Greta Sirek, Elina A Stefanovics, Rasika Iyer, Marc N Potenza, Zu Wei Zhai
{"title":"The Relationships of Early Use of Marijuana With Substance Use and Violence in Adolescent Gamblers and Non-Gamblers.","authors":"Greta Sirek, Elina A Stefanovics, Rasika Iyer, Marc N Potenza, Zu Wei Zhai","doi":"10.5765/jkacap.250012","DOIUrl":"10.5765/jkacap.250012","url":null,"abstract":"<p><strong>Objectives: </strong>Marijuana use (MU) and gambling are prevalent among adolescents, and marijuana products are becoming increasingly available and normalized globally. This study explored the relationships between early- (age <13 years), later- (age ≥13 years), and no-MU and substance use and violence among adolescents who gambled and did not gamble.</p><p><strong>Methods: </strong>It analyzed data from the 2019 Youth Risk Behavior Surveillance survey (n=2015) on MU, gambling, demographics, substance use, and violence, using adjusted multivariate logistic regression models.</p><p><strong>Results: </strong>The odds of current cigarette smoking, alcohol use, and heavy alcohol use; lifetime use of any substance and cocaine; current and lifetime electronic vapor product use; and physical fighting were higher across adolescents with early and later MU than those with no MU. Gambling adolescents with early-MU, compared to later- and no-MU, respectively, had greater odds of any substance use and prescription opiate misuse. Non-gambling adolescents with later-MU had higher odds of having experienced forced sexual intercourse than those with no-MU. MU by gambling status interactions were identified for prescription opiate misuse and any substance use, and having experienced bullying at school and forced sexual intercourse. However, while the simple main effects of MU on the odds of experiencing bullying among gamblers was approximately 3.9 times greater than that among non-gamblers, they were not statistically significant in either gambling group.</p><p><strong>Conclusion: </strong>Early MU is associated with risky behaviors involving the use of other substances and violence, and its relationships with several factors differ according to gambling status. Reducing early engagement in addictive behaviors may be important for preventions against substance use disorders and interpersonal violence.</p>","PeriodicalId":42806,"journal":{"name":"Journal of the Korean Academy of Child and Adolescent Psychiatry","volume":"36 3","pages":"89-105"},"PeriodicalIF":0.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12223671/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592520","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":"Applying the Interaction of Person-Affect-Cognition-Execution Model to Addictive Behaviors in East Asian Countries: Feasibility and Considerations.","authors":"Mi-Sun Lee, Marc N Potenza, Soo-Young Bhang","doi":"10.5765/jkacap.250018","DOIUrl":"10.5765/jkacap.250018","url":null,"abstract":"<p><strong>Objectives: </strong>This study explored how the Interaction of Person-Affect-Cognition-Execution (I-PACE) model can explain and address addictive behaviors in East Asian contexts.</p><p><strong>Methods: </strong>Over the past decades, articles published in peer-reviewed journals were identified and reviewed by searching academic databases, including PubMed, Scopus, Web of Science, and Google Scholar. These articles were related to the I-PACE model and considered data from other Asian jurisdictions.</p><p><strong>Results: </strong>Asian cultural factors within the I-PACE model may include 1) personal factors (academic stress, family expectations, and collectivistic values), 2) affective factors (shame, fear of failure, and social comparison), 3) cognitive factors (cultural beliefs about technology use and success), and 4) execution factors (parental control, technological restrictions, and school policies).</p><p><strong>Conclusion: </strong>We propose specifying the I-PACE model to include cultural factors relevant to the East Asian environment. Such considerations could promote investigations into how addiction pathways involve Asian familial structures, societal expectations, and cultural norms.</p>","PeriodicalId":42806,"journal":{"name":"Journal of the Korean Academy of Child and Adolescent Psychiatry","volume":"36 3","pages":"144-151"},"PeriodicalIF":0.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12223675/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592515","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":"Construct Validity and Reliability of the South Oaks Gambling Screen Among the Indonesian Population.","authors":"Kristiana Siste, Yenny Siti Yanti Sinambela, Enjeline Hanafi, Belinda Julivia Murtani, Kassie Gracella Putri, Reza Damayanti, Tribowo Tuahta Ginting, Satya Joewana, Lee Thung Sen","doi":"10.5765/jkacap.250021","DOIUrl":"10.5765/jkacap.250021","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to evaluate the validity and reliability of the Indonesian version of the South Oaks Gambling Screening (SOGS), the most widely used tool for screening gambling disorder (GD).