Journal of Behavioral Addictions最新文献

{"title":"Operant light self-administration in mice and its relevance to digital technology-based disorders.","authors":"Shu K E Tam, Aleksandra Stryjska, Helene Gu, Benjamin Becker","doi":"10.1556/2006.2025.00017","DOIUrl":"https://doi.org/10.1556/2006.2025.00017","url":null,"abstract":"<p><p>Behavioral addictions share symptomatological features with substance addiction. From the associative learning perspective, these characteristics include excessive and unregulated self-administration of sensory and other reinforcers, potentially reflecting the transition from goal-directed actions (action → outcome associations) to habitual responses (stimulus → response associations). In laboratory mice, light stimulation at an optimal intensity possesses some incentive properties and a brief light pulse represents an effective reinforcer for persistent operant responding. The operant light self-administration paradigm with clearly defined sensory reinforcers and reinforcement schedules may be utilized to elucidate the general mechanisms of excessive habitual responding to seek non-drug and non-feeding cues in mice. This cross-species approach can shed light on some maladaptive habits that have emerged recently in our modern society, including digital technology-based disorders.</p>","PeriodicalId":15049,"journal":{"name":"Journal of Behavioral Addictions","volume":" ","pages":""},"PeriodicalIF":6.6,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143542070","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":"Bidirectional association between problematic smartphone use and aggressive behavior: A cross-lagged longitudinal study.","authors":"Fajuan Rong, Junhan Cheng, Jie Hu, Yan Wang, Zixuan Xu, Meiqi Guan, Nan Zhang, Yizhen Yu","doi":"10.1556/2006.2025.00015","DOIUrl":"https://doi.org/10.1556/2006.2025.00015","url":null,"abstract":"<p><strong>Background and aims: </strong>Problematic smartphone use are prevalent worldwide, particularly among adolescents, and it is strongly linked with aggressive behavior. However, the understanding of how PSU may contribute to the emergence of aggressive behavior remains incomplete.</p><p><strong>Methods: </strong>The purpose of this study was to examine the bidirectional links between aggressive behavior and PSU among adolescents, utilizing data from a two-wave longitudinal study (the time interval is 15 months) conducted among 2,650 students in middle and high school.</p><p><strong>Results: </strong>The cross-lagged models revealed that: (1) PSU at Time 1 (December 12) positively predicted aggressive behavior at Time 2 (March 2023, 15 months apart) among older adolescents (15-19 years), but this was not the case for younger adolescents (11-14 years); (2) aggressive behavior at Time 1 positively predicted PSU at Time 2 for both younger and older adolescents. Our findings have identified PSU as a risk factor for aggressive behavior among older adolescents, with those perceiving higher PSU may be particularly vulnerable to developing aggressive behavior over time.</p><p><strong>Discussion and conclusions: </strong>These results not only enhance our understanding of the links between PSU and aggressive behavior but also provide significant theoretical perspectives for developing future prevention strategies and intervention measures to tackle aggressive behavior among adolescents.</p>","PeriodicalId":15049,"journal":{"name":"Journal of Behavioral Addictions","volume":" ","pages":""},"PeriodicalIF":6.6,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143515841","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":"Enhanced conditioning and disrupted extinction processes in men struggling with compulsive sexual behaviors.","authors":"Jakub Wojciechowski, Małgorzata Draps, Ewa Kublik, Paulina Dubiejko, Tomasz Wolak, Mateusz Gola","doi":"10.1556/2006.2025.00012","DOIUrl":"https://doi.org/10.1556/2006.2025.00012","url":null,"abstract":"<p><strong>Background and aims: </strong>Despite a previously reported connection between compulsive sexual behaviors (CSB), such as problematic pornography use, and heightened cue-reactivity, empirical evidence of the alteration of processes responsible for increased salience attribution to erotic cues remains sparse. Drawing on similarities with addiction models, this study explores the neuronal mechanisms of CSB through the use of appetitive conditioning and extinction with erotic and monetary rewards.</p><p><strong>Methods: </strong>Thirty-two heterosexual males struggling with CSB (age: 28.9 ± 7.1), and 31 healthy matched participants (age: 27.8 ± 5.6) underwent active appetitive conditioning and extinction tasks in fMRI. The effects of conditioning and extinction towards cues of erotic and monetary rewards were measured via self-assessment (valence and arousal rating towards cues), behavior (reaction times), and brain reactivity.