International Journal of Mental Health and Addiction最新文献

{"title":"Problematic Online Behaviours among University Students and Associations with Psychological Distress Symptoms and Emotional Role Limitations: A Network Analysis Approach","authors":"Magdalena Sánchez-Fernández, Mercedes Borda-Mas, Francisco Rivera, Mark D. Griffiths","doi":"10.1007/s11469-024-01296-y","DOIUrl":"https://doi.org/10.1007/s11469-024-01296-y","url":null,"abstract":"<p>Very little research has simultaneously explored the interactions between generalized problematic internet use (GPIU), problematic social media use (PSMU), problematic online gaming (POG), psychological distress, and emotional well-being among university students. Therefore, the present study aimed to determine (i) the associations between GPIU, PSMU, and POG symptoms, (ii) whether symptoms of these three problematic online behaviours form distinct entities, and (iii) whether there are associations between problematic online behaviours, psychological distress symptoms, and emotional role limitations using network analysis. A total of 807 Spanish university students participated (57.7% female; M_age = 21.22 years [SD = 3.68]). Two network models were computed. Network 1 showed a complex interaction of nodes, with particularly strong connections between analogous symptoms of GPIU and PSMU. Symptoms organised into distinct dimensions, featuring a unique dimension for POG symptoms, one that includes preoccupation and a conflict symptom of GPIU, and two other dimensions with symptoms of GPIU and PSMU. Network 2 showed significant connections between GPIU and depression, GPIU and emotional role limitations, PSMU and anxiety, PSMU and emotional role limitations, POG and depression, and POG and anxiety. The findings support the conceptualization of GPIU as a nonspecific disorder, the independence of PSMU and POG as distinct constructs, and aligning with perspectives that separate POG from the GPIU spectrum. The study reinforces the model of compensatory internet use and emphasizes the impact of problematic online behaviours on emotional well-being. The findings have practical implications for the assessment and intervention of problematic online behaviours.</p>","PeriodicalId":14083,"journal":{"name":"International Journal of Mental Health and Addiction","volume":"18 1","pages":""},"PeriodicalIF":8.0,"publicationDate":"2024-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140804599","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}

{"title":"Longitudinal Associations of Social Anxiety Trajectories with Internet-Related Addictive Behaviors Among College Students: A Five-Wave Survey Study","authors":"Xiaomeng Li, Xiaoyan Chen, Ya Zhu, Xuliang Shi","doi":"10.1007/s11469-024-01300-5","DOIUrl":"https://doi.org/10.1007/s11469-024-01300-5","url":null,"abstract":"<p>The college stage is characterized by increased interpersonal interaction and intense social anxiety. Although the associations between social anxiety and internet-related addictive behaviors have been established, the question of whether the developmental trajectory of social anxiety is linked to subsequent internet-related addictive behaviors remains unexplored. Utilizing a longitudinal design combined with a person-centered approach, the current study examined the developmental trajectory of social anxiety among 3,861 students throughout their university years. Additionally, we explored the impacts of specific change patterns of social anxiety on subsequent internet-related addictive behaviors. The growth mixture modeling identified three distinct profiles of social anxiety: high-stable group (<i>n</i>=515, 13.33%), high-decreasing group (<i>n</i>=243, 6.30%), and low-decreasing group (<i>n</i>=3103, 80.37%). Furthermore, the results of binary logistic regression analysis revealed that students in the high-decreasing and low-decreasing groups were less likely to experience smartphone addiction and Internet game addiction compared to those in the high-stable group. These findings underscore the importance of identifying individuals with a high risk for social anxiety and providing them with personalized and effective mental health services to mitigate their susceptibility of developing internet-related addictive behaviors.</p>","PeriodicalId":14083,"journal":{"name":"International Journal of Mental Health and Addiction","volume":"33 1","pages":""},"PeriodicalIF":8.0,"publicationDate":"2024-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140564311","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}

