Journal of Behavioral Addictions最新文献

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Nonconforming gender expression and associated problematic smartphone and internet use among Chinese adolescents. 中国青少年不一致的性别表达以及相关的智能手机和互联网使用问题。
IF 7.8 1区 医学
Journal of Behavioral Addictions Pub Date : 2023-08-28 Print Date: 2023-10-05 DOI: 10.1556/2006.2023.00040
Xinyu Zheng, Yuwei Yang, Weiqing Jiang, Yitong He, Cuihong Huang, Yilin Hua, Ciyong Lu, Lan Guo
{"title":"Nonconforming gender expression and associated problematic smartphone and internet use among Chinese adolescents.","authors":"Xinyu Zheng, Yuwei Yang, Weiqing Jiang, Yitong He, Cuihong Huang, Yilin Hua, Ciyong Lu, Lan Guo","doi":"10.1556/2006.2023.00040","DOIUrl":"10.1556/2006.2023.00040","url":null,"abstract":"<p><strong>Background and aims: </strong>Gender nonconformity (GNC), which refers to an individual's expression of gender that does not align with the socially prescribed norms for their biological sex, may be associated with adverse behavioral problems, such as problematic smartphone use (PSU) and problematic internet use (PIU). This study examined the associations between GNC and PSU and GNC and PIU among Chinese adolescents.</p><p><strong>Methods: </strong>This cross-sectional study utilized data from the 2021 School-based Chinese Adolescents Health Survey, recruiting 23,054 eligible adolescents aged 11 to 21, with an average age of 14.9 (SD: 1.7) years from 504 classes in 84 public high schools across 7 cities in China. Gender nonconformity, PSU/PIU, and demographics were measured. Mixed-effect linear regression models were performed.</p><p><strong>Results: </strong>Among the participants (51.0% male), 5.3% reported high GNC and 26.9% reported moderate GNC. After adjusting for covariates, high GNC was significantly and positively associated with PSU (Β = 1.11, 95% CI = 0.49-1.72) and PIU severity (Β = 2.16, 95% CI = 1.40-2.93). Stratified analyses indicated that the associations between GNC and PSU differed between males and females, with a significant association observed only among male students (Β = 1.91, 95% CI = 0.97-2.86).</p><p><strong>Discussion and conclusions: </strong>GNC is positively associated with the severity of PSU and PIU among Chinese adolescents, with male gender-nonconforming adolescents being more vulnerable to PSU. These results highlight the importance of implementing education on gender expression diversity in schools to create an inclusive school environment, which may potentially help prevent PSU and PIU among gender-nonconforming adolescents.</p>","PeriodicalId":15049,"journal":{"name":"Journal of Behavioral Addictions","volume":null,"pages":null},"PeriodicalIF":7.8,"publicationDate":"2023-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/90/37/jba-12-817.PMC10562814.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10113173","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}
引用次数: 0
Confidence and risky decision-making in gambling disorder. 赌博障碍中的信心和风险决策。
IF 7.8 1区 医学
Journal of Behavioral Addictions Pub Date : 2023-08-21 Print Date: 2023-10-05 DOI: 10.1556/2006.2023.00041
Monja Hoven, Alejandro Hirmas, Jan Engelmann, Ruth J van Holst
{"title":"Confidence and risky decision-making in gambling disorder.","authors":"Monja Hoven,&nbsp;Alejandro Hirmas,&nbsp;Jan Engelmann,&nbsp;Ruth J van Holst","doi":"10.1556/2006.2023.00041","DOIUrl":"10.1556/2006.2023.00041","url":null,"abstract":"<p><strong>Background and aims: </strong>People with Gambling Disorder (GD) often make risky decisions and experience cognitive distortions about gambling. Moreover, people with GD have been shown to be overly confident in their decisions, especially when money can be won. Here we investigated if and how the act of making a risky choice with varying monetary stakes impacts confidence differently in patients with GD (n = 27) relative to healthy controls (HCs) (n = 30).</p><p><strong>Methods: </strong>We used data from our previous mixed-gamble study, in which participants were given the choice of a certain option or a 50/50 gamble with potential gains or losses, after which they rated their confidence.</p><p><strong>Results: </strong>While HCs were more confident when making certain than risky choices, GD patients were specifically more confident when making risky choices than certain choices. Notably, relative to HCs, confidence of patients with GD decreased more strongly with higher gain values when making a certain choice, suggesting a stronger fear of missing out or \"anticipated regret\" of missing out on potential gains when rejecting the risky choice.</p><p><strong>Discussion: </strong>The current findings highlight the potential relevance of confidence and \"regret\" as cognitive mechanisms feeding into excessive risk-taking as seen in GD. Moreover, this study adds to the limited previous work investigating how confidence is affected in value-based risky contexts.</p>","PeriodicalId":15049,"journal":{"name":"Journal of Behavioral Addictions","volume":null,"pages":null},"PeriodicalIF":7.8,"publicationDate":"2023-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6b/ea/jba-12-840.PMC10562821.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10038737","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}