</p><p><strong>Methods: </strong>A national cross-sectional study was conducted between April and July 2021 among an Indonesian community sample. A total of 5810 respondents participated (mean age=21.74±5.68 years; 76.8% were women). The methodology included forward translation, expert panel discussions, back translation, face validity testing, a pilot study, and an assessment of the SOGS's psychometric properties. Factor structure was examined using exploratory and confirmatory factor analysis, and reliability was assessed using Cronbach's alpha.</p><p><strong>Results: </strong>Factor analysis revealed that the Indonesian version of the SOGS consisted of four domains and demonstrated satisfactory goodness of fit (χ<sup>2</sup>=1270.72; df=166; p<0.001; RMSEA=0.048; CFI=0.99; TLI=0.99; SRMR=0.031). The SOGS also showed good internal consistency (Cronbach's alpha=0.879). Findings indicated that 2.05% of the sample met the criteria for gambling addiction. A significant association was observed between GD and age (p<0.001), sex (p<0.001), educational level (p<0.05), employment status (p<0.001), and types of gambling (p<0.001).</p><p><strong>Conclusion: </strong>The Indonesian version of SOGS is a valid and reliable instrument for assessing GD in the Indonesian population.</p>","PeriodicalId":42806,"journal":{"name":"Journal of the Korean Academy of Child and Adolescent Psychiatry","volume":"36 3","pages":"163-171"},"PeriodicalIF":0.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12223672/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592517","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}
Jennifer J Park, Adam Stryjewski, Bryan Chen, Marc N Potenza
{"title":"Treatment of Gaming Disorder in Children and Adolescents: A Systematic Review.","authors":"Jennifer J Park, Adam Stryjewski, Bryan Chen, Marc N Potenza","doi":"10.5765/jkacap.250014","DOIUrl":"10.5765/jkacap.250014","url":null,"abstract":"<p><strong>Objectives: </strong>Given the disproportionate burden of gaming disorder (GD) on younger populations, there is a need to comprehensively evaluate the current evidence base around treatment for children and adolescents. This systematic review aimed to summarize the available literature on GD treatment in younger populations.</p><p><strong>Methods: </strong>A systematic search of five databases was conducted. Studies were eligible if they 1) evaluated psychological or pharmacological interventions targeting GD in children, adolescents, or parents seeking help for their children; 2) had at least one outcome of GD severity or gaming duration/frequency; and 3) employed a randomized controlled trial or quasi-experimental design. Study quality was assessed using the Effective Public Health Practice Project tool.</p><p><strong>Results: </strong>Thirty studies were included in the review, comprising 2157 participants. Interventions based on or delivered in combination with cognitive-behavioral therapy were the most frequently studied (n=19), while a diverse range of other treatments (e.g., pharmacotherapy, online psychoeducation, and equine-assisted therapy) were explored in fewer studies. Despite promising findings across studies, the overall quality of evidence was inconsistent, with many studies lacking randomization, control groups, and long-term follow-up. Additionally, cross-study comparisons may have been limited by the variability in GD measures across studies, with 19 different assessment tools identified.</p><p><strong>Conclusion: </strong>Although research on the treatment of GD in children and adolescents has grown, it remains in its early stages. To advance evidence-based treatment, future research should prioritize methodologically rigorous designs, standardized outcome measures, and long-term follow-up assessments.</p>","PeriodicalId":42806,"journal":{"name":"Journal of the Korean Academy of Child and Adolescent Psychiatry","volume":"36 3","pages":"106-121"},"PeriodicalIF":0.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12223676/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592521","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":"Body Dysmorphic Disorder and Risperidone Abuse: Exploiting Hyperprolactinemia.","authors":"Ömer Faruk Bulut","doi":"10.5765/jkacap.250006","DOIUrl":"10.5765/jkacap.250006","url":null,"abstract":"<p><p>This case report describes a 16-year-old female with body dysmorphic disorder (BDD), tics, and social withdrawal who intentionally abused risperidone to exploit its hyperprolactinemia-induced breast enlargement, perceiving it as beneficial to her body image. Initial treatment with sertraline improved social withdrawal; however, adjunctive risperidone (0.5 mg/day) reduced tics and BDD symptoms. Elevated prolactin levels (44.85 ng/mL) triggered breast enlargement, galactorrhea, and secondary amenorrhea. The patient continued risperidone despite medical advice to discontinue it. Switching to aripiprazole normalized prolactin levels (9.13 ng/mL) and resolved the side effects, with sustained symptom control at 3-month follow-up. This case highlights the risk of antipsychotic side effects reinforcing BDD pathology and adolescents' vulnerability to medication abuse when somatic changes align with dysmorphic goals. To the best of our knowledge, this is the first report of deliberate risperidone abuse for cosmetic hyperprolactinemia in BDD. Clinicians must monitor prolactin levels, prioritize prolactin-sparing agents (e.g., aripiprazole), and consider how adverse effects may perpetuate body image disturbances in adolescents.