Noora Al-Marzooqi , Hanan Al-Suhail , Mohammad O. AlRefai , Hamid A Alhaj
{"title":"Genomic factors associated with substance use disorder relapse: A critical review","authors":"Noora Al-Marzooqi , Hanan Al-Suhail , Mohammad O. AlRefai , Hamid A Alhaj","doi":"10.1016/j.abrep.2024.100569","DOIUrl":"10.1016/j.abrep.2024.100569","url":null,"abstract":"<div><div>Several genetic and epigenetic factors contribute to the elevated substance use disorder (SUD) relapse vulnerability, yet a comprehensive investigation into these factors is lacking. This review aims to delve into current literature to highlight key genomic factors associated with SUD relapse.</div><div>Focusing on genetic predisposition and epigenetic modifications the review synthesized research findings of several genetic polymorphisms, histone modifications and DNA methylation patterns contributing to the initiation of SUD and the elevated relapse susceptibility. Notably, specific gene polymorphisms, such as Dopamine Receptor D2 gene (DRD2), Gamma-Aminobutyric Acid Receptor Alpha gene (GABRA2), Catechol-O-methyltransferase (COMT) gene, Dopamine Transporter (DAT1) gene and others were identified to be connected to various patterns of SUD relapse. Furthermore, SUD initiation and relapse has been shown to be influenced by epigenetics. Specifically, CpG hypermethylation has been associated with severe alcohol use disorder in the 5′ untranslated region of the Bladder Cancer Associated Protein gene (BLCAP) and the upstream region of the Active BCR Related gene (ABR). Co-users of cannabis and tobacco showed notable variations in CpG site methylation, especially at the Aryl Hydrocarbon Receptor Repressor (AHRR), and factor II receptor-like 3 gene sites (F2RL3).</div><div>In conclusion, there is good evidence of certain associations between genomic factors and relapse to SUD. However, further research is needed to ascertain causality effects of these factors and develop novel interventions for effective treatment and relapse prevention.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"20 ","pages":"Article 100569"},"PeriodicalIF":0.0,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142578353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Laura Maldonado-Murciano , Halley M. Pontes , Maite Barrios , Juana Gómez-Benito , Georgina Guilera
{"title":"Mokken scale analysis of the Internet Gaming Disorder Scale–Short-Form and the Gaming Disorder Test","authors":"Laura Maldonado-Murciano , Halley M. Pontes , Maite Barrios , Juana Gómez-Benito , Georgina Guilera","doi":"10.1016/j.abrep.2024.100567","DOIUrl":"10.1016/j.abrep.2024.100567","url":null,"abstract":"<div><div>In recent years, research on disordered gaming has grown substantially with researchers developing different psychometric tools for assessing it. Two of the most prominent assessment tools are the Internet Gaming Disorder Scale–Short-Form (IGDS9-SF) and the Gaming Disorder Test (GDT), which evaluate disordered gaming under the American Psychiatric Association (APA) and the World Health Organization (WHO) frameworks, respectively. The main aim of this study was to assess and compare the scalability, reliability, and validity of both scales to determine if they effectively assess disordered gaming in a normative sample, through the Mokken Scale Analysis (MSA). A sample of 605 participants (42.31 % female, mean<sub>age</sub> = 23.98 years, <em>SD</em> = 9.21 years) was recruited for the present study. Results showed that both the IGDS9-SF and GDT were unidimensional, with all items presenting latent monotonicity fitting in the Monotone Homogeneity Model (MHM). Item characteristic curves did not intersect and presented with adequate fit in the Double Monotonicity Model (DMM). These findings further support the psychometric adequacy of the IGDS9-SF and GDT, attesting to their suitability to assess disordered gaming.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"20 ","pages":"Article 100567"},"PeriodicalIF":0.0,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142658199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Motolani E. Ogunsanya , Summer G. Frank-Pearce , Sixia Chen , Munjireen Sifat , Amy M. Cohn , Michael S. Businelle , Darla E. Kendzor