引用次数: 0
Electronic gaming machine accessibility and gambling problems: A natural policy experiment. 电子游戏机的可访问性和赌博问题:一个自然的政策实验。
IF 7.8 1区 医学
Journal of Behavioral Addictions Pub Date : 2023-08-18 Print Date: 2023-10-05 DOI: 10.1556/2006.2023.00044
Alex M T Russell, Matthew Browne, Nerilee Hing, Matthew Rockloff, Philip Newall, Nicki A Dowling, Stephanie Merkouris, Daniel L King, Matthew Stevens, Anne H Salonen, Helen Breen, Nancy Greer, Hannah B Thorne, Tess Visintin, Vijay Rawat, Linda Woo
{"title":"Electronic gaming machine accessibility and gambling problems: A natural policy experiment.","authors":"Alex M T Russell,&nbsp;Matthew Browne,&nbsp;Nerilee Hing,&nbsp;Matthew Rockloff,&nbsp;Philip Newall,&nbsp;Nicki A Dowling,&nbsp;Stephanie Merkouris,&nbsp;Daniel L King,&nbsp;Matthew Stevens,&nbsp;Anne H Salonen,&nbsp;Helen Breen,&nbsp;Nancy Greer,&nbsp;Hannah B Thorne,&nbsp;Tess Visintin,&nbsp;Vijay Rawat,&nbsp;Linda Woo","doi":"10.1556/2006.2023.00044","DOIUrl":"10.1556/2006.2023.00044","url":null,"abstract":"<p><strong>Background: </strong>Electronic gaming machines (EGMs) are one of the most harmful forms of gambling at an individual level. It is unclear whether restriction of EGM functions and accessibility results in meaningful reductions in population-level gambling harm.</p><p><strong>Methods: </strong>A natural policy experiment using a large (N = 15,000) national dataset weighted to standard population variables was employed to compare estimates of gambling problems between Australian residents in Western Australia (WA), where EGMs are restricted to one venue and have different structural features, to residents in other Australian jurisdictions where EGMs are widely accessible in casinos, hotels and clubs. Accessibility of other gambling forms is similar across jurisdictions.</p><p><strong>Results: </strong>Gambling participation was higher in WA, but EGM participation was approximately half that of the rest of Australia. Aggregate gambling problems and harm were about one-third lower in WA, and self-reported attribution of harm from EGMs by gamblers and affected others was 2.7× and 4× lower, respectively. Mediation analyses found that less frequent EGM use in WA accounted for the vast majority of the discrepancy in gambling problems (indirect path = -0.055, 95% CI -0.071; -0.038). Moderation analyses found that EGMs are the form most strongly associated with problems, and the strength of this relationship did not differ significantly across jurisdictions.</p><p><strong>Discussion: </strong>Lower harm from gambling in WA is attributable to restricted accessibility of EGMs, rather than different structural features. There appears to be little transfer of problems to other gambling forms. These results suggest that restricting the accessibility of EGMs substantially reduces gambling harm.</p>","PeriodicalId":15049,"journal":{"name":"Journal of Behavioral Addictions","volume":null,"pages":null},"PeriodicalIF":7.8,"publicationDate":"2023-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/95/41/jba-12-721.PMC10562817.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10381565","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}
引用次数: 0
The potential relationship between loot box spending, problem gambling, and obsessive-compulsive gamers. 战利品箱支出、问题赌博和强迫症玩家之间的潜在关系。
IF 7.8 1区 医学
Journal of Behavioral Addictions Pub Date : 2023-08-18 Print Date: 2023-10-05 DOI: 10.1556/2006.2023.00038
Shaun S Garea, James D Sauer, Lauren C Hall, Matt N Williams, Aaron Drummond
