Addictive behaviors最新文献_第8页

Associations of rural–urban residence with daily experiences of minority stress and tobacco use among sexual minority young adults 城乡居住与性少数青少年日常应激和烟草使用的关系。

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-10-19 DOI: 10.1016/j.addbeh.2025.108525

Katelyn F. Romm , Clark Gilford Jr. , Mahalaxmi Das , McKenna Nhem , Erin A. Vogel , Amy M. Cohn

Introduction

Rural- vs. urban-residing sexual minority young adults (SMYAs) display higher tobacco use rates. Less work has identified minority stressors that contribute to geographic disparities in use, particularly at the daily level.

Methods

We analyzed 2024 baseline and 14 days of daily survey data among 60 SMYAs (ages 18–34) reporting current tobacco use. Multilevel regression-based models with random intercepts and slopes examined between-person effects of rural–urban residence on daily minority stress (i.e., negative affect, positive affect, upsetting parent interactions, upsetting peer interactions, microaggressions) and daily tobacco use (aggregated across cigarettes, e-cigarettes, large cigars, little cigars/cigarillos, smokeless tobacco, nicotine pouches, hookah) and within-person effects of daily minority stress on same-day and next-day tobacco use, controlling for sociodemographics (i.e., age, sexual identity, gender identity, sex at birth, race and ethnicity).

Results

Among this sample of 60 SMYAs (M_age = 24.53 [SD = 5.19]; 50 % rural-residing; 31.7 % monosexual, 46.7 % bisexual+; 56.7 % gender minority; 55.0 % female; 47.5 % racial/ethnic minority), rural (vs. urban) residence was associated with higher levels of daily upsetting interactions with parents and higher odds of microaggressions and tobacco use. Upsetting interactions with parents and microaggressions were in turn, associated with higher odds of same-day and next-day tobacco use.

Conclusions

Minority stress experiences may impact SMYAs’ concurrent and subsequent tobacco use. These daily minority stress experiences and tobacco use episodes occur more often and at higher levels among rural- (vs. urban-) residing SMYAs, highlighting the need for interventions focused on promoting adaptive coping in response to minority stressors in real time, particularly for rural-residing SMYAs.

农村与城市居住的性少数青年成人（SMYAs）显示出更高的烟草使用率。较少的工作已经确定了导致地理使用差异的少数族裔压力因素，特别是在日常水平上。方法：我们分析了60名报告当前烟草使用的smya（18-34岁）的2024年基线和14天的每日调查数据。基于随机拦截和斜率的多层回归模型检验了城乡居住对日常少数民族压力（即负面影响、积极影响、令人不安的父母互动、令人不安的同伴互动、微侵犯）和日常烟草使用（包括香烟、电子烟、大雪茄、小雪茄/小雪茄、无烟烟草、尼古丁袋、香烟和香烟）的人际影响。在控制社会人口统计（即年龄、性认同、性别认同、出生时性别、种族和民族）的情况下，每日少数族裔压力对当日和次日烟草使用的个人影响。结果：在这60名SMYAs （Mage = 24.53 [SD = 5.19]； 50%居住在农村；31.7%为单性恋，46.7%为双性恋+；56.7%为少数性别；55.0%为女性；47.5%为种族/少数民族）的样本中，居住在农村（与城市相比）与父母的日常令人不安的互动水平较高，微侵犯和吸烟的几率较高。与父母的不愉快互动和微侵犯反过来又与当天和第二天吸烟的可能性增加有关。结论：少数民族应激经历可能影响SMYAs同时和随后的烟草使用。这些日常少数民族压力经历和烟草使用事件在农村（与城市）居住的smya中发生的频率和水平更高，突出了干预措施的必要性，重点是促进实时应对少数民族压力源的适应性应对，特别是对于居住在农村的smya。

{"title":"Associations of rural–urban residence with daily experiences of minority stress and tobacco use among sexual minority young adults","authors":"Katelyn F. Romm , Clark Gilford Jr. , Mahalaxmi Das , McKenna Nhem , Erin A. Vogel , Amy M. Cohn","doi":"10.1016/j.addbeh.2025.108525","DOIUrl":"10.1016/j.addbeh.2025.108525","url":null,"abstract":"<div><h3>Introduction</h3><div>Rural- vs. urban-residing sexual minority young adults (SMYAs) display higher tobacco use rates. Less work has identified minority stressors that contribute to geographic disparities in use, particularly at the daily level.</div></div><div><h3>Methods</h3><div>We analyzed 2024 baseline and 14 days of daily survey data among 60 SMYAs (ages 18–34) reporting current tobacco use. Multilevel regression-based models with random intercepts and slopes examined between-person effects of rural–urban residence on daily minority stress (i.e., negative affect, positive affect, upsetting parent interactions, upsetting peer interactions, microaggressions) and daily tobacco use (aggregated across cigarettes, e-cigarettes, large cigars, little cigars/cigarillos, smokeless tobacco, nicotine pouches, hookah) and within-person effects of daily minority stress on same-day and next-day tobacco use, controlling for sociodemographics (i.e., age, sexual identity, gender identity, sex at birth, race and ethnicity).</div></div><div><h3>Results</h3><div>Among this sample of 60 SMYAs (<em>M</em><sub>age</sub> = 24.53 [SD = 5.19]; 50 % rural-residing; 31.7 % monosexual, 46.7 % bisexual+; 56.7 % gender minority; 55.0 % female; 47.5 % racial/ethnic minority), rural (vs. urban) residence was associated with higher levels of daily upsetting interactions with parents and higher odds of microaggressions and tobacco use. Upsetting interactions with parents and microaggressions were in turn, associated with higher odds of same-day and next-day tobacco use.</div></div><div><h3>Conclusions</h3><div>Minority stress experiences may impact SMYAs’ concurrent and subsequent tobacco use. These daily minority stress experiences and tobacco use episodes occur more often and at higher levels among rural- (vs. urban-) residing SMYAs, highlighting the need for interventions focused on promoting adaptive coping in response to minority stressors in real time, particularly for rural-residing SMYAs.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"172 ","pages":"Article 108525"},"PeriodicalIF":3.6,"publicationDate":"2025-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145350352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A longitudinal mediated examination of legal, commercial, and individual determinants of cannabis and derived cannabis use behaviors and consequences among US young adults 对美国年轻人中大麻和衍生大麻使用行为和后果的法律、商业和个人决定因素的纵向中介检查