{"title":"The influence of sociodemographic, tobacco use, and mental health characteristics on treatment adherence among adults enrolled in a community-based tobacco cessation program","authors":"Motolani E. Ogunsanya , Summer G. Frank-Pearce , Sixia Chen , Munjireen Sifat , Amy M. Cohn , Michael S. Businelle , Darla E. Kendzor","doi":"10.1016/j.abrep.2024.100568","DOIUrl":"10.1016/j.abrep.2024.100568","url":null,"abstract":"<div><h3>Background</h3><div>While counseling and pharmacological interventions are known to facilitate smoking cessation, poor adherence can impact their effectiveness. Therefore, this study aimed to identify personal and clinical factors that influenced adherence to smoking cessation treatment among socioeconomically disadvantaged adult Oklahomans enrolled in a publicly available tobacco treatment program and observational research study.</div></div><div><h3>Methods</h3><div>Adult participants (<em>N = 442</em>) were enrolled in a community-based tobacco treatment program. Logistic regression models identified sociodemographic, mental health, and substance use characteristics associated with treatment adherence. Adherence was measured by counseling session attendance and weeks of moderate/high medication adherence assessed via the Medication Adherence Questionnaire. Analyses were conducted using SAS 9.4 with p < 0.05.</div></div><div><h3>Results</h3><div>Participants (mean age of 53, 55 % female, and 42.3 % racially minoritized), smoked 16 (SD = 10) cigarettes/day for 30 years on average (SD = 15), and 44.8 % reported depression (Center for Epidemiological Studies Depression Scale [CESD] score ≥ 10). Self-efficacy, White race, increasing age, and years of smoking were positively associated with counseling adherence, while menthol use, being uninsured, and depression predicted lower counseling adherence. Medication adherence was lower among individuals who used menthol cigarettes, lived with someone who smoked, and had higher levels of expired carbon monoxide.</div></div><div><h3>Conclusions</h3><div>This study highlights key factors that influenced adherence to smoking cessation treatment in a socioeconomically disadvantaged population. Tailored interventions are needed to address social, behavioral, and environmental factors, such as living situations and mental health, in smoking cessation interventions to enhance treatment outcomes for underserved populations. Future tobacco cessation programs should consider these factors to improve adherence and, ultimately, success rates.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"20 ","pages":"Article 100568"},"PeriodicalIF":0.0,"publicationDate":"2024-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142578259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Examining problem gambling, substance use disorders and cluster B personality traits among incarcerated individuals","authors":"Kalle Lind , Jussi Palomäki , Sari Castrén","doi":"10.1016/j.abrep.2024.100566","DOIUrl":"10.1016/j.abrep.2024.100566","url":null,"abstract":"<div><div>Prison populations face heightened rates of addictive behaviors and significant stressors, including health challenges and social disparities. Although problem gambling is prevalent in criminal justice settings, its distinctiveness compared to other addictions among incarcerated individuals remains uncertain. This study examines risk factors associated with problem gambling in Finnish prisoners and explores differences compared to other forms of addiction.</div><div>Covariates from a questionnaire (N = 527) included gender, age, education, offender status, involvement in theft or property crime, Trauma Screening Questionnaire (TSQ), Depression Scale (DEPS), and lifetime abuse experiences. Of the 527 participants, 330 were interviewed using the Structured Clinical Interview (SCID-II) to assess personality disorders. Multiple logistic regression models were utilized, with separate models for problem gambling (PG), lifetime substance use disorder, and lifetime alcohol disorder.</div><div>Crime type was not significantly associated with alcohol or substance use problems, but PG was associated with property crime or theft convictions. Borderline personality traits were linked to probable PG, while antisocial traits were linked to drug use, and both traits predicted alcohol misuse. Age and gender were significant only in relation to alcohol use problems, with older age and male gender indicating higher risk.</div><div>The association between problem gambling and criminal behavior underscores the vulnerability of incarcerated individuals across various domains. Detailed assessments, considering the nature of criminal activity and personality disorders, especially borderline traits and comorbid conditions, are crucial for tailoring rehabilitation and treatment strategies to prevent recidivism. These findings provide valuable insights for clinicians managing addiction and mental health issues within correctional settings.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"20 ","pages":"Article 100566"},"PeriodicalIF":0.0,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142441455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dian Gu , Patrick Ha , Jesse T. Kaye , Michael C. Fiore , Janice Y. Tsoh