{"title":"The potential relationship between loot box spending, problem gambling, and obsessive-compulsive gamers.","authors":"Shaun S Garea,&nbsp;James D Sauer,&nbsp;Lauren C Hall,&nbsp;Matt N Williams,&nbsp;Aaron Drummond","doi":"10.1556/2006.2023.00038","DOIUrl":"10.1556/2006.2023.00038","url":null,"abstract":"<p><strong>Background and aims: </strong>Loot boxes are digital containers of randomised rewards available in many video games. Individuals with problem gambling symptomatology spend more on loot boxes than individuals without such symptoms. This study investigated whether other psychopathological symptomatology, specifically symptoms of obsessive-compulsive behaviour and hoarding may also be associated with increased loot box spending.</p><p><strong>Methods: </strong>In a large cross-sectional, cross-national survey (N = 1,049 after exclusions), participants recruited from Prolific, living in Aotearoa New Zealand, Australia, and the United States, provided self-reported loot box spending, obsessive-compulsive and hoarding symptomatology, problem gambling symptomatology, and consumer regret levels.</p><p><strong>Results: </strong>There was a moderate positive relationship between loot box spending and obsessive-compulsive symptoms and hoarding. Additionally, greater purchasing of loot boxes was associated with increased consumer regret.</p><p><strong>Discussion and conclusion: </strong>Results identified that those with OCD and hoarding symptomatology may spend more on loot boxes than individuals without OCD and hoarding symptomatology. This information helps identify disproportionate spending to more groups of vulnerable players and may assist in helping consumers make informed choices and also aid policy discussions around the potentialities of harm.</p>","PeriodicalId":15049,"journal":{"name":"Journal of Behavioral Addictions","volume":null,"pages":null},"PeriodicalIF":7.8,"publicationDate":"2023-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/2a/ca/jba-12-733.PMC10562816.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10381566","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}
引用次数: 0
Salivary testosterone levels are associated with Compulsive Sexual Behavior (CSB) in men but not in women in a community sample. 在一个社区样本中,男性唾液睾酮水平与强迫性行为(CSB)有关,而女性则不然。
IF 7.8 1区 医学
Journal of Behavioral Addictions Pub Date : 2023-08-18 Print Date: 2023-10-05 DOI: 10.1556/2006.2023.00047
Rafael Ballester-Arnal, Jesús Castro-Calvo, Marta García-Barba, Juan Enrique Nebot-García, María Dolores Gil-Llario
{"title":"Salivary testosterone levels are associated with Compulsive Sexual Behavior (CSB) in men but not in women in a community sample.","authors":"Rafael Ballester-Arnal,&nbsp;Jesús Castro-Calvo,&nbsp;Marta García-Barba,&nbsp;Juan Enrique Nebot-García,&nbsp;María Dolores Gil-Llario","doi":"10.1556/2006.2023.00047","DOIUrl":"10.1556/2006.2023.00047","url":null,"abstract":"<p><strong>Background and aims: </strong>Despite the inclusion of Compulsive Sexual Behavior (CSB) as a diagnostic entity in the ICD-11 and the increasing number of studies addressing psychological factors leading to its onset and maintenance, little is known about the role of hormonal factors when accounting for this clinical condition (especially in women). This study aimed to provide insights into the association between testosterone levels (i.e., the androgen more intimately linked to sexual desire and arousability) and CSB in both men and women.</p><p><strong>Methods: </strong>A total of 80 participants (40 men [Mage = 22.31; SD = 2.93] and 40 women [Mage = 21.79; SD = 2.06]) provided a saliva sample for the estimation of the level of free testosterone and completed a battery of measures assessing CSB and other related sexual domains (sexual sensation seeking and online/offline sexual behavior).</p><p><strong>Results: </strong>In men, salivary testosterone had a positive and significant correlation with three scales assessing CSB (r between 0.316 and 0.334). In women, these correlations were small and non-significant (r between 0.011 and 0.079). In both men and women, the level of salivary testosterone had small non-significant correlations with the other domains of sexual behavior assessed.</p><p><strong>Discussion and conclusions: </strong>Individuals' level of testosterone may contribute to the etiopathogenesis of CSB, but only in men. In women, alternative psychological -i.e., motivational, behavioral, or cognitive- processes may be playing a more central role in the expression of this condition.</p>","PeriodicalId":15049,"journal":{"name":"Journal of Behavioral Addictions","volume":null,"pages":null},"PeriodicalIF":7.8,"publicationDate":"2023-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a2/43/jba-12-847.PMC10562815.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10381578","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}
引用次数: 0
Addiction substitution and concurrent recovery in gambling disorder: Who substitutes and why? 赌博障碍的成瘾替代和并发康复:谁替代,为什么?
