Journal of Behavioral Addictions最新文献

{"title":"Profiles and transitions of non-suicidal self-injury with addictive features in adolescents: Predictive role of maladaptive cognitive schemas.","authors":"Quan Zhou, Yiting Liang, Xia Liu","doi":"10.1556/2006.2025.00065","DOIUrl":"10.1556/2006.2025.00065","url":null,"abstract":"<p><strong>Background and aims: </strong>Non-suicidal self-injury (NSSI) with addictive features is prevalent among adolescents and linked to various detrimental outcomes. However, little is known about the heterogeneity of these features and the factors influencing their progression. This study examined profiles and transitions of NSSI addictive features (NSSI-AF) in adolescents and the role of maladaptive cognitive schemas in profile memberships and transitions.</p><p><strong>Methods: </strong>This longitudinal study involved 2,951 adolescents (42.9% female; Mage = 13.79; SD = 0.73) assessed at two time points over a nine-month interval. Questionnaires assessed NSSI-AF and maladaptive schemas. Latent profile analysis identified profiles at each time point, while latent transition analysis examined profile transitions. Logistic regression assessed associations between maladaptive schemas and profile memberships and transitions.</p><p><strong>Results: </strong>Three profiles emerged: no, low, and high NSSI-AF. The no profile exhibited high stability, with 98% remaining in this group. The low profile was the least stable, with only 22% remaining, 67% transitioning to the no profile, and 11% shifting to the high profile. The high profile showed moderate stability, with 36% remaining at high risk. Adolescents with elevated maladaptive schemas, especially in the disconnection & rejection and impaired autonomy & performance domains, were more likely to belong to or transition into at-risk profiles.</p><p><strong>Discussion and conclusions: </strong>Findings reveal distinct profiles and transition patterns in NSSI-AF and suggest that maladaptive schemas-particularly disconnection & rejection and impaired autonomy & performance-serve as important predictors. These insights may inform the development of schema-focused interventions tailored to the unique characteristics and risks within each profile.</p>","PeriodicalId":15049,"journal":{"name":"Journal of Behavioral Addictions","volume":" ","pages":"1468-1480"},"PeriodicalIF":6.2,"publicationDate":"2025-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12486289/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144862202","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":"Longitudinal relation between childhood maltreatment and problematic internet game use among Chinese early adolescents: The roles of internalizing symptoms and FKBP5 gene variation.","authors":"Xue Gong, Jianhua Zhou","doi":"10.1556/2006.2025.00060","DOIUrl":"10.1556/2006.2025.00060","url":null,"abstract":"<p><strong>Background: </strong>Research has demonstrated that childhood maltreatment is a significant predictor of problematic internet game use in adolescents. However, the underlying mechanisms of this relation, particularly the mediating processes and gene-environment interactions (G × E), remain insufficiently understood. This study employed a multi-informant, longitudinal design within a G × E framework to examine the mediating role of internalizing symptoms in the relation between childhood maltreatment and problematic internet game use. Additionally, it investigated whether FKBP5 gene variation moderates these associations.</p><p><strong>Methods: </strong>A total of 1,592 third- to fifth-grade students (42.2% girls; Mage = 10.42 years, SD = 0.94) and their parents participated in a three-wave study conducted at six-month intervals.</p><p><strong>Results: </strong>Findings indicated that both emotional abuse and neglect each significantly predicted problematic internet game use, with internalizing symptoms mediating both relations. Moreover, higher FKBP5-related cumulative genetic scores amplified the impact of emotional abuse on internalizing symptoms, which, in turn, exacerbated problematic internet game use.</p><p><strong>Conclusion: </strong>The results underscore the importance of considering both genetic and environmental factors in understanding the development of problematic internet game use. Interventions should focus on mitigating the emotional consequences of childhood maltreatment and accommodating genetic predispositions to stress, thereby providing a more comprehensive approach to preventing and treating problematic internet game use in adolescents.