Addictive behaviors最新文献_第6页

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

Medication for opioid use disorder among adolescents entering specialty treatment for opioid use disorder and trends in the US, 2017–2022 2017-2022年美国进入阿片类药物使用障碍专科治疗的青少年中阿片类药物使用障碍的药物治疗和趋势

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-10-29 DOI: 10.1016/j.addbeh.2025.108538

Jesse S. Boggis , Thadryan Sweeney , Lisa A. Marsch , Wesley J. Marrero , Kenneth A. Feder , Erika L. Moen

Background

Professional societies recommend that adolescents with opioid use disorder (OUD) receive medication for opioid use disorder (MOUD). This cross-sectional study examined the association between adolescent specialty treatment episodes for OUD with planned MOUD use compared to adults over time.

Methods

We used data on first episodes of specialty treatment for OUD (n = 671,183) from the Treatment Episode Data Set – Admissions, a national database of publicly funded treatment programs in the US Admissions occurred between 1/2017–12/2022. The primary exposure was being adolescent (15–17 years). The main outcome was planned MOUD use, defined as having MOUD in a treatment plan.

Results

Adolescent specialty treatment episodes for OUD were significantly less likely to have planned MOUD use than adults (aOR 0.05, 95% CI, 0.02–0.09). Linear combination tests of the interaction between age group and year confirmed that adolescent episodes were significantly less likely to have planned MOUD use than adults across all years. In 2021 and 2022 this disparity narrowed slightly. In 2021, adolescent episodes had 10% of the adjusted odds of planned MOUD use compared to adults in 2017 (95% CI, 0.07–0.15). In 2022, adolescent episodes had 9% of the adjusted odds of planned MOUD use compared to adults in 2017 (95% CI, 0.06–0.11).

Conclusion

Adolescents entering specialty treatment for OUD had significantly lower odds of planned MOUD use than adults. The relatively smaller difference between adolescents and adults in recent years suggests a potential trend toward greater MOUD access, though future research is needed to understand access barriers.

专业协会建议患有阿片类药物使用障碍（OUD）的青少年接受阿片类药物使用障碍（mod）的药物治疗。这项横断面研究调查了青少年OUD专科治疗发作与计划使用OUD的成年人之间的关系。方法：我们使用来自治疗集数据集-入院的首次特殊治疗的数据（n = 671,183），这是一个美国公共资助治疗项目的国家数据库，入院时间为2017年1月至2022年12月。主要接触者为青少年（15-17岁）。主要结果是计划的mod使用，定义为在治疗计划中使用mod。结果青少年OUD专科治疗发作计划使用mod的可能性显著低于成人（aOR 0.05, 95% CI, 0.02-0.09）。年龄组和年份之间相互作用的线性组合测试证实，在所有年份中，青少年发作计划使用mod的可能性明显低于成年人。2021年和2022年，这一差距略有缩小。与2017年的成年人相比，2021年青少年计划使用mod的调整后几率为10% （95% CI, 0.07-0.15）。与2017年的成年人相比，2022年青少年计划使用mod的调整几率为9% （95% CI, 0.06-0.11）。结论接受OUD专科治疗的青少年计划使用OUD的几率明显低于成人。近年来，青少年和成年人之间的差异相对较小，这表明了更多的mod访问的潜在趋势，尽管需要进一步的研究来了解访问障碍。

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引用次数: 0

Youth cannabis and alcohol use expectancies mediate associations between pre-adolescent cognitive function and subsequent use initiation 青少年大麻和酒精使用预期介导青春期前认知功能与随后开始使用之间的关联

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-10-27 DOI: 10.1016/j.addbeh.2025.108533

Stephanie K. Jones , Rachel Tomko , Nolan Ramer , Bethany J. Wolf

Youth substance use increases risk for developing substance use disorders. Previous work using the longitudinal ABCD Study® found distinct neurocognitive factors contribute to youth tobacco and alcohol initiation. Using data for 7776 ABCD Study® participants, this study expands prior work to examine prospective associations between early neurocognitive factors (general ability, executive function, learning and memory, and visuospatial and mental rotation) at ages 9–10 years (sample enrolled 2016–2018) and cannabis use by ages 13–14 years. We also test whether positive and negative tobacco smoking, alcohol, and cannabis expectancies mediate associations between neurocognitive factors and substance use initiation. Higher performance in general ability was associated with increased risk [OR = 1.23, 95 % CI 1.07–1.42] for cannabis use; positive cannabis expectancies mediated 72.6 % (p-value = 0.003) of the effect [Indirect effect: OR = 1.16, 95 % CI 1.12–1.20] and negative expectancies mediated −10.2 % (p-value = 0.04) of the effect [Indirect effect: OR = 0.98, 95 % CI 0.97–0.99]. Accuracy in visuospatial reasoning was protective [OR = 0.83, 95 % CI 0.73–0.95)] for cannabis use; the effect was not mediated by expectancies. Positive alcohol use expectancy mediated 36.3 % of the association between general ability and early alcohol use [OR = 1.15, 95 % CI 1.05–1.25; Indirect effect: OR = 1.05, 95 % CI 1.03–1.07]. Associations with early tobacco use were independent of tobacco expectancies. Developmentally appropriate expectancy-based interventions lowering positive expectancies and bolstering negative expectancies may be effective for preventing youth cannabis initiation. Interventions lowering positive alcohol expectancies may help prevent youth alcohol use.