IF 7.8 1区 医学
Journal of Behavioral Addictions Pub Date : 2023-08-14 Print Date: 2023-10-05 DOI: 10.1556/2006.2023.00046
Hyoun S Kim, Daniel S McGrath, David C Hodgins
{"title":"Addiction substitution and concurrent recovery in gambling disorder: Who substitutes and why?","authors":"Hyoun S Kim,&nbsp;Daniel S McGrath,&nbsp;David C Hodgins","doi":"10.1556/2006.2023.00046","DOIUrl":"10.1556/2006.2023.00046","url":null,"abstract":"<p><strong>Objectives: </strong>When individuals recover from gambling disorder, their involvement in other potentially addictive substances and behaviors may also subsequently increase (substitution) or decrease (concurrent recovery). The objectives of this study were to identify and compare recovery processes associated with substitution and concurrent recovery in gambling disorder.</p><p><strong>Methods: </strong>A mixed-method study was conducted with 185 people who were recovered from gambling disorder. Semi-structured interviews were used to: (i) establish onset and recovery of gambling disorder as well as other substance and behavioral addictions; and (ii) assess processes (e.g., reasons, emotional state, helpfulness) associated with addiction substitution and concurrent recovery. Participants also completed a survey assessing demographic characteristics, gambling behaviors, and psychological characteristics to compare demographic and clinical differences between participants who engaged in addiction substitution, concurrent recovery, or neither (controls).</p><p><strong>Results: </strong>The most frequently reported reason for engaging in addiction substitution was as a substitute coping mechanism. The most reported reason for engaging in concurrent recovery was due to the addictions being mutually influenced. Negative emotional states were common when engaging in both addiction substitution and concurrent recovery. Although the three groups did not differ on gambling characteristics, addiction substitution was associated with greater underlying vulnerabilities including childhood adversity, impulsivity, emotion dysregulation, and, maladaptive coping skills.</p><p><strong>Conclusion: </strong>Transdiagnostic treatments that target the underlying mechanisms of addictions may reduce the likelihood of engaging in addiction substitution.</p>","PeriodicalId":15049,"journal":{"name":"Journal of Behavioral Addictions","volume":null,"pages":null},"PeriodicalIF":7.8,"publicationDate":"2023-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c0/99/jba-12-682.PMC10562828.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10000540","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}
引用次数: 0
Abnormal frontostriatal connectivity and serotonin function in gambling disorder: A preliminary exploratory study. 赌博障碍患者额纹状体连接异常和血清素功能:一项初步探索性研究。
IF 7.8 1区 医学
Journal of Behavioral Addictions Pub Date : 2023-08-09 Print Date: 2023-10-05 DOI: 10.1556/2006.2023.00037
Albert Bellmunt-Gil, Joonas Majuri, Eveliina Arponen, Valtteri Kaasinen, Juho Joutsa
{"title":"Abnormal frontostriatal connectivity and serotonin function in gambling disorder: A preliminary exploratory study.","authors":"Albert Bellmunt-Gil,&nbsp;Joonas Majuri,&nbsp;Eveliina Arponen,&nbsp;Valtteri Kaasinen,&nbsp;Juho Joutsa","doi":"10.1556/2006.2023.00037","DOIUrl":"10.1556/2006.2023.00037","url":null,"abstract":"<p><strong>Background: </strong>The neurobiological mechanisms of gambling disorder are not yet fully characterized, limiting the development of treatments. Defects in frontostriatal connections have been shown to play a major role in substance use disorders, but data on behavioral addictions, such as gambling disorder, are scarce. The aim of this study was to 1) investigate whether gambling disorder is associated with abnormal frontostriatal connectivity and 2) characterize the key neurotransmitter systems underlying the connectivity abnormalities.