Addictive behaviors最新文献_第8页

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。

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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。

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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。

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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

A cross-lagged panel model of the bidirectional relationships between gaming-specific maladaptive cognitions and internet gaming disorder among adolescents in China 中国青少年游戏特异性适应不良认知与网络游戏障碍双向关系的交叉滞后面板模型

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-10-08 DOI: 10.1016/j.addbeh.2025.108518

Yanqiu Yu , Siman Li , Xinwei Lyu , Jianxin Zhang , Ji-bin Li , Joseph T.F. Lau

The directions of the causal relationships between gaming-specific maladaptive cognitions (MCIG) and internet gaming disorder (IGD) are implicative but unclear, with few longitudinal studies in this regard. Bidirectional relationships are plausible, as suggested by the Cognitive Behavioral Model of Pathological Internet Use and Cognitive Dissonance Theory. This 12-month two-wave longitudinal study was conducted among 1857 junior middle school students in two Chinese cities to investigate the reciprocal relationships between three domains of MCIG (perceived overevaluation of rewards, perceived urges, and perceived reluctance to stop playing) and IGD. The prevalence of IGD was 10.0 % at Wave 1 (W1) and 9.6 % at Wave 2 (W2). Cross-lagged panel analysis revealed that IGD at W1 significantly predicted all three domains of MCIG at W2. However, among the three MCIG domains, only perceived urges at W1 significantly predicted IGD at W2. Bidirectional relationships were identified between perceived overvaluation of rewards and perceived reluctance to stop playing. Perceived reluctance to stop playing predicted perceived urges, but the reverse was not true. Relationships between perceived overvaluation of rewards and perceived urges were not statistically significant in either direction. In conclusion, significant bidirectional relationships were observed between one domain of MCIG and IGD, as well as between one pair of MCIG; not all MCIG domains were risk factors of IGD. These findings highlight the importance of targeting specific MCIG to disrupt potential vicious cycles. Caution is warranted when interpreting cross-sectional associations, and future longitudinal studies with additional points are recommended for verification.

游戏特异性适应不良认知（MCIG）与网络游戏障碍（IGD）之间的因果关系方向是隐含的，但不清楚，很少有这方面的纵向研究。病态网络使用的认知行为模型和认知失调理论表明，双向关系是合理的。本研究对中国两个城市的1857名初中生进行了为期12个月的两波纵向研究，以调查MCIG的三个领域（感知奖励高估、感知冲动和感知不愿停止游戏）与IGD之间的相互关系。第1波（W1） IGD患病率为10.0%，第2波（W2）为9.6%。交叉滞后面板分析显示，W1的IGD显著预测W2的MCIG的所有三个结构域。然而，在三个MCIG结构域中，只有W1的感知督促能显著预测W2的IGD。感知到的奖励高估与感知到的不愿停止游戏之间存在双向关系。感知到的不愿停止玩游戏可以预测感知到的冲动，但反之则不然。感知到的奖励高估和感知到的冲动之间的关系在任何一个方向上都没有统计学意义。综上所述，MCIG的一个结构域与IGD之间，以及一对MCIG之间存在显著的双向关系；并非所有的MCIG结构域都是IGD的危险因素。这些发现强调了针对特定MCIG来破坏潜在恶性循环的重要性。在解释横断面关联时需要谨慎，建议将来进行有附加点的纵向研究进行验证。

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引用次数: 0

Corrigendum to “Identifying predictors of Australian workers’ illicit substance use: A nationally representative study” [Addict. Behav. 170 (2025) 108417] “确定澳大利亚工人非法药物使用的预测因素：一项具有全国代表性的研究”的勘误表。行为。170(2025)108417]。

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-10-08 DOI: 10.1016/j.addbeh.2025.108511

Gianluca Di Censo, Kirrilly Thompson, Jacqueline Bowden

引用次数: 0

Self-compassion mediates the relationship between family (but not peer) support and internet gaming disorder symptoms: a five-wave, random intercept cross-lagged panel model 自我同情在家庭（而非同伴）支持与网络游戏障碍症状之间的关系中起中介作用：一个五波随机截距交叉滞后面板模型。

