Addictive Behaviors Research Articles

Dose-Response Associations of Internet Use Time and Internet Addiction With Depressive Symptoms Among Chinese Children and Adolescents: Cross-Sectional Study.

Children's lives are increasingly mediated by digital technologies, yet evidence regarding the associations between internet use and depression is far from comprehensive and remains unclear. This study aimed to investigate the dose-response association between internet use, including use time and addiction behaviors, and depressive symptoms among children and adolescents in Zhejiang Province. Data were collected from a school-based health survey China Common Disease and Risk Factor Surveillance Among Students, encompassing 21,336 students in Zhejiang Province. The daily internet use time, internet addiction (IA) behaviors, and depressive symptoms were assessed with questionnaires. Logistic regression models were used to explore the associations of internet use time and IA behaviors with depressive symptoms among children and adolescents. Restricted cubic spline curves were used to determine the dose-response associations. A total of 6225 (29.2%) students had depressive symptoms. Compared to those reporting no internet use, boys using the internet for >2 hours/day (odds ratio [OR] 1.53, 95% CI 1.34-1.74) and girls using internet for 1.1-2 hours/day (OR 1.22, 95% CI 1.06-1.39) and >2 hours/day (OR 1.70, 95% CI 1.50-1.93) were at higher risks of depressive symptoms. A significant J-shaped association was identified between internet use time and depressive symptoms among children and adolescents, especially in boys and primary school students (nonlinear P values were .006, .003, and <.001, respectively). Increased IA behaviors were associated with a higher odd of depressive symptoms (1 IA behavior: OR 2.01, 95% CI 1.83-2.21; 2 IA behaviors: 2.91, 95% CI 2.57-3.29; and ≥3 IA behaviors: 4.72, 95% CI 4.26-5.22). A positive nonlinear association between the number of IA behaviors and depressive symptoms was found in total population, girls, and primary school students (nonlinear P values were .02, .002, .007, respectively). Findings suggested that excessive internet use time and IA behaviors were significantly associated with an increased risk of depressive symptoms, highlighting the importance of interventions to regulate and educate about adequate internet use during childhood and adolescence.

The affective temperaments as a prognostic factor in the course of alcohol addiction – a key to enhance diagnoses and therapy?

The paper outlines the role of affective temperaments, as defined by Akiskal, in the development and maintenance of alcohol use disorders with a particular focus on the clinical course of addiction. Among affective temperaments, a cyclothymic temperament seems to play a key role in the development and maintenance of alcohol use disorders, and have the greatest influence on the clinical course of addiction. A high cyclothymic score is associated with inter alia an earlier onset of drinking and alcohol dependence, a negative course of alcohol dependence, relapse and alcohol craving. The structure of affective temperaments is also a predictor of suicidal behavior and drug addiction in the alcohol addict population. Interest has been growing regarding the role of affective temperament in the development and course of alcohol dependence; however, further research in this area is needed. An understanding of the temperamental determinants of alcohol dependence in the affective dimension may significantly support diagnostic and therapeutic procedures. Affective temperament profile may be suggestive of alcohol use disorders and may be a primary prognostic factor of craving and relapse, potential suicide, treatment motivation and the co-occurrence of drug dependence among patients with alcohol use disorder.

Clinical and Cognitive Metacognition in Gaming and Gambling Disorder: A Narrative Review

Abstract Purpose of this review To review and reconcile the methodologies and understandings of metacognition from both cognitive science and psychopathology in Gaming Disorder and Gambling Disorder to enhance interdisciplinary communication and methodological exchange. Recent findings While clinical metacognition research in gaming and gambling disorders is established, exploration into specific metacognitive mechanisms within these domains is still nascent. Summary This review delineates various forms of metacognition and clinical measurements of metacognition in Gaming Disorder and Gambling Disorder. The discussion presents a new integrated model of metacognition in behavioural addictions that generates a research agenda to understand and target these addictions with more effective interventions.

Integrating EEG biomarkers in the neurocognitive screening of executive functions in substance and behavioral addiction.

Integrating EEG biomarkers in the neurocognitive screening of executive functions in substance and behavioral addiction.