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-10-19 DOI: 10.1016/j.addbeh.2025.108526

Cassidy R. LoParco , Matthew E. Rossheim , Yan Wang , Y. Tony Yang , Nino Paichadze , Patricia A. Cavazos-Rehg , Carla J. Berg

Background

Cannabis and derived intoxicating cannabis product (DICP; e.g., delta-8 tetrahydrocannabinol [THC]) use is increasing, particularly among young adults. We examined how state cannabis and DICP laws and cannabis advertisement exposure impact cannabis/DICP risk perceptions and use motives and how those, in turn, impact cannabis and DICP behaviors (use, frequency, intentions) and consequences. Methods: We analyzed two waves (2023–2024) of longitudinal survey data among 3,437 US young adults ages 18–34 (∼50 % past-month cannabis use by design). Multivariable regressions assessed direct and indirect associations via parallel mediation. Results: Participants in states with legal (vs. illegal) non-medical cannabis had lower DICP use motives, higher odds of cannabis-only use (vs. neither or both), and used cannabis more frequently; associations with use behaviors were mediated by cannabis/DICP motives and risk perceptions. More restrictive delta-8 THC laws were associated with higher odds of cannabis-only use (vs. neither or both). More digital cannabis ad exposure and less exposure to traditional/store-based ads were associated with lower risk perceptions and higher use motives, odds of cannabis/DICP use, use intentions, and consequences; associations were mediated by cannabis/DICP use motives and/or risk perceptions. Lower cannabis/DICP risk perceptions and higher use motives were associated with higher odds of using each respective substance, co-use, and intentions. Using cannabis/DICPs more frequently was associated with experiencing more cannabis consequences; cannabis/DICP frequency mediated associations of cannabis state laws, advertising exposure, and motives with cannabis consequences. Conclusions: These pathways underscore how laws and marketing shape use, supporting interventions targeting risk perceptions and motives to reduce harm.

大麻和衍生的令人陶醉的大麻产品（DICP，如δ -8四氢大麻酚[THC]）的使用正在增加，特别是在年轻人中。我们研究了国家大麻和DICP法律和大麻广告如何影响大麻/DICP风险认知和使用动机，以及这些如何反过来影响大麻和DICP行为（使用、频率、意图）和后果。方法：我们分析了两波（2023-2024）的纵向调查数据，涉及3,437名18-34岁的美国年轻人（设计过去一个月使用大麻的比例为50%）。多变量回归通过平行中介评估直接和间接关联。结果：在拥有合法（与非法）非医用大麻的州，参与者使用DICP的动机较低，只使用大麻的几率较高（与不使用大麻或两者都使用大麻相比），并且使用大麻的频率更高；大麻/DICP动机和风险认知介导了与使用行为的关联。更严格的δ -8四氢大麻酚法律与只使用大麻的几率更高（与不使用大麻或两者都使用大麻相比）。更多的数字大麻广告曝光和更少的传统/商店广告曝光与更低的风险认知和更高的使用动机、大麻/DICP使用的几率、使用意图和后果相关；关联是由大麻/DICP使用动机和/或风险认知介导的。较低的大麻/DICP风险认知和较高的使用动机与使用每种物质、共同使用和意图的较高几率相关。更频繁地使用大麻/ dicp与经历更多的大麻后果有关；大麻/DICP频率介导大麻州法律、广告曝光和动机与大麻后果的关联。结论：这些途径强调了法律和市场如何影响使用，支持针对风险认知和动机的干预措施，以减少伤害。

{"title":"A longitudinal mediated examination of legal, commercial, and individual determinants of cannabis and derived cannabis use behaviors and consequences among US young adults","authors":"Cassidy R. LoParco , Matthew E. Rossheim , Yan Wang , Y. Tony Yang , Nino Paichadze , Patricia A. Cavazos-Rehg , Carla J. Berg","doi":"10.1016/j.addbeh.2025.108526","DOIUrl":"10.1016/j.addbeh.2025.108526","url":null,"abstract":"<div><h3>Background</h3><div>Cannabis and derived intoxicating cannabis product (DICP; e.g., delta-8 tetrahydrocannabinol [THC]) use is increasing, particularly among young adults. We examined how state cannabis and DICP laws and cannabis advertisement exposure impact cannabis/DICP risk perceptions and use motives and how those, in turn, impact cannabis and DICP behaviors (use, frequency, intentions) and consequences. <strong>Methods:</strong> We analyzed two waves (2023–2024) of longitudinal survey data among 3,437 US young adults ages 18–34 (∼50 % past-month cannabis use by design). Multivariable regressions assessed direct and indirect associations via parallel mediation. <strong>Results:</strong> Participants in states with legal (vs. illegal) non-medical cannabis had lower DICP use motives, higher odds of cannabis-only use (vs. neither or both), and used cannabis more frequently; associations with use behaviors were mediated by cannabis/DICP motives and risk perceptions. More restrictive delta-8 THC laws were associated with higher odds of cannabis-only use (vs. neither or both). More digital cannabis ad exposure and less exposure to traditional/store-based ads were associated with lower risk perceptions and higher use motives, odds of cannabis/DICP use, use intentions, and consequences; associations were mediated by cannabis/DICP use motives and/or risk perceptions. Lower cannabis/DICP risk perceptions and higher use motives were associated with higher odds of using each respective substance, co-use, and intentions. Using cannabis/DICPs more frequently was associated with experiencing more cannabis consequences; cannabis/DICP frequency mediated associations of cannabis state laws, advertising exposure, and motives with cannabis consequences. <strong>Conclusions:</strong> These pathways underscore how laws and marketing shape use, supporting interventions targeting risk perceptions and motives to reduce harm.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"172 ","pages":"Article 108526"},"PeriodicalIF":3.6,"publicationDate":"2025-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145358665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Perceived burdensomeness partially mediates the longitudinal relationship between problem gambling and suicidal ideation 感知负担部分中介问题赌博与自杀意念之间的纵向关系