</p><p><strong>Results: </strong>In conditioning, subjective ratings increased, and reaction times were faster for both erotic and monetary cues among participants with CSB, along with altered activity in ventral striatum (vStr), dorsal anterior cingulate cortex (dACC), and anterior orbitofrontal cortex (aOFC). In extinction, self-assessment ratings remained elevated in the CSB group for both cues in a non-reward-specific fashion, accompanied by altered activity of dACC and vStr.</p><p><strong>Discussion and conclusions: </strong>These findings suggest enhanced incentive salience attribution to conditioned cues, highlighting a generalized motivational and value-related transfer from rewards to the cues in participants with CSB. Additionally, despite the absence of rewards, the persistence of arousal and valence towards cues underscored the maladaptive extinction process. These insights advance the understanding of CSB's neurobiological underpinnings and its relation to addiction frameworks.</p>","PeriodicalId":15049,"journal":{"name":"Journal of Behavioral Addictions","volume":" ","pages":""},"PeriodicalIF":6.6,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143515853","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":"Perceived coworkers' work addiction: Scale development and associations with one's own workaholism, job stress, and job satisfaction in 85 cultures.","authors":"Paweł A Atroszko, Bernadette Kun, Aleksandra Buźniak, Stanisław K Czerwiński, Zuzanna Schneider, Natalia Woropay-Hordziejewicz, Arnold B Bakker, Cristian Balducci, Zsolt Demetrovics, Mark D Griffiths, Siw Tone Innstrand, Modesta Morkevičiūtė, Ståle Pallesen, Halley M Pontes, Steve Sussman, Edyta Charzyńska","doi":"10.1556/2006.2025.00011","DOIUrl":"https://doi.org/10.1556/2006.2025.00011","url":null,"abstract":"<p><strong>Background: </strong>While the empirical data on the role of environmental factors in work addiction (WA) is steadily growing, little is known about the extent to which the workaholic environment contributes to the increased risk of WA and what are the relative contributions of direct supervisor's and colleagues' WA to one's own workaholism.</p><p><strong>Methods: </strong>The Perceived Coworkers' Work Addiction Scale (PCWAS) assessing perceived direct supervisor's and colleagues' WA, defined as an addictive disorder, was administered alongside measures of WA, job stress, and job satisfaction in a total sample of 33,222 employees from 85 cultures across six continents (63.2% females, mean age 39.35 years).</p><p><strong>Results: </strong>The PCWAS showed scalar measurement invariance between genders and job positions, and approximate measurement invariance across cultures. In most cultures, the perceived supervisor's and colleagues' WA correlated with one's own WA, job stress (positively), and job satisfaction (negatively). In structural equation models, perceived colleagues' rather than supervisor's WA was more strongly related to one's own WA and job stress in most cultures.</p><p><strong>Discussion and conclusions: </strong>These findings suggest that the PCWAS is valid and reliable for assessing the workaholic environment, and it can be used globally to provide comparable and generalizable results. The present study is the first to show that WA may considerably depend on environmental factors in different cultures worldwide and that perceived colleagues' WA may play a particularly important role in this context. These findings may guide organizational interventions to decrease WA risks among employees and improve their well-being and productivity.</p>","PeriodicalId":15049,"journal":{"name":"Journal of Behavioral Addictions","volume":" ","pages":""},"PeriodicalIF":6.6,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143515858","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":"Insights into the temporal dynamics of identifying problem gambling on an online casino: A machine learning study on routinely collected individual account data.","authors":"Sam Andersson, Per Carlbring, Keenan Lyon, Måns Bermell, Philip Lindner","doi":"10.1556/2006.2025.00013","DOIUrl":"https://doi.org/10.1556/2006.2025.00013","url":null,"abstract":"<p><strong>Background and aims: </strong>The digitalization of gambling provides unprecedented opportunities for early identification of problem gambling, a well-recognized public health issue. This study aimed to advance current practices by employing advanced machine learning techniques to predict problem gambling behaviors and assess the temporal stability of these predictions.</p><p><strong>Methods: </strong>We analyzed player account data from a major Swedish online gambling provider, covering a 4.5-year period. Feature engineering was applied to capture gambling behavior dynamics. We trained machine learning models, XGBoost, to classify players into low-risk and higher-risk categories. Temporal stability was evaluated by progressively truncating the training dataset at various time points (30, 60, and 90 days) and assessing model performance across truncations.