Addictive behaviors最新文献_第6页

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

Meta-inner humor beliefs and problematic social media use: A six-month longitudinal test of metacognitive pathways 元内心幽默信念和有问题的社交媒体使用：元认知途径的六个月纵向测试。

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-11-08 DOI: 10.1016/j.addbeh.2025.108551

Mehdi Akbari , Mohammad Seydavi , Mark D. Griffiths

No previous studies have ever examined humor as a diffusion strategy in the context of technology use. The present study is the first to investigate whether meta-inner humor beliefs (MIHBs) are prospectively associated with problematic social media use (PSMU) via metacognitions about social media use. A prospective, two-wave longitudinal design with a bidirectional cross-lagged panel (CLPA) model was used to examine associations between adaptive and maladaptive MIHBs on PSMU, examining the indirect pathway of positive and negative metacognitions about social media use (meta-SMUs). The study was conducted across two waves at a six-month interval. At Wave 1, a large community sample (N = 1,253; 58.2 % females; age = 36.8 years [SD ± 14.1]) participated in the study, and at Wave 2, 78.1 % of the starting sample completed the follow-up assessment. Results from the bidirectional CLPA showed that adaptive MIHBs at Wave 1 were significantly associated with lower negative and positive meta-SMUs at Wave 2. In contrast, maladaptive MIHBs were only associated with higher negative meta-SMUs at Wave 2. Also, negative meta-SMUs predicted an increase in PSMU six months later, whereas it was non-significant for positive meta-SMUs. Analyses of bidirectional indirect pathways demonstrated that adaptive MIHBs were indirectly related to lower PSMU through reduced negative metacognitions, while maladaptive MIHBs were indirectly related to higher PSMU through elevated negative metacognitions. Multi-group analyses established full longitudinal measurement and structural invariance across gender. The findings underscore the potential role of humor-related metacognitive pathways in the maintenance of PSMU, suggesting that humor-based psychotherapeutic approaches warrant further investigation.

以前没有研究将幽默作为技术使用背景下的传播策略。本研究首次通过对社交媒体使用的元认知来调查元内心幽默信念（MIHBs）是否与问题性社交媒体使用（PSMU）有前瞻性联系。采用前瞻性、双波纵向设计和双向交叉滞后面板（CLPA）模型，研究了社交媒体使用的积极元认知和消极元认知（meta- smu）的间接途径。研究分两波进行，每隔6个月进行一次。在第1阶段，大量社区样本（N = 1,253, 58.2%为女性，年龄= 36.8岁[SD±14.1]）参与了研究，在第2阶段，78.1%的起始样本完成了随访评估。双向CLPA结果显示，第1波的适应性MIHBs与第2波的负性和正性meta- smu显著相关。相反，不适应的MIHBs仅与第二波较高的负性meta- smu相关。此外，阴性meta- smu预测6个月后PSMU的增加，而阳性meta- smu则不显著。双向间接通路分析表明，适应性MIHBs通过降低负性元认知间接与低PSMU相关，而非适应性MIHBs通过提高负性元认知间接与高PSMU相关。多组分析建立了完整的纵向测量和跨性别的结构不变性。这些发现强调了幽默相关的元认知通路在维持PSMU中的潜在作用，表明基于幽默的心理治疗方法值得进一步研究。

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引用次数: 0

Disconnected emotions, connected behaviors: Symptom network features of problematic mobile phone use across different alexithymia profiles 断开的情绪，连接的行为：不同述情障碍档案中问题手机使用的症状网络特征。

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-11-01 DOI: 10.1016/j.addbeh.2025.108537

