Journal of Behavioral Addictions最新文献

{"title":"The relationship between trait mindfulness and problematic usage of the internet, screen time, and nomophobia: A systematic review and meta-analysis.","authors":"Johannes C Fendel, Johannes J Bürkle, Stefan Schmidt","doi":"10.1556/2006.2025.00052","DOIUrl":"10.1556/2006.2025.00052","url":null,"abstract":"<p><strong>Introduction: </strong>Global research has explored the relationship between trait mindfulness and problematic usage of the internet (PUI), an umbrella term encompassing uncontrolled, excessive, and potentially harmful online behaviors with significant individual and societal costs. Relatedly, studies have examined trait mindfulness in relation to screen time and nomophobia (i.e., the discomfort from having no access to one's technology).</p><p><strong>Methods: </strong>We systematically searched eight databases from inception to April 04, 2024 with no language restrictions.</p><p><strong>Results: </strong>We included 140 studies involving 79,080 participants. A medium negative relationship between overall trait mindfulness and PUI (k = 120; r = -0.38) was found. Specific facets of trait mindfulness, including Acting with awareness (k = 19; r = -0.42), Non-judging of experience (k = 16; r = -0.24), and Describing (k = 14; r = -0.11) were negatively associated with PUI, while Non-reactivity to inner experience (k = 13; r = -0.07) and Observing (k = 14; r = 0.03) were not. Small negative correlations were observed between trait mindfulness and screen time (k = 17; r = -0.11) and nomophobia (k = 12; r = -0.26). Relationships were robust in sensitivity analyses, such as excluding outliers or low quality studies, or using longitudinal data. No publication bias was observed.</p><p><strong>Discussion and conclusion: </strong>Individuals with higher trait mindfulness tend to exhibit fewer signs of PUI and nomophobia and report slightly less screen time. Trait mindfulness may protect against future PUI. High-quality, more fine-grained longitudinal research is needed to explore how specific facets of mindfulness, PUI subtypes, and screen time interact.</p>","PeriodicalId":15049,"journal":{"name":"Journal of Behavioral Addictions","volume":"14 2","pages":"590-610"},"PeriodicalIF":6.6,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12231460/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144553658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Widespread illegal video game advertising in the UK and South Korea: Many adverts not disclosing loot box presence found using Meta's ad repository.","authors":"Leon Y Xiao, Callum Deery, Elena Petrovskaya, Solip Park, Philip Newall","doi":"10.1556/2006.2025.00057","DOIUrl":"10.1556/2006.2025.00057","url":null,"abstract":"<p><strong>Background and aims: </strong>Gambling advertising on social media negatively affects public health. Advertising repositories represent a novel data access method for studying the commercial and legal determinants of health. Loot boxes are gambling-like products in video games that players, including young children, buy to obtain random rewards. Their advertising is specifically regulated in the UK and South Korea: loot box presence must be disclosed in any advertising. This rule is enforced differently: the UK relies on industry self-regulation with little deterrence effect, whilst South Korea imposes strict penalties. We assessed and compared compliance to inform policymaking.</p><p><strong>Methods: </strong>Using Meta's advertising repository, we searched whether 394 popular mobile, console, and PC games with loot boxes advertised in the UK and South Korea. The most recently published ads after the rules came into force (N = 2,358) were analysed for compliance.</p><p><strong>Results: </strong>Only 8.4% of UK and 7.6% of South Korean ads disclosed loot box presence. Further, 71.4% of UK disclosures and 44.9% of Korean disclosures were not reasonably visually prominent as required, thus the true compliance rates were 2.4% and 4.2%.</p><p><strong>Conclusions: </strong>Most video games are not complying with international loot box advertising rules. More active enforcement, imposing stricter penalties against non-compliance, providing detailed guidance, and educating foreign companies may lead to better compliance. Governments should not rely on toothless industry self-regulation or unenforced laws to address public health concerns when the evidence indicates widespread non-compliance. Policymakers should adopt laws requiring companies to provide data access to facilitate better independent research.