International Journal of Mental Health and Addiction最新文献_第10页

Anxiety and Quality of Life in College Students with a Chronic Illness Compared to Those Without: The Mediational Roles of Experiential Avoidance and Committed Action 与无慢性疾病的大学生相比，患有慢性疾病的大学生的焦虑和生活质量：体验性回避和承诺行动的中介作用

IF 8 3区医学

International Journal of Mental Health and Addiction Pub Date : 2024-03-15 DOI: 10.1007/s11469-024-01274-4

Zahir Vally, Rufaida AlKhanji, Mai Helmy

{"title":"Anxiety and Quality of Life in College Students with a Chronic Illness Compared to Those Without: The Mediational Roles of Experiential Avoidance and Committed Action","authors":"Zahir Vally, Rufaida AlKhanji, Mai Helmy","doi":"10.1007/s11469-024-01274-4","DOIUrl":"https://doi.org/10.1007/s11469-024-01274-4","url":null,"abstract":"The presence of a chronic illness and the experience of anxiety are both factors that have been shown, separately, to negatively impact individuals’ self-reported quality of life (QoL). In an attempt to further understand the impact that a chronic illness places on experienced QoL, scholars have begun to propose that the constructs of experiential avoidance and committed action may potentially be implicated in this demonstrated association; however, this contention remains undetermined. This cross-sectional study examined the roles of experiential avoidance and committed action as potential mediators in the relationship between anxiety and QoL. It further compared the occurrence of these potential relationships in a sample of college-aged students with and without a self-reported chronic illness. A total of 547 participants recruited from university campuses resident in five Arab nations completed self-report assessments of anxious affect, QoL, experiential avoidance, and committed action. Analyses revealed a partial mediational relationship between anxiety and QoL that was almost entirely explained by experiential avoidance rather than committed action. This mediational effect, however, was only observed in the healthy cohort of students, not amongst those with a chronic illness. These results draw attention to the proposition that anxiety, a commonly occurring difficulty experienced by young adults, is associated with diminished QoL, but, moreover, that this relationship may be mediated by diminishing experiential avoidance and, potentially, greater engagement in committed actions. It further highlights that whilst anxious affect amongst students with a chronic illness appears more prevalent, compared to those without a chronic illness, there may be a number of other alternate factors that relate to their experienced QoL.","PeriodicalId":14083,"journal":{"name":"International Journal of Mental Health and Addiction","volume":"133 1","pages":""},"PeriodicalIF":8.0,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140156578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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 Role of Sex and Coping Styles on the Relationship Between Depression and Cannabis Use 性别和应对方式对抑郁与吸食大麻之间关系的影响

IF 8 3区医学

International Journal of Mental Health and Addiction Pub Date : 2024-03-15 DOI: 10.1007/s11469-024-01275-3

Víctor José Villanueva-Blasco, Joaquín Mateu-Mollá, Andrea Vázquez-Martínez, Antonio Rial-Boubeta, Fernando Rodríguez de Fonseca, Manuel Isorna Folgar

{"title":"The Role of Sex and Coping Styles on the Relationship Between Depression and Cannabis Use","authors":"Víctor José Villanueva-Blasco, Joaquín Mateu-Mollá, Andrea Vázquez-Martínez, Antonio Rial-Boubeta, Fernando Rodríguez de Fonseca, Manuel Isorna Folgar","doi":"10.1007/s11469-024-01275-3","DOIUrl":"https://doi.org/10.1007/s11469-024-01275-3","url":null,"abstract":"There is evidence for a relationship between problematic cannabis use and depression although the directionality is unclear. The role of coping strategies mediating this relationship is of interest to better understand the mechanisms involved. The aim was to analyze the relationship between cannabis use and depression and its directionality, considering the mediating role of coping styles and their dependence on sex. Correlational and cross-sectional design. There were 261 cannabis users aged 18–57 years (M = 31.04), 36.66% women. Sex, cannabis dependence, coping styles, and depressive symptomatology were analyzed. Women scored higher in depression and men reported higher cannabis use, with a higher prevalence for moderate addiction. Higher severity of depressive symptomatology was found in cannabis users with dependence compared to those with moderate addiction. Active coping strategies were more common in the non-addicted group, while avoidant coping strategies were more common in the dependent group. The role of coping styles was observed to differ according to sex. In men, the relationship between depression and cannabis use was bidirectional, but the predictive capacity of each variable with respect to the others disappeared when considering avoidant coping as a mediator. Passive coping style is key in the relationship between depression and cannabis use. These findings have important implications for prevention and treatment of both problems.","PeriodicalId":14083,"journal":{"name":"International Journal of Mental Health and Addiction","volume":"56 1","pages":""},"PeriodicalIF":8.0,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140152264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Associations Between Academic Motivation, Academic Stress, and Mobile Phone Addiction: Mediating Roles of Wisdom 学习动机、学习压力和手机成瘾之间的关联：智慧的中介作用

