Journal of Behavioral Addictions最新文献

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The longitudinal association between reward processing and symptoms of video game addiction in the Adolescent Brain Cognitive Development Study.
IF 6.6 1区 医学
Journal of Behavioral Addictions Pub Date : 2024-12-09 DOI: 10.1556/2006.2024.00068
Daniel A Lopez, John J Foxe, Edwin van Wijngaarden, Wesley K Thompson, Edward G Freedman
{"title":"The longitudinal association between reward processing and symptoms of video game addiction in the Adolescent Brain Cognitive Development Study.","authors":"Daniel A Lopez, John J Foxe, Edwin van Wijngaarden, Wesley K Thompson, Edward G Freedman","doi":"10.1556/2006.2024.00068","DOIUrl":"https://doi.org/10.1556/2006.2024.00068","url":null,"abstract":"<p><strong>Background and aims: </strong>Video games are a common form of entertainment in adolescents, which may result in gaming habits characterized by impairment to reward-related decision-making. The aim of the current study was to investigate the relationship between reward processing and symptoms of gaming addiction in adolescents.</p><p><strong>Methods: </strong>Data from three consecutive follow-up years (years 2, 3 and 4) of the Adolescent Brain Cognitive Development (ABCD) Study were analyzed (n = 6,143, total observations = 12,745, mean age at year-2 = 12 years). Participants completed the Video Game Addiction Questionnaire (VGAQ) at each visit. Discrete stages of reward processing were measured at the year-2 visit using the Monetary Incentive Delay task while the participant completed a functional magnetic resonance imaging (fMRI) scan. Bayesian hierarchical linear models were employed to examine the longitudinal association between reward processing in regions of interest at year-2 and VGAQ scores over time.</p><p><strong>Results: </strong>Lower activation in the bilateral caudate during the anticipation of a large reward (β = -0.87, 95% CI: -1.68, -0.07) was associated with greater VGAQ scores over time. This implies that for each one-unit increase in brain activity in the caudate, there was an associated 0.87-point decrease in symptoms of gaming addiction as measured by the VGAQ. No association was found between reward feedback and VGAQ scores.</p><p><strong>Discussion and conclusions: </strong>The findings suggest that abnormal reward processing in the caudate nucleus is associated with symptoms of gaming addiction in adolescents. These results provide a clearer understanding of the brain mechanisms involved in gaming addiction, which could inform future preventive and therapeutic strategies.</p>","PeriodicalId":15049,"journal":{"name":"Journal of Behavioral Addictions","volume":" ","pages":""},"PeriodicalIF":6.6,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142800514","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}
引用次数: 0
Testing the acceptability and feasibility of the lower-risk gambling guidelines in Finland.
IF 6.6 1区 医学
Journal of Behavioral Addictions Pub Date : 2024-12-09 DOI: 10.1556/2006.2024.00065
Jussi Palomäki, Tiina Latvala, Anne H Salonen, Virve Marionneau, David Hodgins, Matthew M Young, Sari Castrén
{"title":"Testing the acceptability and feasibility of the lower-risk gambling guidelines in Finland.","authors":"Jussi Palomäki, Tiina Latvala, Anne H Salonen, Virve Marionneau, David Hodgins, Matthew M Young, Sari Castrén","doi":"10.1556/2006.2024.00065","DOIUrl":"https://doi.org/10.1556/2006.2024.00065","url":null,"abstract":"<p><strong>Background: </strong>The lower risk gambling guidelines (LRGG) represent an evidence-based collaborative effort to provide clear advice to people on the limits of safe gambling consumption. The guidelines are as follows: 1) Gamble no more than 1% of household income per month; and 2) Gamble no more than 4 days per month; and 3) Avoid regularly gambling at more than 2 types of games.</p><p><strong>Methods: </strong>In an online survey study (N = 778), we evaluated the feasibility and acceptability of the LRGG among different subpopulations in Finland.</p><p><strong>Results: </strong>We found that the guidelines were generally evaluated positively as understandable, sensible, clear, and \"just right\" in terms of their content. There were some notable differences between subpopulations: Individuals who were at risk of gambling problems evaluated the LRGG more negatively than others, while professionals working in the field of gambling prevention were the most optimistic about the guidelines. Thus, increased level of potentially harmful gambling engagement was linked with a somewhat more pessimistic attitude towards the guidelines. On the other hand, those who had not gambled in the past year viewed the guidelines as too permissive compared with those who had gambled, or those working in gambling prevention.</p><p><strong>Discussion: </strong>Overall, our results show clear differences of opinion between the various subpopulations, which appear to be associated with the individuals' level and nature of gambling experience. We conclude that the LRGG can likely be adopted into wider use in Finland.</p>","PeriodicalId":15049,"journal":{"name":"Journal of Behavioral Addictions","volume":" ","pages":""},"PeriodicalIF":6.6,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142800601","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}
引用次数: 0
A case-control study for psychiatric comorbidity and associative factors of gaming disorder and hazardous gaming based on ICD-11 criteria: Cognitive control, emotion regulation, and reinforcement sensitivity.