Jie Gu , Weilong Xiao , Xinwei Li , Hanyu Liang

Problematic mobile phone use (PMPU) has been associated with individual-level psychological traits, notably alexithymia—a personality construct characterized by difficulty identifying and describing emotions, and a tendency toward externally oriented thinking. However, the heterogeneity of alexithymia in relation to PMPU remains insufficiently explored. In this study, 2345 university students completed the Toronto Alexithymia Scale and the Mobile Phone Addiction Index. Latent profile analysis identified four distinct alexithymia subtypes: Healthy Expression, Typical Alexithymia, Mild Emotional Processing Difficulties, and High Externally Oriented Thinking. Within each subgroup, psychological network analysis was used to examine the structural interconnections of PMPU symptoms. Core PMPU symptoms varied across profiles, with distraction, inability to reduce use, and feeling lost without the phone emerging as central nodes in most networks. Bridge symptoms linking emotional and behavioral dimensions also differed by profile. Network comparison tests revealed significant differences in overall structure and connectivity between groups. These findings underscore the complexity and heterogeneity of emotional processing mechanisms in PMPU and suggest the value of personalized, profile-specific intervention strategies.

有问题的手机使用（PMPU）与个人层面的心理特征有关，尤其是述情障碍——一种以难以识别和描述情绪为特征的人格结构，以及倾向于外部导向的思维。然而，与PMPU相关的述情障碍的异质性仍未得到充分探讨。在本研究中，2345名大学生完成了多伦多述情障碍量表和手机成瘾指数。潜在谱分析确定了四种不同的述情障碍亚型：健康表达型、典型述情障碍型、轻度情绪处理困难型和高度外向型思维型。在每个亚组中，使用心理网络分析来检查PMPU症状的结构相互联系。核心PMPU症状因个人情况而异，在大多数网络中，如果没有手机作为中心节点，就会出现注意力分散、无法减少使用和迷失感。连接情感和行为维度的桥梁症状也因个人特征而异。网络比较测试揭示了组间整体结构和连通性的显著差异。这些发现强调了PMPU中情绪加工机制的复杂性和异质性，并提示了个性化、特定档案干预策略的价值。

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引用次数: 0

How daily alternative behaviors’ expected value shapes problematic smartphone use? An ecological momentary assessment study 日常另类行为的期望值如何影响智能手机的使用？生态瞬时评价研究。

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-10-31 DOI: 10.1016/j.addbeh.2025.108536

Huaiyuan Qi, Jiangyong Li, Junyi Wang, Meng Li, Xuhai Chen, Yangmei Luo

With the global rise in smartphone use, problematic smartphone use (PSU) has emerged as a critical mental health concern. While reinforcement pathology theory posits that a high expected value of alternative behaviors (EVAB; e.g., psychological rewards from social or physical activities) may mitigate addictive tendencies, no prior study has examined this hypothesis in daily life contexts. This study is the first to investigate the within-person dynamics of EVAB on PSU and its underlying mechanisms. Using ecological momentary assessment (EMA), 72 participants (M_age = 19.01 ± 0.93 years; 40 females) completed baseline measures of episodic future thinking (EFT) followed by 14 days of intensive longitudinal data collection (three daily reports), assessing EVAB, delay discounting, PSU, and screen time. Dynamic structural equation modeling (DSEM) revealed two key findings: First, momentary increases in EVAB predicted subsequent reductions in both PSU levels and screen time, mediated by decreased delay discounting (β = -0.032, HPD 95 % CI = [-0.051, −0.014]). Second, individual differences in EFT detail/vividness and mental imagery positively predicted daily EVAB, which in turn reduced PSU via lower delay discounting (β = -0.015, HPD 95 % CI = [-0.026, −0.006]; β = -0.012, HPD 95 % CI = [-0.022, −0.004]). These results provide the first empirical support for core hypotheses of reinforcement pathology theory in PSU research, elucidating the dynamic role of EVAB while offering novel theoretical and clinical insights. The findings emphasize that PSU interventions should target both within-person fluctuations in reinforcement valuation and between-person differences in future-oriented cognition.