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-10-19 DOI: 10.1016/j.addbeh.2025.108527

Heather M. Gray, Timothy C. Edson

Problem gambling is reliably linked with increased risk for suicidality. Research guided by the interpersonal theory of suicide suggests that two painful forms of social disconnection often associated with problem gambling – perceived burdensomeness and thwarted belongingness – help explain increased risk for suicide ideation. Specifically, perceived burdensomeness appears to mediate the relationship between problem gambling and suicidal ideation, especially at high levels of thwarted belongingness. Looking “upstream,” debt stress appears to link problem gambling to perceived burdensomeness. The current study is a longitudinal study of this phenomenon using a sample (N = 447) of highly-involved gamblers recruited from the MTurk platform. Using a 6-month timeframe, we found evidence of partial longitudinal mediation of problem gambling and suicidal ideation via perceived burdensomeness. Contrary to our hypothesis, problem gambling severity at Time 1 failed to predict debt stress at Time 2. Finally, we found evidence of a bidirectional relationship between problem gambling and suicide ideation, in that suicide ideation at Time 1 predicted problem gambling at Time 2. Clinical implications include the need to routinely screen for suicidality and perceived burdensomeness within problem gambling treatment. Future research should explore interventions that target perceived burdensomeness in this context.

问题赌博确实与自杀风险增加有关。以自杀的人际关系理论为指导的研究表明，通常与问题赌博有关的两种痛苦的社会脱节形式——感知负担和挫败归属感——有助于解释自杀意念风险的增加。具体来说，感知负担似乎调解了问题赌博和自杀意念之间的关系，特别是在高度受挫的归属感中。放眼“上游”，债务压力似乎将问题赌博与感知负担联系起来。目前的研究是对这一现象的纵向研究，使用了从MTurk平台招募的高参与度赌徒样本（N = 447）。使用6个月的时间框架，我们发现了通过感知负担部分纵向调解问题赌博和自杀意念的证据。与我们的假设相反，时间1的问题赌博严重程度无法预测时间2的债务压力。最后，我们发现了问题赌博和自杀意念之间存在双向关系的证据，即时间1的自杀意念预示着时间2的问题赌博。临床意义包括需要在问题赌博治疗中例行筛查自杀倾向和感知负担。未来的研究应该探索在这种情况下针对感知负担的干预措施。

{"title":"Perceived burdensomeness partially mediates the longitudinal relationship between problem gambling and suicidal ideation","authors":"Heather M. Gray, Timothy C. Edson","doi":"10.1016/j.addbeh.2025.108527","DOIUrl":"10.1016/j.addbeh.2025.108527","url":null,"abstract":"<div><div>Problem gambling is reliably linked with increased risk for suicidality. Research guided by the interpersonal theory of suicide suggests that two painful forms of social disconnection often associated with problem gambling – perceived burdensomeness and thwarted belongingness – help explain increased risk for suicide ideation. Specifically, perceived burdensomeness appears to mediate the relationship between problem gambling and suicidal ideation, especially at high levels of thwarted belongingness. Looking “upstream,” debt stress appears to link problem gambling to perceived burdensomeness. The current study is a longitudinal study of this phenomenon using a sample (N = 447) of highly-involved gamblers recruited from the MTurk platform. Using a 6-month timeframe, we found evidence of partial longitudinal mediation of problem gambling and suicidal ideation via perceived burdensomeness. Contrary to our hypothesis, problem gambling severity at Time 1 failed to predict debt stress at Time 2. Finally, we found evidence of a bidirectional relationship between problem gambling and suicide ideation, in that suicide ideation at Time 1 predicted problem gambling at Time 2. Clinical implications include the need to routinely screen for suicidality and perceived burdensomeness within problem gambling treatment. Future research should explore interventions that target perceived burdensomeness in this context.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"172 ","pages":"Article 108527"},"PeriodicalIF":3.6,"publicationDate":"2025-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145358663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The associations between social media intensity, problematic social media use, and adolescents’ mental health: A cross-lagged panel network analysis 社交媒体强度、有问题的社交媒体使用和青少年心理健康之间的关系：一个交叉滞后的面板网络分析。

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-10-18 DOI: 10.1016/j.addbeh.2025.108524

Gang Liu, Lin Tong, Zongping Chen, Lingfei Ma, Wenping Liao, Yanli Li, Ling Li, Xinying Miao, Ya Liu

A growing body of evidence suggests that social media use may have a profound impact on the mental health of adolescents. However, the way in which the social media intensity (SMI), problematic social media use (PSMU), and adolescents’ mental health interrelate at a dimensional level remains unclear. This study employed contemporaneous network and cross-lagged network models to explore the unique connections between different dimensions of SMI, PSMU, and adolescent mental health. A survey was administered to 1008 Chinese students, aged 12 to 18, at two time points spaced six months apart. The findings from two contemporaneous networks revealed that emotional connection with social media and withdrawal are the key reinforcing feedback loops (i.e., vicious cycles) driving the relationship between SMI and PSMU. The cross-lagged panel network demonstrated that depression emerged as a central and influential node within the dynamic network of SMI, PSMU, and mental health, which highlights the central role of depression in this interplay. Additionally, adolescents’ mental health problems were more strongly predictive of subsequent PSMU than of SMI, with no reverse effect observed. These results suggest emotions play a key role in driving social media use, emphasizing the need for emotion-focused interventions to reduce PSMU and protect mental health.