IF 6.6 1区 医学
Journal of Behavioral Addictions Pub Date : 2024-12-05 DOI: 10.1556/2006.2024.00066
Ju-Yu Yen, Orsolya Király, Mark D Griffiths, Zsolt Demetrovics, Chih-Hung Ko
{"title":"A case-control study for psychiatric comorbidity and associative factors of gaming disorder and hazardous gaming based on ICD-11 criteria: Cognitive control, emotion regulation, and reinforcement sensitivity.","authors":"Ju-Yu Yen, Orsolya Király, Mark D Griffiths, Zsolt Demetrovics, Chih-Hung Ko","doi":"10.1556/2006.2024.00066","DOIUrl":"https://doi.org/10.1556/2006.2024.00066","url":null,"abstract":"<p><strong>Background and aims: </strong>The authors of the present study wanted to know whether the previously reported psychiatric comorbidities of internet gaming disorder (IGD) based on DSM-5 criteria were also more prevalent among gaming disorder (GD) or hazardous gaming (HG) based on ICD-11 criteria. Therefore, the present case-control study evaluated the psychiatric comorbidities and associative factors of GD and HG based on ICD-11 criteria.</p><p><strong>Methods: </strong>A sample of 60 individuals with GD, 45 with HG, and 120 controls were assessed with an ICD-11 criteria-based diagnostic interview along with attention deficit hyperactivity disorder (ADHD), generalized anxiety disorder (GAD), depressive disorder, and social anxiety disorder (SAD). Participants also completed Conners' Continuous Performance Test (CCPT), Dickman's Impulsivity Inventory, the Emotion Regulation Questionnaire, and the Behavior Inhibition System and Behavior Approach System Scales.</p><p><strong>Results: </strong>GD was associated with ADHD, depressive disorder, and GAD. ADHD was the most associative comorbidity of HG. Depressive disorder was associated with GD relative to HG. Moreover, individuals with lower reappraisal, higher aversion sensitivity, and impulsivity were more likely to be diagnosed with GD. Those with higher fun-seeking were more likely to be diagnosed with HG.</p><p><strong>Conclusion: </strong>In the present study, ADHD was the psychiatric comorbidity most significantly associated with GD, followed by depressive disorder and GAD, as previously reported for IGD. ADHD was also associated with HG. Depressive disorder was more associated with GD compared to HG. Intervention for HG and GD should be tailored by the consideration of the clients' psychiatric comorbidity as well as their reappraisal skills, impulsivity, aversion sensitivity, and fun-seeking.</p>","PeriodicalId":15049,"journal":{"name":"Journal of Behavioral Addictions","volume":" ","pages":""},"PeriodicalIF":6.6,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142785501","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}
引用次数: 0
Deficits in spontaneous versus instructed emotion regulation in problematic pornography use.
IF 6.6 1区 医学
Journal of Behavioral Addictions Pub Date : 2024-12-02 DOI: 10.1556/2006.2024.00064
Yushan Wang, Shaoyue Tang, Liang Li, Xinran Jiang, Xizhou Wang, Jianfeng Wang
{"title":"Deficits in spontaneous versus instructed emotion regulation in problematic pornography use.","authors":"Yushan Wang, Shaoyue Tang, Liang Li, Xinran Jiang, Xizhou Wang, Jianfeng Wang","doi":"10.1556/2006.2024.00064","DOIUrl":"https://doi.org/10.1556/2006.2024.00064","url":null,"abstract":"<p><strong>Background and aims: </strong>Deficits in emotion regulation (ER) are considered a key factor in the development of addiction, highlighting ER as a potential target for treatment. However, ER in problematic pornography use (PPU) remains poorly understood.</p><p><strong>Methods: </strong>The current study investigated both spontaneous and instructed ER in male individuals at-risk for PPU (n = 35, average age = 20.40 ± 1.29) and in a control group (n = 33, average age = 20.06 ± 1.44). Initially, participants were evaluated with the Emotion Regulation Profile-Revised (ERP-R) to measure their spontaneous use of eight ER strategies across various negative emotion-eliciting scenarios. Subsequently, they completed an emotion reappraisal task, in which they were instructed to either observe or reappraise their reactions to negative images. Subjective emotional ratings (valence and arousal) and event-related potentials (ERPs) were recorded to examine the effects of deliberate ER on emotional processing.</p><p><strong>Results: </strong>The results indicated that individuals at-risk for PPU reported less frequent spontaneous use of reappraisal compared to those in the control group. Furthermore, in both groups, reappraisal led to a decrease in the late positive potential (LPP) and the self-reported intensity of emotions elicited by negative images.</p><p><strong>Discussion and conclusions: </strong>This indicates that both groups were able to effectively downregulate negative emotions through reappraisal when instructed. Our findings underscore the importance of incorporating ER skills, particularly reappraisal-based strategies, into the prevention and psychotherapy of PPU.</p>","PeriodicalId":15049,"journal":{"name":"Journal of Behavioral Addictions","volume":" ","pages":""},"PeriodicalIF":6.6,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142769212","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}
引用次数: 0
Watch and yearn? Effects of watching gambling livestreams on cravings.
