Journal of Behavioral Addictions最新文献

{"title":"Analyzing uncertain decision processes in problematic pornography use: ERP insights into decision evaluation and feedback processing.","authors":"Yushan Wang, Hong Li, Jianfeng Wang","doi":"10.1556/2006.2026.00161","DOIUrl":"https://doi.org/10.1556/2006.2026.00161","url":null,"abstract":"<p><strong>Background and aims: </strong>Individuals with Problematic Pornography Use (PPU) continue engaging in excessive pornography use despite awareness of its adverse consequences, suggesting a knowledge-behavior dissociation potentially driven by decision-making deficits. The present study aimed to disentangle decision evaluation and feedback processing as potential contributors to maladaptive decision-making in individuals at risk for PPU using event-related potentials (ERP) during a modified Iowa Gambling Task (IGT).</p><p><strong>Methods: </strong>Eighty male participants (40 PPU risk, 40 controls) completed a pass-play variant of the IGT in which all four decks were presented on each trial, with one deck preselected, requiring participants to decide whether to play or pass that option, while EEG was recorded. Behavioral performance was analyzed using linear mixed models to capture learning trajectories, focusing on changes in approach toward advantageous decks and avoidance of disadvantageous decks across blocks. ERP components indexing distinct decision stages were examined, including decision P3, decision preceding negativity (DPN), feedback-related negativity (FRN), and feedback P3.</p><p><strong>Results: </strong>Behaviorally, individuals at risk for PPU showed a reduced decline in disadvantageous choices across blocks, suggesting slower adaptation to disadvantageous options, while learning for advantageous choices remained intact. At the neural level, the PPU risk group exhibited attenuated P3 amplitudes during both decision evaluation and feedback processing stages, without significant modulation by choice type or feedback valence.</p><p><strong>Conclusion: </strong>These findings suggest that maladaptive behavior in individuals at risk for PPU may arise from inefficient integration of value-related information across decision and feedback stages, providing a neurocognitive account of the dissociation between knowledge and behavior.</p>","PeriodicalId":15049,"journal":{"name":"Journal of Behavioral Addictions","volume":" ","pages":""},"PeriodicalIF":6.3,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149194020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unveiling core clinical features of self-harm: A network and mediation analysis study among Chinese psychiatric adolescents.","authors":"A-Qian Hu, Zi-Xin Mao, Ying-Ying Li, Guo-Dong Chen, Tao Chen, Ren-Hao Deng, Yu-Yin Zhang, Zhong-Yi Zhang, Shu Huang, Wen-Jing Dai, Zi-Cheng Xiao, Xia Yang, Yu-Jie Tao, Ling-Li Yi, Jiang-Li Wu, Yue-Qi Huang, Hui-Yao Wang, Tao Li, Wan-Jun Guo","doi":"10.1556/2006.2025.00574","DOIUrl":"https://doi.org/10.1556/2006.2025.00574","url":null,"abstract":"<p><strong>Background and aims: </strong>Self-harm imposes a substantial burden among adolescents, yet targeted interventions remain limited. This study examined the interrelationships among clinically relevant characteristics of self-harm outcomes, non-suicidal motives (NSMs), addictive features (AF), self-injury methods (SIMs), and suicidality (SUI), to identify core clinical features for more precise intervention.</p><p><strong>Methods: </strong>A total of 547 adolescent patients (13-19 years) who had engaged in self-harm during the past year were recruited from two Chinese hospitals. Self-report questionnaires assessed NSMs, AF, SUI, frequencies of non-suicidal self-injury (NSSI) and suicidal self-injury (SSI), and SIMs. Exploratory factor analysis (EFA) was used as a data-driven approach to identify patterns of co-occurrence among SIMs. Network and exploratory mediation analyses were subsequently conducted to evaluate statistical interrelationships among clinical features.</p><p><strong>Results: </strong>Among participants, 69.8% engaged in both NSSI and SSI. EFA identified two empirically derived groupings of SIMs: self-injury using external tools (SIET) and self-injury involving direct bodily actions (SIDBA). Network analysis identified AF as the strongest bridge symptom and SIET with the highest node strength. Exploratory mediation analyses suggested that AF statistically accounted for substantial proportions of the associations between NSMs and multiple self-harm related outcomes, including NSSI (41.3%), SSI (75.0%), SIET (62.3%), SIDBA (45.4%), and SUI (75.7%).</p><p><strong>Discussion and conclusions: </strong>AF and SIET emerged as important clinically relevant features of self-harm. Greater attention to these features may help improve clinical assessment and targeted intervention for adolescents with self-harm.