{"title":"Cigarette smoking status and COVID-19 hospitalization in the context of cannabis use: An electronic health record cohort study in northern California","authors":"Dian Gu , Patrick Ha , Jesse T. Kaye , Michael C. Fiore , Janice Y. Tsoh","doi":"10.1016/j.abrep.2024.100565","DOIUrl":"10.1016/j.abrep.2024.100565","url":null,"abstract":"<div><h3>Background</h3><div>Research investigating the association between cigarette smoking and COVID-19 outcomes has yielded mixed results, often overlooking cannabis use. This study examined the association between cigarette smoking and COVID-19 hospitalization with consideration of cannabis use.</div></div><div><h3>Methods</h3><div>We used electronic health record data from adult patients with COVID-19 (2/1/2020 to 2/3/2022) at a northern California academic medical center. The outcome was COVID-19 hospitalization. We conducted three multivariable logistic models to examine the relationship between cigarette smoking and hospitalization. Model 1 included cigarette smoking status and other covariates; Model 2 added cannabis use status to Model 1; Model 3 added interaction term of cigarette and cannabis use to Model 2, followed by a post-hoc analysis.</div></div><div><h3>Results</h3><div>Of the 14,440 patients, 8.5 % had COVID-19 hospitalization, 4.9 % and 24.1 % currently and formerly smoked cigarettes, respectively; 7.2 % currently used cannabis, 62.8 % had unknown cannabis use status. Both current and former cigarettes smoking were associated with hospitalization (Models 1–2). In Model 3, the cigarette-cannabis interaction was significant. Former cigarette smoking had higher odds for hospitalization (adjusted odds ratio [AOR] = 1.36; 95 % confidence interval [CI] 1.09–1.70) only among people who did not currently use cannabis. Current cigarette smoking yielded higher odds of hospitalization (AOR = 1.47; 95 % CI 1.02–2.12) among people whose cannabis use was unknown. Cigarette smoking status was not associated with hospitalization among people who currently used cannabis.</div></div><div><h3>Conclusions</h3><div>Cigarette smoking’s associations with COVID-19 hospitalization varied by cannabis use. Future research should include both cigarette and cannabis use in understanding risk factors for COVID-19 outcomes.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"20 ","pages":"Article 100565"},"PeriodicalIF":0.0,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142428735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Christian Montag , Jon D. Elhai , Christopher Kannen , Anja Bischof , Dominique Brandt , Hannah Schmidt , Dmitri Rozgonjuk , Hans-Jürgen Rumpf
{"title":"Insights into psychological characteristics of persons (not) agreeing to use an e-coach-application to reduce elevated Internet Use Disorder tendencies","authors":"Christian Montag , Jon D. Elhai , Christopher Kannen , Anja Bischof , Dominique Brandt , Hannah Schmidt , Dmitri Rozgonjuk , Hans-Jürgen Rumpf","doi":"10.1016/j.abrep.2024.100564","DOIUrl":"10.1016/j.abrep.2024.100564","url":null,"abstract":"<div><div>The present work aims to shed light on the question of whether certain psychological characteristics go along with choosing an e-coach offer to support healthy Internet use when reporting elevated Internet Use Disorder (IUD) tendencies. Data were from a large-scale stepped care approach study to treat persons with varying degrees of IUD tendencies. Recruitment for advertising the download of a smartphone app included social media, videos by influencers, paid ads, TV, radio, newspapers, workshops, and vocational schools. We contrasted a final sample of 184 declining, 907 agreeing, and 216 agreeing but not providing follow-up details needed to use such an e-coach, as well as 995 who did not explicitly decline or agree to participate (but refrained from using the e-coach). Participants were compared on several study variables, including sociodemographics, mental health, fear of missing out, personality, perceived stress, and IUD tendencies. Interestingly, we observed only two significant findings when contrasting the aforementioned groups using ANOVA. First, the group not agreeing to use the e-coach was associated with the lowest IUD tendencies and highest conscientiousness scores. Second, agreeing to use the e-coach was associated with older age. Further significant differences could be observed, but in general the accompanying effect sizes were very mild. In sum, the present study findings support the idea that greater subjective burden of IUD might result in more willingness to seek e-help, but also the personality trait of conscientiousness and a person’s age might play a role here.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"20 ","pages":"Article 100564"},"PeriodicalIF":0.0,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142428736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Haitham Jahrami , Waqar Husain , Chung-Ying Lin , Gunilla Björling , Marc N Potenza , Amir Pakpour
