Effects of acute psychosocial stress on cue-reactivity, attentional bias and implicit associations in women with problematic social network use: An experimental study.

IF 5.2 1区医学 Q1 PSYCHIATRY

Addiction Pub Date : 2025-06-13 DOI:10.1111/add.70099

Annica Kessling, Astrid Müller, Oliver T Wolf, Christian J Merz, Matthias Brand, Elisa Wegmann

{"title":"Effects of acute psychosocial stress on cue-reactivity, attentional bias and implicit associations in women with problematic social network use: An experimental study.","authors":"Annica Kessling, Astrid Müller, Oliver T Wolf, Christian J Merz, Matthias Brand, Elisa Wegmann","doi":"10.1111/add.70099","DOIUrl":null,"url":null,"abstract":"Background and aims: Situational triggers such as acute stress may exert significant effects on behavioral execution in addictive behaviors potentially leading to increased cue-reactivity and the expression of implicit cognitions. We measured the effects of acute stress on cue-reactivity, attentional bias and implicit associations to stimuli related to online social networks (SN) in problematic social network use (p-SNU) among women.Design, setting and participants: This was a mixed-method, cross-sectional, between-subjects design with 135 female participants recruited in Germany who were assigned to the group with p-SNU (n = 71) or the control group (n = 64) based on a diagnostic interview using DSM-5 criteria for gaming disorder (applied to p-SNU). Participants were randomly exposed to acute stress using the Trier Social Stress Test (TSST) or a placebo-TSST.Measurements: Participants performed a Cue-Reactivity Paradigm, Implicit Association Test and the Dot Probe Paradigm with SN-related stimuli.Findings: Acute stress led to increased subjective urge to use social networks in both groups [TSST: mean (M) = 2.26, standard deviation (SD) = 0.92, placebo-TSST: M = 2.08, SD = 0.96, F(1,131) = 6.820, P = 0.01, ηp2 = 0.029]. In the placebo-TSST condition, the p-SNU group showed increased subjective arousal (p-SNU: M = 2.39, SD = 0.74; control group: M = 1.79, SD = 0.90, t70 = 2.55, P = 0.013, │d│ = 0.30) and urge (p-SNU: M = 2.49, SD = 0.84; control group: M = 1.60, SD = 0.88, t70 = 5.40, P < 0.001, │d│ = 0.58) and the control group showed increased attentional bias (p-SNU: M = -1.75, SD = 16.11; control group: M = 6.43, SD = 15.3, t67 = 2.136, P = 0.036, │d│ = 0.52). No group difference was found regarding the effects of acute stress on implicit associations to SN-related stimuli or an interaction effect of subjective urge and stress on implicit cognitions.Conclusions: Among women in Germany, acute stress appears to lead to an increased subjective urge for the use of social networks. Women with problematic social network use report higher subjective urge independent of stress, whereas women with non-problematic use report an attentional bias.","PeriodicalId":109,"journal":{"name":"Addiction","volume":" ","pages":""},"PeriodicalIF":5.2000,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Addiction","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/add.70099","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHIATRY","Score":null,"Total":0}

引用次数: 0

Abstract

Background and aims: Situational triggers such as acute stress may exert significant effects on behavioral execution in addictive behaviors potentially leading to increased cue-reactivity and the expression of implicit cognitions. We measured the effects of acute stress on cue-reactivity, attentional bias and implicit associations to stimuli related to online social networks (SN) in problematic social network use (p-SNU) among women.

Design, setting and participants: This was a mixed-method, cross-sectional, between-subjects design with 135 female participants recruited in Germany who were assigned to the group with p-SNU (n = 71) or the control group (n = 64) based on a diagnostic interview using DSM-5 criteria for gaming disorder (applied to p-SNU). Participants were randomly exposed to acute stress using the Trier Social Stress Test (TSST) or a placebo-TSST.

Measurements: Participants performed a Cue-Reactivity Paradigm, Implicit Association Test and the Dot Probe Paradigm with SN-related stimuli.