Nature Connectedness Reduces Internet Gaming Disorder: The Chain Mediating Role of Intolerance of Uncertainty and Desire Thinking.

While online gaming has become a choice for relaxation and entertainment in today's digital age, Internet Gaming Disorder (IGD) has also become a widely concerning mental disorder. Nature connectedness has been found to effectively reduce addiction-related risks and alleviate symptoms of addictive behaviors. It is a relatively lacking but very important factor influencing psychological recovery and regulation in the digital society. This study aims to explore the relationship between nature connectedness and IGD, and the mediating roles of intolerance of uncertainty and desire thinking. A total of 571 young people voluntarily participated in the questionnaire survey. The results showed that: (1) nature connectedness was negatively correlated with IGD; (2) intolerance of uncertainty plays a mediating role between nature connectedness and IGD; and (3) intolerance of uncertainty and desire thinking plays a chain mediating role between nature connectedness and IGD. Analysis of the research results indicates that nature connectedness can effectively reduce IGD and reveal its mechanism of action. The findings provide new insights for the study and intervention of IGD in the digital age.

Prevention Approaches for Compulsive Buying-Shopping Disorder

Abstract: Aims: With the increase of online shopping and cashless payment, (online) compulsive buying-shopping disorder (CBSD) has become an increasingly important field of research. However, little attention has been paid to its prevention. Our aim is to identify prevention programs for CBSD respectively to propose prevention approaches for CBSD based on the literature on (behavioral) addictions. Methodology: A review of the literature was conducted. Two databases were used. Studies should refer to the prevention of CBSD and describe prevention concepts to be screened. Results and discussion: The search did not reveal any prevention programs focusing on CBSD beyond preliminary work from over 25 years ago. Potential content of prevention programs for CBSD based on prevention approaches for other behavioral addictions and risk factors of CBSD was outlined. For universal prevention, psychoeducation should reach (university) students and apprentices. Selective prevention should include social norms interventions, psychoeducation and low-threshold interventions. Indicated prevention should comprise group settings with several sessions. Self-observation, managing finances, procrastination, emotion regulation should be covered. Counselors at e. g., universities should be educated about CBSD. Referral to treatment should be considered for persons at-risk for CBSD. Conclusions: These suggested preventive offers should be further concretized and empirically evaluated.

Childhood risks and problematic smartphone use: Dual processes of life history strategy and psychological distress

Problematic smartphone use (PSU) and its negative consequences among adolescents are so commonly observed that they have become a matter of public concern. Utilizing life history (LH) theory, this study aims to examine how childhood risks (i.e., childhood harshness and unpredictability) would be associated with adolescent PSU via cognitive and emotional processes of LH strategy and psychological distress. A sample of 459 Chinese high school students aged from 14 to 18 (M = 16.90) participated in this study and voluntarily completed an anonymous survey. The results showed that childhood unpredictability and psychological distress were positively correlated with PSU, whereas childhood harshness and the two processes of LH strategy were negatively correlated with PSU. Path analysis further supported a partial mediation model, in which childhood unpredictability increased PSU, via serial mediators of the emotional process of LH strategy and psychological distress. The findings support the efficacy of LH theory in elucidating the development of behavioral addiction. However, the direct and negative association of childhood harshness with PSU was unexpected. It implicates the complexity of childhood environment on adolescent behavioral addictions and warrants further investigation.

Clinical characteristics associated with problematic pornography use among individuals seeking treatment for opioid use disorder