青少年药物使用增加了发生药物使用障碍的风险。先前使用纵向ABCD研究®的工作发现，不同的神经认知因素有助于青少年吸烟和饮酒。本研究使用7776名ABCD研究®参与者的数据，扩展了先前的工作，以检查9-10岁（2016-2018年入组的样本）早期神经认知因素（一般能力、执行功能、学习和记忆、视觉空间和心理旋转）与13-14岁大麻使用之间的前瞻性关联。我们还测试了积极和消极的吸烟、饮酒和大麻预期是否介导神经认知因素和物质使用开始之间的关联。一般能力的提高与使用大麻的风险增加相关[OR = 1.23, 95% CI 1.07-1.42]；积极的大麻预期介导了72.6% （p值= 0.003）的效应[间接效应：OR = 1.16, 95% CI 1.12-1.20]，消极的大麻预期介导了- 10.2% （p值= 0.04）的效应[间接效应：OR = 0.98, 95% CI 0.97-0.99]。使用大麻对视觉空间推理的准确性有保护作用[OR = 0.83, 95% CI 0.73-0.95)]；这种效应不受预期的影响。积极的酒精使用预期介导了一般能力与早期酒精使用之间36.3%的关联[OR = 1.15, 95% CI 1.05-1.25；间接效应：OR = 1.05, 95% CI 1.03-1.07]。与早期烟草使用的关联与烟草预期无关。与发展相适应的基于预期的干预措施，降低积极预期和加强消极预期，可能对预防青少年开始吸食大麻有效。降低积极饮酒预期的干预措施可能有助于预防青少年饮酒。

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引用次数: 0

Measuring cannabis use and cannabis-related consequences among college students who engage in simultaneous alcohol and cannabis use: Associations by type of cannabis product and mode of use on weekend days with cannabis 测量同时使用酒精和大麻的大学生的大麻使用情况和与大麻有关的后果：按大麻产品类型和周末使用大麻方式分列的关联

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-10-26 DOI: 10.1016/j.addbeh.2025.108534

Jennifer L. Shipley , Shou-Chun Chiang , Ashley N. Linden-Carmichael

Introduction

Patterning of cannabis use behavior is evolving as legalization of recreational use increases across the US, with rates highest among young adults. Modalities (e.g., vaping) for using cannabis are increasing in prevalence. Importantly, certain types (e.g., cannabis concentrates) and modes (e.g., bong use) of cannabis are associated with increased cannabis-related risks. Previous research in young adult samples has predominately used cross-sectional studies, limiting our understanding of within-individual differences in use behaviors and outcomes. The current study aimed to describe the type and modes of cannabis used and to examine within-individual differences in number of hits and negative consequences by type and mode of cannabis use.

Methods

Participants (n = 88) were current college students, ages 18–25 years (M_age = 20.49, SD = 1.22) who endorsed weekly simultaneous alcohol and cannabis use and enrolled in a 4-weekend ecological momentary assessment study. Cannabis use behavior (type, mode, number of hits, and substance use consequences) was assessed during each morning prompt.

Results

Plant was the most endorsed type of cannabis used and bongs were the most endorsed mode used. Multilevel models revealed that participants reported more hits on days when they used a joint, vape, blunt, or other modes of use compared to bong use and greater odds of experiencing negative consequences on days when they used a joint or blunt, compared to bong use.

Conclusion

Findings suggest that select modes are linked with heavier use and more consequences. Findings may be used to inform just-in-time interventions that target higher-risk cannabis use and select cannabis use behaviors.

