Journal of Behavioral Addictions最新文献

{"title":"Gaming disorder and compensation-based gaming motivations: A longitudinal study of emerging adults.","authors":"Paweł Strojny, Lidia Kowalska, Agnieszka Strojny, Patrycja Kiszka, Sylwia Starzec, Natalia Michałkiewicz, Jolanta Starosta, Aleksandra Zajas","doi":"10.1556/2006.2025.00397","DOIUrl":"https://doi.org/10.1556/2006.2025.00397","url":null,"abstract":"<p><strong>Background: </strong>Gaming motivations are central to understanding why individuals engage in video games and why some develop problematic patterns. However, while longitudinal studies are emerging, cross-sectional work still predominates, leaving dynamic processes underexplored. This study examined how gratification- and compensation-related gaming motivations predict the development of Gaming Disorder (GD) among emerging adults.</p><p><strong>Methods: </strong>We conducted a three-wave, pre-registered longitudinal survey with 438 emerging adults, each wave spaced three months apart. GD severity was measured with the IGDS9-SF, and motivations (Coping, Escape, Fantasy, Identity, Introjected Regulation) were assessed using the Gaming Motivation Inventory. Cross-lagged panel models (CLPM) and random-intercept CLPM (RI-CLPM) were employed to separate between-person stability from within-person dynamics.</p><p><strong>Results: </strong>Concurrent associations showed that all motivations correlated positively with GD severity at each wave. Longitudinally, compensation-related motivations (Coping and Escape) demonstrated delayed reciprocal effects with GD: earlier motivations predicted later GD, and GD subsequently reinforced these motivations. Introjected Regulation showed reciprocal effects in CLPM but not in RI-CLPM, suggesting that they reflected between-person differences rather than within-person change. Gratification-related motivations (Fantasy and Identity) did not predict GD over time.</p><p><strong>Discussion: </strong>Findings highlight the dynamic interplay between compensation motivations and GD, consistent with theories emphasizing a shift from gratification to compensation as disorder develops. However, gratification motivations appear to function primarily as common entry points into gaming rather than predictors of disorder. These results underscore the need for longitudinal investigations with sufficient temporal depth to capture how motivational changes interact with contextual and individual factors in the escalation of GD.</p>","PeriodicalId":15049,"journal":{"name":"Journal of Behavioral Addictions","volume":" ","pages":""},"PeriodicalIF":6.2,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147815467","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":"Gambling adverts on social media reach 2.3 times more men than women: Using the Meta Ad library to assess gambling advertising in Ireland.","authors":"Elena Petrovskaya, Leon Y Xiao, Nicole Khoo, Deirdre Leahy, Amanda Roberts","doi":"10.1556/2006.2025.00484","DOIUrl":"https://doi.org/10.1556/2006.2025.00484","url":null,"abstract":"<p><strong>Background and aims: </strong>Gambling is a public health issue, leading to many harms. Gambling advertising is prevalent and constant, including on social media, which allows for personalised targeting and wide reach. Our aim was to understand the reach and target demographics such advertising.</p><p><strong>Methods: </strong>The EU Digital Services Act now requires large online platforms to provide repositories for all advertising shown and associated audience demographic data for EU countries. We used Ireland as a case study to assess the scale of targeting specific genders and age groups by gambling companies, as well as the actual reach of the adverts. We checked through the publicly available list of remote betting licensees operating in Ireland (n = 88). Adverts were examined as to their intended target demographics and actual impressions by various demographic groups.</p><p><strong>Results: </strong>Between January and February 2025, we studied 411 adverts across 88 operators. Ninety-one adverts (22%) targeted men only; no adverts (0%) targeted only women. 12,690,245 men were reached across all the 411 adverts, 2.3 times more compared to 5,458,438 women. The age group of 25-34 reached the most unique accounts, with a total of 6,246,408 accounts reached (33.9% of all accounts reached).</p><p><strong>Discussion and conclusions: </strong>These findings illustrate male-skewed delivery in gambling advertising in Ireland, and demonstrate the utility of platform ad repositories for addiction research.