{"title":"Mapping the Landscape of Internet Pornography, Loneliness, and Social Media Addiction: A CiteSpace Bibliometric Analysis","authors":"Abhishek Prasad, Kadhiravan Subramanian","doi":"10.1007/s11469-024-01293-1","DOIUrl":"https://doi.org/10.1007/s11469-024-01293-1","url":null,"abstract":"<p>A comprehensive bibliometric analysis using CiteSpace explores global scientific research trends concerning internet pornography, loneliness, and social media addiction from 1993 to 2023. The study reveals disciplinary distributions, evolving patterns, influential scholars, and contributing institutions. Notably, the United States accounts for over 29% of publications, with Griffiths MD and Beutel ME emerging as leading contributors with 22.7% and 18.2% respectively. A remarkable 2750% surge in scholarly publications from 2020 to 2023 underscores increasing interest in the subject. Keyword analysis identifies emerging trends and focal points, with terms such as “acquired immunodeficiency syndrome,” “pornography use,” and “addiction” showing significant citation activity. Leading institutions include New York University and University College London. Key metrics like sigma value (0.98), centrality (1.00), and citation burstness (32) provide valuable insights into the importance and influence of identified clusters within the academic landscape. This analysis sheds light on scholarly discussions, aiding in the comprehension of internet pornography, loneliness, and social media addiction.</p>","PeriodicalId":14083,"journal":{"name":"International Journal of Mental Health and Addiction","volume":"247 1","pages":""},"PeriodicalIF":8.0,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140564203","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}

{"title":"Association Between Preconception Maternal Mental Health-Related Hospitalisation (MHrH) and Outcomes During Pregnancy: A Population-Based Cohort Study in the Northern Territory, Australia","authors":"Abel F. Dadi, Vincent He, Rosa Alati, Karen Hazell-Raine, Philip Hazell, Kiarna Brown, Steven Guthridge","doi":"10.1007/s11469-024-01286-0","DOIUrl":"https://doi.org/10.1007/s11469-024-01286-0","url":null,"abstract":"<p>Comprehensive studies investigating the link between maternal hospitalisation for mental health conditions prior to pregnancy and adverse outcomes in pregnancy are scarce in Australia. We aimed to fill this gap by using 18 years of administratively linked data to inform early interventions. We linked the perinatal data from the year 1999 to 2017 to the hospital hospitalisation data to create a cohort of pregnant women aged 15 to 44 years who gave birth in the Northern Territory (NT). We used the International Classification of Disease 10th revision (ICD-AM-10) codes to locate women with mental health-related hospitalisation (MHrH) (exposure of interest) and the perinatal data to access pregnancy outcomes. We used the modified Poisson regression with robust standard error to estimate the risk of pregnancy outcomes associated with maternal MHrH in the 5 years prior to pregnancy. We calculated the adjusted population attributable fraction (aPAF) for valid associations. We used the <i>E</i>-value to assess the effect of potential confounding bias. Out of 69,890 pregnancies, ~ 67,518 were eligible and included in the analysis. We found a significant variation in the incidence of substance use and complications between Aboriginal and non-Aboriginal women and women with and without MHrH in the 5 years prior to pregnancy. After adjusting, 5 years of preconception hospitalisation for substance misuse was associated with a 31% (95%CI, 1.05, 1.63) increased risk of Intrauterine Growth Restriction (IUGR), a 60% (CI, 1.37, 1.86) increased risk of smoking and a 2.21 (CI, 1.98, 2.47) times increased risk of drinking during pregnancy in Aboriginal women; and a 17% increased risk of drinking (CI, 1.11, 1.23) in pregnancy in non-Aboriginal women. A significant proportion of smoking (aPAF = 14.7 to 37.4%), alcohol consumption (aPAF = 46.0 to 66.7%), and IUGR (aPAF = 23.6 to 38.5%) are attributed to maternal MHrH 5 years prior to pregnancy. Our findings are a ‘wake-up’ call for strengthening preconception care to reduce adverse outcomes of maternal MHrH prior to pregnancy.</p>","PeriodicalId":14083,"journal":{"name":"International Journal of Mental Health and Addiction","volume":"58 1","pages":""},"PeriodicalIF":8.0,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140564289","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}