</p>","PeriodicalId":15049,"journal":{"name":"Journal of Behavioral Addictions","volume":" ","pages":"714-723"},"PeriodicalIF":6.6,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12231438/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144505783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of inducements on sports gambling and decision-errors: An experimental study.","authors":"Diarmaid Ó Ceallaigh, Shane Timmons, Deirdre A Robertson, Peter D Lunn","doi":"10.1556/2006.2025.00056","DOIUrl":"10.1556/2006.2025.00056","url":null,"abstract":"<p><strong>Background and aims: </strong>Inducements are a core component of gambling marketing. They have attracted increased attention from regulators due to their potential links to gambling harms. We deployed a randomised, pre-registered online experiment to test whether inducements cause specific changes to gambling behaviour.</p><p><strong>Methods: </strong>622 males aged under 40 made incentive-compatible betting choices over Euro 2024 football matches. Participants were randomised to see bets with inducements or to a control group with no inducements. Some participants were also randomised to see inducement-linked bets where the expected value odds made them the worst available choice, i.e., a dominated option that was an objectively \"bad bet\" even accounting for the inducement.</p><p><strong>Results: </strong>Inducements increased the amount spent on bets by over 10% and almost halved the number of people opting not to bet. Those with evidence of problem gambling were disproportionately affected. Inducements also led to decision errors, making bettors three times more likely to choose bad bets.</p><p><strong>Discussion and conclusions: </strong>Our findings add to growing evidence that inducements risk causing harm to consumers, with worse effects among those with evidence of problem gambling. We provide novel evidence that inducements push gamblers into making decision errors, opting for bad bets that heighten the risk of financial harm. Our findings support the regulation of inducements to reduce gambling harms.</p>","PeriodicalId":15049,"journal":{"name":"Journal of Behavioral Addictions","volume":"14 2","pages":"959-971"},"PeriodicalIF":6.6,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12231458/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144553657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effectiveness of school-based interventions to reduce problematic digital technology use and screen time: A systematic review and meta-analysis.","authors":"Mark Žmavc, Janja Horvat, Maja Židan, Špela Selak","doi":"10.1556/2006.2025.00043","DOIUrl":"10.1556/2006.2025.00043","url":null,"abstract":"<p><strong>Background and aims: </strong>A growing body of evidence suggests that excessive digital engagement can lead to adverse consequences, especially in children and adolescents. Many stakeholders point to prevention in the school environment as one way to mitigate these harms, though their effectiveness is unclear. We conducted a systematic review and meta-analysis to evaluate existing school-based preventive interventions aimed at reducing digital addiction and screen time among individuals aged 6-19 years old.</p><p><strong>Methods: </strong>We conducted a comprehensive literature search across various databases, including Web of Science, PubMed, Scopus, PsycINFO, and Google Scholar, to identify relevant studies published between 2013 and 2023, of which 34 met the inclusion criteria.</p><p><strong>Results: </strong>The reviewed interventions were particularly effective at reducing measures of problematic digital technology use (d = 1.47 after intervention; d = 1.13 at follow-up), while being less effective at reducing screen time (d = 0.15 after intervention; d = 0.15 at follow-up). Interventions which were externally led, actively included parents, targeted at-risk youth or employed a therapy-based approach were more successful at decreasing problematic digital technology use. A slightly larger decrease in screen time was observed in interventions with external leaders, targeting at risk populations and those lasting upwards of three months.</p><p><strong>Discussion and conclusions: </strong>Due to the observed publication bias and modest statistical power within subgroup analyses, more empirical research is recommended to confirm the identified trends. Overall, given the promising results, policymakers should strongly consider exploring possibilities of systemic inclusion of digital addiction interventions within the school curriculum.</p>","PeriodicalId":15049,"journal":{"name":"Journal of Behavioral Addictions","volume":" ","pages":"571-589"},"PeriodicalIF":6.6,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12231446/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144475376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trajectory of internet gaming disorder among Chinese adolescents: Course, predictors, and long-term mental health outcomes.","authors":"Pu Peng, Zhangming Chen, Silan Ren, Ying He, Jinguang Li, Aijun Liao, Linlin Zhao, Xu Shao, Shanshan Chen, Ruini He, Yudiao Liang, Youguo Tan, Xiaogang Chen, Jinsong Tang, Yanhui Liao","doi":"10.1556/2006.2025.00054","DOIUrl":"10.1556/2006.2025.00054","url":null,"abstract":"<p><strong>Background and objectives: </strong>Internet gaming disorder (IGD) is a growing public health concern, especially among adolescents. However, most IGD studies are cross-sectional, leaving its developmental course poorly understood. This study examined IGD trajectories, their predictors, and their long-term mental health outcomes among Chinese adolescents.