</p>","PeriodicalId":15049,"journal":{"name":"Journal of Behavioral Addictions","volume":" ","pages":"1290-1303"},"PeriodicalIF":6.2,"publicationDate":"2025-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12486292/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144862200","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 high cost of direct marketing from wagering operators, tipsters and affiliates: An ecological momentary assessment of how wagering promotions drive betting, expenditure, and harm.","authors":"Nerilee Hing, Matthew Browne, Alex M T Russell, Matthew Rockloff, Vijay Rawat","doi":"10.1556/2006.2025.00067","DOIUrl":"10.1556/2006.2025.00067","url":null,"abstract":"<p><strong>Background and aims: </strong>Wagering direct marketing is prolific, but no research has examined its relationship with gambling harm, nor the effects of direct marketing from wagering affiliates and tipsters. This study aimed to 1) examine the extent to which frequent bettors receive more direct promotional messages from wagering operators, free betting information services, and paid tipsters, and 2) assess longitudinal associations between message exposure and the number of bets placed, amount spent on betting, and short-term betting-related harm.</p><p><strong>Methods: </strong>An ecological momentary assessment administered seven surveys over two weeks to collect repeated measurements of exposure to direct messages and number of bets placed, betting expenditure and short-term betting harm. Linear mixed effects regression models analysed 4,020 observations from 814 Australian participants who bet at-least fortnightly on sports or races.</p><p><strong>Results: </strong>Over the two weeks, participants using each type of service received on average 12.7 messages from wagering operators, 11.8 from free services and 21.7 from tipsters. Number of bets, expenditure and harm all increased with each additional message from wagering operators. Betting consumption and harm also increased with each message received through a digital channel from free services and tipsters. Receiving messages through emails, texts and app notifications from any source was accompanied by increased expenditure and harm. Messages from wagering operators were particularly potent for higher-risk bettors.</p><p><strong>Discussion and conclusions: </strong>Direct messages can immediately stimulate betting, expenditure, and gambling-related harm, justifying further restrictions. Many frequent bettors use affiliate betting services that currently have little regulatory oversight or consumer protections.</p>","PeriodicalId":15049,"journal":{"name":"Journal of Behavioral Addictions","volume":" ","pages":"1355-1367"},"PeriodicalIF":6.2,"publicationDate":"2025-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12486272/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144862203","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":"Global research status and trends of compulsive sexual behavior disorder: A comprehensive bibliometric analysis.","authors":"Wenwen Zhang, Pengshuo Wang, Boyuan Gao, Ziqi Wang","doi":"10.1556/2006.2025.00059","DOIUrl":"10.1556/2006.2025.00059","url":null,"abstract":"<p><strong>Background: </strong>Compulsive sexual behavior disorder (CSBD) is a mental health condition that has attracted significant research attention, especially following its inclusion in the eleventh revision of the International Classification of Diseases (ICD-11) by the World Health Organization. Despite this recognition, the field remains fragmented with ongoing debates about its classification and a lack of comprehensive cross-cultural research. In this study, bibliometrics was used to characterize the development status of CSBD over the past 25 years and to identify key research hotspots and future trends.</p><p><strong>Methods: </strong>This study collected data from the Web of Science Core Collection and analyzed the literature related to CSBD from 2000 to 2024. A total 2,261 publications were examined for their characteristics, including annual publication volume, countries/regions, institutions, authors, journals, references, and keywords. Several bibliometric and visualization tools (e.g., VOSviewer, CiteSpace, Scimago Graphica, and Pajek) were used to conduct the analysis of co-authorship, co-citation, co-occurrence and descriptive.</p><p><strong>Results: </strong>The analysis identified a consistent upward trend in research interest in CSBD, particularly after its inclusion in ICD-11. Co-occurrence analysis of 82 author keywords with frequencies of more than 12 resulted in 5 clusters: (1) competing conceptualizations of CSBD; (2) comorbidity of CSBD with other psychiatric disorders; (3) assessment, risk factors, and treatment; (4) gender differences and sexual health; (5) CSB caused by neurological diseases. Moreover, the findings of countries/regions analysis indicate that publications are mainly from Western, educated, industrialized, rich, and democratic (WEIRD) countries/regions, and collaborative networks mainly connect countries from the North America and Europe. Despite its growing recognition, the field still lacks interdisciplinary collaboration and comprehensive studies from non-WEIRD contexts, highlighting a need for broader, cross-cultural research.</p><p><strong>Conclusions: </strong>This study comprehensively maps global research trends in CSBD, identifies critical knowledge gaps, and provides a foundation for future research. By synthesizing the current research status, it aims to guide researchers toward emerging topics and foster a more cohesive understanding of CSBD.