</p><p><strong>Results: </strong>The models demonstrated considerable predictive accuracy and temporal stability. Key features such as loss-chasing behavior and net balance trend consistently contributed to accurate predictions across all truncation periods. The model's performance evaluated on a separate holdout set, measured by metrics like F1 score and ROC AUC, remained robust, with no significant decline observed even with reduced data, supporting the feasibility of early and reliable detection.</p><p><strong>Discussion and conclusions: </strong>These findings indicate that machine learning can reliably predict problem gambling behaviors over time, offering a scalable alternative to traditional methods. Temporal stability highlights their potential for real-time application in gambling operators' Duty of Care. Consequently, advanced techniques could strengthen early identification and intervention strategies, potentially improving public health outcomes by preventing the escalation of harmful behaviors.</p>","PeriodicalId":15049,"journal":{"name":"Journal of Behavioral Addictions","volume":" ","pages":""},"PeriodicalIF":6.6,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143515855","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 International Work Addiction Scale (IWAS): A screening tool for clinical and organizational applications validated in 85 cultures from six continents.","authors":"Edyta Charzyńska, Aleksandra Buźniak, Stanisław K Czerwiński, Natalia Woropay-Hordziejewicz, Zuzanna Schneider, Toivo Aavik, Mladen Adamowic, Byron G Adams, Sami M Al-Mahjoob, Saad A S Almoshawah, Jim Arrowsmith, Stephen Asatsa, Stéphanie Austin, Shahnaz Aziz, Arnold B Bakker, Cristian Balducci, Eduardo Barros, Sergiu Bălțătescu, Dana Bdier, Nitesh Bhatia, Snezana Bilic, Diana Boer, Avner Caspi, Trawin Chaleeraktrakoon, Connie I M Chan, Chung-Jen Chien, Hoon-Seok Choi, Rajneesh Choubisa, Marilyn Clark, ĐorĐe Čekrlija, Zsolt Demetrovics, Eglantina Dervishi, Piyanjali de Zoysa, Alejandra Del Carmen Domínguez Espinosa, Sonya Dragova-Koleva, Vasiliki Efstathiou, Maria Eugenia Fernandez, Claude Fernet, Hesham F Gadelrab, Vladimer Gamsakhurdia, Ragna Benedikta Garðarsdóttir, Luis Eduardo Garrido, Nicolas Gillet, Sónia P Gonçalves, Mark D Griffiths, Naira Rafik Hakobyan, Fatimah Wati Halim, Michel Hansenne, Bashar Banwan Hasan, Mari Herttalampi, Clifford K Hlatywayo, Ivana Hromatko, Eric Raymond Igou, Dzintra Iliško, Ulker Isayeva, Hussein Nabil Ismail, Dorthe Høj Jensen, Paul Kakupa, Shanmukh Kamble, Ahmed Kerriche, Bettina Kubicek, Nuworza Kugbey, Bernadette Kun, J Hannah Lee, Elena Lisá, Yanina Lisun, María Laura Lupano Perugini, Francesco Marcatto, Biljana Maslovarić, Koorosh Massoudi, Tracy A McFarlane, Samson John Mgaiwa, Seyyed Taha Moosavi Jahanabad, Rodrigo Moreta-Herrera, Hang Thi Minh Nguyen, Yohsuke Ohtsubo, Tuğba Özsoy, Kjell Ivar Øvergård, Ståle Pallesen, Jane Parker, Nejc Plohl, Halley M Pontes, Rachael Potter, Alan Roe, Adil Samekin, Marion K Schulmeyer, Telman Z Seisembekov, María José Serrano-Fernández, Ghada Shahrour, Jelena Sladojević Matić, Rosita Sobhie, Paola Spagnoli, Joana Story, Mark J M Sullman, Liliya Sultanova, Ruimei Sun, Angela Oktavia Suryani, Steve Sussman, Mendiola Teng-Calleja, Julio Torales, Germano Vera Cruz, Anise M S Wu, Xue Yang, Katerina Zabrodska, Arunas Ziedelis, Paweł A Atroszko","doi":"10.1556/2006.2025.00005","DOIUrl":"https://doi.org/10.1556/2006.2025.00005","url":null,"abstract":"<p><strong>Background and aims: </strong>Despite the last decade's significant development in the scientific study of work addiction/workaholism, this area of research is still facing a fundamental challenge, namely the need for a valid and reliable measurement tool that shows cross-cultural invariance and, as such, allows for worldwide studies on this phenomenon.</p><p><strong>Methods: </strong>An initial 16-item questionnaire, developed within an addiction framework, was administered alongside job stress, job satisfaction, and self-esteem measures in a total sample of 31,352 employees from six continents and 85 cultures (63.5% females, mean age of 39.24 years).</p><p><strong>Results: </strong>Based on theoretical premises and psychometric testing, the International Work Addiction Scale (IWAS) was developed as a short measure representing essential features of work addiction. The seven-item version (IWAS-7), covering all seven components of work addiction, showed partial scalar invariance across 81 cultures, while the five-item version (IWAS-5) showed it across all 85 cultures. Higher levels of work addiction on both versions were associated with higher job stress, lower job satisfaction, and lower self-esteem across cultures. The optimal cut-offs for the IWAS-7 (24 points) and IWAS-5 (18 points) were established with an overall accuracy of 96% for both versions.