AbstractBackground and AimsMany jurisdictions are experiencing opioid epidemics. Opioid use disorder (OUD) often co-occurs with other psychiatric disorders including behavioral addictions like gambling disorder. However, little is known regarding the frequency and correlates of problematic pornography use (PPU) among people seeking treatment for OUD. Here we aimed to investigate PPU and its correlates in people seeking OUD treatment.MethodFrom October 2018 to March 2020, 1,272 individuals seeking OUD treatment were screened for PPU by completing the Brief Pornography Screen (BPS), a 5-item instrument validated for assessing PPU. Self-reported data were used.ResultsAmong the sample there were 707 (60%) males and 565 (40%) females. The mean age of participants was 37.9 ± 10.5 years (range 18–73), there were 707 (60%) males and 565 (40%) females, 14.4% (n = 183) exhibited low positive BPS scores (1 ≤ score ≤4), and 4.5% of the sample (n = 57) screened positive for PPU (BPS score ≥4). Individuals screening positive for PPU versus negative were mostly male (77%), scored higher on measures of impulsivity in the domains of positive urgency, negative urgency, and sensation-seeking and demonstrated more psychopathology on measures of substance use, psychotic symptoms, emotional lability, depression/functioning and self-harm.Discussion and ConclusionA minority of individuals seeking treatment for OUD screened positive for PPU. Among individuals with OUD, those screening positive (versus negative) for PPU were more impulsive and experienced more psychiatric symptoms, suggesting the need for additional investigation and screening for and addressing PPU in people with OUD.

Racism, not race: Quantitative analysis of the use of race and racism in the addiction literature

RationalePrior research has demonstrated that medical journals rarely mention racism, potentially contributing to an incorrect understanding of and inappropriate interventions for health inequities affecting Black and Brown communities in the US. While this infrequency of mentions of racism has been documented in the general medical literature, it is unknown if this pattern extends to the addiction literature, where some have argued that structural racism has played a specific role in shaping policy and treatment. ObjectiveTo assess how frequently the addiction literature for the last 30 years has mentioned race and racism and if these rates vary with social movements. MethodsWe created an algorithm to download and process over 30,000 published articles published from 1990 to 2022 in five major addiction journals: Addiction, Addictive Behaviors, Drug and Alcohol Dependence, Journal of Substance Abuse and Treatment, and International Journal of Drug Policy. Using this data, we reported temporal patterns of mentioning both race and racism across journals and article types. Further, we utilized interrupted time series analysis to identify if the social movements against police violence and the murder of George Floyd in 2020 were associated with significant changes in rates of mentioning racism. ResultsWhile over 30% of the articles in addiction medicine journals included the word race, only 1.5% of articles mentioned racism. Based on an interrupted time series model, after the racial reckoning following the murder of George Floyd in 2020, mentions of racism increased in the addiction literature (OR = 3.21, 95% CI: [2.39, 4.32], P<.001). ConclusionsA large chasm remains between how often authors mention race versus racism in addiction medicine, a field with a unique history intertwined with structural racism. Addressing inequities in addiction outcomes, including burgeoning inequities in overdose deaths, will require acknowledging racism in the scientific literature.

Relationship of Suicidal Tendencies and Drug Dependence: Analysis of Causes and Approaches to Prevention

The relevance of the article is due to the high mortality rate among drug addicts and the severe mental and social consequences of drugs. Understanding the causes and factors that contribute to suicidal behavior among drug addicts is key to developing effective prevention and rehabilitation programs. The author focuses on the alarming aspect of drug addiction — the high risk of suicidal tendencies among drug addicts. Drug addiction is often accompanied by severe mental disorders such as depression, anxiety disorders and post-traumatic stress disorder (PTSD). These disorders, in turn, increase suicidal thoughts and behavior. In the article, the author provides a scientific review of existing research on the relationship between drug addiction and suicidal thoughts and behavior. Based on a study of international experience, the importance of family and community support in preventing suicide attempts is noted. Based on the results obtained, conclusions are formulated based on reviews of psychological, social and biological factors contributing to suicide risk among drug addicts, aimed at evaluating existing suicide prevention programs among drug addicts. The main provisions and conclusions can be used when studying the issue of preserving the institution of family, noting the importance of family and public support in preventing suicide attempts. Drug addiction poses one of the most serious threats to the health and well-being of society.

Can’t Stop, Won’t Stop Online In-Game Purchase on Mobile Phone: The Role of Flow Experience and Gaming Addiction (2024)

This study investigates factors influencing compulsive in-game purchases among Indonesian internet users, particularly Generation Z, and their societal impacts. It explores competitive behavior and flow experience in online gaming addiction, compulsive in-game purchases, and the link between them. Using quota sampling, 206 participants completed tailored questionnaires assessing online game addiction, flow, compulsive buying, and competitiveness. Structural equation modeling (PLS-SEM) was employed to analyze relationships between these constructs, revealing significant links between gaming addiction, flow experiences, and compulsive online purchasing. Competitive gaming may moderate the relationship between flow experience and compulsive buying.