</p><p><strong>Methods: </strong>A cohort of 16,833 adolescent gamers (mean age = 13.40, 46.56% girls) was recruited from 76 middle schools in Zigong City through cluster sampling. Assessments were conducted in November 2020 (T1), November 2021 (T2), and November 2022 (T3). IGD was measured using the Internet Gaming Disorder Scale-Short Form (IGDS9-SF). Demographic, gaming, environmental, and psychological factors (e.g., depression, anxiety, sleep problems, suicidal ideation, conduct problems, hyperactivity, resilience, mental wellbeing, prosocial behavior) were also assessed. Growth mixture modeling (GMM) identified IGD trajectories, and logistic regression evaluated predictors and mental health outcomes at T3.</p><p><strong>Results: </strong>GMM identified four IGD trajectories: High-Risk Decreasing (4.5%), Moderate-Risk Stable (19.5%), Moderate-Risk Increasing (3.0%), and Low-Risk Stable (73.0%). Age, gaming time, anxiety, sleep problems, conduct problems, hyperactivity/inattention, and low prosocial behavior predicted worsening IGD symptoms. At T3, the Moderate-Risk Increasing group had significantly higher risks for adverse mental health outcomes compared to the Low-Risk Stable group, whereas the High-Risk Decreasing group showed no significant or minimal differences in most domains from the Low-Risk Stable group after adjusting for baseline characteristics.</p><p><strong>Discussion and conclusions: </strong>These findings underscore the heterogeneous nature of IGD development and highlight the need for long-term monitoring and tailored interventions to mitigate adverse mental health outcomes in at-risk adolescents.</p>","PeriodicalId":15049,"journal":{"name":"Journal of Behavioral Addictions","volume":" ","pages":"846-860"},"PeriodicalIF":6.6,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12231443/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144475378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evolving diagnosis and comorbidities of gaming disorder: Insights from psychiatry departments in five Chinese hospitals from 2018 to 2023.","authors":"Xuhao Wang, Shuhong Lin, Xuebing Liu, Shucai Huang, Jing Qi, Tianli Shao, Zhenjiang Liao, Xinxin Chen, Yifan Li, Ying Tang, Hongxian Shen, Qiuping Huang","doi":"10.1556/2006.2025.00051","DOIUrl":"10.1556/2006.2025.00051","url":null,"abstract":"<p><strong>Background and aim: </strong>The 11th Revision of the International Classification of Diseases (ICD-11) recognizes gaming disorder (GD) as a behavioral addiction, but its implications for the clinical diagnostic practice of GD remain underexplored. This study examines the clinical diagnosis of GD since its inclusion in ICD-11 to understand trends in diagnosis rates in psychiatric departments and patient characteristics, particularly comorbidities.</p><p><strong>Method: </strong>This multicenter, retrospective observational study was conducted in five large tertiary hospitals and mental health centers across four Chinese provinces. Diagnoses of GD in each hospital were based on the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) or ICD-11 criteria. Data were extracted from hospital records, including demographics, diagnoses, and medical history.</p><p><strong>Result: </strong>Of the 7,877,415 total visitors, 3,517 unique patients (0.045%) met GD diagnostic criteria. GD diagnoses showed a significant linear increase (χ2 = 83.143, p < 0.001) from 2018 to 2023. 37.59% of GD patients had comorbidities, mostly mood disorders, followed by impulse control disorders, schizophrenia or other primary psychotic disorders, and attention deficit hyperactivity disorder. Patients were younger (F = 48.69, p < 0.001), mainly aged 12-18.</p><p><strong>Discussion and conclusions: </strong>This study reveals an upward trend in GD diagnosis from 2018 to 2023, showing a trend toward younger diagnosis age, especially in males. Notably, there's a high rate of comorbidities, with mood disorders being the most common. While ICD-11 may have improved GD identification, further research is needed to clarify whether the increased rates are due to higher prevalence or better recognition.