</p><p><strong>Discussion and conclusions: </strong>The IWAS is a valid, reliable, and short screening scale that can be used in different cultures and languages, providing comparative and generalizable results. The scale can be used globally in clinical and organizational settings, with the IWAS-5 being recommended for most practical and clinical situations. This is the first study to provide data supporting the hypothesis that work addiction is a universal phenomenon worldwide.</p>","PeriodicalId":15049,"journal":{"name":"Journal of Behavioral Addictions","volume":" ","pages":""},"PeriodicalIF":6.6,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143492134","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":"More boring, more craving for smartphone use? The moderating role of fear of missing out.","authors":"Xiaohan Shi, Yingyu Xu, Ze Liu, Gengfeng Niu, Xiaojun Sun, Kunpeng Li","doi":"10.1556/2006.2025.00009","DOIUrl":"https://doi.org/10.1556/2006.2025.00009","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to examine the influence of state boredom on craving for smartphone use, as well as the potential moderating effect of individual differences - fear of missing out (FoMO).</p><p><strong>Methods: </strong>A total of 112 undergraduate students were randomly assigned to either low or high state boredom groups. Participants completed a reference copying task along with assessments for state boredom, craving for smartphone use, and FoMO.</p><p><strong>Results: </strong>The results indicated that: (1) Participants in the high state boredom group reported higher levels of background craving for smartphone use; (2) The FoMO moderated the association between state boredom and background craving for smartphone use significantly, which was stronger for individuals with a higher level of FoMO.</p><p><strong>Discussion: </strong>This study broadened the research by focusing on the influences of boredom and the mechanism of smartphone use craving and problematic phone use, which could provide guidance for the intervention of craving, and healthy smartphone use.</p>","PeriodicalId":15049,"journal":{"name":"Journal of Behavioral Addictions","volume":" ","pages":""},"PeriodicalIF":6.6,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143449059","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":"No evidence for the role of intentional emotion regulation in gambling-related problems: Insights from self-report, behavioral, and heart rate variability measures.","authors":"Ismael Muela, Luis F Ciria, Antonio Luque-Casado, José López-Guerrero, Francisco J Rivero, José C Perales","doi":"10.1556/2006.2025.00010","DOIUrl":"https://doi.org/10.1556/2006.2025.00010","url":null,"abstract":"<p><strong>Background: </strong>Emotion regulation strategies are central in models of gambling disorder. However, findings regarding the association between gambling-related problems and these strategies are mixed and mostly based on case-control studies with self-report measures.</p><p><strong>Methods: </strong>This study examines associations of gambling problems' severity (SOGS) and gambling-related craving with strategic emotion-regulation (the Emotion Regulation Questionnaire [ERQ], an experimental reappraisal task, and task-related vagally-mediated heart rate variability [vmHRV]) in community gamblers. Bayesian correlations between all constructs of interest were computed; Bayesian ANOVAs were used to examine the course of vmHRV over time-on-task, and its sensitivity to predictive constructs; and Bayesian regressions to investigate whether gambling problems' severity predicted the use of ERQ strategies, and to determine if the effect of emotion regulation demands on vmHRV could be predicted from the SOGS score.</p><p><strong>Results: </strong>Correlations did not show reliable relationships of SOGS scores and craving with intentional emotion regulation. The dispositional use of reappraisal and suppression (ERQ) did not predict differences in gambling problems' severity or craving. SOGS and craving scores predicted neither performance in the cognitive reappraisal task, nor task-related vmHRV. However, SOGS and craving correlated with urgency, and suppression and positive urgency predicted a stronger impact of time-on-task on vmHRV, independently of severity.</p><p><strong>Discussion: </strong>These results show no reliable evidence of differences in emotion regulation strategies or their vmHRV correlates traceable to gambling problems' severity or craving, and thus challenge the widespread role of intentional emotion regulation in gambling-related problems. Implications regarding the prevalence of neurocognitive alterations in non-clinical gamblers are discussed.