</p>","PeriodicalId":15049,"journal":{"name":"Journal of Behavioral Addictions","volume":" ","pages":""},"PeriodicalIF":6.2,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147771516","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":"Nasal spray addiction: Further thoughts and observations -A qualitative analysis of addiction components in \"rhinitis medicamentosa\" by Lakatos et al. (2025).","authors":"Mark D Griffiths","doi":"10.1556/2006.2025.00431","DOIUrl":"https://doi.org/10.1556/2006.2025.00431","url":null,"abstract":"<p><p>The recently published study by Lakatos et al. (2025) interviewed 20 individuals with rhinitis medicamentosa, and examined if nasal spray addiction existed by applying the components of addiction (i.e., looking for examples of salience, tolerance, mood modification, withdrawal, conflict, and relapse) in their interview transcripts. The authors claimed to have found evidence for all six components. In this commentary on the paper by Lakatos et al. (2025), I argue that the examples cited as evidence for the presence of addiction components is questionable in a number of instances, particularly in relation to conflict, as well as to mood modification, relapse, and salience. There was also little evidence that any of the consequences of nasal spray overuse were persistent (i.e., lasting over 12 months).</p>","PeriodicalId":15049,"journal":{"name":"Journal of Behavioral Addictions","volume":" ","pages":""},"PeriodicalIF":6.2,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147771809","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":"Exercise addiction: A review and evaluation of current research and theory.","authors":"Bhavya Chhabra, Zsolt Demetrovics, Mark D Griffiths, Attila Szabo","doi":"10.1556/2006.2025.00336","DOIUrl":"https://doi.org/10.1556/2006.2025.00336","url":null,"abstract":"<p><strong>Background and aims: </strong>While regular physical activity provides many health benefits, exercise can cause more harm than good when done excessively to the point where a person loses control. This condition has been called various names, but the most accurate term is 'exercise addiction' (EA) because it reflects both compulsive behavior and dependence. EA is classified as a non-substance-related addictive disorder, or behavioral addiction, and has been the subject of research for over fifty years. However, it is not officially recognized in major diagnostic systems, mainly due to significant conceptual and measurement challenges. This paper provides an overview of current knowledge on EA, including its causes, assessment issues, epidemiology, associated conditions, negative effects, and options for treatment and prevention.</p><p><strong>Methods: </strong>An evaluation-driven narrative review was conducted which synthesized findings from empirical research and theoretical models adopted across EA research. It critically examined prevailing conceptualizations, methodological challenges, and potential treatment approaches.</p><p><strong>Results: </strong>Epidemiological findings are inconsistent and report inflated prevalence rates, partly due to reliance on self-report instruments that often fail to distinguish pathological exercise from passion. Etiological models emphasize the complex interplay between biological, psychological, and behavioral factors. Negative consequences include physical injury, emotional distress, and social strain. Evidence for effective interventions remains sparse.</p><p><strong>Discussion and conclusions: </strong>Despite growing interest, progress remains slow. There is a need for larger, longitudinal, and experimental studies to advance understanding. Though not included in the DSM-5, greater clinical awareness is vital for early detection and prevention. EA is clinically relevant but still poorly defined, requiring robust empirical and theoretical work.</p>","PeriodicalId":15049,"journal":{"name":"Journal of Behavioral Addictions","volume":" ","pages":""},"PeriodicalIF":6.2,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147771504","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":"Rhinitis medicamentosa: Still searching for \"new\" behavioural addictions?","authors":"Vladan Starcevic, Adriano Schimmenti","doi":"10.1556/2006.2025.00359","DOIUrl":"https://doi.org/10.1556/2006.2025.00359","url":null,"abstract":"<p><p>Rhinitis medicamentosa (RM) refers to persistent nasal congestion and related symptoms that result from prolonged use of nasal decongestants. Re-examination of the components model of addiction as applied to RM, does not support a suggestion that RM should be conceptualised as a substance-related type of behavioural addiction. Anticipation of a highly distressing nasal congestion upon the cessation of nasal decongestants might be driving their ongoing use. Instead of unnecessarily proposing yet another behavioural addiction, it might be more appropriate and useful to posit that RM represents misuse of nasal decongestants because their prolonged administration runs contrary to medical advice.