</p>","PeriodicalId":15049,"journal":{"name":"Journal of Behavioral Addictions","volume":" ","pages":"873-888"},"PeriodicalIF":6.6,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12231455/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144475373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Childhood maltreatment and problematic smartphone use: A multilevel, meta-analytic review.","authors":"Ying Ye, Ningzhe Zhu, Jiahe Su, Jingjing Zhao, Feng Kong","doi":"10.1556/2006.2025.00050","DOIUrl":"10.1556/2006.2025.00050","url":null,"abstract":"<p><strong>Background and aims: </strong>Problematic smartphone use (PSU), characterized by excessive and compulsive engagement with smartphones, is significantly shaped by the family environment. Recent studies have shown that childhood maltreatment (CM) is associated with increased PSU. Despite this growing recognition, comprehensive, quantitative evaluations of this connection remain scarce. The present meta-analysis aims to synthesize existing quantitative evidence on the relationship between PSU and CM.</p><p><strong>Methods: </strong>We systematically searched databases including Web of Science, ProQuest, PubMed, Elsevier ScienceDirect, PsycINFO, Wanfang, China National Knowledge Infrastructure, and Weipu for studies published up to March 1, 2025. Eligible papers were quantitative, peer-reviewed studies that allowed statistical calculation of the relationship between PSU and CM.</p><p><strong>Results: </strong>Across 51 studies (99 effect sizes), a moderate positive correlation was found between CM and PSU (r = 0.264, 95% CI [0.226, 0.301], p < 0.001). Notably, as age increases, the impact of physical and sexual abuse on individuals appears to diminish, whereas this age-related effect was not observed for other forms of maltreatment. No significant moderating effects were observed for maltreatment type, measurement tools, study design, gender, sample type (college vs. non-college), or publication type.</p><p><strong>Discussion and conclusions: </strong>The findings highlight the family environment's key role in PSU. Children who experience maltreatment require special attention to their smartphone usage, along with targeted interventions to address both the harms of maltreatment and excessive smartphone use.</p>","PeriodicalId":15049,"journal":{"name":"Journal of Behavioral Addictions","volume":" ","pages":"644-659"},"PeriodicalIF":6.6,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12231480/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144475372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Individual-specific subspace of altered functional connectivity predicts clinical symptoms in Internet gaming disorder.","authors":"Shuang Li, Anhang Jiang, Min Wang, Haosen Ni, Jiejie Fu, Guangheng Dong","doi":"10.1556/2006.2025.00047","DOIUrl":"10.1556/2006.2025.00047","url":null,"abstract":"<p><strong>Background: </strong>Despite extensive research efforts aimed at unraveling the neural mechanisms underlying Internet gaming disorder (IGD), reproducibility remains a challenge, largely due to overlooking the clinical and biological diversity within individuals affected by IGD. Therefore, investigating the altered brain features associated with IGD within both individual-shared and individual-specific subspaces is crucial for understanding this complex and heterogeneous disorder.</p><p><strong>Methods: </strong>This study included 555 participants, comprising 326 individuals with IGD and 229 recreational game users (RGUs). Firstly, we computed altered functional connectivity (AFC) matrices for individuals with IGD and compared them with those of RGUs. Subsequently, we applied the common orthogonal basis extraction algorithm to partition the AFC of individuals with IGD into individual-shared and individual-specific subspaces. Finally, we examined brain regions exhibiting generally abnormal patterns in the individual-shared subspace and employed multiple linear regression analysis to assess the predictive influence of AFC within the individual-specific subspace on clinical symptoms.</p><p><strong>Results: </strong>Our findings revealed individual-shared altered patterns in the visual network, medial frontal network (MFN), and frontoparietal network (FPN) among individuals with IGD, which are associated with executive control and visual processing. Within the individual-specific subspace, we observed that AFC within the default mode network could predict scores related to fun-seeking behavior in the behavioral activation system (BAS), while AFC within the MFN correlated with reward responsiveness and drive scores in the BAS. Additionally, AFC within the FPN was predictive of scores in the behavioral inhibition system.</p><p><strong>Conclusions: </strong>This study successfully decomposed the AFC of IGD into individual-shared and individual-specific subspaces. The AFC within individual-specific subspaces holds promise as potential biomarkers for elucidating clinical symptoms in IGD, thereby offering an analytical framework for investigating heterogeneity in other addictive behaviors.