随着全球智能手机使用量的增加，智能手机使用问题（PSU）已成为一个重要的心理健康问题。虽然强化病理学理论认为，替代行为（EVAB，如来自社会或身体活动的心理奖励）的高期望值可能会减轻成瘾倾向，但之前没有研究在日常生活环境中检验这一假设。这项研究首次探讨了EVAB对PSU的人体内动力学及其潜在机制。使用生态瞬间评估（EMA）， 72名参与者（年龄= 19.01±0.93岁；40名女性）完成了情景未来思维（EFT）的基线测量，随后进行了14天的强化纵向数据收集（每日三次报告），评估了EVAB、延迟折扣、PSU和屏幕时间。动态结构方程模型（DSEM）揭示了两个关键发现：首先，EVAB的瞬间增加预示着PSU水平和屏幕时间的随后减少，这是由延迟折扣减少介导的（β = -0.032, HPD 95% CI =[-0.051, -0.014]）。其次，EFT细节/生动度和心理意象的个体差异正预测每日EVAB，进而通过较低的延迟折扣降低PSU （β = -0.015, HPD 95% CI = [-0.026, -0.006]; β = -0.012, HPD 95% CI =[-0.022, -0.004]）。这些结果为PSU研究中强化病理学理论的核心假设提供了第一个实证支持，阐明了EVAB的动态作用，同时提供了新的理论和临床见解。研究结果强调，PSU干预应针对强化评估的个人内部波动和面向未来的认知的个人之间差异。

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引用次数: 0

Exploring adverse childhood experiences (ACEs) among those seeking treatment for gambling problems: A mixed-methods study 探索不良童年经历（ace）在那些寻求治疗赌博问题：一个混合方法的研究。

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-10-29 DOI: 10.1016/j.addbeh.2025.108535

Maria Moxey , Emma Dennie , Raffaello Rossi , Hannah Sallis , Annie Herbert

Study Overview

This mixed-methods study explores the relationship between Adverse Childhood Experiences (ACEs) and gambling-related harm among individuals seeking treatment in the UK.

Methodology

Drawing on survey data from 195 clients across two treatment providers and in-depth interviews with ten participants, the study investigates the prevalence of ACEs, perceived links to gambling behaviour, and treatment experiences.

Findings

Quantitative findings revealed that 81.1 % of treatment-seekers reported at least one ACE, and 40.5 % reported four or more − five times higher than national population estimates. Women reported significantly higher proportions of ACE exposure than men, particularly in relation to emotional and sexual abuse. Participants with the most severe gambling problems also had the highest ACE prevalence. Qualitative interviews highlighted three key themes: intergenerational transmission of addiction, gambling as a form of emotional regulation, and mixed experiences of treatment. Some participants described gambling as a way to escape distress rooted in childhood trauma, while others expressed the importance of trauma-informed, person-centred counselling.

Implications

Overall, the findings suggest that ACEs are highly relevant to the development and treatment of gambling harm. We argue for routine ACE screening in gambling treatment services and call for more consistent integration of trauma-informed care to better support recovery among those with complex needs.

研究概述：这项混合方法研究探讨了在英国寻求治疗的个人中不良童年经历（ace）和赌博相关伤害之间的关系。研究方法：利用来自两家治疗机构的195名客户的调查数据和对10名参与者的深入访谈，研究了ace的流行程度、与赌博行为的感知联系以及治疗经历。研究结果：定量研究结果显示，81.1%的寻求治疗者报告至少有一次ACE， 40.5%报告4次或4次以上，比全国人口估计高5倍。女性报告的ACE暴露比例明显高于男性，尤其是在情感虐待和性虐待方面。赌博问题最严重的参与者也有最高的ACE患病率。定性访谈强调了三个关键主题：成瘾的代际传播，赌博作为一种情绪调节形式，以及治疗的混合体验。一些参与者将赌博描述为一种逃避童年创伤带来的痛苦的方式，而另一些人则表达了了解创伤、以人为本的咨询的重要性。启示：总体而言，研究结果表明ace与赌博伤害的发展和治疗高度相关。我们主张在赌博治疗服务中进行常规ACE筛查，并呼吁更一致地整合创伤知情护理，以更好地支持那些有复杂需求的人的康复。

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引用次数: 0