Internet addiction, sleeping habits and psychological distress in Brazilian adolescents and young adults.

The internet is widespread in modern society and has raised concerns about excessive usage and its consequences for different aging groups. This study explores the relationships between internet addiction, sleep patterns, and psychological distress in adolescents and young adults. In order to assess this phenomenon, an exploratory cross-sectional study was conducted in southern Brazil from October to December 2023. A questionnaire, administered via Google Forms, collected data from 618 participants aged 15-36. The participants consisted of a non-probabilistic community sample selected based on convenience criteria. Instruments included a sociodemographic questionnaire, the Internet Addiction Test, Depression, Anxiety, and Stress Scale, and Social Media Engagement Questionnaire. It was categorized 48.1% as having moderate internet addiction, and classified 0.8% as having severe internet addiction. Correlation analysis revealed positive associations between internet addiction and depression, anxiety, and stress. Logistic regression identified internet addiction and overall psychological distress as predictors of sleep difficulties, along with unemployment status. The findings highlight the detrimental impact of excessive internet use on sleep quality and mental health. The bidirectional relationship between internet addiction and psychological distress underscores the complex interplay between these variables. This study underscores the urgent need for interventions targeting internet addiction and its associated consequences in adolescents and young adults. Addressing internet addiction levels and promoting healthy internet usage habits are crucial steps in mitigating the adverse effects on mental health and sleep quality. There is a need for targeted interventions, protocols, and preventive measures to mitigate the adverse effects of excessive internet use on mental health and sleep quality. Public health strategies should include IA and its consequences in health programs with multidisciplinary approaches and protocols for treatments for behavioral addictions. The study emphasizes the multifaceted nature of internet addiction and its implications for mental health and sleep patterns.

Rationalising a spectrum of problematic exercise: A qualitative study.

Whilst a substantial body of evidence supports the benefits of exercise for physical and mental health, the overfocus on the benefits of exercise could result in harmful behaviours in some individuals. Conceptualised as a behavioural addiction, research often dichotomises the behaviour through a medical diagnostic model. The present qualitative study explored the meaning of problematic behaviour from the exerciser's perspective. Nineteen UK-based frequent exercisers were interviewed regarding their experiences. Thematic analysis described three themes: 'relentlessly pushing the limits' of their personal best and comparing to others; 'an enabling community' which could promote problematic behaviours; and 'the complexity of the ideal body' focussing on perceptions of weight maintenance. Transcending these themes was the notion of 'rationalising choices'. The results indicate that participants felt that the benefits outweighed the costs, encouraging them to continue, even when causing harm. These findings support the notion of problematic exercise as a continuum, rather than dichotomous.

A - 59 An Exploration of a Passive Decision Making Style within the Cognitive Disengagement Syndrome Population and its Contribution to Social Isolation

Abstract Objective Recent research has shown that Cognitive Disengagement Syndrome (CDS) may reduce decision-making independence. In this way, CDS may include a prognosis of social disengagement due to symptoms of the disorder such as apathy, low motivation, passivity, and low energy. This poster investigates the relationship between CDS symptoms and social disengagement and explores possible treatment focuses that could increase individuals’ connection to others and the world around them. Data Selection Information regarding this poster was obtained through a review of the literature including peer-reviewed articles from 2019–2024. Articles were gathered from the Journal of Clinical Child and Adolescent Psychology, Journal of Attention Disorders, Journal of Pediatric Psychology, Child Neuropsychology, and Research in Developmental Disabilities. Informal analyses were used to determine themes including keywords such as sluggish cognitive tempo, cognitive disengagement syndrome, decision-making, social isolation, and apathy. Data Synthesis CDS is associated with lower levels of assertiveness and higher levels of passivity than in the Attention Deficit Hyperactivity Disorder Inattentive Type (ADHD-IN) population. Current research suggests CDS is associated with social isolation influenced by difficulty initiating conversations and being more likely to engage in anxious rumination during conversations. Treatment interventions for CDS should target shyness, task-unrelated thought patterns, behavioral inhibition, hyperreactivity to social stressors, socially isolating behavioral addictions, verbal inhibition, and difficulty with divided attention. Conclusions Based on conclusions drawn in this poster, future studies should examine the impact of loneliness on social initiation frequency within the CDS population. The development of a questionnaire that aims to differentiate ADHD-IN from CDS may also be useful.