越来越多的证据表明，社交媒体的使用可能对青少年的心理健康产生深远的影响。然而，社交媒体强度（SMI）、问题社交媒体使用（PSMU）和青少年心理健康在维度水平上的相互关系尚不清楚。本研究采用同期网络模型和交叉滞后网络模型，探讨了重度精神分裂症、重度精神分裂症不同维度与青少年心理健康之间的独特联系。研究人员对1008名年龄在12岁至18岁之间的中国学生进行了一项调查，调查时间间隔为6个月。来自两个同时期网络的研究结果表明，与社交媒体的情感联系和退缩是驱动SMI和PSMU之间关系的关键强化反馈循环（即恶性循环）。交叉滞后面板网络表明，抑郁症在SMI、PSMU和心理健康的动态网络中是一个中心和有影响力的节点，这突出了抑郁症在这种相互作用中的核心作用。此外，青少年的心理健康问题对随后的PSMU的预测比SMI更强，没有观察到相反的影响。这些结果表明，情绪在推动社交媒体使用方面发挥着关键作用，强调了以情绪为中心的干预措施的必要性，以减少PSMU和保护心理健康。

{"title":"The associations between social media intensity, problematic social media use, and adolescents’ mental health: A cross-lagged panel network analysis","authors":"Gang Liu, Lin Tong, Zongping Chen, Lingfei Ma, Wenping Liao, Yanli Li, Ling Li, Xinying Miao, Ya Liu","doi":"10.1016/j.addbeh.2025.108524","DOIUrl":"10.1016/j.addbeh.2025.108524","url":null,"abstract":"<div><div>A growing body of evidence suggests that social media use may have a profound impact on the mental health of adolescents. However, the way in which the social media intensity (SMI), problematic social media use (PSMU), and adolescents’ mental health interrelate at a dimensional level remains unclear. This study employed contemporaneous network and cross-lagged network models to explore the unique connections between different dimensions of SMI, PSMU, and adolescent mental health. A survey was administered to 1008 Chinese students, aged 12 to 18, at two time points spaced six months apart. The findings from two contemporaneous networks revealed that emotional connection with social media and withdrawal are the key reinforcing feedback loops (i.e., vicious cycles) driving the relationship between SMI and PSMU. The cross-lagged panel network demonstrated that depression emerged as a central and influential node within the dynamic network of SMI, PSMU, and mental health, which highlights the central role of depression in this interplay. Additionally, adolescents’ mental health problems were more strongly predictive of subsequent PSMU than of SMI, with no reverse effect observed. These results suggest emotions play a key role in driving social media use, emphasizing the need for emotion-focused interventions to reduce PSMU and protect mental health.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"172 ","pages":"Article 108524"},"PeriodicalIF":3.6,"publicationDate":"2025-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145357141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Mapping adolescent problematic social media use patterns across 41 countries/regions: A multilevel latent class analysis with social determinants 绘制41个国家/地区青少年有问题的社交媒体使用模式：具有社会决定因素的多层次潜在类别分析

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-10-17 DOI: 10.1016/j.addbeh.2025.108523

Zékai Lu

Background

Problematic social media use (PSMU) represents a growing concern among adolescents globally. While existing variable-centered research has provided valuable insights into PSMU determinants, person-centered approaches can offer complementary perspectives by identifying behavioral heterogeneity within populations and examining how social determinants differentially affect distinct subgroups across diverse national contexts.

Objectives

This study aimed to (1) identify distinct PSMU behavioral classes at the individual level, (2) classify countries/regions based on PSMU prevalence patterns, and (3) examine how multilevel social determinants predict class membership.

Methods

Data were from 171,447 adolescents across 41 countries/regions. Multilevel latent class analyses were first conducted on nine dimensions of PSMU to identify distinct classes at individual and national levels. Individual-level measures incorporated social relationship quality, health behaviors, and economic deprivation. National-level indicators included economic development, education, income, inequalities, and cultural values. Multinomial regressions were performed to examine associations between social determinants and PSMU class membership.

Results

Three distinct individual-level PSMU classes emerged: Low Problematic Use Class (58.0%), Moderate Problematic Use Class (37.6%), and High Problematic Use Class (4.3%). Countries/regions are clustered into three categories: Low Prevalence Region (31.7%), Moderate Prevalence Region (39.0%), and High Prevalence Region (29.2%). At the individual level, positive social relationships and healthy lifestyles demonstrated protective effects against problematic use, while economic deprivation increased risk. At the national level, educational inequality, secular values, and gender inequality significantly increased the likelihood of countries belonging to the High Prevalence Region.

Conclusion

Adolescent PSMU manifests heterogeneously across individuals and exhibits geographic variation. This study highlights the necessity of multilevel, differentiated intervention strategies, emphasizing that countries/regions should develop policies aligned with their specific characteristics to foster supportive environments for adolescent digital well-being.

有问题的社交媒体使用（PSMU）是全球青少年日益关注的问题。虽然现有的以变量为中心的研究已经为PSMU决定因素提供了有价值的见解，但以人为中心的方法可以通过识别人群中的行为异质性和研究社会决定因素如何在不同的国家背景下对不同的亚群体产生不同的影响，从而提供互补的视角。本研究旨在(1)在个人层面确定不同的PSMU行为类别，(2)根据PSMU流行模式对国家/地区进行分类，以及(3)研究多层次社会决定因素如何预测阶级成员。方法数据来自41个国家/地区的171447名青少年。首先对PSMU的9个维度进行多水平潜在类别分析，以确定个人和国家层面的不同类别。个人层面的测量包括社会关系质量、健康行为和经济剥夺。国家层面的指标包括经济发展、教育、收入、不平等和文化价值观。进行多项回归来检验社会决定因素与PSMU班级成员之间的关系。结果出现了三个不同的个体水平PSMU类别：低问题使用类别（58.0%）、中度问题使用类别（37.6%）和高问题使用类别（4.3%）。国家/地区分为三类：低流行区（31.7%）、中流行区（39.0%）和高流行区（29.2%）。在个人层面上，积极的社会关系和健康的生活方式显示出对不良使用的保护作用，而经济剥夺则增加了风险。在国家层面上，教育不平等、世俗价值观和性别不平等显著增加了国家属于高患病率地区的可能性。结论青少年PSMU在个体间具有异质性，且存在地理差异。本研究强调了多层次、差异化干预策略的必要性，强调各国/地区应制定符合其具体特点的政策，为青少年数字福祉营造支持性环境。