IF 8 3区医学

International Journal of Mental Health and Addiction Pub Date : 2024-03-13 DOI: 10.1007/s11469-024-01269-1

Abolghasem Yaghoobi, Kambiz Karimi, Maryam Asoudeh, Sahar Mohammadi

{"title":"Associations Between Academic Motivation, Academic Stress, and Mobile Phone Addiction: Mediating Roles of Wisdom","authors":"Abolghasem Yaghoobi, Kambiz Karimi, Maryam Asoudeh, Sahar Mohammadi","doi":"10.1007/s11469-024-01269-1","DOIUrl":"https://doi.org/10.1007/s11469-024-01269-1","url":null,"abstract":"This research aimed to examine the impact of academic motivation and academic stress on mobile phone addiction, with a focus on the mediating role of wisdom. Employing a descriptive-correlational approach within an applied research framework, the study surveyed 375 female high school students from two institutions in Hamedan district using convenience sampling. Utilizing instruments including Ardelt’s wisdom questionnaire (2003), Gadzella’s academic stress questionnaire (1991), Koo Hy’s phone addiction scale (2009), and Harter’s academic motivation questionnaire (1981), data were analyzed through structural equation modeling. The results revealed that wisdom significantly mediated the relationships between academic stress, motivation, and mobile phone addiction. Notably, the direct effects of stress on wisdom and mobile phone addiction were statistically significant, as were the indirect effects of stress and motivation on mobile phone addiction. While the direct effect of motivation on mobile phone addiction was not significant, wisdom demonstrated a substantial direct influence on mobile phone addiction. This investigation sheds light on the intricate dynamics of these variables and underscores the vital role of wisdom in understanding and addressing mobile phone addiction.","PeriodicalId":14083,"journal":{"name":"International Journal of Mental Health and Addiction","volume":"83 1","pages":""},"PeriodicalIF":8.0,"publicationDate":"2024-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140116284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Validation of Alcohol Use Disorders Identification Test (AUDIT) in Brazilian Colleges: Network Analysis, Measurement Invariance and Screening Efficiency 巴西高校酒精使用障碍识别测试（AUDIT）的验证：网络分析、测量不变性和筛查效率

IF 8 3区医学

International Journal of Mental Health and Addiction Pub Date : 2024-03-13 DOI: 10.1007/s11469-024-01268-2

Felipe Anselmo Pereira, Lucio Garcia de Oliveira, Gabriel Teixeira da Silva, Adriana Scatena, Hyoun S Kim, André Luiz Monezi Andrade