</p>","PeriodicalId":15049,"journal":{"name":"Journal of Behavioral Addictions","volume":" ","pages":""},"PeriodicalIF":6.2,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147771773","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":"A global investigation of the Moral Incongruence Model of Pornography Use across genders, religions, and cultures.","authors":"Beáta Bőthe, Aurélie Michaud, Vanessa Beaulieu, Simon Houle, Léna Nagy, Mónika Koós, Shane W Kraus, Marc N Potenza, Zsolt Demetrovics, András Költő, Joshua B Grubbs","doi":"10.1556/2006.2025.00540","DOIUrl":"https://doi.org/10.1556/2006.2025.00540","url":null,"abstract":"<p><strong>Background and aims: </strong>Millions of people struggle with compulsive/problematic pornography use (i.e., PPU) or self-perceived addiction (i.e., SPA) to pornography. Despite pornography's global availability and PPU's recent official recognition as a manifestation of compulsive sexual behavior disorder, these problems remain poorly understood, primarily due to a lack of rigorous research beyond small, homogeneous samples. To address this gap and provide evidence that is both robust and generalizable, we tested the applicability of the Moral Incongruence Model of Pornography Use across diverse populations. This model posits that individuals develop problems with their pornography use due to behavioral dysregulation (i.e., PPU) and/or when their use conflicts with their moral values (i.e., moral incongruence), often influenced by religious beliefs, resulting in SPA.</p><p><strong>Methods: </strong>Using data from the International Sex Survey (N = 66,994; 50.8% women), we examined the associations between religiosity, pornography use frequency, PPU, and SPA, considering moral incongruence as a moderator. We employed multi-group structural equation models across 34 countries, three genders, and seven religious affiliations.</p><p><strong>Results: </strong>Results indicated that the model was invariant across all countries, genders, and religious affiliations, with weak and positive associations between religiosity and PPU/SPA, and moderate-to-strong associations between pornography use frequency and PPU/SPA. Moral incongruence moderated the relationship between pornography use frequency and PPU/SPA, with stronger associations at higher levels of moral disapproval.</p><p><strong>Conclusions: </strong>These findings suggest that, regardless of cultural background, gender, or religion, the same mechanisms may underlie PPU/SPA, supporting the generalizability of the Moral Incongruence Model and its relevance to current international diagnostic guidelines.</p>","PeriodicalId":15049,"journal":{"name":"Journal of Behavioral Addictions","volume":" ","pages":""},"PeriodicalIF":6.2,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147772198","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":"Toward non-confirmatory research approaches and epistemic rigor: A critical commentary on the concept of \"nose spray addiction\" proposed in Lakatos et al. (2025).","authors":"Maèva Flayelle, Loïs Fournier, Hans-Jürgen Rumpf, Joël Billieux","doi":"10.1556/2006.2025.00460","DOIUrl":"https://doi.org/10.1556/2006.2025.00460","url":null,"abstract":"<p><p>In their recent study, Lakatos et al. (2025) used a qualitative research design to explore the impact of nasal spray overuse on quality of life, as well as its potential addictive character. From their results, the authors suggested considering nasal spray overuse as a potential behavioral addiction and called for further research and intervention strategies to address such potential addictive behavior. By contrast, in the present commentary, we outline why the methodological approach and potentially flawed reasoning adopted in Lakatos et al. (2025) raise sufficient concerns to warrant caution in drawing such recommendations.</p>","PeriodicalId":15049,"journal":{"name":"Journal of Behavioral Addictions","volume":" ","pages":""},"PeriodicalIF":6.2,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147771770","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":"When treatment becomes the problem: A qualitative analysis of addiction components in rhinitis medicamentosa.","authors":"Attila Szabo","doi":"10.1556/2006.2025.00461","DOIUrl":"https://doi.org/10.1556/2006.2025.00461","url":null,"abstract":"<p><p>Prolonged use of topical nasal decongestants such as xylometazoline or oxymetazoline can lead to rhinitis medicamentosa (RM). This medication-induced condition is characterized by rebound congestion and compulsive reuse. A debated question is whether RM signifies physiological dependence, addiction, or simply a habit. This commentary aimed to evaluate Lakatos et al.'s (2025) work, which investigated this issue through qualitative interviews with 20 affected individuals. Using directed content analysis based on Griffiths' (2005) components model of addiction, Lakatos et al., identified all six elements (salience, mood modification, tolerance, withdrawal, conflict, and relapse) in patient histories. Lakatos et al. (2025) performed a timely and conceptually sophisticated study that connects addiction theory to a common otorhinolaryngological condition. Their qualitative approach captures the everyday lived experience of patients with RM with robust ecological validity and clinical relevance. However, the theory-driven analysis risks confirmation bias by fitting data to Griffiths' addiction model, and the small, convenience-based sample limits generalizability. Despite these constraints, the paper offers valuable insight into how negative reinforcement and conditioned anxiety sustain compulsive nasal spray use. Overall, it successfully bridges clinical observation and theoretical debate, advancing understanding of iatrogenic dependence within everyday medical practice.