{"title":"Mapping adolescent problematic social media use patterns across 41 countries/regions: A multilevel latent class analysis with social determinants","authors":"Zékai Lu","doi":"10.1016/j.addbeh.2025.108523","DOIUrl":"10.1016/j.addbeh.2025.108523","url":null,"abstract":"<div><h3>Background</h3><div>Problematic social media use (PSMU) represents a growing concern among adolescents globally. While existing variable-centered research has provided valuable insights into PSMU determinants, person-centered approaches can offer complementary perspectives by identifying behavioral heterogeneity within populations and examining how social determinants differentially affect distinct subgroups across diverse national contexts.</div></div><div><h3>Objectives</h3><div>This study aimed to (1) identify distinct PSMU behavioral classes at the individual level, (2) classify countries/regions based on PSMU prevalence patterns, and (3) examine how multilevel social determinants predict class membership.</div></div><div><h3>Methods</h3><div>Data were from 171,447 adolescents across 41 countries/regions. Multilevel latent class analyses were first conducted on nine dimensions of PSMU to identify distinct classes at individual and national levels. Individual-level measures incorporated social relationship quality, health behaviors, and economic deprivation. National-level indicators included economic development, education, income, inequalities, and cultural values. Multinomial regressions were performed to examine associations between social determinants and PSMU class membership.</div></div><div><h3>Results</h3><div>Three distinct individual-level PSMU classes emerged: Low Problematic Use Class (58.0%), Moderate Problematic Use Class (37.6%), and High Problematic Use Class (4.3%). Countries/regions are clustered into three categories: Low Prevalence Region (31.7%), Moderate Prevalence Region (39.0%), and High Prevalence Region (29.2%). At the individual level, positive social relationships and healthy lifestyles demonstrated protective effects against problematic use, while economic deprivation increased risk. At the national level, educational inequality, secular values, and gender inequality significantly increased the likelihood of countries belonging to the High Prevalence Region.</div></div><div><h3>Conclusion</h3><div>Adolescent PSMU manifests heterogeneously across individuals and exhibits geographic variation. This study highlights the necessity of multilevel, differentiated intervention strategies, emphasizing that countries/regions should develop policies aligned with their specific characteristics to foster supportive environments for adolescent digital well-being.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"172 ","pages":"Article 108523"},"PeriodicalIF":3.6,"publicationDate":"2025-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145320832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cigarette and cannabis use and co-use among U.S. adults: An examination of prevalence and trends during 2015–2023 美国成年人中香烟和大麻的使用和共同使用：2015-2023年流行率和趋势的研究。

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-10-14 DOI: 10.1016/j.addbeh.2025.108521

Joanne Constantin , Jayani Jayawardhana

Background

The shifting dynamics of cannabis legislation in the U.S. has over half the states legalizing recreational use for adults and others opting for decriminalization. As tobacco use wanes, the surge in cannabis use presents a worrisome trend among adults. This study examines cigarette and cannabis use and co-use among U.S. adults from 2015 to 2023, emphasizing key sociodemographic variations.

Methods

Utilizing the National Survey on Drug Use and Health, we explored the prevalence and trends of past 30-day cigarette and cannabis co-use, cannabis-only use, and cigarette-only use among adults 18 and older over three periods: 2015–2019, 2020, and 2021–2023. Analyses were conducted across various sociodemographic factors, and predictors of substance use were identified using multivariable logistic regressions.

Results

Cannabis-only use increased from 3.9% to 6.5% in 2015–2019, was 7.1% in 2020, and increased again from 7.9% to 10.6% in 2021–2023. Cigarette-only use decreased from 15.0% to 12.0% in 2015–2019, was 10.3% in 2020, and declined again from 10.8% to 8.8% in 2021–2023. Co-use was relatively stable across the different periods. Among socioeconomically disadvantaged adults (with lower education, income, or lacking insurance), cigarette-only use was most prevalent. In contrast, cannabis-only use predominated among more socioeconomically advantaged groups (college-educated, high-income, and privately insured).

Conclusion

Cannabis-only use and co-use trends pose public health risks akin to cigarettes, necessitating targeted prevention campaigns. A multi-pronged strategy of public health education, early detection, and effective treatment development is vital to prevent cannabis from becoming the next public health crisis.

背景：美国大麻立法的动态变化使超过一半的州将成人娱乐用途合法化，而其他州则选择将其合法化。随着烟草使用的减少，大麻使用的激增在成年人中呈现出令人担忧的趋势。这项研究调查了2015年至2023年美国成年人吸烟和大麻的使用情况，并强调了主要的社会人口变化。方法：利用全国药物使用和健康调查，研究了2015-2019年、2020年和2021-2023年三个时期18岁及以上成年人过去30天吸烟和大麻共同使用、仅使用大麻和仅使用香烟的流行情况和趋势。对各种社会人口因素进行了分析，并使用多变量逻辑回归确定了药物使用的预测因素。结果：2015-2019年大麻使用率从3.9%上升到6.5%，2020年为7.1%，2021-2023年再次从7.9%上升到10.6%。2015-2019年，纯卷烟使用率从15.0%降至12.0%，2020年为10.3%，2021-2023年再次从10.8%降至8.8%。不同时期的共利用相对稳定。在社会经济上处于不利地位的成年人（教育程度、收入较低或缺乏保险）中，只吸烟最为普遍。相比之下，只使用大麻在社会经济上更有利的群体（受过大学教育、高收入和私人保险）中占主导地位。结论：仅使用大麻和共同使用大麻的趋势构成与卷烟类似的公共卫生风险，需要有针对性的预防运动。一项多管齐下的公共卫生教育、早期发现和有效治疗发展战略对于防止大麻成为下一个公共卫生危机至关重要。