The predictive relationship between curiosity and internet addiction among tertiary students in Ghana

Internet addiction is an emerging mental health concern, particularly among young people who avidly use online technologies. This cross-sectional study examined the predictive relationship between curiosity and internet addictive behaviours among 480 tertiary students in Ghana. Data were collected using Kashdan’s Curiosity Scale and Samaha’s Internet Addiction Test. The results revealed a 13.1% prevalence rate of internet addiction, with 73.1% classified as over-users. Only 29.4% exhibited high curiosity levels, while 35.6% had low curiosity. Structural equation modelling showed that deprivation sensitivity, covert social curiosity, overt social curiosity, stress tolerance, and thrill-seeking positively predicted various dimensions of internet addiction. Conversely, joyous exploration negatively predicted these behaviours. The curiosity composite positively predicted the overall internet addiction composite. The findings highlight curiosity’s complex role, where adaptive curiosity mitigates internet addiction risks, but maladaptive curiosity exacerbates such risks. Nurturing healthy curiosity while equipping students with self-regulation skills is crucial for promoting responsible internet use and preventing addictive behaviours. This study contributes insights into curiosity’s influence on youth mental health, informing prevention and intervention strategies within the context of higher education in Ghana.

Non-invasive temporal interference brain stimulation reduces preference on morphine-induced conditioned place preference in rats

Long-term use of opioid drugs such as morphine can induce addiction in the central nervous system through dysregulation of the reward system of the brain. Deep brain stimulation (DBS) is a non-pharmacological technique capable of attenuating behavioral responses associated with opioid drug consumption and possesses the capability to selectively activate and target localized brain regions with a high spatial resolution. However, long-term implantation of electrodes in brain tissue may limit the effectiveness of DBS due to changes in impedance, position, and shape of the tip of the stimulation electrode and the risk of infection of nerve tissue around the implanted electrode. The main objective of the current study is to evaluate the effect of temporal interference (TI) brain stimulation on addictive behaviors of morphine-induced conditioned place preference (CPP) in rats. TI stimulation is a non-invasive technique used transcranially to modulate neural activity within targeted brain regions. It involves applying two high-frequency currents with slightly different frequencies, resulting in interference and targeted stimulation of different brain areas with the desired spatial resolution. The results indicated that TI stimulation with the amplitude of I1=I2=0.5\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{mathrsfs} \\usepackage{upgreek} \\setlength{\\oddsidemargin}{-69pt} \\begin{document}$${\ ext{I}}_{1}{ = }{\ ext{I}}_{2}{ = 0.5}$$\\end{document} mA, carrier frequency of 2 kHz, frequency difference of 25 Hz, ON–OFF stimulation frequency of 0.25 Hz, and total duration of 10 min in three consecutive days resulted in a significant reduction of morphine preference in the morphine-stimulation group in comparison with the morphine group (p < 0.001). These findings highlight the potential of TI stimulation as a modulatory intervention in mitigating the addictive properties of morphine and provide valuable insights into the therapeutic implications of this stimulation paradigm for treatment of opioid drugs in human subjects.

Physiological Regularity and Synchrony in Individuals with Gaming Disorder.