</p>","PeriodicalId":42806,"journal":{"name":"Journal of the Korean Academy of Child and Adolescent Psychiatry","volume":"36 3","pages":"182-184"},"PeriodicalIF":0.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12223670/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592516","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":"A Narrative Review of Nicotine and Alcohol Addiction Recovery Content on TikTok.","authors":"Li Yan McCurdy, Peter J Na, Marc N Potenza","doi":"10.5765/jkacap.250016","DOIUrl":"10.5765/jkacap.250016","url":null,"abstract":"<p><strong>Objectives: </strong>Adolescent substance use remains a public health concern, and social media platforms may serve as potential intervention targets. The objective of this review is to characterize studies on anti-substance use and/or pro-recovery content on the TikTok social media platform.</p><p><strong>Methods: </strong>PubMed, Scopus, and Web of Science were searched for articles using search strings related to TikTok and substance use. Studies that characterized substance use content on TikTok and provided information on the associated hashtags were included. Studies that did not include hashtags reflecting anti-substance use or pro-recovery sentiments were excluded.</p><p><strong>Results: </strong>Seven studies included hashtags that expressed being against, quitting, and/or recovering from substance use. Most previous studies focused on nicotine use. The content was largely created by adults. General content themes included motivations for reducing substance use, barriers to, and advice on how to reduce substance use, and personal recovery journey stories that celebrated success and normalized the recurrence of use. Some studies found that content created by individuals with lived experience and content focused on the benefits of quitting (rather than the costs of using) received higher engagement. Most studies noted that videos identified using anti-substance use hashtags often contain irrelevant or antithetical content.</p><p><strong>Conclusion: </strong>This review highlights the value of social media sites such as TikTok as potential platforms for encouraging reductions in substance use. Future studies should quantify whether viewing and engaging with such content leads to changes in real-world measures such as reduced consumption.</p>","PeriodicalId":42806,"journal":{"name":"Journal of the Korean Academy of Child and Adolescent Psychiatry","volume":"36 3","pages":"135-143"},"PeriodicalIF":0.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12223669/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592512","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":"Addiction Matters in Youth.","authors":"","doi":"10.5765/jkacap.250032","DOIUrl":"10.5765/jkacap.250032","url":null,"abstract":"","PeriodicalId":42806,"journal":{"name":"Journal of the Korean Academy of Child and Adolescent Psychiatry","volume":"36 3","pages":"87-88"},"PeriodicalIF":0.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12223674/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592513","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":"Adolescents, Pornography Use, and Problematic Pornography Use: A Rapid Systematic Review of Longitudinal Studies.","authors":"Gemma Mestre-Bach, Marc N Potenza","doi":"10.5765/jkacap.250015","DOIUrl":"10.5765/jkacap.250015","url":null,"abstract":"<p><strong>Objectives: </strong>This rapid systematic review aimed to examine longitudinal studies that assessed pornography and problematic pornography use and their associations with specific features in adolescents.</p><p><strong>Methods: </strong>This review was conducted based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA)guidelines. Longitudinal studies that examined pornography or problematic pornography use in adolescents were included.</p><p><strong>Results: </strong>Forty-four longitudinal studies were included. The main themes explored were 1) sexual behaviors; 2) sexual risk behaviors; 3) sexual satisfaction; 4) permissiveness; 5) sexual aggression, dating victimization, and rape myths; 6) academic performance; 7) COVID-19 pandemic; 8) religiosity; 9) psychopathology, psychological well-being, and life satisfaction; and 10) other factors such as desensitization to sexual content, age of first exposure, types of pornography consumed, and individual and contextual variables. The findings were heterogeneous, with some studies indicating significant association between pornography use and these variables, whereas in other areas, the results were inconsistent.</p><p><strong>Conclusion: </strong>These findings highlight the need for further longitudinal research to clarify the relationship between types and patterns of pornography use in adolescents.</p>","PeriodicalId":42806,"journal":{"name":"Journal of the Korean Academy of Child and Adolescent Psychiatry","volume":"36 3","pages":"122-134"},"PeriodicalIF":0.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12223668/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592514","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}