</p>","PeriodicalId":15049,"journal":{"name":"Journal of Behavioral Addictions","volume":" ","pages":"793-804"},"PeriodicalIF":6.6,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12231441/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144475374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The neural vulnerabilities in reward processing in gambling disorder.","authors":"Amy Jing-Wen Yin, Anise M S Wu, Yingxin Xiong, Liffy Ka Heng Leong, Caren Man Wai Lei, Jing Zhai, Davis Ka Chio Fong, Zhen Yuan, Ruey-Song Huang, Robin Chark","doi":"10.1556/2006.2025.00049","DOIUrl":"10.1556/2006.2025.00049","url":null,"abstract":"<p><strong>Background and aims: </strong>Clinical diagnosis of gambling disorder (GD) remains challenging due to the heterogeneity in symptoms and a lack of consistency in the proposed neural mechanisms. Effective classification of GD may depend on neural representations of either risky decision-making or reward processing.</p><p><strong>Methods: </strong>To address these challenges, we recruited more than 100 individuals with GD and matched healthy controls, utilizing event-related fMRI during a novel risky decision-making task to elicit neural representations of risky decision-making and reward processing.</p><p><strong>Results: </strong>During the decision phase, there was no significant difference observed between the two groups even when a very liberal threshold was used. During reward processing, the GD group exhibited significantly increased activation in the right inferior frontal gyrus, right anterior insula, and bilateral posterior cingulate cortex in the risky reward condition compared with the healthy controls. A notable neural activation characteristic was the distinct response between risk-win and risk-loss conditions in reward processing, particularly in the right inferior frontal gyrus in the GD group. The classification for GD using the neural representation of reward yielded an area under the curve of 0.75 (±0.11 SD).</p><p><strong>Discussion and conclusion: </strong>These findings integrate biological and behavioral perspectives to provide new insights into the reward processes underlying GD. These findings highlight specific neural representations associated with GD and suggest potential biomarkers for diagnostic evaluation in GD.</p>","PeriodicalId":15049,"journal":{"name":"Journal of Behavioral Addictions","volume":" ","pages":"1010-1020"},"PeriodicalIF":6.6,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12231456/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144475377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Restless minds, restless nights: A 2-wave preliminary study on the associations between sleep quality, negative metacognitions and Problematic Smartphone Use.","authors":"Claudia Marino, Andrea Zagaria, Silvia Casale, Alessio Vieno, Natale Canale, Christian Franceschini, Giovanni Mansueto, Marcantonio M Spada","doi":"10.1556/2006.2025.00055","DOIUrl":"10.1556/2006.2025.00055","url":null,"abstract":"<p><strong>Background and aims: </strong>Research has shown a positive association between Problematic Smartphone Use (PSU) and poor sleep quality. However, extant literature has mostly relied on cross-sectional studies and little is known about the factors involved in the maintenance of PSU and connected sleep problems. The aim of this study was to model the associations between Negative Metacognitions about the uncontrollability and danger of excessive Smartphone Use (NMSU), poor sleep quality, and PSU using a 2-wave design.</p><p><strong>Methods: </strong>A total of 361 participants completed an online questionnaire at W1 and W2 (after six months). A cross-lagged panel model was estimated using SEM to examine the longitudinal interrelationships between poor sleep quality, two dimensions of PSU (i.e., Time spent - which covers addiction-like symptoms of PSU including withdrawal and salience, and Daily life interference - which assesses the negative effects of smartphone use on daily functioning, and NMSU.</p><p><strong>Results: </strong>Correlation analyses showed significant positive associations among PSU, NMSU and poor sleep quality at both waves. With regards to cross-lagged effects, only poor sleep quality at W1 significantly predicted NMSU at W2 (β = 0.202, p = 0.021).</p><p><strong>Discussion and conclusions: </strong>Contrary to previous studies, only a prospective effect of sleep quality on negative metacognitions, rather than bidirectional influence between the three variables, was observed. Sleep hygiene education and interventions based on Metacognitive therapy could be helpful to modify negative metacognitions in the context of PSU.</p>","PeriodicalId":15049,"journal":{"name":"Journal of Behavioral Addictions","volume":" ","pages":"1107-1113"},"PeriodicalIF":6.6,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12231452/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144475375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}