{"title":"Reliability generalization Meta-Analysis and psychometric review of the Gaming Disorder test (GDT): Evaluating internal consistency","authors":"Haitham Jahrami , Waqar Husain , Chung-Ying Lin , Gunilla Björling , Marc N Potenza , Amir Pakpour","doi":"10.1016/j.abrep.2024.100563","DOIUrl":"10.1016/j.abrep.2024.100563","url":null,"abstract":"<div><p>Gaming disorder (GD) is a growing public health issue requiring reliable screening and diagnostic tools. A commonly used tool for assessing GD is the Gaming Disorder Test (GDT). The GDT assesses GD based on International Classification of Diseases 11th Revision (ICD-11) criteria; however, its psychometric testing has been conducted across studies but yet snythesized. This meta-analysis aimed to synthesize psychometric data regarding the GDT globally. Adhering to pre-registration, a comprehensive search across databases identified 17 eligible studies (n=22,000) in 14 languages reporting on the psychometric properties of the GDT, especially its Cronbach’s alpha. The pooled Cronbach’s alpha was 0.86 (95% CI: 0.83-0.89), indicating excellent internal consistency. Although significant heterogeneity was observed (I<sup>2</sup>= 98.54%), prediction intervals suggested true outcomes likely shared a positive direction. No moderating effects were found regarding sample characteristics, study quality, or geographical location. The meta-analysis provides robust and quantitative evidence supporting the internal consistency of the GDT across diverse populations. Moreover, qualitative synthesis indicates that the GDT has strong psychometric properties without risk of bias across the analyzed studies, indicating the GDT’s ability to assess GD globally. However, the heterogeneity suggests cautious interpretation of the reliability estimates</p></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"20 ","pages":"Article 100563"},"PeriodicalIF":0.0,"publicationDate":"2024-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352853224000403/pdfft?md5=34fb75246303def20466bedc11e50dfc&pid=1-s2.0-S2352853224000403-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142084265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kaiden Hein , Tyrone L. Burleigh , Angela Gorman , Maria Prokofieva , Vasilis Stavropoulos
{"title":"Proteus effect avatar profiles: Associations with disordered gaming and activity levels","authors":"Kaiden Hein , Tyrone L. Burleigh , Angela Gorman , Maria Prokofieva , Vasilis Stavropoulos","doi":"10.1016/j.abrep.2024.100562","DOIUrl":"10.1016/j.abrep.2024.100562","url":null,"abstract":"<div><p>Gaming avatars can influence users’ attitudes and behaviors and manifest as the proteus effect. The present study examined proteus effect profiles among 571 gamers and their associations with disordered gaming and physical activity. Latent class analysis identified three profiles: non-influenced gamers, emotion-perception influenced gamers (highest proteus effect), and emotion-behavior influenced gamers (moderate proteus effect). The high proteus effect group exhibited significantly higher gaming disorder symptoms at baseline and 6 months compared to other profiles. Proteus effect profiles did not significantly differ in physical activity levels. However, higher disordered gaming and proteus effect predicted lower activity over time. The strong proteus effect group’s avatar immersion may increase gaming disorder risks. Minimal avatar influence for the non-influenced gamers appears protective. While proteus effect profiles do not directly relate to activity, amplified disordered gaming can reduce active lifestyles. Overall, findings demonstrate how avatars differentially affect gamers’ experiences and functioning through proteus-induced changes.</p></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"20 ","pages":"Article 100562"},"PeriodicalIF":0.0,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352853224000397/pdfft?md5=5148ab23cee7319f658489ea80ab467b&pid=1-s2.0-S2352853224000397-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141962488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Matthew Mitnick , Shelby Goodwin , Mikaela Bubna , Justin S. White , Bethany R. Raiff