{"title":"Unpacking the Myth in the Associations Between Self-control and Gaming Disorder in Children and Adolescents: A Comparison Between Traditional and Random Intercept Cross-lagged Panel Model Analyses","authors":"Di QI, Xiaomin LI, Shimin ZHU","doi":"10.1007/s11469-024-01294-0","DOIUrl":"https://doi.org/10.1007/s11469-024-01294-0","url":null,"abstract":"<p>Internet gaming is becoming increasingly popular; however, children and adolescents are highly vulnerable to gaming disorder due to the underdevelopment of cognitive control. Longitudinal research providing empirical evidence confirming the stability and direction of the association between self-control and gaming disorder is scarce. This study is aimed at clarifying whether prospective relationships exist between self-control and gaming disorder in children and adolescents or whether they are associated due to common causes. We examined the temporal dynamics of the associations between self-control and gaming disorder symptom severity using a traditional cross-lagged panel model (CLPM; aggregating between- and within-person variance) and a random intercept CLPM (RI-CLPM; disaggregating between- and within-person effects) with three-annual wave data from a large cohort of primary and secondary students (<i>N</i> = 1359, mean age 12.67 (<i>SD</i> 1.40), 834 (61.7%) girls). The traditional CLPM indicated a unidirectional negative relationship from self-control to later gaming disorder (<i>B</i> with 95% confidence interval [CI] = − 0.12 [− 0.19, − 0.040]), whereas the RI-CLPM analysis revealed no prospective relationship between self-control and gaming disorder (95% CIs of <i>B</i>s all contain 0), indicating that self-control was neither the cause nor the result of gaming disorder in children and adolescents. Our study revealed that the nature of the relationship between self-control and gaming disorder tends to be correlational but not causal. The potential common underlying factors for future research are discussed.</p>","PeriodicalId":14083,"journal":{"name":"International Journal of Mental Health and Addiction","volume":"8 1","pages":""},"PeriodicalIF":8.0,"publicationDate":"2024-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140564302","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}

{"title":"Cannabidiol Compared to Pharmacological Treatment as Usual for Crack Use Disorder: A Feasibility, Preliminary Efficacy, Parallel, Double-Blind, Randomized Clinical Trial","authors":"Andrea Donatti Gallassi, André Wagner Carvalho de Oliveira, Larissa Alencar Rodrigues, Eduardo Yoshio Nakano, Pedro A. S. Ruas, José Antonio Iturri de La Mata, Ettore Ferrari Júnior, Juliano de Andrade Gomes, Mariana Emanuele Silva Caroba, Marianna Gabriella dos Santos Silva, Mariana G. Q. Vieira, Julia G. G. R. Reis, Jade Luiza Moreira Leite, Guilherme Henrique Alves de Lima, Jonathan Morais Lima, Yasmim P. V. Lima, Jorge A. A. Ribas, Nathalia A. L. das Chagas, Mateus A. Magalhães, Mateus F. da Silva, Renato Filev, Renato Malcher-Lopes","doi":"10.1007/s11469-024-01287-z","DOIUrl":"https://doi.org/10.1007/s11469-024-01287-z","url":null,"abstract":"<p>Cannabidiol (CBD) has been studied for substance use disorders treatment due to its anxiolytic effects, for sleep, appetite, reduction of craving, and maintenance of abstinence. The study aims to assess CBD’s feasibility, safety/tolerability, and preliminary efficacy compared to pharmacological treatment as usual for reducing crack use in people with crack use disorder (CUD) and investigate other parameters: adverse events, physical health symptoms, and craving. A double-blind, randomized clinical trial (RCT) with two treatment arms (CBD and control group) was conducted. Ninety participants were randomized and 73 were allocated: 37 control group and 36 CBD group for a 10-week treatment, comparing CBD (600 mg) with three drugs (fluoxetine, valproic acid, and clonazepam). The per-protocol analysis of participants who did not deviate from the study protocol compared the control and CBD treatment groups. Thirty-four completed at least half of the study and 25 finished. Participants attended weekly meetings for the study procedures (e.g., to receive the medication and provide urine for toxicological tests). Inter-group differences were performed with the Mann–Whitney test, the Wilcoxon test for differences intra-group, and Pearson’s Chi-square test or Fisher’s exact test to compare inter-group demographic data. The significance level was 5%. A “veracity index” (VI) was created as counterevidence (questionnaire data vs. the toxicological test result). Medications were considered safe/tolerable. The CBD group presented significantly fewer adverse events compared to the control group [e.g., dizziness (<i>p</i> = 0.001), memory impairment (<i>p</i> = 0.043)], which performed better in the reduction of clinical and psychiatric complaints (<i>p</i> = 0.008). In the intra-group analyses, the CBD group performed better in more parameters than the control group [e.g., reducing crack use (<i>p</i> = 0.016; T0 to T1)]. Data questionnaires were reliable regarding the use/non-use of crack (VI = 0.787). CBD is a safe/tolerable product. The CBD group manifested fewer adverse events than the control group, which had better clinical and psychiatric complaints results. There are some advantages for the CBD group in the intra-group analysis. Drug use self-report methodologies can be reliable. Trial registration details: This study is registered with Universal Trial Number (UTN) code: U1111-1234-0806. Available at https://ensaiosclinicos.gov.br/rg/RBR-4stgs8 (<i>Effect of cannabidiol in the treatment of crack dependents</i>)</p>","PeriodicalId":14083,"journal":{"name":"International Journal of Mental Health and Addiction","volume":"18 1","pages":""},"PeriodicalIF":8.0,"publicationDate":"2024-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140564303","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}