IF 6.6 1区 医学
Journal of Behavioral Addictions Pub Date : 2024-12-02 DOI: 10.1556/2006.2024.00062
Raymond Wu, Brett Abarbanel, Luke Clark
{"title":"Watch and yearn? Effects of watching gambling livestreams on cravings.","authors":"Raymond Wu, Brett Abarbanel, Luke Clark","doi":"10.1556/2006.2024.00062","DOIUrl":"https://doi.org/10.1556/2006.2024.00062","url":null,"abstract":"<p><strong>Background: </strong>Gambling content on streaming platforms has gained popularity. Given their intense, cue-laden nature, watching gambling streams may trigger cravings among viewers. At the same time, people who gamble may be motivated to watch gambling streams in an attempt to regulate their cravings.</p><p><strong>Methods: </strong>We tested these ideas across two preregistered online studies, recruiting i) people who gamble to compare a subgroup of gambling stream viewers with non-viewers (Study 1; nviewers = 221, nnon-viewers = 642), and ii) a group of gambling stream viewers (Study 2; nviewers = 271).</p><p><strong>Results: </strong>Gambling stream viewers were younger, tended to identify as men, and displayed higher levels of problem gambling and gambling cravings compared to non-viewers. Problem gambling severity was correlated positively with both the motivation to use gambling streams to regulate cravings and with cravings elicited by watching gambling streams.</p><p><strong>Discussion: </strong>Our findings indicate that while viewers with higher levels of problem gambling may use gambling streams to regulate their cravings, doing so might evoke cravings.</p>","PeriodicalId":15049,"journal":{"name":"Journal of Behavioral Addictions","volume":" ","pages":""},"PeriodicalIF":6.6,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142769213","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}
引用次数: 0
From active escapism to virtual withdrawal: Validation of the Compensatory-Dissociative Online Gaming scales (C-DOGs). 从主动逃避到虚拟退缩:补偿-解离网络游戏量表(C-DOGs)的验证。
IF 6.6 1区 医学
Journal of Behavioral Addictions Pub Date : 2024-11-26 DOI: 10.1556/2006.2024.00059
Alessandro Giardina, Loïs Fournier, Vladan Starcevic, Daniel L King, Maria Di Blasi, Adriano Schimmenti, Joël Billieux
{"title":"From active escapism to virtual withdrawal: Validation of the Compensatory-Dissociative Online Gaming scales (C-DOGs).","authors":"Alessandro Giardina, Loïs Fournier, Vladan Starcevic, Daniel L King, Maria Di Blasi, Adriano Schimmenti, Joël Billieux","doi":"10.1556/2006.2024.00059","DOIUrl":"https://doi.org/10.1556/2006.2024.00059","url":null,"abstract":"<p><strong>Background: </strong>In the Compensatory-Dissociative Online Gaming (C-DOG; Giardina et al., 2024) model, we proposed a continuum from compensatory to dissociative gaming involvement. This continuum represents different degrees of integration between physical and virtual environments with three core processes - Active Escapism, Escape, and Dissociation - and two peripheral processes - Gaming-Related Relaxation and Body-Mind Detachment. Here, we developed and tested a multidimensional measure based on this model.</p><p><strong>Method: </strong>We capitalized on existing items for measuring escapism and dissociation and we generated new items consistent with the hypothesized model dimensions. A total of 54 items were administered to 1,176 online gamers playing different game genres, together with measures of problematic gaming, passion for gaming, and other psychological distress indicators.</p><p><strong>Results: </strong>Exploratory and confirmatory factor analyses yielded a six-factor, 36-item structure, with multiple hierarchical regression analyses highlighting unique associations with other psychological constructs assessed.</p><p><strong>Discussion: </strong>The following factors were identified: (1) Emotional Displacement - redirection of negative emotion into the game with associated relaxation; (2) Absorption - detachment of the player from time and space while gaming; (3) Active Escapism - simulative use of the game to compensate for lack of self-confidence in reaching physical life objectives; (4) Virtual Withdrawal - maladaptive gaming to balance impaired social functioning, predicted by traumatic experiences and pervasive depression; (5) Dissociative Regulation - dysfunctional level of engagement associated with excessive anxiety; (6) Failure Escape - problematic avoidance via gaming related to fear of future failures.</p><p><strong>Conclusions: </strong>The C-DOG factors identify critical psychological processes associated with problematic gaming, with relevant research and clinical implications.</p>","PeriodicalId":15049,"journal":{"name":"Journal of Behavioral Addictions","volume":" ","pages":""},"PeriodicalIF":6.6,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142728874","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}