</p>","PeriodicalId":15049,"journal":{"name":"Journal of Behavioral Addictions","volume":" ","pages":""},"PeriodicalIF":6.3,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149194066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Updated global prevalence estimates of compulsive buying-shopping disorder: Systematic review and meta-analysis with sex/gender-specific analyses.","authors":"Nora M Laskowski, Patricia Schaar, Cristina Ballero Reque, Bjarn-Ove Tetzlaff, Gerrit Brandt, Astrid Müller, Georgios Paslakis","doi":"10.1556/2006.2026.00242","DOIUrl":"https://doi.org/10.1556/2006.2026.00242","url":null,"abstract":"<p><strong>Background/aims: </strong>Reported prevalence for Compulsive Buying-Shopping Disorder (CBSD) remains inconsistent. We updated global CBSD prevalence estimates, including sex/gender comparisons and online manifestations, through a registered systematic review/meta-analysis of studies reporting prevalence in non-clinical samples (PROSPERO CRD42024591568; published 30/09/2024) following PRISMA/MOOSE.</p><p><strong>Methods: </strong>PubMed/Scopus/Web of Science were searched (without geographical/temporal restrictions; through 06/2026). Two reviewers independently conducted screening, extraction, risk of bias (RoB) assessment (Joanna Briggs Institute Checklist for Prevalence Studies). DerSimonian-Laird random-effects models estimated pooled prevalence in representative adult, student/young adult, convenience, adolescent, online buying-shopping samples. Subgroup analyses: year, field, region, assessment, sample size, age, RoB. Evidence certainty followed GRADE.</p><p><strong>Results: </strong>111 studies (121 estimates; N = 134,907; 32 countries) were included. Pooled prevalence estimates: 4.6% [3.6%, 5.5%] in representative adult; 9.2% [8.0%, 10.4%] in student/young adult; 10.7% [9.3%, 12.2%]) in convenience; 20.6% in adolescent [10.2%, 31.1%]; 5.9% [4.1%, 7.7%]) in online samples. No sex/gender differences emerged in representative/adolescent/online samples. Women showed higher rates than men in student/young adult/convenience samples. Heterogeneity was high (I2 > 90%). Subgroup findings: significant differences for publication year/region in representative adult; region/assessment/RoB in student/young adult; publication year/sample size in convenience samples; no subgroup differences in adolescent/online samples. Certainty was moderate for representative adult samples, (very) low for all others.</p><p><strong>Discussion: </strong>Findings underscore the need for diverse, age-adapted, cross-cultural epidemiological research including gender-diverse populations and different consumer environments.</p><p><strong>Conclusions: </strong>CBSD is prevalent, particularly among youth. Gender gaps appear limited in binary sex/gender comparisons, evidence for gender minorities remains largely absent.</p>","PeriodicalId":15049,"journal":{"name":"Journal of Behavioral Addictions","volume":" ","pages":""},"PeriodicalIF":6.3,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149147932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From scroll to norm: How gambling norms are being shaped by social media sponsorships.","authors":"Bram Hartmann, Steffi De Jans, Liselot Hudders, Bram Constandt","doi":"10.1556/2006.2026.00021","DOIUrl":"https://doi.org/10.1556/2006.2026.00021","url":null,"abstract":"<p><strong>Background and aims: </strong>Gambling sponsorship is increasingly visible on social media, yet it remains unclear how it contributes to the perceived normalization of gambling. This study explores whether sponsored gambling posts endorsed on social media affect young adults' perceived descriptive and injunctive gambling norms.</p><p><strong>Methods: </strong>A 2 (brand type: gambling vs. control) by 2 (source: social media influencer vs. brand) between-subjects experiment (N = 369, aged 18-20) was conducted.</p><p><strong>Results: </strong>Exposure to sponsored gambling posts increased the perception of how frequently a typical student gambles. Moreover, gambling sponsorships were perceived as more morally inappropriate, which was further associated with lower approval perceptions of specific gambling activities. No effects were found for other descriptive or injunctive norms.</p><p><strong>Discussion and conclusions: </strong>Overall, this study contributes nuance to the concept of gambling normalization, indicating that exposure to gambling-related social media content may shape certain perceptions of prevalence without necessarily translating into greater social or moral acceptance.