{"title":"Validation of Alcohol Use Disorders Identification Test (AUDIT) in Brazilian Colleges: Network Analysis, Measurement Invariance and Screening Efficiency","authors":"Felipe Anselmo Pereira, Lucio Garcia de Oliveira, Gabriel Teixeira da Silva, Adriana Scatena, Hyoun S Kim, André Luiz Monezi Andrade","doi":"10.1007/s11469-024-01268-2","DOIUrl":"https://doi.org/10.1007/s11469-024-01268-2","url":null,"abstract":"This study examined the psychometric properties of the Alcohol Use Disorders Identification Test (AUDIT) among a diverse sample of Brazilian college students. Specifically, the objectives of the present study were; (i) to examine the factor structure of AUDIT through confirmatory factor analysis and network analysis, (ii) to assess invariance of gender, sexual orientation and university (private vs. public, field of study), and relationship status; using multigroup confirmatory factor analysis, and (iii) to evaluate convergent, criterion, discriminant, and predictive validity. A total of 2,252 college students completed a sociodemographic questionnaire, the AUDIT, and additional measures of harmful alcohol consumption. The findings revealed that the three-factor AUDIT structure demonstrated the most robust fit and internal consistency across various student subgroups. Invariance was observed in all analyzed subgroups, with network analysis revealing consistent patterns of item clustering. The AUDIT also exhibited strong reliability (α = 0.817; ω = 0.827). The receiver operating characteristic curve analysis indicated that the optimal cutoff for harmful use was > 6, while it was > 7 for alcohol dependence, with the scores remaining consistent across diverse student subgroups. The AUDIT demonstrated robust correlations with the CAGE Questionnaire and total DSM-5 symptom scores (criterion validity), as well as with other measures of frequency of alcohol use (weekday and weekend) using timeline follow-back (convergent validity). A moderate correlation was observed for discriminant validity with attitudes towards alcohol use. The findings suggest that the AUDIT serves as a suitable instrument for screening potentially harmful alcohol use among diverse student subgroups.","PeriodicalId":14083,"journal":{"name":"International Journal of Mental Health and Addiction","volume":"23 1","pages":""},"PeriodicalIF":8.0,"publicationDate":"2024-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140152288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Examining the Influence of Narcissism and Some Demographic Variables on Online Shopping Addiction via the Exhaustive CHAID Method 通过详尽的 CHAID 方法研究自恋和一些人口统计学变量对网上购物成瘾的影响

IF 8 3区医学

International Journal of Mental Health and Addiction Pub Date : 2024-03-11 DOI: 10.1007/s11469-024-01273-5

Cansu Emin, Murat Kayri, Ezgi Doğan

{"title":"Examining the Influence of Narcissism and Some Demographic Variables on Online Shopping Addiction via the Exhaustive CHAID Method","authors":"Cansu Emin, Murat Kayri, Ezgi Doğan","doi":"10.1007/s11469-024-01273-5","DOIUrl":"https://doi.org/10.1007/s11469-024-01273-5","url":null,"abstract":"The literature posits that narcissism may theoretically influence online shopping addiction, with materialism being regarded as a consequence of narcissistic tendencies that subsequently exacerbate shopping addiction. Additionally, it is stated in the literature that age and gender are also associated with online shopping addiction. So, the present study aims to examine the effect of narcissism, age, and gender on online shopping addiction using the exhaustive CHAID analysis. In the research, which was designed as a survey and correlational study, data were collected from 1010 adults using the online shopping addiction scale and narcissism scale. The data obtained were analyzed with descriptive statistics and the exhaustive CHAID method. According to the analysis results, the participant group’s level of online shopping addiction was low, and their level of narcissism was moderate. In line with the results of the exhaustive CHAID analysis, the variables that most related to online shopping addiction were age, gender, and narcissism level. According to the analysis results, online shopping addiction decreases with advancing age. Women in younger age groups are more addicted to online shopping than men. Moreover, the increase in the level of narcissism is a condition that elevates the online shopping addiction of women in younger groups. It is reported in the literature that narcissism is more common in men and younger individuals. However, one of the most important study results is that, in this study, individuals with online shopping addiction are mostly relatively young female participants with high levels of narcissism.","PeriodicalId":14083,"journal":{"name":"International Journal of Mental Health and Addiction","volume":"28 1","pages":""},"PeriodicalIF":8.0,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140097551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Not Everyone Benefits Equally from Sunday Alcohol Sales Bans: Socioeconomic Differences in Alcohol Consumption and Alcohol-Attributable Mortality 并非每个人都能从周日禁酒令中平等受益：酒精消费和酒精致死率的社会经济差异

IF 8 3区医学

International Journal of Mental Health and Addiction Pub Date : 2024-03-07 DOI: 10.1007/s11469-024-01267-3

Carolin Kilian, Julia M. Lemp, William C. Kerr, Nina Mulia, Jürgen Rehm, Yu Ye, Charlotte Probst

