Toxicology analysis confirmed significant concentrations of delta-9 tetrahydrocannabinol (THC) metabolites in urine and breastmilk. Qualitative analysis (n = 9) identified four key themes: 1) Cannabis use as therapy or treatment, 2) Influences on discussion of cannabis, 3) Risk determination of cannabis use, and 4) Individual risk mitigation behaviors. Interviews revealed predominantly negative interactions with healthcare providers regarding cannabis use and a perceived lack of evidence-based guidelines. Mixed methods integration demonstrated agreement between quantitative and qualitative findings.

Conclusions

This study demonstrates the feasibility of recruiting postpartum cannabis users via social media and collecting rich mixed-methods data, including objective biospecimens. The methodology and preliminary results provide a strong foundation for future larger studies on the impact of postpartum cannabis use on maternal and infant health.

目的评估通过社交媒体招募使用大麻的新妈妈（产后0-12个月）的可行性，并对其大麻使用特征进行混合方法研究。本初步研究旨在收集有关使用动机、行为和客观毒理学的初步数据，为未来的大规模研究提供信息。方法采用横截面混合方法设计。参与者是通过Facebook在密歇根州大兰辛地区（中等大都市区）的定向广告招募的。合格的参与者在诊所访问期间完成了一项关于大麻使用和信念的自我管理的定量调查，并收集了尿液和母乳样本进行毒理学分析。随后，一部分参与者完成了一个虚拟的、半结构化的定性访谈。访谈记录分析使用归纳主题的方法。结果社交媒体招募达到196人，完成筛选；21例（11%）符合条件。其中，12名母亲（57%的合格母亲）完成了门诊访问并提供了生物标本。参与者报告频繁使用大麻（过去30天中平均24天），主要是通过吸烟。毒理学分析证实，尿液和母乳中含有显著浓度的δ -9四氢大麻酚（THC）代谢物。定性分析（n = 9）确定了四个关键主题：1)使用大麻作为治疗或治疗，2)对讨论大麻的影响，3)确定使用大麻的风险，以及4)个人风险缓解行为。访谈显示，在大麻使用问题上，与医疗保健提供者的互动主要是负面的，而且缺乏基于证据的指导方针。混合方法的整合证明了定量和定性结果之间的一致性。结论本研究证明了通过社交媒体招募产后大麻使用者的可行性，并收集了丰富的混合方法数据，包括客观生物标本。该方法和初步结果为今后就产后使用大麻对母婴健康的影响进行更大规模的研究奠定了坚实的基础。

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引用次数: 0

General executive functions, stimulus-specific inhibitory control and predisposing variables of individuals with problematic social network use 问题社交网络使用个体的一般执行功能、刺激特异性抑制控制和易感变量

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-11-10 DOI: 10.1016/j.addbeh.2025.108556

Annica Kessling , Silke M. Müller , Astrid Müller , Matthias Brand , Elisa Wegmann

Background

General executive functions and decreased stimulus-specific inhibitory control may be relevant factors for the development and maintenance of problematic social network use (PSNU). Related predisposing variables that are risk factors for PSNU may include self-directedness, ADHD symptoms, or impulsivity, and as a result, social networks (SN) may be habitually utilized, which can manifest over time. Theoretical models suggest that interactions between predisposing factors and PSNU may influence neurocognitive deficits during problematic behavior. Therefore, we investigate possible interaction effects of SN use type (PSNU vs. non-problematic use) and predisposing factors on the expression of cognitive control mechanisms.

Method

In a laboratory setting, 227 participants were assigned to the group with PSNU (n = 118), or the control group (n = 109) using a structured diagnostic interview based on DSM-5 criteria for gaming disorder, modified for PSNU. General executive functions were examined with the Stroop task, the Modified Card Sorting Test and the Game of Dice Task; stimulus-specific inhibitory control with the Go/No-Go task. Self-directedness, ADHD symptoms, impulsivity and habitual SN use were determined by questionnaires.