引用次数: 0
User-avatar bond as diagnostic indicator for gaming disorder: A word on the side of caution. 用户头像绑定作为游戏障碍的诊断指标:谨慎行事。
IF 6.6 1区 医学
Journal of Behavioral Addictions Pub Date : 2024-11-22 DOI: 10.1556/2006.2024.00032
Alexandre Infanti, Alessandro Giardina, Josip Razum, Daniel L King, Stephanie Baggio, Jeffrey G Snodgrass, Matthew Vowels, Adriano Schimmenti, Orsolya Király, Hans-Juergen Rumpf, Claus Vögele, Joël Billieux
{"title":"User-avatar bond as diagnostic indicator for gaming disorder: A word on the side of caution.","authors":"Alexandre Infanti, Alessandro Giardina, Josip Razum, Daniel L King, Stephanie Baggio, Jeffrey G Snodgrass, Matthew Vowels, Adriano Schimmenti, Orsolya Király, Hans-Juergen Rumpf, Claus Vögele, Joël Billieux","doi":"10.1556/2006.2024.00032","DOIUrl":"https://doi.org/10.1556/2006.2024.00032","url":null,"abstract":"<p><p>In their study, Stavropoulos et al. (2023) capitalized on supervised machine learning and a longitudinal design and reported that the User-Avatar Bond could be accurately employed to detect Gaming Disorder (GD) risk in a community sample of gamers. The authors suggested that the User-Avatar Bond is a \"digital phenotype\" that could be used as a diagnostic indicator for GD risk. In this commentary, our objectives are twofold: (1) to underscore the conceptual challenges of employing User-Avatar Bond for conceptualizing and diagnosing GD risk, and (2) to expound upon what we perceive as a misguided application of supervised machine learning techniques by the authors from a methodological standpoint.</p>","PeriodicalId":15049,"journal":{"name":"Journal of Behavioral Addictions","volume":" ","pages":""},"PeriodicalIF":6.6,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142687037","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}
引用次数: 0
Corrigendum to: Deep learning(s) in gaming disorder through the user-avatar bond: A longitudinal study using machine learning. 更正:通过用户与头像之间的联系深度学习游戏障碍:使用机器学习的纵向研究。
IF 6.6 1区 医学
Journal of Behavioral Addictions Pub Date : 2024-11-22 DOI: 10.1556/2006.2024.30000
Vasileios Stavropoulos, Daniel Zarate, Maria Prokofieva, Noirin Van de Berg, Leila Karimi, Angela Gorman Alesi, Michaella Richards, Soula Bennet, Mark D Griffiths
{"title":"Corrigendum to: Deep learning(s) in gaming disorder through the user-avatar bond: A longitudinal study using machine learning.","authors":"Vasileios Stavropoulos, Daniel Zarate, Maria Prokofieva, Noirin Van de Berg, Leila Karimi, Angela Gorman Alesi, Michaella Richards, Soula Bennet, Mark D Griffiths","doi":"10.1556/2006.2024.30000","DOIUrl":"https://doi.org/10.1556/2006.2024.30000","url":null,"abstract":"","PeriodicalId":15049,"journal":{"name":"Journal of Behavioral Addictions","volume":" ","pages":""},"PeriodicalIF":6.6,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142687023","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}
引用次数: 0
Machine Learning(s) in gaming disorder through the user-avatar bond: A step towards conceptual and methodological clarity. 通过用户与头像的联系,机器学习在游戏障碍中的应用:向概念和方法的清晰化迈出了一步。
IF 6.6 1区 医学
Journal of Behavioral Addictions Pub Date : 2024-11-22 DOI: 10.1556/2006.2024.00063
Vasileios Stavropoulos, Maria Prokofieva, Daniel Zarate, Michelle Colder Carras, Rabindra Ratan, Rachel Kowert, Bruno Schivinski, Tyrone L Burleigh, Dylan Poulus, Leila Karimi, Angela Gorman-Alesi, Taylor Brown, Rapson Gomez, Kaiden Hein, Nalin Arachchilage, Mark D Griffiths