</p><p><strong>Methods: </strong>Fifteen individuals with gambling disorder and 17 matched healthy controls were studied with resting-state functional connectivity MRI and three brain positron emission tomography scans, investigating dopamine (18F-FDOPA), opioid (11C-carfentanil) and serotonin (11C-MADAM) function. Frontostriatal connectivity was investigated using striatal seed-to-voxel connectivity and compared between the groups. Neurotransmitter systems underlying the identified connectivity differences were investigated using region-of-interest and voxelwise approaches.</p><p><strong>Results: </strong>Individuals with gambling disorder showed loss of functional connectivity between the right nucleus accumbens (NAcc) and a region in the right dorsolateral prefrontal cortex (DLPFC) (PFWE <0.05). Similarly, there was a significant Group x right NAcc interaction in right DLPFC 11C-MADAM binding (p = 0.03) but not in 18F-FDOPA uptake or 11C-carfentanil binding. This was confirmed in voxelwise analyses showing a widespread Group x right NAcc interaction in the prefrontal cortex 11C-MADAM binding (PFWE <0.05). Right NAcc 11C-MADAM binding potential correlated with attentional impulsivity in individuals with gambling disorder (r = -0.73, p = 0.005).</p><p><strong>Discussion: </strong>Gambling disorder is associated with right hemisphere abnormal frontostriatal connectivity and serotonergic function. These findings will contribute to understanding the neurobiological mechanism and may help identify potential treatment targets for gambling disorder.</p>","PeriodicalId":15049,"journal":{"name":"Journal of Behavioral Addictions","volume":null,"pages":null},"PeriodicalIF":7.8,"publicationDate":"2023-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a4/b3/jba-12-670.PMC10562820.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9964692","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}
引用次数: 0
Abnormal structural alterations and disrupted functional connectivity in behavioral addiction: A meta-analysis of VBM and fMRI studies. 行为成瘾的异常结构改变和功能连接中断:VBM和fMRI研究的荟萃分析。
IF 7.8 1区 医学
Journal of Behavioral Addictions Pub Date : 2023-07-27 Print Date: 2023-10-05 DOI: 10.1556/2006.2023.00025
Xinglin Zeng, Xinyang Han, Fei Gao, Yinghao Sun, Zhen Yuan
{"title":"Abnormal structural alterations and disrupted functional connectivity in behavioral addiction: A meta-analysis of VBM and fMRI studies.","authors":"Xinglin Zeng,&nbsp;Xinyang Han,&nbsp;Fei Gao,&nbsp;Yinghao Sun,&nbsp;Zhen Yuan","doi":"10.1556/2006.2023.00025","DOIUrl":"10.1556/2006.2023.00025","url":null,"abstract":"<p><strong>Background: </strong>Altered large-scale brain systems, including structural alterations and resting-state functional connectivity (rs-FC) changes, have been demonstrated as effective system-level biomarkers for revealing potential neural mechanism of multiple brain disorders. However, identifying consistent abnormalities of large-scale brain systems in behavioral addictions (BA) is challenging due to varying methods and inconsistent results. Therefore, the aim of this study was to identify the significantly abnormal large-scale brain systems in BA.</p><p><strong>Method: </strong>PubMed, OVID Embase, OVID Medline, and Web of Science were searched with relevant keywords to identify potential studies. A total of 52 studies including 35 rs-FC studies and 17 structural studies were examined by extracting the coordinates of seeds and target brain regions. The seeds were then categorized into predefined seven networks by their locations based on previous parcellations in rs-FC studies, followed by pooling the results in those networks.</p><p><strong>Results: </strong>The rs-FC findings illustrated that BA were characterized as abnormal networks in response to inhibition, salience attribution, self-referential mental process, and reward-driven behaviors. Meanwhile, meta-analysis of structural studies showed decreased gray matter volume in the anterior cingulate cortex, extending to the middle cingulate cortex and the superior frontal gyrus. Importantly, overlapping regions in the cingulate cortex and anterior thalamus projections extending to caudate regions exhibited both dysfunctions in structure and rs-FC.