{"title":"Not Everyone Benefits Equally from Sunday Alcohol Sales Bans: Socioeconomic Differences in Alcohol Consumption and Alcohol-Attributable Mortality","authors":"Carolin Kilian, Julia M. Lemp, William C. Kerr, Nina Mulia, Jürgen Rehm, Yu Ye, Charlotte Probst","doi":"10.1007/s11469-024-01267-3","DOIUrl":"https://doi.org/10.1007/s11469-024-01267-3","url":null,"abstract":"We examined socioeconomic variations in the association of off-premises Sunday alcohol sales bans and alcohol consumption and alcohol-attributable mortality in the United States. We analyzed associations between Sunday sales ban presence and alcohol consumption patterns, allowing for a differential effect by education in fixed-effects regression models using data from the 2000–2019 Behavioral Risk Factor Surveillance System. Mortality data from the National Vital Statistics System (2000–2019) were analyzed in interrupted time-series analysis to test the effect of lifting the Sunday sales ban in Minnesota (07/01/2017) on alcohol-attributable mortality. Regression analysis indicated lower alcohol consumption when Sunday sales bans were in place, with an overall stronger effect on those with high education. The repeal of the Minnesota ban resulted in a significant mortality increase, especially among individuals with high education. While overall effective, off-premises Sunday alcohol sales bans appear inadequate to address socioeconomic inequalities in the alcohol-attributable health burden.","PeriodicalId":14083,"journal":{"name":"International Journal of Mental Health and Addiction","volume":"47 1","pages":""},"PeriodicalIF":8.0,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140053987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Unique Psychological Mechanisms Underlying Psilocybin Therapy Versus Escitalopram Treatment in the Treatment of Major Depressive Disorder 治疗重度抑郁障碍的迷幻药疗法与艾司西酞普兰疗法的独特心理机制

IF 8 3区医学

International Journal of Mental Health and Addiction Pub Date : 2024-03-07 DOI: 10.1007/s11469-024-01253-9

Brandon Weiss, Leor Roseman, Bruna Giribaldi, David J. Nutt, Robin L. Carhart-Harris, David Erritzoe

{"title":"Unique Psychological Mechanisms Underlying Psilocybin Therapy Versus Escitalopram Treatment in the Treatment of Major Depressive Disorder","authors":"Brandon Weiss, Leor Roseman, Bruna Giribaldi, David J. Nutt, Robin L. Carhart-Harris, David Erritzoe","doi":"10.1007/s11469-024-01253-9","DOIUrl":"https://doi.org/10.1007/s11469-024-01253-9","url":null,"abstract":"The mechanisms by which Psilocybin Therapy (PT) improves depression remain an important object of study, with scientists actively exploring acute psychological experiences and neurobiological processes as candidates. In a phase 2, double-blind, randomized, active comparator controlled trial involving patients with moderate-to-severe major depressive disorder, we investigated whether acute psychological experiences could meaningfully account for the unique efficacy of PT versus Escitalopram Treatment over a core 6-week trial period. An exploratory-factor-analysis-derived single-factor of depression was used as the outcome. Among a comprehensive set of acute experiences related to psilocybin, so-called “mystical experience” and “ego dissolution” were unique in mediating the effect of treatment condition on depressive response with high specificity. Higher reported levels of mystical experience, emotional breakthrough, and intense responses to music-listening were furthermore associated with greater antidepressant response. These results provide qualified support for the causal mechanistic role of acute psychological experiences in the treatment of depression via PT.","PeriodicalId":14083,"journal":{"name":"International Journal of Mental Health and Addiction","volume":"42 1","pages":""},"PeriodicalIF":8.0,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140053979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Development and Factor Structure of Problematic Multidimensional Smartphone Use Scale 问题性多维智能手机使用量表的开发与因子结构

IF 8 3区医学

International Journal of Mental Health and Addiction Pub Date : 2024-03-05 DOI: 10.1007/s11469-024-01265-5