{"title":"Machine Learning(s) in gaming disorder through the user-avatar bond: A step towards conceptual and methodological clarity.","authors":"Vasileios Stavropoulos, Maria Prokofieva, Daniel Zarate, Michelle Colder Carras, Rabindra Ratan, Rachel Kowert, Bruno Schivinski, Tyrone L Burleigh, Dylan Poulus, Leila Karimi, Angela Gorman-Alesi, Taylor Brown, Rapson Gomez, Kaiden Hein, Nalin Arachchilage, Mark D Griffiths","doi":"10.1556/2006.2024.00063","DOIUrl":"https://doi.org/10.1556/2006.2024.00063","url":null,"abstract":"<p><p>In response to our study, the commentary by Infanti et al. (2024) raised critical points regarding (i) the conceptualization and utility of the user-avatar bond in addressing gaming disorder (GD) risk, and (ii) the optimization of supervised machine learning techniques applied to assess GD risk. To advance the scientific dialogue and progress in these areas, the present paper aims to: (i) enhance the clarity and understanding of the concepts of the avatar, the user-avatar bond, and the digital phenotype concerning gaming disorder (GD) within the broader field of behavioral addictions, and (ii) comparatively assess how the user-avatar bond (UAB) may predict GD risk, by both removing data augmentation before the data split and by implementing alternative data imbalance treatment approaches in programming.</p>","PeriodicalId":15049,"journal":{"name":"Journal of Behavioral Addictions","volume":" ","pages":""},"PeriodicalIF":6.6,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142687032","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}
引用次数: 0
Long-term changes on behavioral addictions symptoms among adults with attention deficit hyperactivity disorder treated with methylphenidate. 使用哌醋甲酯治疗注意力缺陷多动障碍成人行为成瘾症状的长期变化。
IF 6.6 1区 医学
Journal of Behavioral Addictions Pub Date : 2024-11-14 DOI: 10.1556/2006.2024.00060
Giacomo Grassi, Corinna Moradei, Chiara Cecchelli
{"title":"Long-term changes on behavioral addictions symptoms among adults with attention deficit hyperactivity disorder treated with methylphenidate.","authors":"Giacomo Grassi, Corinna Moradei, Chiara Cecchelli","doi":"10.1556/2006.2024.00060","DOIUrl":"https://doi.org/10.1556/2006.2024.00060","url":null,"abstract":"<p><strong>Background: </strong>Attention deficit hyperactivity disorder (ADHD) and behavioral addictions (BAs) are highly comorbid but little is known about the effect of anti-ADHD medications on behavioral addiction symptoms. Thus, the aim of this naturalistic prospective study was to investigate the long-term changes on BAs symptoms among methylphenidate-treated adults with a primary diagnosis of ADHD.</p><p><strong>Methods: </strong>37 consecutive adult ADHD outpatients completed a baseline and follow-up assessment of ADHD, mood and BAs symptoms (internet, shopping, food, sex addictions and gambling disorder) after one year of methylphenidate (flexible dose) treatment.</p><p><strong>Results: </strong>Internet addiction test scores pre-treatment were significantly higher than post-treatment scores (p < 0.001). The same trend was seen for the shopping addiction (p = 0.022), food addiction scores (p = 0.039) and sex addiction scores (p = 0.047). Gambling disorder scores did not differ pre and post treatment since none of the included patients reported significant gambling symptoms at baseline. The rate of ADHD patients with at least one comorbid BA was reduced after methylphenidate treatment (51.4% vs 35.1%). The correlation analyses showed a moderate positive correlation between the changes in sluggish cognitive tempo symptoms, cognitive impulsivity, mood and anxiety symptoms and changes in internet addiction symptoms.</p><p><strong>Conclusions: </strong>This is the first study showing that after one-year of treatment with methylphenidate, adult ADHD patients show a significant reduction on internet, food, shopping and sex addiction symptoms. Further controlled studies with larger samples should replicate these preliminary results and elucidate the role of methylphenidate and other moderator factors (such as concomitant psychological treatments or lifestyle habits changes) on BAs improvements.</p>","PeriodicalId":15049,"journal":{"name":"Journal of Behavioral Addictions","volume":" ","pages":""},"PeriodicalIF":6.6,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142621027","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}
引用次数: 0
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