{"title":"Cigarette and cannabis use and co-use among U.S. adults: An examination of prevalence and trends during 2015–2023","authors":"Joanne Constantin , Jayani Jayawardhana","doi":"10.1016/j.addbeh.2025.108521","DOIUrl":"10.1016/j.addbeh.2025.108521","url":null,"abstract":"<div><h3>Background</h3><div>The shifting dynamics of cannabis legislation in the U.S. has over half the states legalizing recreational use for adults and others opting for decriminalization. As tobacco use wanes, the surge in cannabis use presents a worrisome trend among adults. This study examines cigarette and cannabis use and co-use among U.S. adults from 2015 to 2023, emphasizing key sociodemographic variations.</div></div><div><h3>Methods</h3><div>Utilizing the National Survey on Drug Use and Health, we explored the prevalence and trends of past 30-day cigarette and cannabis co-use, cannabis-only use, and cigarette-only use among adults 18 and older over three periods: 2015–2019, 2020, and 2021–2023. Analyses were conducted across various sociodemographic factors, and predictors of substance use were identified using multivariable logistic regressions.</div></div><div><h3>Results</h3><div>Cannabis-only use increased from 3.9% to 6.5% in 2015–2019, was 7.1% in 2020, and increased again from 7.9% to 10.6% in 2021–2023. Cigarette-only use decreased from 15.0% to 12.0% in 2015–2019, was 10.3% in 2020, and declined again from 10.8% to 8.8% in 2021–2023. Co-use was relatively stable across the different periods. Among socioeconomically disadvantaged adults (with lower education, income, or lacking insurance), cigarette-only use was most prevalent. In contrast, cannabis-only use predominated among more socioeconomically advantaged groups (college-educated, high-income, and privately insured).</div></div><div><h3>Conclusion</h3><div>Cannabis-only use and co-use trends pose public health risks akin to cigarettes, necessitating targeted prevention campaigns. A multi-pronged strategy of public health education, early detection, and effective treatment development is vital to prevent cannabis from becoming the next public health crisis.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"172 ","pages":"Article 108521"},"PeriodicalIF":3.6,"publicationDate":"2025-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145318990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Trends in blunt smoking among adults in the United States, 2015–2022 2015-2022年美国成年人吸烟趋势

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-10-10 DOI: 10.1016/j.addbeh.2025.108507

Dale S. Mantey , Ashlynn M. Ruleman , Dilara K. Üsküp , Dylanne Twitty , LaTrice Montgomery

Objective

We quantify and compare population-level trends in blunt smoking across demographics as well as behavioral and regulatory factors among adults in the US from 2015 to 2022.

Methods

We analyzed eight (8) years of data from the National Survey of Drug Use and Health (NSDUH). Participants were n = 326,087 adults; a subsample of n = 22,294 current blunt smokers was used to examine daily blunt smoking. We modeled linear trends in lifetime (ever), current (past 30-day), and daily (30/30 days) blunt smoking by: sex, race/ethnicity, age category, income, Major Depressive Episodes, alcohol use, and state-level cannabis regulatory policy.

Results

From 2015 to 2022, lifetime blunt smoking increased ∼21.7 % (p < 0.001), current blunt smoking increased ∼34.4 % (p < 0.001), and daily blunt smoking among current users increased ∼24.5 % (p < 0.001). Lifetime blunt smoking increased significantly more among non-Hispanic White (23.7 %) and Hispanic (30.2 %) relative to non-Hispanic Black (8.6 %) adults; similar increases were observed among those older than 18–25 years. Current blunt smoking increased significantly greater among females (63.6 %) relative to males (19.0 %) and among those who did not use alcohol (92.3 %) relative to those who did use alcohol (23.4 %). Daily blunt smoking increased significantly greater among non-Hispanic White (80.4 %) relative to non-Hispanic Black (3.7 %) adults.

Conclusion

Blunt smoking increased substantially from 2015 to 2022. The greatest increases in blunt smoking were observed among females, older adults, and those who did not use alcohol; groups with historically lower rates of blunt smoking. Future study is needed to understand patterns of blunt initiation, escalation, and use disorder.

目的：我们量化和比较2015年至2022年美国成年人在人口统计学以及行为和监管因素方面的钝性吸烟人口水平趋势。方法对全国药物使用与健康调查（NSDUH） 8年的数据进行分析。参与者为326,087名成年人；一个子样本n = 22294目前的钝性吸烟者被用来检查每日钝性吸烟。我们对终生（曾经）、当前（过去30天）和每日（30/30天）钝性吸烟的线性趋势进行建模：性别、种族/民族、年龄类别、收入、重度抑郁发作、酒精使用和州一级大麻监管政策。结果从2015年到2022年，终生钝性吸烟增加了~ 21.7% (p < 0.001)，当前钝性吸烟增加了~ 34.4% (p < 0.001)，当前用户的每日钝性吸烟增加了~ 24.5% （p < 0.001）。与非西班牙裔黑人（8.6%）相比，非西班牙裔白人（23.7%）和西班牙裔（30.2%）的终生钝性吸烟增加明显更多；在18-25岁以上的人群中也观察到类似的增长。女性（63.6%）相对于男性（19.0%）和不饮酒的人群（92.3%）相对于饮酒的人群（23.4%），目前直接吸烟的人数明显增加。非西班牙裔白人（80.4%）比非西班牙裔黑人（3.7%）的吸烟率明显增加。结论2015 - 2022年钝性吸烟明显增加。直接吸烟人数增加最多的是女性、老年人和不饮酒的人；这些群体的钝性吸烟率历来较低。未来的研究需要了解钝性启动、升级和使用障碍的模式。