Ekmel Geçer, Murat Yıldırım, Hakkı Bağci, Cihat Atar

{"title":"Development and Factor Structure of Problematic Multidimensional Smartphone Use Scale","authors":"Ekmel Geçer, Murat Yıldırım, Hakkı Bağci, Cihat Atar","doi":"10.1007/s11469-024-01265-5","DOIUrl":"https://doi.org/10.1007/s11469-024-01265-5","url":null,"abstract":"Living in an intensifying technological and digital environment makes people more engaged with smartphones and related internet platforms. Alongside its highly debated advantages and disadvantages, modern smartphone use is a global phenomenon which has been mainly debated within the context of cultural and technology relationships which also influence cross-cultural activities. Focusing on one of the modern factors (i.e., smartphone use) that impact human behavior, this article presents the development of a measure of the Multidimensional Smartphone Use Scale (MSUS) and tests its factor structure to offer a scale that covers smartphone-related problems from a broader perspective. Using an online survey, a total of 514 participants took part in the current study. The scale was developed to measure a multidimensional conception of smartphone use-related problems and behavioral disorders including nomophobia, ringxiety, textiety, and phubbing which were supported with exploratory and confirmatory factors analyses. The MSUS indicated good internal consistency reliability ranging from α = .75 to α = .89. This article presents the preliminary evidence regarding the reliability and validity of the MSUS which can be used in a wide range of settings to measure maladaptive modes of smartphone use and related behaviors.","PeriodicalId":14083,"journal":{"name":"International Journal of Mental Health and Addiction","volume":"32 1","pages":""},"PeriodicalIF":8.0,"publicationDate":"2024-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140035337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Binge Drinking and its Relationship with Suicidal Thoughts and Suicidal Attempts in University Students 大学生暴饮及其与自杀想法和自杀未遂的关系

IF 8 3区医学

International Journal of Mental Health and Addiction Pub Date : 2024-03-01 DOI: 10.1007/s11469-024-01264-6

Pablo Juan-Salvadores, Luis Mariano de la Torre Fonseca, Antía Lafuente Pérez, Cesar Veiga, José A. González-Nóvoa, Andrés Iñiguez Romo, Francisco Caamaño Isorna, Víctor Alfonso Jiménez Díaz

{"title":"Binge Drinking and its Relationship with Suicidal Thoughts and Suicidal Attempts in University Students","authors":"Pablo Juan-Salvadores, Luis Mariano de la Torre Fonseca, Antía Lafuente Pérez, Cesar Veiga, José A. González-Nóvoa, Andrés Iñiguez Romo, Francisco Caamaño Isorna, Víctor Alfonso Jiménez Díaz","doi":"10.1007/s11469-024-01264-6","DOIUrl":"https://doi.org/10.1007/s11469-024-01264-6","url":null,"abstract":"Binge drinking, notably common among university students, poses health risks. Despite a significant global concern about suicide, especially among young people, research on the connection between binge drinking and suicide in university students is limited. This cross-sectional study investigated the relationship between binge drinking, suicidal attempts, and suicidal thoughts among university students from two institutions. Among the 2178 participants from public universities, 4.0% reported suicidal attempts, and 26.5% reported suicidal thoughts. Binge drinking did not show a significant association with suicidal attempts or suicidal thoughts. The results revealed that female gender (OR 1.62, 95% CI: 1.32–2.01; p < 0.001) and alcohol use disorder (OR 2.23, 95% CI: 1.49–3.55; p < 0.001] were independent predictive variables for suicidal behavior. These findings underscore the need for targeted interventions addressing alcohol-related behaviors and mental health, particularly among females and those with alcohol use disorder, to enhance the overall psychological well-being of university students.","PeriodicalId":14083,"journal":{"name":"International Journal of Mental Health and Addiction","volume":"26 1","pages":""},"PeriodicalIF":8.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140017031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

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

IF 8 3区医学

International Journal of Mental Health and Addiction Pub Date : 2024-02-28 DOI: 10.1007/s11469-024-01263-7

Tommaso B. Jannini, Martino Belvederi Murri, Paolo Ossola, Mauro Pettorruso, Giovanni Martinotti, Giorgio Di Lorenzo, Rodolfo Rossi

{"title":"Unraveling the Link Between Complex Post-traumatic Stress Symptoms and Addictive Behaviors in Adolescents: A Network Analysis","authors":"Tommaso B. Jannini, Martino Belvederi Murri, Paolo Ossola, Mauro Pettorruso, Giovanni Martinotti, Giorgio Di Lorenzo, Rodolfo Rossi","doi":"10.1007/s11469-024-01263-7","DOIUrl":"https://doi.org/10.1007/s11469-024-01263-7","url":null,"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.","PeriodicalId":14083,"journal":{"name":"International Journal of Mental Health and Addiction","volume":"51 1","pages":""},"PeriodicalIF":8.0,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140001759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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