Findings: Acute stress led to increased subjective urge to use social networks in both groups [TSST: mean (M) = 2.26, standard deviation (SD) = 0.92, placebo-TSST: M = 2.08, SD = 0.96, F(1,131) = 6.820, P = 0.01, ηp² = 0.029]. In the placebo-TSST condition, the p-SNU group showed increased subjective arousal (p-SNU: M = 2.39, SD = 0.74; control group: M = 1.79, SD = 0.90, t₇₀ = 2.55, P = 0.013, │d│ = 0.30) and urge (p-SNU: M = 2.49, SD = 0.84; control group: M = 1.60, SD = 0.88, t₇₀ = 5.40, P < 0.001, │d│ = 0.58) and the control group showed increased attentional bias (p-SNU: M = -1.75, SD = 16.11; control group: M = 6.43, SD = 15.3, t₆₇ = 2.136, P = 0.036, │d│ = 0.52). No group difference was found regarding the effects of acute stress on implicit associations to SN-related stimuli or an interaction effect of subjective urge and stress on implicit cognitions.

Conclusions: Among women in Germany, acute stress appears to lead to an increased subjective urge for the use of social networks. Women with problematic social network use report higher subjective urge independent of stress, whereas women with non-problematic use report an attentional bias.

查看原文本刊更多论文

急性社会心理应激对有问题社交网络使用女性的线索反应、注意偏差和内隐联想的影响：一项实验研究。

背景与目的：急性应激等情境触发因素可能对成瘾行为的行为执行产生显著影响，可能导致线索反应性和内隐认知的表达增加。本研究测量了急性应激对有问题社交网络使用（p-SNU）女性在线社交网络（SN）相关刺激的线索反应性、注意偏差和内隐联想的影响。设计、设置和参与者：这是一种混合方法、横断面、受试者之间的设计，在德国招募了135名女性参与者，根据使用DSM-5游戏障碍标准（适用于p-SNU）的诊断访谈，将她们分配到p-SNU组（n = 71）和对照组（n = 64）。参与者随机暴露于急性压力使用特里尔社会压力测试（TSST）或安慰剂-TSST。测量方法：被试在神经网络相关刺激下进行线索-反应性测试、内隐联想测试和点探针测试。结果：急性应激导致两组患者使用社交网络的主观冲动增加[TSST：均值(M) = 2.26，标准差(SD) = 0.92，安慰剂-TSST: M = 2.08, SD = 0.96， F(1131) = 6.820, P = 0.01, ηp2 = 0.029]。在安慰剂- tsst条件下，p-SNU组表现出主观唤醒增加(p-SNU: M = 2.39, SD = 0.74；对照组:M = 1.79, SD = 0.90, t70 = 2.55, P = 0.013,││d = 0.30)和冲动(p-SNU: M = 2.49, SD = 0.84;对照组：M = 1.60, SD = 0.88, t70 = 5.40, P < 0.001，│d│= 0.58)，对照组注意偏倚增加(P - snu: M = -1.75, SD = 16.11；对照组:M = 6.43, SD = 15.3, t67 = 2.136, P = 0.036,││d = 0.52)。急性应激对神经网络相关刺激的内隐关联的影响，以及主观冲动和应激对内隐认知的交互作用均无组间差异。结论：在德国女性中，急性压力似乎导致使用社交网络的主观冲动增加。使用社交网络有问题的女性表现出较高的独立于压力的主观冲动，而使用社交网络没有问题的女性表现出注意偏见。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Addiction 医学-精神病学

CiteScore

10.80

自引率

6.70%

发文量

319

审稿时长

3 months

期刊介绍： Addiction publishes peer-reviewed research reports on pharmacological and behavioural addictions, bringing together research conducted within many different disciplines. Its goal is to serve international and interdisciplinary scientific and clinical communication, to strengthen links between science and policy, and to stimulate and enhance the quality of debate. We seek submissions that are not only technically competent but are also original and contain information or ideas of fresh interest to our international readership. We seek to serve low- and middle-income (LAMI) countries as well as more economically developed countries. Addiction’s scope spans human experimental, epidemiological, social science, historical, clinical and policy research relating to addiction, primarily but not exclusively in the areas of psychoactive substance use and/or gambling. In addition to original research, the journal features editorials, commentaries, reviews, letters, and book reviews.