随着美国娱乐性大麻使用合法化的增加，大麻使用行为的模式正在演变，其中年轻人的比例最高。使用大麻的方式（如吸电子烟）越来越普遍。重要的是，某些类型的大麻（如大麻浓缩物）和方式的大麻（如bong使用）与大麻相关的风险增加有关。以前对年轻人样本的研究主要使用横断面研究，限制了我们对使用行为和结果的个体内差异的理解。目前的研究旨在描述使用大麻的类型和方式，并根据使用大麻的类型和方式检查个体内的击中数量差异和负面后果。方法参与者（n = 88）为18-25岁的在校大学生（Mage = 20.49, SD = 1.22），他们认可每周同时使用酒精和大麻，并参加了一项为期4周的生态瞬时评估研究。在每个早晨提示期间评估大麻使用行为（类型，模式，点击次数和物质使用后果）。结果植物是最受认可的大麻使用类型，而烟斗是最受认可的使用方式。多层模型显示，与使用烟枪相比，参与者在使用关节、电子烟、钝器或其他使用方式的日子里报告了更多的打击，而在使用关节或钝器的日子里，与使用烟枪相比，他们经历负面后果的可能性更大。结论研究结果表明，选择的模式与使用更频繁和更严重的后果有关。研究结果可用于告知针对高风险大麻使用和选择大麻使用行为的及时干预措施。

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引用次数: 0

Longitudinal bidirectional relations between perceived stress and Internet gaming disorder among adolescents: The mediating role of depressive symptoms 青少年感知压力与网络游戏障碍的纵向双向关系：抑郁症状的中介作用

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-10-25 DOI: 10.1016/j.addbeh.2025.108532

Xiaoyu Li , Liying Luo , Yinqiu Zhao , Chi Yang , Yingchao Zhang , Ziyan Zhou , Guanxing Xiong , Wenqing Li

Perceived stress is considered a significant risk factor for Internet gaming disorder (IGD). However, the longitudinal dynamics and the underlying mechanisms of this relation remain underexplored. Drawing on the Compensatory Internet Use Theory, this study examined the mediating role of depressive symptoms in the longitudinal relation between perceived stress and IGD among adolescents. A total of 1567 Chinese adolescents (44.9 % boys; M_age = 15.41, SD = 0.51 at baseline) participated in a three-wave longitudinal study with a six-month interval. Cross-lagged panel modeling revealed that: (a) significant bidirectional relations were observed between perceived stress and depressive symptoms (βs ranged from 0.19 to 0.22, ps < 0.001); (b) depressive symptoms positively predicted subsequent IGD (βs ranged from 0.14 to 0.16, ps < 0.001); and (c) depressive symptoms mediated the relation between perceived stress and IGD (indirect effect = 0.032, 95 % CI [0.007, 0.062]). These findings highlight the critical role of depressive symptoms in the progression from perceived stress to IGD. Addressing depressive symptoms may be crucial for preventing and intervening with adolescent IGD.

感知压力被认为是网络游戏障碍（IGD）的重要风险因素。然而，这种关系的纵向动力学和潜在机制仍未得到充分探讨。利用代偿性网络使用理论，本研究考察了抑郁症状在青少年感知压力与IGD之间的纵向关系中的中介作用。共有1567名中国青少年（44.9%为男孩；基线时，Mage = 15.41, SD = 0.51）参加了为期6个月的三波纵向研究。交叉滞后面板模型显示：(a)感知压力与抑郁症状之间存在显著的双向关系（βs范围为0.19至0.22,ps < 0.001）；(b)抑郁症状正预测随后的IGD (βs范围从0.14到0.16,ps < 0.001)；(c)抑郁症状介导应激感知与IGD之间的关系（间接效应= 0.032,95% CI[0.007, 0.062]）。这些发现强调了抑郁症状在从感知压力到IGD进展中的关键作用。解决抑郁症状可能是预防和干预青少年IGD的关键。

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引用次数: 0

Sexual diversity, adolescent mental health, and adult cannabis use: Longitudinal associations through cannabis use motives 性多样性、青少年心理健康和成人大麻使用：通过大麻使用动机的纵向关联

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-10-25 DOI: 10.1016/j.addbeh.2025.108530

Kira London-Nadeau , Nina Pocuca , Charlie Rioux , Nicholas Chadi , Sylvana M. Côté , Jean-Sébastien Fallu , Marie-Claude Geoffroy , Christophe Huynh , Robert-Paul Juster , Jean R. Séguin , Natalie Castellanos-Ryan

Purpose

We examined prospective pathways between adolescent mental health and early adulthood cannabis use (CU) by sexual diversity, and the potential explanatory role of CU motives, accounting for confounders (demographics, CU frequency in adolescence).

Methods

Participants from the Quebec Longitudinal Study of Child Development self-reported at 17 years on depressive symptoms, anxiety symptoms, and CU frequency, and at 23 years on CU motives, frequency and problems (471 participants total; 425 heterosexual; 46 sexually diverse).