</p>","PeriodicalId":15049,"journal":{"name":"Journal of Behavioral Addictions","volume":" ","pages":"1199-1221"},"PeriodicalIF":6.2,"publicationDate":"2025-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12486290/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144862198","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":"How impulsivity and sensation seeking drive IGD tendency in healthy young adults: A resting-state MRI study.","authors":"Jingzhen He, Haichao Zhao, Xu Lei, Jiang Qiu, Tingyong Feng, Hong Chen, Ofir Turel, Antoine Bechara, Qinghua He","doi":"10.1556/2006.2025.00063","DOIUrl":"10.1556/2006.2025.00063","url":null,"abstract":"<p><strong>Background and aims: </strong>Internet Gaming Disorder (IGD) is a psychological condition that impairs various aspects of life, with adolescents being particularly vulnerable due to developmental factors and heightened digital exposure. This study aims to explore the interplay between behavioral and neural bases of the development of IGD, offering insights for possible prevention strategies.</p><p><strong>Methods: </strong>A large sample of young adults (n = 1,205, age (SD) = 18.80 (1.26)) was assessed for impulsivity, sensation seeking, and IGD tendency. Two year later, impulsivity and IGD tendency were evaluated again, to expose possible long-term effects. Resting-state MRI data were collected to measure the topological properties of functional networks through graph theory analysis, encompassing global efficiency, local efficiency, and degree centrality.</p><p><strong>Results: </strong>Sensation seeking was positively associated with impulsivity, which, in turn, was positively linked to IGD tendency. A cross-lagged effect between impulsivity and IGD tendency was evident over a two-year timeframe. Furthermore, whole-brain local efficiency was a positive predictor of impulsivity, with centrality and efficiency of the right thalamus, along with local efficiency of the right lingual gyrus, demonstrating positive correlations with IGD tendency.</p><p><strong>Conclusion: </strong>This study revealed that sensation seeking indirectly affects IGD tendency through impulsivity, which also directly impacts IGD. Neural correlates of impulsivity included local efficiency, and of IGD tendency, included the right thalamus and lingual gyrus. These findings offer insights into IGD mechanisms and possible prevention approaches.</p>","PeriodicalId":15049,"journal":{"name":"Journal of Behavioral Addictions","volume":" ","pages":"1343-1354"},"PeriodicalIF":6.2,"publicationDate":"2025-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12486288/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144862199","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":"Neural responses to kills/deaths in real MOBA games are associated with addiction-related psychological traits and subjective pleasant/unpleasant experiences.","authors":"Dong-Dong Zhou, Hong-Zhi Li, Jia-Jia Yang, Zhen Lv, Li-Yang Wan, Wo Wang, Li Kuang","doi":"10.1556/2006.2025.00061","DOIUrl":"10.1556/2006.2025.00061","url":null,"abstract":"<p><strong>Background and aims: </strong>Players of Multiplayer Online Battle Arena (MOBA) games are at a heightened risk of developing Internet Gaming Disorder (IGD). We aimed to investigate the neural responses triggered by kills and deaths during real MOBA gameplay and explore their association with addiction-related psychological traits and subjective pleasant or unpleasant experiences.</p><p><strong>Methods: </strong>We developed an experimental protocol to capture moments of kills and deaths during real MOBA gameplay. Game players who frequently play \"Honor of Kings\" or \"League of Legends\" on mobile phones for at least 12 months were recruited. All participants completed the IGD-20 assessment and played six matches while concurrently recording electroencephalography with a 64-channel setting.</p><p><strong>Results: </strong>Among males, the amplitude of P300 induced by kills and deaths showed a significant negative correlation with IGD-20 scores. Additionally, the post-death beta-band event-related synchronization (ERS) and theta-band event-related desynchronization (ERD) were significantly positively correlated with IGD-20 scores in males, while no significant correlation was found among females. The amplitude of P300 following deaths was significantly negatively correlated with subjective unpleasant experiences in males, yet positively correlated in females. Regardless of gender, the amplitude of post-kill P300 and beta-ERS were negatively correlated with pleasant experiences.</p><p><strong>Discussion and conclusions: </strong>This study establishes an ecologically-embedded paradigm that successfully captures real-time neural signatures of valenced in-game events in MOBA games. We offer a novel methodological framework and theoretical perspective for investigating IGD and will inspire further research into the neural mechanisms underlying IGD in naturalistic gaming environments.</p>","PeriodicalId":15049,"journal":{"name":"Journal of Behavioral Addictions","volume":" ","pages":"1304-1314"},"PeriodicalIF":6.2,"publicationDate":"2025-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12486282/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144862201","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 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}