Unraveling the Link Between Complex Post-traumatic Stress Symptoms and Addictive Behaviors in Adolescents: A Network Analysis

IF 3.2 3区 医学 Q2 PSYCHIATRY
Tommaso B. Jannini, Martino Belvederi Murri, Paolo Ossola, Mauro Pettorruso, Giovanni Martinotti, Giorgio Di Lorenzo, Rodolfo Rossi
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Abstract

Adolescence is marked by increased susceptibility to trauma-related disorders and substance and behavioral addictions (SBAs). Complex post-traumatic stress disorder (cPTSD) is a newly recognized condition characterized by specific features in addition to those of classic PTSD and is often associated with SBAs. This study adopted a psychopathology network approach to explore which post-traumatic symptoms were explicitly associated with SBAs in a sample of late adolescents. We hypothesized that cPTSD symptoms would be particularly relevant to explain the comorbidity between PTSD and SBAs. A sample of 1010 late adolescents provided measures of post-traumatic symptomatology, cannabis and alcohol abuse, problematic internet use, and gambling. We estimated the network structure of PTSD/cPTSD symptoms and SBAs and assessed their bridge centrality indices. The results suggest that the SBAs had the highest bridge connections with the cPTSD dimension of affective dysregulation, which reported the highest centrality indices. Problematic internet use was the most central cluster of addictive behaviors among SBAs. Therefore, adolescents struggling with affective dysregulation may look for alternative ways to suppress their intense emotions, and SBAs may be sought as a maladaptive coping mechanism. These findings should prompt further research on affective dysregulation as a therapeutic target among adolescents.

Abstract Image

揭示青少年复杂创伤后应激症状与成瘾行为之间的联系:网络分析
青春期的特点是更容易患上与创伤有关的疾病以及药物和行为成瘾(SBAs)。复杂创伤后应激障碍(cPTSD)是一种新近被发现的疾病,其特点是除了具有典型创伤后应激障碍的特征外,还具有一些特殊的特征,并且经常与 SBAs 相关联。本研究采用精神病理学网络方法,在已婚青少年样本中探索哪些创伤后症状与 SBAs 明确相关。我们假设,创伤后应激障碍症状与创伤后应激障碍和SBAs之间的共病关系尤为相关。1010 名晚期青少年样本提供了创伤后症状、大麻和酒精滥用、问题互联网使用和赌博的测量数据。我们估算了创伤后应激障碍/严重创伤后应激障碍症状和 SBAs 的网络结构,并评估了它们的桥中心指数。结果表明,SBAs 与 cPTSD 维度 "情感失调 "的桥接联系最高,其中心性指数也最高。有问题的网络使用是 SBAs 中最核心的成瘾行为集群。因此,在情感调节障碍中挣扎的青少年可能会寻找其他方式来压抑自己的强烈情感,而SBA可能会被当作一种不适应的应对机制。这些发现应促使我们进一步研究将情感失调作为青少年治疗目标的问题。
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来源期刊
CiteScore
15.90
自引率
2.50%
发文量
245
审稿时长
6-12 weeks
期刊介绍: The International Journal of Mental Health and Addictions (IJMH) is a publication that specializes in presenting the latest research, policies, causes, literature reviews, prevention, and treatment of mental health and addiction-related topics. It focuses on mental health, substance addictions, behavioral addictions, as well as concurrent mental health and addictive disorders. By publishing peer-reviewed articles of high quality, the journal aims to spark an international discussion on issues related to mental health and addiction and to offer valuable insights into how these conditions impact individuals, families, and societies. The journal covers a wide range of fields, including psychology, sociology, anthropology, criminology, public health, psychiatry, history, and law. It publishes various types of articles, including feature articles, review articles, clinical notes, research notes, letters to the editor, and commentaries. The journal is published six times a year.
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