Results

The SN use type (PSNU/non-problematic use) interacted with non-planning impulsivity in predicting impaired interference control, with ADHD symptoms in predicting cognitive inflexibility, and with habitual SN use in predicting decreased stimulus-specific inhibitory control.

Conclusions

Reductions in executive functioning in individuals with PSNU are specifically present in interaction with trait impulsivity and related variables. These results emphasize the need for multidimensional assessments that consider both cognitive and individual risk factors, paving the way for targeted prevention and intervention strategies.

背景：一般执行功能和刺激特异性抑制控制的减少可能是问题社交网络使用（PSNU）发展和维持的相关因素。作为PSNU风险因素的相关易感变量可能包括自我导向、ADHD症状或冲动，因此，社交网络（SN）可能被习惯性地利用，这可能随着时间的推移而显现出来。理论模型表明，易感因素和PSNU之间的相互作用可能影响问题行为期间的神经认知缺陷。因此，我们研究了社交网络使用类型（PSNU和非问题使用）和易感因素对认知控制机制表达的可能交互作用。方法在实验室环境中，采用基于针对PSNU修改的DSM-5游戏障碍标准的结构化诊断访谈，将227名参与者分为PSNU组（n = 118）和对照组（n = 109）。通过Stroop任务、改良卡片分类测试和骰子游戏任务检测一般执行功能；刺激特异性抑制控制与Go/No-Go任务。自我导向、ADHD症状、冲动性和习惯性SN使用采用问卷调查。结果SN使用类型（PSNU/无问题使用）与非计划性冲动性预测干扰控制受损，与ADHD症状预测认知不灵活性，与习惯性SN使用预测刺激特异性抑制控制下降。结论PSNU个体的执行功能下降与特质冲动性及相关变量的相互作用密切相关。这些结果强调需要进行多维评估，考虑认知和个人风险因素，为有针对性的预防和干预策略铺平道路。

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引用次数: 0

Problematic social media use, boredom proneness, and psychological distress among university students in China and Japan: A cross-national network analysis 中国和日本大学生的社交媒体使用问题、无聊倾向和心理困扰：一项跨国网络分析

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-11-09 DOI: 10.1016/j.addbeh.2025.108553

Zeyang Yang , Zhixian Lian , Zhihao Yan , Tianyi Chen , Meiting Liu , Xue Dou

Problematic social media use (PSMU) has been associated with negative effects such as depression and anxiety across different countries and cultures. However, research on specific symptoms of PSMU and its correlates across nations remains limited. The present study aimed to compare the relationships of PSMU, boredom proneness, and psychological distress symptoms in China and Japan using network analysis. Questionnaire surveys were conducted among undergraduates in China and Japan. Participants included 822 students in China (mean age = 18.36, SD = 0.80) and 698 in Japan (mean age = 19.66, SD = 2.16). Network analysis was employed to estimate the symptom network structures, identify the most central symptoms, and compare the networks across the two countries. Results show that the core PSMU symptoms were Craving/tolerance in China and Relapse/loss of control in Japan. In the comorbidity networks, the most influential symptoms in China were agitation, panic, frequent inactivity, and downheartedness. The most central ones in Japan were not looking forward, downhearted, touchy, and a pervasive lack of motivation. The present study improves understanding of the links between symptoms of PSMU, boredom proneness, and psychological distress in both countries, which can be helpful for the development of potential nationally specific interventions.

在不同的国家和文化中，有问题的社交媒体使用（PSMU）与抑郁和焦虑等负面影响有关。然而，各国对PSMU的具体症状及其相关因素的研究仍然有限。本研究旨在利用网络分析比较中国和日本的PSMU、无聊倾向和心理困扰症状之间的关系。对中国和日本的大学生进行问卷调查。参与者包括822名中国学生（平均年龄= 18.36,SD = 0.80）和698名日本学生（平均年龄= 19.66,SD = 2.16）。网络分析用于估计症状网络结构，识别最核心的症状，并比较两国的网络。结果表明，PSMU的核心症状在中国是渴望/耐受，在日本是复发/失控。在共病网络中，中国最具影响力的症状是躁动、恐慌、频繁不活动和情绪低落。在日本，最核心的是不向前看，情绪低落，易怒，普遍缺乏动力。本研究提高了对两国PSMU症状、无聊倾向和心理困扰之间联系的理解，这可能有助于制定潜在的国家特定干预措施。