</p>","PeriodicalId":15049,"journal":{"name":"Journal of Behavioral Addictions","volume":" ","pages":""},"PeriodicalIF":6.3,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149147969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction to: Mindfulness programs for problematic usage of the internet: A systematic review and meta-analysis.","authors":"Johannes C Fendel, Annika Vogt, Annika Brandtner, Stefan Schmidt","doi":"10.1556/2006.2024.11124","DOIUrl":"10.1556/2006.2024.11124","url":null,"abstract":"","PeriodicalId":15049,"journal":{"name":"Journal of Behavioral Addictions","volume":" ","pages":"1169-1170"},"PeriodicalIF":6.3,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149149727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Escapism in gaming: A comprehensive systematic review and meta-analysis.","authors":"Patrycja Kiszka, Agnieszka Strojny, Paweł Strojny","doi":"10.1556/2006.2026.00121","DOIUrl":"https://doi.org/10.1556/2006.2026.00121","url":null,"abstract":"<p><strong>Background and aims: </strong>Escapism is frequently linked to gaming disorder and psychological distress, but findings vary across measurement approaches and study contexts. This systematic review and meta-analysis synthesized psychological correlates of escapism in gaming, quantified their associations, reviewed measurement approaches, and tested differences by measurement tool and study focus.</p><p><strong>Methods: </strong>Following PRISMA guidelines, PubMed, Web of Science, and Scopus were searched for quantitative studies published between 2013 and 2026. A total of 119 publications (N = 119,730) met inclusion criteria. Random-effects meta-analyses were conducted for variables reported in at least three independent studies.</p><p><strong>Results: </strong>The review identified 251 unique variables across seven categories, with Clinical Factors most frequently examined. The strongest pooled associations were observed for negative affect (r = .51), gaming disorder (r = .51), and internet gaming disorder (r = .50). Moderate positive associations were found for problematic gaming, gaming addiction, internet addiction, depression, anxiety, stress, loneliness, social anxiety, and difficulties in emotion regulation. Self-esteem and life satisfaction were negatively associated with escapism, whereas positive affect, well-being, flow, autonomy, competence, and relatedness were nonsignificant. Eighteen measurement approaches were identified, and subgroup analyses showed no significant differences by measurement tool or study focus.</p><p><strong>Discussion and conclusions: </strong>Escapism was most consistently associated with gaming-related problems and psychological distress. Evidence concerning well-being-related correlates was comparatively limited. Future research should use multidimensional measures and longitudinal designs to clarify distinct forms and functions of escapism.</p>","PeriodicalId":15049,"journal":{"name":"Journal of Behavioral Addictions","volume":" ","pages":""},"PeriodicalIF":6.3,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149109920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reduced model-based control in gambling disorder despite seemingly intact neural value and task structure representations.","authors":"Angela Brands, Kilian Knauth, David Mathar, Sangil Lee, Bojana Kuzmanovic, Marc Tittgemeyer, Jan Peters","doi":"10.1556/2006.2025.00424","DOIUrl":"https://doi.org/10.1556/2006.2025.00424","url":null,"abstract":"<p><strong>Background: </strong>Disordered gambling has been linked to impairments in goal-directed (model-based) control and reinforcement learning.</p><p><strong>Methods: </strong>Here we investigated the potential neural basis of this impairment using a sequential reinforcement learning task (modified two-step-task), computational modeling, and functional magnetic resonance imaging (fMRI) in individuals exhibiting symptoms of disordered gambling (GD) and matched healthy controls (HC, n = 30 per group).</p><p><strong>Results: </strong>Model-agnostic analyses replicated the effects of reduced performance and reduced model-based control in the gambling group, both in terms of choice and response time effects. Computational modeling of choice behavior confirmed that this effect was due to reduced model-based control in the gambling group. Analyses of choices and response times using drift diffusion modeling revealed a more complex pattern, where behavioral impairments in the gambling group were linked to changes across several parameters reflecting drift rate modulation and asymptote, as well as non-decision time. Despite these pronounced behavioral differences, the gambling group exhibited largely intact neural effects related to the task transition structure, reward feedback and trial-to-trial behavioral adjustments.</p><p><strong>Discussion: </strong>Results are discussed with respect to current neurocomputational models of behavioral dysregulation in disordered gambling.</p>","PeriodicalId":15049,"journal":{"name":"Journal of Behavioral Addictions","volume":" ","pages":""},"PeriodicalIF":6.3,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149127633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Personalization and attentional bias in problematic short-video use.","authors":"Sihan Xiong, Nisha Yao, Jon D Elhai, Jing Chen","doi":"10.1556/2006.2026.00137","DOIUrl":"https://doi.org/10.1556/2006.2026.00137","url":null,"abstract":"<p><strong>Background: </strong>Short-video platforms such as TikTok rely on personalized recommendation algorithms that curate highly tailored content streams. Although personalization is widely assumed to be associated with problematic use, the cognitive mechanisms linking personalization to problematic engagement remain unclear. The present study examined attentional selectivity in response to personalized short videos and how this selectivity varies with levels of problematic use.