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-10-08 DOI: 10.1016/j.addbeh.2025.108517

Wangjia Zhang , Qi Li , Xiaoyan Chen , Ya Zhu , Xuliang Shi

Although previous studies have suggested that individuals with low self-compassion from dysfunctional families are at higher risks of developing online gaming addiction, the distinction between between-person differences and within-person effects in these associations has not been fully explored. This longitudinal study examined the reciprocal relations between social support and internet gaming disorder symptoms (IGDs), as well as the potential mediating role of self-compassion, while differentiating between- and within-person effects. A total of 5785 students (48.2 % of female, M_age = 18.63, SD = 0.88) participated in a large-scale health-related cohort study of college students. The random intercept cross-lagged panel model (RI-CLPM) was used for data analysis. The findings revealed a reciprocal within-person relationship between family support and self-compassion. Self-compassion played a significant longitudinal mediating role in the association between family (but not peer) support and IGDs at the within-person level. These findings emphasize self-compassion as a key psychological mechanism in the relations between family support and IGDs. Future prevention and intervention programs targeted at bolstering family support and cultivating self-compassion may be effective in mitigating the risk of online gaming addiction.

尽管先前的研究表明，来自不正常家庭的自我同情能力低的人患网络游戏成瘾的风险更高，但这些关联中人与人之间的差异和人与人之间的影响之间的区别尚未得到充分探讨。这项纵向研究考察了社会支持与网络游戏障碍症状（IGDs）之间的相互关系，以及自我同情的潜在中介作用，同时区分了人际效应和人际效应。共5785名大学生（48.2%为女性，Mage = 18.63, SD = 0.88）参加了一项大规模大学生健康相关队列研究。采用随机截距交叉滞后面板模型（RI-CLPM）进行数据分析。研究结果揭示了家庭支持和自我同情之间的相互关系。自我同情在家庭（同伴）支持与个体内部发展之间具有显著的纵向中介作用。这些研究结果强调自我同情是家庭支持与igd之间关系的关键心理机制。未来的预防和干预计划旨在加强家庭支持和培养自我同情，可能有效地降低网络游戏成瘾的风险。

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引用次数: 0

Corrigendum to “Hazardous alcohol use among patients with psychiatric disorders: Findings from phosphatidylethanol (PEth) screening in healthcare”. [Addict. Behav. 172 (2026) 108496] “精神疾病患者危险饮酒：医疗保健中磷脂酰乙醇（PEth）筛查的结果”的勘误表。成瘾者。[j].中国生物医学工程学报，2015(5):387 - 391。

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-10-07 DOI: 10.1016/j.addbeh.2025.108512

V. Månsson , A. Hammarberg , M. Hårdstedt , R. LoMartire

引用次数: 0

Unveiling the relationships between solitary experiences and problematic social media use in young adults: a network approach to investigating underlying motivations 揭示孤独经历与年轻人有问题的社交媒体使用之间的关系：调查潜在动机的网络方法

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-10-04 DOI: 10.1016/j.addbeh.2025.108508

Gianluca Santoro , Andrea Zagaria , Mattia Pezzi , Paola Corsano , Alessio Gori , Alessandro Musetti

Previous research has shown that subjective and negative solitary experiences, such as loneliness, are associated with increased problematic social media use (PSMU). However, further research is needed to examine the role of other solitary experiences and motivations for solitary behavior in PSMU. Accordingly, the current study investigated the relationships between various solitary experiences (i.e., trait loneliness, perceived isolation, lack of relational connectedness, positive solitude, and frequency of solitary behavior), motivations for solitary behavior (i.e., autonomous and controlled), motives for social media use (i.e., enhancement, coping, conformity, and social), and core and peripheral symptoms of PSMU in young adults. Eight hundred twenty-nine young adults (65 % females), aged 18 to 30 years (M = 23.76, SD = 3.16), completed self-report measures assessing the variables of interest. Psychometric network analysis was performed to estimate regularized partial correlations among variables across the entire sample. Gender differences in network properties were evaluated using the network comparison test. Results showed that controlled motivations for solitary behavior and perceived isolation were indirectly linked to core symptoms of PSMU through conformity motives. Additionally, perceived isolation was also associated with core PSMU symptoms through coping motives. No significant gender differences were found in the network properties. These findings suggest that PSMU might serve as a maladaptive strategy to temporarily compensate for involuntary solitary experiences and to seek relief from perceived isolation.