Individuals with gaming disorder (GD) show emotional dysregulation and autonomic dysfunction in daily life. Although studies have shown that the relaxation method of breathing exercise (BE) improves cardiopulmonary synchrony, the physiological regularity and synchrony of GD remain unclear. In this study, we investigated the regularities of pulse wave (PW), thoracic wall movement (TWM), and abdominal wall movement (AWM) using sample entropy (SE) and assessed the vascular-respiratory and TWM-AWM synchrony using cross-sample entropy (CSE). Twenty individuals with GD and 26 healthy control (HC) individuals participated in baseline, gaming, and recovery stages, both before and after BEs. The results showed that both groups had significantly higher SETWM, SEAWM, and CSETWM-AWM during gaming than baseline. Before BE, CSEPW-TWM and CSEPW-AWM during gaming were considerably higher in the GD group than in the HC group. Compared to before BE, both groups had decreased SETWM and CSETWM-AWM during gaming, particularly in the HC group. Online gaming may induce pulse wave and respiratory irregularities, as well as thoracic-abdominal wall movement asynchrony. Individuals with GD who engage in prolonged gaming periods may exhibit lower vascular-respiratory synchrony compared to the HC group. SETWM, SEAWM, CSETWM-AWM, CSEPW-TWM, and CSEPW-AWM may serve as biomarkers for assessing the risk of GD. BE may improve TWM regularity and vascular-respiratory synchrony during gaming, potentially alleviating addictive behavior.

Nomophobia and smartphone addiction as correlates of senior secondary school students’ mathematics anxiety

Technology has revolutionised everyday existence. Information and Communication Technology (ICT) is essential to society, employment, and education. Improved microelectronics has facilitated the proliferation of inexpensive portable devices such as smartphones. This study, therefore, investigated whether senior secondary school students' nomophobia and smartphone addiction are linked to math anxiety. Two research hypotheses were tested and the study was guided by social cognitive theory. This study employed a descriptive survey research methodology and primary data were collected from 397 students in Ikorodu, Lagos, Nigeria with the use of the Nomophobia Questionnaire (NMP-Q, α=0.89), the Smartphone Addiction Scale Short Version (SAS-SV, α=0.82), and the Mathematics Anxiety Scale (MAS, α=0.81) developed by Yildirim and Correia (2015), Kwon et al. (2013), and Ablian and Parangat (2022) respectively. The data gathered were subjected to analysis using frequency counts, Pearson correlation, and regression analysis at 0.05 significance level. This analysis was conducted using SPSS software, specifically version 23.0. The research revealed a significant association between nomophobia and smartphone addiction among the students. Additionally, the severity of nomophobia and smartphone addiction emerged as significant predictors of mathematics anxiety among high schools in Lagos. Consequently, this investigation proposes that educational authorities in Lagos State should consider implementing a ban on mobile phone usage within secondary schools as a means to mitigate these behavioural addictions among adolescents. Additionally, stakeholders within the education sector, including parents, can contribute to the prevention of these addictions by advising students about the perils of smartphone addiction, fostering ethical social interactions that cultivate trust in the family unit, and imposing restrictions on their children's smartphone usage and associated expenses.

Social-emotional competence, social adequacy, and self-regulation among Iranian female high school students

The research aimed to investigate the association between social-emotional competence and social adequacy with the self-regulation of female high school students in Tehran. The sample of the current study consisted of 250 female participants from the student community in different educational areas of Tehran, who were selected using the multi-stage cluster sampling method. The measurement tools were: The social-emotional competence scale, the social adequacy scale and the self-regulation questionnaire. The findings revealed a positive association between social-emotional competence, social adequacy, and self-regulation among Iranian female students. Resulted of regression analysis showed that self-regulation was positively predicted by social-emotional competence and social adequacy. Enhancing social competence, particularly in emotional and psychological aspects, can improve students’ adaptation and well-being. This can help prevent issues such as social rejection, substance abuse, and depression in both their school environment and future personal and professional lives. Additionally, it is important to implement various intervention programs targeting parents and teachers to raise awareness about social-emotional competence and social adequacy in adolescent girls, as well as strategies for fostering these skills. This will improve their mental health and help prevent the development of various addictive behaviors

Primary Prevention of Addictive Behavior of Patients Encountered in the Practice of General Practitioners and Family Doctors

The article presents the results of a theoretical study of the problem of increasing the effectiveness of preventive activities of general practitioners and family doctors by developing a technology for the primary prevention of addictive behavior in patients using the method of developing personal self-regulation and a method for developing the competencies of doctors in preventing addictive behavior in patients using medical simulation.