{"title":"Trends in blunt smoking among adults in the United States, 2015–2022","authors":"Dale S. Mantey , Ashlynn M. Ruleman , Dilara K. Üsküp , Dylanne Twitty , LaTrice Montgomery","doi":"10.1016/j.addbeh.2025.108507","DOIUrl":"10.1016/j.addbeh.2025.108507","url":null,"abstract":"<div><h3>Objective</h3><div>We quantify and compare population-level trends in blunt smoking across demographics as well as behavioral and regulatory factors among adults in the US from 2015 to 2022.</div></div><div><h3>Methods</h3><div>We analyzed eight (8) years of data from the National Survey of Drug Use and Health (NSDUH). Participants were n = 326,087 adults; a subsample of n = 22,294 current blunt smokers was used to examine daily blunt smoking. We modeled linear trends in lifetime (ever), current (past 30-day), and daily (30/30 days) blunt smoking by: sex, race/ethnicity, age category, income, Major Depressive Episodes, alcohol use, and state-level cannabis regulatory policy.</div></div><div><h3>Results</h3><div>From 2015 to 2022, lifetime blunt smoking increased ∼21.7 % (p < 0.001), current blunt smoking increased ∼34.4 % (p < 0.001), and daily blunt smoking among current users increased ∼24.5 % (p < 0.001). Lifetime blunt smoking increased significantly more among non-Hispanic White (23.7 %) and Hispanic (30.2 %) relative to non-Hispanic Black (8.6 %) adults; similar increases were observed among those older than 18–25 years. Current blunt smoking increased significantly greater among females (63.6 %) relative to males (19.0 %) and among those who did not use alcohol (92.3 %) relative to those who did use alcohol (23.4 %). Daily blunt smoking increased significantly greater among non-Hispanic White (80.4 %) relative to non-Hispanic Black (3.7 %) adults.</div></div><div><h3>Conclusion</h3><div>Blunt smoking increased substantially from 2015 to 2022. The greatest increases in blunt smoking were observed among females, older adults, and those who did not use alcohol; groups with historically lower rates of blunt smoking. Future study is needed to understand patterns of blunt initiation, escalation, and use disorder.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"172 ","pages":"Article 108507"},"PeriodicalIF":3.6,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145263037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Lower cortical thickness and accelerated brain aging in individuals engaging in at-risk alcohol use 有饮酒风险的人大脑皮层厚度降低，大脑衰老加速。

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-10-10 DOI: 10.1016/j.addbeh.2025.108519

Marco Hermesdorf , Jürgen Wellmann , Matthias Nauck , Klaus Berger

In view of recent global trends in alcohol use, it becomes increasingly relevant to characterize health outcomes related to alcohol use. Previous studies that reported associations between alcohol use and brain health have not validated self-reported alcohol intake, considered only a very narrow demographic strata, or a limited subset of potential confounders and cortical regions for the assessment of brain health. This study aimed to analyze several neuroimaging-derived phenotypes and their associations with at-risk alcohol use in the general population. At-risk alcohol use was operationalized as the regular consumption of more than two units of alcohol at least twice a week. Cortical thickness, gray matter volume, and brain age gaps were derived from T1-weighted magnetic resonance imaging and compared between population-based individuals regularly engaging in at-risk alcohol use (n = 123) versus those who don’t (n = 403). Self-reported alcohol use was validated across groups by comparing gamma-glutamyltransferase levels. At-risk alcohol use was associated with higher gamma-glutamyltransferase levels and lower regional cortical thickness across all four lobes of the brain. We also observed higher brain age gaps of 1.21 years on average (CI: 0.26 to 2.15, p = 0.013) in individuals engaging in at-risk alcohol use. No associations with subcortical gray matter were detected. At-risk alcohol use was related to poor brain health as indicated by cortical thinning and accelerated brain aging in the general population. The findings underscore the potentially deleterious associations between alcohol use and neuroimaging-derived phenotypes. These findings, and particularly the accelerated brain aging, are increasingly relevant in view of recent global trends in alcohol use.

鉴于最近全球酒精使用的趋势，描述与酒精使用有关的健康结果变得越来越重要。先前报道酒精使用与大脑健康之间关系的研究并没有证实自我报告的酒精摄入量，只考虑了一个非常狭窄的人口阶层，或潜在混杂因素和大脑皮层区域的有限子集来评估大脑健康。本研究旨在分析一般人群中几种神经影像学衍生的表型及其与高危饮酒的关系。高危饮酒被定义为每周至少两次经常饮用超过两个单位的酒精。皮层厚度、灰质体积和脑年龄差距由t1加权磁共振成像得出，并在以人群为基础的有饮酒风险的个体（n = 123）和没有饮酒风险的个体（n = 403）之间进行比较。通过比较γ -谷氨酰转移酶水平，验证了各组自我报告的酒精使用情况。高危饮酒与较高的γ -谷氨酰转移酶水平和较低的大脑四叶皮质厚度有关。我们还观察到，在有饮酒风险的个体中，大脑年龄差距平均为1.21岁（CI: 0.26至2.15,p = 0.013）。未发现与皮层下灰质有关。在普通人群中，有风险的酒精使用与大脑健康状况不佳有关，这表明皮质变薄和大脑衰老加速。研究结果强调了酒精使用与神经成像衍生表型之间潜在的有害关联。鉴于最近全球饮酒趋势，这些发现，特别是大脑加速衰老，越来越具有相关性。