Sujin Kim, Woo Young Kim, Hyunju Lee, Eun Kyung Lee, Hannah Huh, JungHae Youn, Jaesuk Jung, Cheon Seok Suh, Bongseog Kim, Hanik Yoo
{"title":"Validity of the Comprehensive Learning Test for Diagnosis of Specific Reading or Mathematical Disorders.","authors":"Sujin Kim, Woo Young Kim, Hyunju Lee, Eun Kyung Lee, Hannah Huh, JungHae Youn, Jaesuk Jung, Cheon Seok Suh, Bongseog Kim, Hanik Yoo","doi":"10.5765/jkacap.250022","DOIUrl":"10.5765/jkacap.250022","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to verify the diagnostic validity of the Comprehensive Learning Test (CLT) for children and adolescents with reading (RD) or mathematical disorders (MD).</p><p><strong>Methods: </strong>To evaluate the diagnostic validity of the CLT-Reading (CLT-R) and CLT-Math (CLT-M), a total of 284 participants (142 in RD and 142 in the control group) and 184 participants (92 in MD and 92 in the control group) were recruited, respectively. The control groups were selected through one-to-one matching based on sex and grade. For the CLT-R, three criteria were established using accuracy and fluency measures (one impairment, one impairment or one borderline, and one impairment or two borderline scores). Two criteria were established for the CLT-M (one impairment, one impairment or one borderline score). The sensitivity, specificity, positive predictive value, and negative predictive value (NPV) were calculated for each criterion.</p><p><strong>Results: </strong>In the CLT-R, when no impairment or borderline score presented in accuracy, applying the fluency criterion of \"one impairment or one borderline score\" yielded the highest diagnostic validity for RD, with a sensitivity of 0.963 and an NPV of 0.991. In the CLT-M, when no impairment or borderline score in accuracy, was present applying the fluency criterion of \"impairment or borderline\" resulted in the highest diagnostic validity for MD, with a sensitivity of 0.814 and specificity of 0.966.</p><p><strong>Conclusion: </strong>These findings support that the CLT-R and CLT-M are highly valid tools for diagnosing RD and MD.</p>","PeriodicalId":42806,"journal":{"name":"Journal of the Korean Academy of Child and Adolescent Psychiatry","volume":"36 3","pages":"174-181"},"PeriodicalIF":0.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12223673/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592522","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":"Disentangling the Impacts of Childhood Environment on Problematic Smartphone Use From the Life History Perspective.","authors":"Meng Xuan Zhang, Hengyue Zhang, Anise M S Wu","doi":"10.5765/jkacap.250020","DOIUrl":"10.5765/jkacap.250020","url":null,"abstract":"<p><strong>Objectives: </strong>While childhood experiences have been well-recognized as salient predictors of addictive behaviors, this scoping review aims to evaluate whether life history (LH) theory can offer a valid and reliable theoretical framework for elucidating the influence of childhood environment on problematic smartphone use (PSU). In particular, it examines existing empirical evidence to clarify the underlying internal processes, if any, from the LH perspective.</p><p><strong>Methods: </strong>Following the PRISMA guidelines, a scoping review was conducted by searching 5 databases and screening relevant studies on February 18, 2025.</p><p><strong>Results: </strong>Five articles, all of which were published in the last three years, met the inclusion criteria. Consistent empirical data were found in these five articles indicating the following: 1) significant correlations between childhood environment and PSU, with contradictory directions for the two dimensions of childhood environment; 2) LH strategy serving as a mediator between childhood environment and PSU; and 3) psychological processes, including motivation, emotion, and cognition, playing a role in the mediation, and their effects can be complex. It also identified some limitations of these studies, all of which were conducted as cross-sectional surveys of Chinese youth samples.</p><p><strong>Conclusion: </strong>Despite being limited in number and design, empirical studies provide coherent support for the applicability of LH theory in understanding how childhood environment determines susceptibility to PSU in youth. Further investigation of the role(s) of other internal processes with multimodal and multi-method designs is called for.</p>","PeriodicalId":42806,"journal":{"name":"Journal of the Korean Academy of Child and Adolescent Psychiatry","volume":"36 3","pages":"152-162"},"PeriodicalIF":0.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12223667/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592519","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}