</p><p><strong>Conclusions: </strong>This study highlighted substantial dysconnectivity in BA, which might result in impaired response to inhibition and salience attribution. Therefore, this study might provide novel insights of neural biomarkers for clinical diagnoses and treatment targets for BA.</p>","PeriodicalId":15049,"journal":{"name":"Journal of Behavioral Addictions","volume":null,"pages":null},"PeriodicalIF":7.8,"publicationDate":"2023-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/64/e2/jba-12-599.PMC10562811.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10246311","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}
引用次数: 0
Psychological intervention for gambling disorder: A systematic review and meta-analysis. 赌博障碍的心理干预:系统综述和荟萃分析。
IF 7.8 1区 医学
Journal of Behavioral Addictions Pub Date : 2023-07-14 Print Date: 2023-10-05 DOI: 10.1556/2006.2023.00034
Jakob W Eriksen, Anne Fiskaali, Robert Zachariae, Kaare B Wellnitz, Eva Oernboel, Anna W Stenbro, Thomas Marcussen, Marie W Petersen
{"title":"Psychological intervention for gambling disorder: A systematic review and meta-analysis.","authors":"Jakob W Eriksen,&nbsp;Anne Fiskaali,&nbsp;Robert Zachariae,&nbsp;Kaare B Wellnitz,&nbsp;Eva Oernboel,&nbsp;Anna W Stenbro,&nbsp;Thomas Marcussen,&nbsp;Marie W Petersen","doi":"10.1556/2006.2023.00034","DOIUrl":"10.1556/2006.2023.00034","url":null,"abstract":"<p><strong>Background and aims: </strong>Increasingly, gambling features migrate into non-gambling platforms (e.g., online gaming) making gambling exposure and problems more likely. Therefore, exploring how to best treat gambling disorder (GD) remains important. Our aim was to review systematically and quantitatively synthesize the available evidence on psychological intervention for GD.</p><p><strong>Methods: </strong>Records were identified through searches for randomized controlled trials (RCTs) evaluating psychological intervention for GD via six academic databases without date restrictions until February 3, 2023. Study quality was assessed with the revised Cochrane risk-of-bias tool for randomized trials (RoB2). Primary outcomes were GD symptom severity and remission of GD, summarized as Hedges' g and odds ratios, respectively. The study was preregistered in PROSPERO (#CRD42021284550).</p><p><strong>Results: </strong>Of 5,541 records, 29 RCTs (3,083 participants analyzed) were included for meta-analysis of the primary outcomes. The efficacy of psychological intervention across modality, format and mode of delivery corresponded to a medium effect on gambling severity (g = -0.71) and a small effect on remission (OR = 0.47). Generally, risk of bias was high, particularly amongst early face-to-face interventions studies.</p><p><strong>Discussion and conclusions: </strong>The results indicate that psychological intervention is efficacious in treating GD, with face-to-face delivered intervention producing the largest effects and with strongest evidence for cognitive behavioral therapy. Much remains to be known about the long-term effects, and investigating a broader range of treatment modalities and digital interventions is a priority if we are to improve clinical practice for this heterogeneous patient group.</p>","PeriodicalId":15049,"journal":{"name":"Journal of Behavioral Addictions","volume":null,"pages":null},"PeriodicalIF":7.8,"publicationDate":"2023-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/57/95/jba-12-613.PMC10562823.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10136593","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}
引用次数: 0
Implicit cognitions in problematic social network use. 有问题的社交网络使用中的内隐认知。
IF 7.8 1区 医学
Journal of Behavioral Addictions Pub Date : 2023-07-14 Print Date: 2023-10-05 DOI: 10.1556/2006.2023.00035
Annica Kessling, Lasse David Schmidt, Matthias Brand, Elisa Wegmann
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引用次数: 1
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