{"title":"Lower cortical thickness and accelerated brain aging in individuals engaging in at-risk alcohol use","authors":"Marco Hermesdorf , Jürgen Wellmann , Matthias Nauck , Klaus Berger","doi":"10.1016/j.addbeh.2025.108519","DOIUrl":"10.1016/j.addbeh.2025.108519","url":null,"abstract":"<div><div>In view of recent global trends in alcohol use, it becomes increasingly relevant to characterize health outcomes related to alcohol use. Previous studies that reported associations between alcohol use and brain health have not validated self-reported alcohol intake, considered only a very narrow demographic strata, or a limited subset of potential confounders and cortical regions for the assessment of brain health. This study aimed to analyze several neuroimaging-derived phenotypes and their associations with at-risk alcohol use in the general population. At-risk alcohol use was operationalized as the regular consumption of more than two units of alcohol at least twice a week. Cortical thickness, gray matter volume, and brain age gaps were derived from T1-weighted magnetic resonance imaging and compared between population-based individuals regularly engaging in at-risk alcohol use (n = 123) versus those who don’t (n = 403). Self-reported alcohol use was validated across groups by comparing gamma-glutamyltransferase levels. At-risk alcohol use was associated with higher gamma-glutamyltransferase levels and lower regional cortical thickness across all four lobes of the brain. We also observed higher brain age gaps of 1.21 years on average (CI: 0.26 to 2.15, <em>p</em> = 0.013) in individuals engaging in at-risk alcohol use. No associations with subcortical gray matter were detected. At-risk alcohol use was related to poor brain health as indicated by cortical thinning and accelerated brain aging in the general population. The findings underscore the potentially deleterious associations between alcohol use and neuroimaging-derived phenotypes. These findings, and particularly the accelerated brain aging, are increasingly relevant in view of recent global trends in alcohol use.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"172 ","pages":"Article 108519"},"PeriodicalIF":3.6,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145314385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The desire trap: Metacognitions and the cognitive mechanisms of adolescent online gaming craving 欲望陷阱：青少年网络游戏渴望的元认知和认知机制。

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-10-09 DOI: 10.1016/j.addbeh.2025.108516

Shan Wang , Xiaoru Zhu , Xiaomin Wang , Lingfeng Gao , Haide Chen

Craving is widely recognized as a central feature of addiction. Although internet gaming disorder is notably prevalent among adolescents, the mechanisms that lead to the development of craving for online gaming are not well understood. This study investigated the mediating role of desire thinking and thought suppression in the link between adolescents’ positive and negative metacognitions about online gaming and their craving for it. The study evaluated 991 Chinese adolescents utilizing the Metacognitions about Online Gaming Scale, Desire Thinking Questionnaire, Thought Suppression Inventory, and Craving Assessment Scale. Results showed that desire thinking and thought suppression partially mediated the link between both positive and negative metacognitions and craving, with desire thinking exhibiting a stronger indirect effect than thought suppression. The study indicates that both positive and negative metacognitions are associated with adolescent online gaming craving via similar cognitive pathways, with desire thinking being a significant factor. This study highlights the potential of targeting metacognitive processes in future interventions for internet gaming disorder, emphasizing the need for intervention strategies tailored to address desire thinking.

渴望被广泛认为是成瘾的核心特征。虽然网络游戏障碍在青少年中非常普遍，但导致对网络游戏的渴望发展的机制尚不清楚。本研究探讨了欲望思维和思想抑制在青少年网络游戏正、负元认知与渴望之间的中介作用。本研究采用网络游戏元认知量表、欲望思维量表、思维抑制量表和渴望评估量表对991名中国青少年进行测评。结果表明，欲望思维和思想抑制在积极元认知和消极元认知与渴望的关系中起部分中介作用，其中欲望思维的间接作用强于思想抑制。研究表明，积极元认知和消极元认知通过相似的认知途径与青少年网络游戏渴望相关，其中欲望思维是一个重要因素。本研究强调了在未来网络游戏障碍干预中针对元认知过程的潜力，强调了针对欲望思维量身定制干预策略的必要性。

{"title":"The desire trap: Metacognitions and the cognitive mechanisms of adolescent online gaming craving","authors":"Shan Wang , Xiaoru Zhu , Xiaomin Wang , Lingfeng Gao , Haide Chen","doi":"10.1016/j.addbeh.2025.108516","DOIUrl":"10.1016/j.addbeh.2025.108516","url":null,"abstract":"<div><div>Craving is widely recognized as a central feature of addiction. Although internet gaming disorder is notably prevalent among adolescents, the mechanisms that lead to the development of craving for online gaming are not well understood. This study investigated the mediating role of desire thinking and thought suppression in the link between adolescents’ positive and negative metacognitions about online gaming and their craving for it. The study evaluated 991 Chinese adolescents utilizing the Metacognitions about Online Gaming Scale, Desire Thinking Questionnaire, Thought Suppression Inventory, and Craving Assessment Scale. Results showed that desire thinking and thought suppression partially mediated the link between both positive and negative metacognitions and craving, with desire thinking exhibiting a stronger indirect effect than thought suppression. The study indicates that both positive and negative metacognitions are associated with adolescent online gaming craving via similar cognitive pathways, with desire thinking being a significant factor. This study highlights the potential of targeting metacognitive processes in future interventions for internet gaming disorder, emphasizing the need for intervention strategies tailored to address desire thinking.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"172 ","pages":"Article 108516"},"PeriodicalIF":3.6,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145294509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Corrigendum to “Exploring the influence of parenting styles and childhood abuse on impulsivity in young and middle-aged patients with new drug dependency: A network analysis” [Addict. Behav. 170 (2025) 108423] “探索父母教养方式和童年虐待对新药物依赖的中青年患者冲动的影响：网络分析”的勘误表[成瘾者]。行为。170(2025)108423]。

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-10-08 DOI: 10.1016/j.addbeh.2025.108514

Shumei Zhuang , Yuelin Song , Shimei Jin , Xiaoxu Shang , Yan Liu , Lei Shi , Yitong Qu , Yinan Zhang , Yannan Chen , Lehan Li

引用次数: 0