{"title":"Establishing Academic Burnout’s Relationship with Problematic Internet Use and Specific Health-Risk Behaviours: A Cross-sectional Study of Finnish Higher Education Students","authors":"","doi":"10.1007/s11469-024-01290-4","DOIUrl":"https://doi.org/10.1007/s11469-024-01290-4","url":null,"abstract":"<h3>Abstract</h3> <p>Problematic Internet use is recognised as an emerging public health issue, particularly among young adults. Yet, there is scarce information on problematic Internet use as a predictor for academic burnout. This study aimed to identify academic burnout’s association with both problematic Internet use and specific health-risk behaviour among higher education students. We analysed the population-based cross-sectional survey data (with post-stratification weighting) of Finnish higher education students. Data was collected in 2021 (<em>n</em> = 6258; age 18–34). Regression analyses were used to investigate academic burnout’s relationship with problematic Internet use and health-risk behaviours. The results revealed that female gender, learning difficulties, the use snus (the Swedish-type of moist snuff), problematic Internet use, online shopping, and perceived loneliness were significantly and positively associated with academic burnout. In addition, a higher number of study credits earned, self-perceived good health, and a satisfactory financial level were significantly and inversely associated with academic burnout. The findings suggest that screening students for problematic behaviour and offering support for those in need are likely to be effective at increasing academic well-being among higher education students.</p>","PeriodicalId":14083,"journal":{"name":"International Journal of Mental Health and Addiction","volume":"17 1","pages":""},"PeriodicalIF":8.0,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140564205","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}

{"title":"Country Differences in the Effects of Individual Traits on Depression in Women in Europe","authors":"M. Carolina Rodríguez-Donate, Imanol L. Nieto-González, Ginés Guirao-Pérez","doi":"10.1007/s11469-024-01289-x","DOIUrl":"https://doi.org/10.1007/s11469-024-01289-x","url":null,"abstract":"<p>Mental health and, in particular, depression are of great global concern today, especially in middle- and high-income countries. These health issues show an unequal gender prevalence as they are more common in women than in men. The aim of this work is to use micro-econometric models to analyze the prevalence of depression in women in 27 European countries, as well as to quantify the effects of certain individual characteristics on the probability of experiencing depression and the degree to which it occurs. In addition, measures are proposed to assess how each country differs from the total sample. The data used proceed from the European Health Interview Survey wave 2 (EHIS-2). The results show that higher educational levels and incomes are protective factors, while older age and being unemployed have a positive effect on the probability of having depression, particularly on the probability of severe depression. Furthermore, from the calculation of ratios, notable differences are detected in the effects of these characteristics in different countries. Although the direction of the effect of each characteristic is similar in all countries, the size of the effect in each country varies significantly from the sample average. The results highlight the importance of identifying which individual traits generate a higher propensity to experience depression in women. The proposed procedure leads to the conclusion that the detection of differences and similarities between countries could allow the extrapolation of successful practices in prevention and mental health care.</p>","PeriodicalId":14083,"journal":{"name":"International Journal of Mental Health and Addiction","volume":"80 1","pages":""},"PeriodicalIF":8.0,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140564199","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}