{"title":"Acceptability of heart rate-based remote monitoring of smoking status","authors":"Matthew Mitnick , Shelby Goodwin , Mikaela Bubna , Justin S. White , Bethany R. Raiff","doi":"10.1016/j.abrep.2024.100561","DOIUrl":"10.1016/j.abrep.2024.100561","url":null,"abstract":"<div><h3>Introduction</h3><p>Digital interventions present a scalable solution to overcome barriers to smoking cessation treatment, and changes in resting heart rate (HR) may offer a viable option for monitoring smoking status remotely. The goal of this study was to explore the acceptability of using smartphone cameras and activity trackers to measure heart rate for use in a smoking cessation intervention.</p></div><div><h3>Methods</h3><p>Participants (N=410), most of whom identified as female (75.8 %) with mean age 38.3 years (SD 11.4), were recruited via the Smoke Free app. They rated the perceived comfort, convenience, and likelihood of using smartphone cameras and wrist-worn devices for HR monitoring as an objective measure of smoking abstinence. Wilcoxon signed-rank tests and Kruskal-Wallis tests assessed differences in acceptability across device types and whether the participant owned an activity tracker/smartwatch or smartphone.</p></div><div><h3>Results</h3><p>Participants reported high levels of acceptability for both HR monitoring methods, with activity trackers/smartwatches rated more favorably in terms of comfort, convenience, and likelihood of use compared to smartphone cameras. Participants indicated a statistically significantly greater likelihood of using the activity tracker/smartwatch over the smartphone camera. Participants viewed the activity tracker/smartwatch as more acceptable than the smartphone camera (87.0% vs 50.0%).</p></div><div><h3>Conclusions</h3><p>HR monitoring via smartphone cameras and wrist-worn devices was deemed acceptable among people interested in quitting smoking. Wrist-worn devices, in particular, were preferred, suggesting their potential as a scalable, user-friendly method for remotely monitoring smoking status. These findings support the need for further exploration and implementation of HR monitoring technology in smoking cessation research and interventions.</p></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"20 ","pages":"Article 100561"},"PeriodicalIF":0.0,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352853224000385/pdfft?md5=8e2d77cd64c0886bf6b33fa3a80cc214&pid=1-s2.0-S2352853224000385-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141951726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Giansanto Mosconi , Joseph DelFerro , Andrea Jin , Paola Bertuccio , Anna Odone
{"title":"Video slot machine use in adolescence: the role of self-efficacy beliefs, current and expected personal fulfillment at the social and educational level","authors":"Giansanto Mosconi , Joseph DelFerro , Andrea Jin , Paola Bertuccio , Anna Odone","doi":"10.1016/j.abrep.2024.100560","DOIUrl":"10.1016/j.abrep.2024.100560","url":null,"abstract":"<div><h3>Introduction</h3><p>Video slot machines (VSMs), which are available on electronic gaming machines and online platforms, are widely recognized for their high potential to trigger harmful gambling behaviors. Yet, the psychological factors associated with VSM use among adolescents remain poorly investigated.</p></div><div><h3>Methods</h3><p>We estimated adjusted odds ratios (OR) and corresponding 95% confidence intervals (CI) of current regular (at least monthly) VSM use according to self-efficacy beliefs regarding everyday problem-solving ability, along with current and expected personal fulfillment at the social, and educational level among 7,959 Italian high school students aged 15–17.</p></div><div><h3>Results</h3><p>Current regular VSM use was reported by 108 students (1.4%). Notably, this behavior was more frequently reported by those with either particularly high or low self-ratings in problem-solving ability, current and expected social fulfillment, as well as by those with lower self-ratings in both current and expected educational/work fulfillment.</p></div><div><h3>Conclusions</h3><p>These findings underscore that during adolescence, gambling behaviors are associated with diverse psychological profiles, each entailing distinct vulnerabilities. Effectively addressing adolescent gambling necessitates a comprehensive approach, with a strong emphasis on educational support. Given the increasing challenges in curbing underage exposure and access to the most harmful gambling formats, this study offers valuable insights for the design of health promotion and prevention strategies.</p></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"20 ","pages":"Article 100560"},"PeriodicalIF":0.0,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352853224000373/pdfft?md5=e8c92967fee00075318420dc969ebfa4&pid=1-s2.0-S2352853224000373-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141852986","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}