</p><p><strong>Methods: </strong>We conducted an eye-tracking experiment using the dot-probe task in which individuals with higher and lower levels of problematic use viewed personalized screenshots drawn from their own recommendation feeds and general non-personalized screenshots. To eliminate stimulus confounds, each participant's personalized stimuli served as another participant's non-personalized stimuli.</p><p><strong>Results: </strong>A significant interaction between user group and stimulus type was revealed. Individuals with lower levels of problematic use displayed selective attentional bias toward personalized content, whereas individuals with higher levels of problematic use showed comparable bias toward personalized and non-personalized content. Eye-tracking indices mirrored this pattern, indicating lower selectivity in gaze allocation among individuals with higher versus lower levels of problematic use. To further quantify this pattern, we computed attentional selectivity indices reflecting the difference in bias toward personalized versus non-personalized stimuli. Higher problematic-use scores significantly correlated with lower attentional selectivity.</p><p><strong>Conclusion: </strong>These findings suggest that individuals with higher problematic short-video use exhibit less differentiated attentional responses to personalized versus non-personalized short-video cues, with attentional bias generalizing beyond personally tailored cues. This pattern highlights attentional selectivity as a potential cognitive process linking personalization and problematic short-video engagement.</p>","PeriodicalId":15049,"journal":{"name":"Journal of Behavioral Addictions","volume":" ","pages":""},"PeriodicalIF":6.3,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149109917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction to: The gaming disorder identification test (GADIT) - A screening tool for gaming disorder based on ICD-11.","authors":"Gary C K Chan, John B Saunders, Daniel Stjepanović, Caitlin McClure-Thomas, Jason Connor, Leanne Hides, Andrew Wood, Daniel King, Kristiana Siste, Matthew Gullo, Jiang Long, Janni K Leung","doi":"10.1556/2006.2024.11138","DOIUrl":"10.1556/2006.2024.11138","url":null,"abstract":"","PeriodicalId":15049,"journal":{"name":"Journal of Behavioral Addictions","volume":" ","pages":"1171-1172"},"PeriodicalIF":6.3,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of emotion regulation in gaming disorder: A quasi-experimental approach.","authors":"El-Lim Kim","doi":"10.1556/2006.2025.00554","DOIUrl":"https://doi.org/10.1556/2006.2025.00554","url":null,"abstract":"<p><strong>Background and aims: </strong>Escapism, a peripheral criterion for gaming disorder (GD), is a commonly endorsed motivation among individuals with problematic video gaming. The goal of the present study was to investigate the association between GD and emotion dysregulation by comparing individuals who met the diagnostic criteria for internet gaming disorder (IGD group) and individuals who do not report any problematic video gaming (non-IGD group).</p><p><strong>Method: </strong>After completing self-reports on emotion regulation and coping strategies, participants (N = 208; problematic gamers n = 86, non-problematic gamers n = 122) were randomly assigned to either a stress-inducing or non-stressful situation via bogus essay performance feedback. Afterward, participants were given an option to engage in either problem-focused coping or escapism.</p><p><strong>Results: </strong>Results demonstrated that IGD group reported more difficulties in emotion regulation in general than non-IGD group. Both groups were similar in their use of adaptive and maladaptive emotion regulation and coping strategies except for their use of anger regulation; however, when participants' sex was controlled for, IGD group reported more use of avoidance coping. Individuals in the IGD group were more likely to choose escapism over problem-focused coping than those in the non-IGD group, regardless of whether they received stress-inducing feedback. The association between IGD group status and escapism became non-significant when participants' sex was accounted for.</p><p><strong>Discussion and conclusions: </strong>These results suggest that the association between GD and emotion dysregulation could be due to gamers' compulsive reliance on video games over other alternative coping strategies to manage their mood, and sex should be taken into consideration when examining these relationships.</p>","PeriodicalId":15049,"journal":{"name":"Journal of Behavioral Addictions","volume":" ","pages":""},"PeriodicalIF":6.3,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149109921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}