</p>","PeriodicalId":15049,"journal":{"name":"Journal of Behavioral Addictions","volume":" ","pages":""},"PeriodicalIF":6.6,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143440861","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":"Differences in cross-sectional and daily diary problematic pornography use correlates.","authors":"Nicholas C Borgogna, Jacob Vaughn, Tyler Owen, Kyle M Brasil, Shane W Kraus, Ronald F Levant, Ryon C McDermott","doi":"10.1556/2006.2025.00008","DOIUrl":"https://doi.org/10.1556/2006.2025.00008","url":null,"abstract":"<p><strong>Background: </strong>Most problematic pornography use (PPU) research relies on cross-sectional designs. Ecological momentary assessment (EMA) studies are needed to better understand PPU correlates. We evaluated how daily PPU and pornography use ratings were correlated with baseline PPU, pornography use frequency (over 12-months), alcohol problems, and depression in a community sample of men living in the United States.</p><p><strong>Design: </strong>Participants (n = 113, mean age 37.95 [11.09]) completed a baseline survey battery followed by daily EMAs over 14 days (k = 1,240 observations). Data were gathered on the Prolific panel.</p><p><strong>Findings: </strong>Screener thresholds suggested 32%, 25%, and 24% of sample were at-risk for PPU, depression, and alcohol use problems respectively. Baseline estimates suggested PPU to be weakly correlated with depression (r = 0.29) and past 12-month pornography use (r = 0.27), but not alcohol problems (r = 0.08). Multilevel modeling indicated aggregated pornography use amount as a robust correlate of aggregated pornography control problems over the observation period. Baseline PPU and pornography use indicators were significant predictors of aggregated control problems and pornography use amount respectively. Baseline depression and alcohol problem predictors were non-significant. Past 12-month pornography use frequency and depression scores exacerbated the relationships between daily pornography use amount and aggregated control problems. Sensitivity analyses specific to only those who used pornography across all observations were consistent with full model results (though effect strength changed).</p><p><strong>Conclusions: </strong>With exception to the PPU and pornography use indicators, cross-sectional baseline estimates (e.g., alcohol problems and depression) were generally not predictive of aggregated pornography use and control problems in the following 14 days.</p>","PeriodicalId":15049,"journal":{"name":"Journal of Behavioral Addictions","volume":" ","pages":""},"PeriodicalIF":6.6,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143440859","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":"Clinical consensus statements on change techniques for gambling treatment: A Delphi study with clinicians.","authors":"Imran M Keshani, Stephanie S Merkouris, Anita Guyett, Simone N Rodda, Nicki A Dowling","doi":"10.1556/2006.2025.00004","DOIUrl":"https://doi.org/10.1556/2006.2025.00004","url":null,"abstract":"<p><strong>Background and aims: </strong>The active ingredients of psychological gambling treatments remain unclear, with research identifying effective change techniques only emerging. This study aimed to identify clinical consensus statements on effective change techniques for gambling treatment according to Australian and New Zealand gambling clinicians. Identification of promising change techniques can inform the development of optimised interventions.</p><p><strong>Methods: </strong>A panel of 68 clinicians participated in a two-round Modified Delphi study. Panellists rated the effectiveness of 19 change techniques for reducing gambling severity, expenditure and frequency. Consensus criteria for effectiveness and ineffectiveness were defined a priori. Panellists were also asked to provide culturally relevant considerations and adaptations when using change techniques with culturally diverse, linguistically diverse and Indigenous populations. Responses were analysed through a thematic analysis.</p><p><strong>Results: </strong>Clinical consensus was reached on the effectiveness of 10 change techniques: relapse prevention, goal setting, motivational enhancement, information provision, cognitive restructuring, financial regulation, information gathering, plan social support, problem solving, and decisional balance. There was no consensus that any technique was ineffective, however social comparison received the lowest ratings. Panellists also identified four key themes of considerations when working with culturally diverse, linguistically diverse and Indigenous populations.</p><p><strong>Discussion and conclusions: </strong>This is the first Delphi study to explore clinician perspectives on change technique effectiveness. Ten change techniques were identified as likely to be effective. Findings can inform the selection of promising change techniques for inclusion in gambling treatment programs and expedite optimised intervention development by focussing research efforts on change techniques most likely to be effective.</p>","PeriodicalId":15049,"journal":{"name":"Journal of Behavioral Addictions","volume":" ","pages":""},"PeriodicalIF":6.6,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143414096","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}