</p>","PeriodicalId":15049,"journal":{"name":"Journal of Behavioral Addictions","volume":" ","pages":""},"PeriodicalIF":6.2,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147771888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From attentional bias to neural dysfunction: Multimodal evidence for emotion processing deficits in individuals with problematic social media use.","authors":"Shuai Wang, Chaomin Guo, Tingfeng Yu, Keji Wang, Qiong Wei, Yi He","doi":"10.1556/2006.2025.00306","DOIUrl":"https://doi.org/10.1556/2006.2025.00306","url":null,"abstract":"<p><strong>Background and aims: </strong>Problematic social media use (PMSMU) shows strong mental health associations, yet its neurocognitive mechanisms remain unclear. This study investigates emotion processing deficits in PMSMU, focusing on valence-specific attentional biases and neural dysfunction.</p><p><strong>Methods: </strong>113 Chinese college students stratified into low-risk (n = 55) and high-risk PMSMU (n = 58) groups completed psychological assessments and an emotion recognition task using facial stimuli depicting the seven basic emotions selected from the Chinese Facial Affective Picture System (CFAPS) during simultaneous eye-tracking and fNIRS recording prefrontal-temporal activation.</p><p><strong>Results: </strong>High-risk PMSMU showed enhanced accuracy for joy emotion (82.58% vs. 74.31%, p = 0.013) but impaired negative emotion recognition (64.29% vs. 69.87%, p = 0.006). Eye-tracking revealed reduced nose-root fixation and increased mouth and the middle of nose attention. fNIRS identified negative-emotion-specific hyperactivation in right temporal (c1, p = 0.017) and left frontal lobes (c9, p = 0.021). Temporal activation correlated with slower sadness recognition (r = 0.345), while attention deficits linked to reduced fear accuracy (r = -0.261) and temporal hyperactivity (r = 0.377). High-risk subjects reported poorer psychosocial functioning (poorer interpersonal skills, attentional control, and higher levels of anxiety and depression, p < 0.001), with frontal activation moderating negative-emotion-impairment relationships.</p><p><strong>Conclusion: </strong>PMSMU is characterized by valence-specific disruptions-including attentional bias toward positive cues, impaired fear processing, and prefrontal-temporal hyperactivation during negative emotion decoding-that collectively define it as a neurobehavioral condition leading to psychosocial impairment.</p>","PeriodicalId":15049,"journal":{"name":"Journal of Behavioral Addictions","volume":" ","pages":""},"PeriodicalIF":6.2,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147690437","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":"Resource-strengthening training for adolescents with problematic gaming (Res@t-A): Results from an exploratory single-arm pre-post-follow-up intervention study.","authors":"Jan-Ole Cloes, Katharina Bitter, Linus Lorenz, Rainer Thomasius, Kerstin Paschke","doi":"10.1556/2006.2025.00211","DOIUrl":"https://doi.org/10.1556/2006.2025.00211","url":null,"abstract":"<p><strong>Background and aims: </strong>Gaming is a popular leisure activity among adolescents. Yet, they are especially vulnerable to develop problematic gaming (PG). Those affected are often additionally impaired by deficits in attention, mood, emotion regulation, sleep quality, and social skills. Thus, effective treatment offers should address main PG symptomology and associated problems alike. However, clinical studies on multi-faceted treatments of adolescents are scarce. Therefore, the aim of this study was to preliminarily test feasibility and efficacy of the newly developed, fully manualized CBT-based program Res@t-A to inform future randomized controlled trials (RCTs).</p><p><strong>Methods: </strong>74 adolescent patients with PG (11-19 years) were recruited from the routine psychiatric clinical setting in Germany. Participants attended group therapy sessions weekly over eight weeks. Retention and attendance rates were evaluated as feasibility indicators. Standardized questionnaires were used to explore efficacy modelled as changes in PG symptoms, perceived stress, emotional dysregulation, and emotional, behavioral and sleep problems in an uncontrolled pre-post-follow-up design.</p><p><strong>Results: </strong>Retention rate was only 50% but attendance rate reached almost 80%. Promising signs of efficacy were observed for main PG symptoms and for associated problems with moderate to large effects. Differences in treatment setting played a significant role in the improvement of sleep problems.</p><p><strong>Discussion and conclusions: </strong>The present study revealed encouraging first results on feasibility and efficacy for a new comprehensive treatment of adolescents with PG in clinical settings. Together with the priorly published parental program Res@t-P, Res@t-A offers a parallelized treatment within a family-centered approach. RCTs are urgently needed for further investigations.</p>","PeriodicalId":15049,"journal":{"name":"Journal of Behavioral Addictions","volume":" ","pages":""},"PeriodicalIF":6.2,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147689428","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}