Results

Depression – but not anxiety – symptoms at 17 years predicted CU problems at 23 years among sexually diverse participants only. This association was fully explained through coping motives, which were strongly predicted by depression symptoms in sexually diverse youth. While coping motives also predicted CU problems in heterosexual participants, coping motives were not predicted by mental health at 17 in this group. Depression symptoms at 17 also predicted social motives for CU among sexually diverse participants only, but this was not associated with CU frequency and problems. Finally, enhancement motives predicted CU problems at 23 years in both heterosexual and sexually diverse participants, but were not predicted by mental health at 17 years.

Conclusions

Among sexually diverse youth, depression symptoms in adolescence may confer particular risk for later CU problems through CU for coping purposes. Increasing coping resources for sexually diverse adolescents experiencing psychological distress could help prevent later CU problems.

目的：我们通过性别多样性研究青少年心理健康与成年早期大麻使用（CU）之间的前瞻性途径，以及考虑混杂因素（人口统计学、青春期大麻使用频率）的CU动机的潜在解释作用。方法魁北克儿童发展纵向研究的参与者在17岁时自我报告抑郁症状、焦虑症状和性交频率，在23岁时自我报告性交动机、频率和问题（总共471名参与者，425名异性恋者，46名性取向不同者）。结果17岁时的抑郁症状（而非焦虑症状）仅在性别不同的参与者中预测23岁时的CU问题。这种关联完全可以通过应对动机来解释，而应对动机是由性取向不同的青少年的抑郁症状所强烈预测的。虽然应对动机也能预测异性恋参与者的CU问题，但在这一组中，17岁时的心理健康状况无法预测应对动机。17岁时的抑郁症状也仅能预测性别不同的参与者自杀的社会动机，但这与自杀频率和问题无关。最后，增强动机预测异性恋和性取向不同的参与者在23岁时的CU问题，但在17岁时的心理健康不能预测。结论在性取向不同的青少年中，青春期的抑郁症状可能会通过以CU为应对目的而增加日后CU问题的风险。增加对经历心理困扰的性取向不同的青少年的应对资源有助于预防以后的CU问题。

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引用次数: 0

Does emotional distress tolerance negatively predict problematic smartphone use or vice versa? Evidence from a longitudinal study and a daily diary study 情绪困扰容忍度是否会对智能手机的使用产生负面影响，反之亦然？来自纵向研究和每日日记研究的证据。

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-10-25 DOI: 10.1016/j.addbeh.2025.108531

Siyan Chen, Lu Yang, Yun Qu, Ningning Zhou

Low emotional distress tolerance (EDT) is a risk factor for problematic smartphone use (PSU). While theoretical and preliminary empirical considerations suggest that PSU may impair EDT, no studies have directly examined their bidirectional relationship. To address this gap, in this research, the bidirectional relationship between PSU and EDT is investigated through two studies among young adults. Study 1 employed a two-wave longitudinal design. A total of 901 young adults (61.7 % women) completed questionnaires three months apart. A cross-lagged regression analysis revealed a significant bidirectional predictive relationship between EDT and PSU. Study 2 used a daily diary design (N = 77; 39.0 % women) to examine the day-to-day directional relationship between EDT and PSU. Participants completed daily assessments over 14 consecutive days. Multilevel linear models with time lag analyses indicated that PSU predicted next-day EDT, whereas EDT did not predict next-day PSU. Study 1 revealed a reciprocal negative association between EDT and PSU, offering empirical support for Compensatory Internet Use Theory (CIUT) and the reinforcing cycle of the Interaction of Person-Affect-Cognition-Execution (I-PACE) model. Moreover, on a daily timescale, only PSU was found to predict next-day EDT. These findings have implications for interventions aiming to break the cycle between PSU and low EDT.

低情绪痛苦容忍度（EDT）是智能手机使用问题（PSU）的一个风险因素。虽然理论和初步的经验考虑表明PSU可能损害EDT，但没有研究直接检查它们的双向关系。为了解决这一差距，在本研究中，PSU和EDT之间的双向关系通过两项研究调查了年轻人。研究1采用双波纵向设计。共有901名年轻人（61.7%为女性）间隔三个月完成问卷调查。交叉滞后回归分析显示，EDT与PSU之间存在显著的双向预测关系。研究2采用每日日记设计（N = 77； 39.0%女性）来检查EDT和PSU之间的每日方向关系。参与者在连续14天内完成每日评估。具有时滞分析的多水平线性模型表明，PSU可以预测第二天的EDT，而EDT不能预测第二天的PSU。研究1揭示了EDT与PSU之间的负相关关系，为补偿性网络使用理论（CIUT）和人-情感-认知-执行互动（I-PACE）模型的强化循环提供了实证支持。此外，在每日时间尺度上，只有PSU被发现可以预测第二天的美国东部时间。这些发现对旨在打破PSU和低EDT之间循环的干预措施具有启示意义。

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引用次数: 0