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引用次数: 0

From active users to passive watchers: Profiles of TikTok engagement and mental health predictors 从活跃用户到被动观察者：TikTok参与和心理健康预测的概况。

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-11-09 DOI: 10.1016/j.addbeh.2025.108552

Jing Chen , Nisha Yao , Jon D. Elhai

Prior studies suggest that TikTok users vary in their engagement behaviors, including passive viewing, participatory interaction, and content creation, and exhibit varying levels of problematic-use risk. Yet it remains unclear which combinations of these engagement behaviors correspond to higher versus lower risk, and which psychological vulnerabilities contribute to high-risk patterns. In a two-wave study of 715 Chinese young adults, we applied latent profile analysis (LPA) to problematic TikTok use and the frequency of passive viewing, participatory, and contributory behaviors at Time 2. We then used multinomial logistic regression with the three-step method to prospectively examine how Time 1 measures of psychopathology and related affective/cognitive vulnerabilities, including depression, social anxiety, life satisfaction, emotion dysregulation, and boredom proneness, predicted TikTok profile membership. Four profiles emerged: Minimal Users (6.7 %), Passive Watchers with High Problematic Use Tendencies (38.0 %), Moderate Users with Mild Problematic Use Tendencies (42.4 %), and Active Users with Low Problematic Use Tendencies (12.9 %). Greater life satisfaction, lower social anxiety, and lower boredom proneness at baseline predicted membership in the Active rather than Passive, Moderate, or Minimal profiles. Greater emotion dysregulation predicted membership in the Passive rather than Moderate profile. These findings highlight substantial heterogeneity in TikTok use and suggest that higher baseline psychological wellbeing may increase the likelihood of more active and less problematic patterns of engagement. The current study extends prior LPA research by specifying how risk manifests in everyday use, identifying contributors to high-risk profiles, and extending empirical support for the I-PACE theoretical framework of Internet use disorders.

之前的研究表明，抖音用户的参与行为各不相同，包括被动观看、参与式互动和内容创作，并表现出不同程度的问题使用风险。然而，目前尚不清楚这些参与行为的哪些组合对应于更高或更低的风险，以及哪些心理脆弱性导致高风险模式。在一项针对715名中国年轻人的两波研究中，我们将潜在特征分析（LPA）应用于有问题的TikTok使用以及时间2被动观看、参与和贡献行为的频率。然后，我们使用多项逻辑回归和三步法，前瞻性地研究了Time 1对精神病理学和相关情感/认知脆弱性（包括抑郁、社交焦虑、生活满意度、情绪失调和无聊倾向）的测量如何预测TikTok个人资料的会员资格。出现了四种用户类型：最少用户（6.7%）、有高问题使用倾向的被动观察者（38.0%）、有轻微问题使用倾向的中度用户（42.4%）和有低问题使用倾向的活跃用户（12.9%）。较高的生活满意度、较低的社交焦虑和较低的无聊倾向在基线上预示着积极型而不是被动型、中等型或最低型的成员。更大的情绪失调预示着被动的成员而不是温和的。这些发现突出了TikTok使用的巨大异质性，并表明更高的基线心理健康可能会增加更积极、更少问题的参与模式的可能性。当前的研究扩展了先前的LPA研究，具体说明了风险如何在日常使用中表现出来，确定了高风险特征的贡献者，并扩展了对互联网使用障碍I-PACE理论框架的实证支持。

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引用次数: 0

Clinical outcomes of addictive disorders six months after ADHD Diagnosis: Insights from the START study ADHD诊断后6个月成瘾性障碍的临床结果：来自START研究的见解。