先前的研究表明，主观和消极的孤独经历，如孤独，与有问题的社交媒体使用（PSMU）的增加有关。然而，需要进一步的研究来检验其他孤独经历和孤独行为动机在PSMU中的作用。因此，本研究调查了青年PSMU的各种孤独经历（即特质孤独、感知孤立、缺乏关系联系、积极孤独和孤独行为频率）、孤独行为动机（即自主和控制）、社交媒体使用动机（即增强、应对、从从性和社交）以及核心和外围症状之间的关系。829名年龄在18至30岁之间的年轻人（65%为女性）（M = 23.76, SD = 3.16）完成了评估感兴趣变量的自我报告测量。进行心理测量网络分析，以估计整个样本中变量之间的正则化偏相关性。使用网络比较测试评估网络属性的性别差异。结果表明，受控制的孤独行为动机和孤立感通过从从性动机与PSMU的核心症状间接相关。此外，感知孤立也通过应对动机与核心PSMU症状相关。在网络属性方面没有发现显著的性别差异。这些发现表明，PSMU可能是一种适应不良的策略，可以暂时补偿非自愿的孤独经历，并从感知到的孤立中寻求解脱。

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引用次数: 0

An ecological momentary assessment of adolescents’ affective states and game craving 青少年情感状态与游戏渴望的生态瞬时评估

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-10-03 DOI: 10.1016/j.addbeh.2025.108510

Camilla K.M. Lo , Edward W.W. Chan , Yuet Wing Cho

Background and Aims

Craving plays a critical role in the development and maintenance of addiction, including gaming disorder. While affective states are associated with cravings in substance-related use and disorders, the relationship between affect and game craving remains understudied. This study employs an ecological momentary assessment (EMA) approach to investigate how momentary positive and negative affect are related to game craving in adolescents, and whether these associations vary by individual differences in gaming disorder risk.

Methods

A total of 317 Hong Kong Chinese adolescents who self-reported as regular gamers completed a pre-EMA survey, followed by a 14-day EMA protocol. Participants reported their momentary positive affect, negative affect, and game craving at four time points daily.

Results

At the within-person level, elevated momentary positive and negative affect were significantly associated with increased odds of game craving. However, adolescents at higher risk for gaming disorder showed a reversed pattern, reporting reduced craving when experiencing greater affect intensity than their personal average.

Discussion and Conclusions

These findings illustrate the complex dynamics between affect and game craving, highlighting the moderating role of an individual's gaming disorder risk. Understanding how affect interacts with game craving in real-word setting may inform targeted interventions for adolescents vulnerable to problematic gaming.

背景和目的在成瘾（包括游戏障碍）的发展和维持中起着至关重要的作用。虽然情感状态与物质相关使用和紊乱中的渴望有关，但情感与游戏渴望之间的关系仍未得到充分研究。本研究采用一种生态瞬时评估（EMA）方法来研究瞬时积极和消极影响与青少年游戏渴望的关系，以及这些联系是否因游戏障碍风险的个体差异而异。方法共有317名自称经常玩游戏的香港中国青少年完成了一项EMA前调查，随后进行了为期14天的EMA协议。参与者每天在四个时间点报告他们的瞬间积极情绪、消极情绪和游戏渴望。结果在个人层面上，瞬间积极和消极情绪的升高与游戏渴望的增加显著相关。然而，患游戏障碍风险较高的青少年表现出相反的模式，当经历比个人平均水平更高的情感强度时，他们的渴望会减少。讨论与结论这些发现说明了情感和游戏渴望之间的复杂动态关系，强调了个体游戏障碍风险的调节作用。了解影响与游戏渴望在现实世界中的相互作用，可以为易受问题游戏影响的青少年提供有针对性的干预措施。

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引用次数: 0