{"title":"Development and Validation of a Simple Risk Calculator for Alcohol-Related Adverse Outcomes: Results from a Composite Scale Approach in a Nationally Representative Sample","authors":"Nicolas Hoertel, Marie Dosquet, Marina Sánchez-Rico, Jesús Godino-Cruz, Carlos Blanco, Henri-Jean Aubin, Géraldine Ducoutumany, Philip Gorwood, Henri Leleu, Guillaume Airagnes, Cédric Lemogne, Katayoun Rezaei, Hugo Peyre, Frédéric Limosin","doi":"10.1007/s11469-024-01278-0","DOIUrl":"https://doi.org/10.1007/s11469-024-01278-0","url":null,"abstract":"<p>We tested how 5 simple variables, routinely collected in primary care (i.e., the 3 AUDIT-C items, age, and sex), could constitute a clinician-friendly risk calculator tool of the 3-year risk of several alcohol-related adverse outcomes (i.e., alcohol use disorder, withdrawal symptoms, occurrence of tremors or seizures, and alcohol related interpersonal relationship problems, legal problems, and psychological problems) among non-alcohol-dependent individuals consuming alcohol. Data were drawn from a nationally representative sample of US adults, the National Epidemiologic Survey on Alcohol and Related Conditions (wave 1, 2001–2002; wave 2, 2004–2005). We used scaled and rounded composite scoring systems to combine information derived from these predictors and quantify the risks for each subject. Analyses were limited to 16,710 respondents without a lifetime history of alcohol use disorder who completed both interviews and had consumed alcohol during the year prior to wave 1 (development sample <i>N</i> = 8355, validation sample <i>N</i> = 8355). The risk equations calibrated well (Hosmer and Lemeshow test <i>p</i> values ≥ 0.072) and showed good predictive values (<i>C</i> indices ranging from 0.727 to 0.872) in the validation sample. This risk calculator can be clinically useful in primary care for identification of at-risk individuals, encourage respondents to reduce their drinking, and improve prevention.</p>","PeriodicalId":14083,"journal":{"name":"International Journal of Mental Health and Addiction","volume":"261 1","pages":""},"PeriodicalIF":8.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140564209","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}

{"title":"The Use and Knowledge Around Vaping and Their Correlates Among University Students—A Cross-sectional Australian Study","authors":"Janni Leung, Rhiannon Ellem, Sophia Glasgow, Amy-Leigh Rowe, Lauren Gardner, Lily Davidson, Gabrielle Campbell, Nina Pocuca, Calvert Tisdale, Gary Chan, Leanne Hides","doi":"10.1007/s11469-024-01281-5","DOIUrl":"https://doi.org/10.1007/s11469-024-01281-5","url":null,"abstract":"<p>The increasing prevalence of e-cigarette use (“vaping”) among youth has emerged as a public health concern. We aim to explore vape use, knowledge levels, and correlates in a sample of Australian young adults. Participants from six residential university colleges in Queensland, Australia, were invited to complete an online survey. The sample included 716 students (<i>M</i>_age=18.1 years). Correlates of vape use and knowledge examined included socio-demographic variables, other substance use, and mental health, including PHQ-9 depression and GAD-7 anxiety. In our sample, 62% of students reported lifetime vaping. Just under half (47.5%) of the sample had used flavour with nicotine vapes, 18.0% had used flavour only, and 2.8% had used other drugs. Past month vaping rates were low at 4.2% for daily use of flavour with nicotine vapes. Co-use of cigarettes was observed with nicotine vapes but most only vaped occasionally. A substantial proportion lacked knowledge about the legality (37.4%) and health harms (25.4%) of vapes. Males had higher odds of vaping. Use of cigarettes, binge drinking, and cannabis use were associated with vaping. While the co-use of cigarettes with nicotine vapes was observed, this was generally only seen among those who vaped occasionally. A notable knowledge gap existed regarding the legality and awareness of the health harms of vaping, signalling a need for educational initiatives. Future research should continue to monitor emerging vaping trends and long-term outcomes. The project was pre-registered on the Australian New Zealand Clinical Trials Registry (registration number: ACTRN12622000239763).</p>","PeriodicalId":14083,"journal":{"name":"International Journal of Mental Health and Addiction","volume":"28 1","pages":""},"PeriodicalIF":8.0,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140322542","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}