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-11-08 DOI: 10.1016/j.addbeh.2025.108557

Aude Begnaud , Clémence Cabelguen , Gaëlle Challet-Bouju , Juliette Leboucher , Benoit Schreck , Marie Grall-Bronnec

Introduction

Attention-Deficit/Hyperactivity Disorder (ADHD) is overrepresented in patients with addictive disorders but remains underdiagnosed. This comorbidity complicates clinical presentations and worsens prognosis. We aimed to evaluate addictive disorder outcomes six months after ADHD diagnosis in patients undergoing addiction treatment and to identify factors associated with a favorable outcome. Secondary objectives explored patient characteristics and therapeutic strategies.

Method

The START study (Study on the Treatment of ADHD and addiction comorbidity: a ReTrospective analysis of medical records) was an observational, retrospective analysis of electronic medical records from patients recently diagnosed with ADHD using the DIVA. Included patients had either substance use disorders (SUD) or behavioral addictions (eating, sex, gambling, gaming/screen use, shopping, and physical exercise), with diagnoses established by the referring physician according to clinical judgment, and attended at least two consultations six months apart. Descriptive analyses were conducted for the total sample and by clinical outcome, followed by multivariate logistic regression to identify predictors of improvement.

Results

Tobacco and cannabis use disorders were the most common (61.3 % each). Psychiatric comorbidities were frequent (lifetime 84.6 %, current 34.1 %). Methylphenidate initiation was delayed in 29 % of cases, primarily due to current psychiatric comorbidities or ongoing addiction. Improvement in addictive disorders was observed in 61.3 % of patients. Favorable outcomes were associated with older age (OR = 1.13, 95 % CI [1.04–1.23], p = 0.006) and living as a couple (OR = 3.84, 95 % CI [1.10–13.42], p = 0.035), whereas poorer outcomes were associated with the ADHD combined presentation (reference group), compared with the predominantly inattentive and hyperactive/impulsive presentations (OR = 0.16, 95 % CI [0.03–0.90], p = 0.037).

Conclusion

The study highlights socio-demographic and clinical predictors of outcome, advancing our understanding of ADHD-addiction comorbidity. Findings warrant confirmation in prospective longitudinal research.

注意缺陷/多动障碍（ADHD）在成瘾性疾病患者中比例过高，但仍未得到充分诊断。这种合并症使临床表现复杂化，并使预后恶化。我们的目的是评估接受成瘾治疗的患者在ADHD诊断后6个月的成瘾障碍结果，并确定与有利结果相关的因素。次要目的探讨患者特征和治疗策略。方法：START研究（ADHD和成瘾合并症治疗研究：病历回顾性分析）是一项观察性的回顾性分析，使用DIVA对最近诊断为ADHD的患者的电子病历进行分析。纳入有物质使用障碍（SUD）或行为成瘾（饮食、性、赌博、游戏/屏幕使用、购物和体育锻炼）的患者，由转诊医生根据临床判断确定诊断，并且间隔6个月至少参加两次咨询。对总样本和临床结果进行描述性分析，然后进行多变量逻辑回归以确定改善的预测因素。结果：烟草和大麻使用障碍最为常见（各占61.3%）。精神合并症很常见（终生84.6%，目前34.1%）。29%的病例延迟了哌醋甲酯的起始，主要是由于当前的精神合并症或持续的成瘾。61.3%的患者成瘾性障碍得到改善。较好的结果与年龄较大（OR = 1.13, 95% CI [1.04-1.23], p = 0.006）和夫妻生活（OR = 3.84, 95% CI [1.10-13.42], p = 0.035）有关，而较差的结果与ADHD合并表现（参照组）有关，而主要表现为注意力不集中和多动/冲动（OR = 0.16, 95% CI [0.03-0.90], p = 0.037）。结论：该研究强调了结果的社会人口学和临床预测因素，促进了我们对adhd成瘾合并症的理解。研究结果在前瞻性纵向研究中得到证实。

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引用次数: 0