Psychology of Addictive Behaviors最新文献

{"title":"Momentary cannabis effects on alcohol use among adults trying to quit or cut back on drinking.","authors":"Andrea M Wycoff, Jacqueline V Haegele, Rachel L Gunn","doi":"10.1037/adb0001182","DOIUrl":"10.1037/adb0001182","url":null,"abstract":"<p><strong>Objective: </strong>Many individuals who couse alcohol and cannabis endorse using cannabis to drink less alcohol. However, cannabis use during or after alcohol treatment predicts worse alcohol outcomes. Examining whether cannabis use affects alcohol use, craving, and related cognitions within person will help clarify this discrepancy and inform treatment. We tested competing hypotheses in individuals' daily lives: cannabis as harm reduction (predicting decreased alcohol use/craving and increased alcohol-goal self-efficacy/motivation) versus cannabis as an obstacle to reducing alcohol consumption (predicting the opposite pattern).</p><p><strong>Method: </strong>We recruited <i>N</i> = 58 adults who used cannabis ≥3x/week and were in/seeking treatment or trying to quit or cut down on drinking (<i>M</i>_age = 27.3 years, 60% female, 72% non-Hispanic white). Participants completed ecological momentary assessment with 5+ daily reports for 21 days. Every momentary survey assessed self-reported cannabis use and quantity, alcohol use, alcohol craving, alcohol-goal self-efficacy, and alcohol-goal motivation.</p><p><strong>Results: </strong>Multilevel models demonstrated that momentary cannabis use predicted increased subsequent alcohol self-efficacy (<i>b</i> = 0.11, <i>SE</i> = 0.13, <i>p</i> < .001) and motivation (<i>b</i> = 0.06, <i>SE</i> = 0.03, <i>p</i> = .031) but increased odds of concurrent drinking (<i>OR</i> = 2.39, 95% CI = [1.58, 3.61], <i>p</i> < .001). In addition, more frequent cannabis use on a given day predicted lower same-day self-efficacy (<i>b</i> = -0.34, <i>SE</i> = 0.13, <i>p</i> = .008) and motivation (<i>b</i> = -0.28, <i>SE</i> = 0.12, <i>p</i> = .019).</p><p><strong>Conclusions: </strong>Adults who are trying to quit or cut back on drinking might perceive that cannabis use supports alcohol reduction efforts. Instead, cannabis use appears to be an obstacle to reducing drinking. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13426064/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148632366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A real-time exploration of the affect regulation hypothesis surrounding substance use.","authors":"Amanda N Bianco, Victoria E Dennis, Alexandra C Bammel, Sarah E Victor, Jason Van Allen, Leslie A Brick, Sheri L Johnson","doi":"10.1037/adb0001168","DOIUrl":"10.1037/adb0001168","url":null,"abstract":"<p><strong>Objective: </strong>Substance use (SU) is often characterized as an affect regulation strategy. Yet, evidence is mixed for SU's acute affect regulation function, particularly in clinical populations and substances beyond cannabis and alcohol. We examined the affective antecedents and consequences surrounding use of alcohol, cannabis, and other substances among a high-risk clinical population.</p><p><strong>Method: </strong>Recently suicidal adults receiving psychiatric inpatient care (<i>N</i> = 95) completed baseline measures followed by 28 days of ecological momentary assessment after discharge. Seven daily surveys assessed current negative affect (NA) and positive affect and SU.</p><p><strong>Results: </strong>Within-person increases in affective intensity predicted any SU; any SU then predicted decreased affective intensity. When alcohol, cannabis, and other SU were analyzed separately, elevated NA predicted cannabis and other SU, while decreased NA predicted alcohol use. Further, alcohol use predicted subsequent increased NA, while cannabis use predicted decreased NA, and other SU predicted decreased positive affect. Sensitivity analyses were mixed, wherein the relationship between any SU and affect became somewhat more robust, while results considering each substance separately became nonsignificant.</p><p><strong>Conclusions: </strong>Although affective antecedents are consistent with SU as an <i>attempt</i> at affect regulation, use itself did not reliably improve affect in this high-risk clinical sample, highlighting the value of other affect regulation strategies as intervention targets given the risks of SU. Future research should examine real-time changes in affect to understand the reinforcement properties of various substances and to explore the drivers and outcomes of the potential affect regulatory function of cannabis use in high-risk adults. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13367380/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148438494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Day-level latent classes of alcohol and cannabis use motives: Associations by combined use, level of use, and consequences.","authors":"Ashley N Linden-Carmichael, Xiangyu Tao, Jennifer L Shipley, María E Contreras-Pérez, Helene R White, Alexander W Sokolovsky, Stephanie T Lanza, Kristina M Jackson","doi":"10.1037/adb0001173","DOIUrl":"10.1037/adb0001173","url":null,"abstract":"<p><strong>Objective: </strong>Motives for alcohol and cannabis use are highly dynamic and vary across days. Limited prior work has explored endorsement of multiple motives within a day and how select combinations correspond to use patterns among young adults. The present study used a nuanced analytic technique-multilevel latent class analysis-applied to day-level data to characterize motives for alcohol and cannabis use and examine the associations between day-level class membership and same-day alcohol, cannabis, and co-use outcomes.</p><p><strong>Method: </strong>Participants (<i>n</i> = 328; <i>M</i>_age = 19.8 [<i>SD</i> = 1.31]; 51.5% female; 75% White) were college students enrolled in a 54-day ecological momentary assessment study, yielding 5,907 daily reports. Each day, participants recorded their motives for using alcohol and/or cannabis as well as their substance use behavior (type and level of use, substance-related consequences).</p><p><strong>Results: </strong>Six day-level classes were identified using multilevel latent class analysis: fun motives days (37.5% of days), social and fun motives days (36.4%), offered/availability motives days (10.1%), expand and fun motives days (9.0%), coping motives days (5.0%), and general high motives days (2.0%). Classes differed across all substance use outcomes and harms. General high motives days had the highest proportion of co-use days and the greatest level of alcohol use, negative consequences, and cannabis use occasions, followed by the social and fun motives class.</p><p><strong>Conclusions: </strong>Most alcohol and/or cannabis use days were characterized by multiple motives, with the greatest level of substance use and harms associated with days in which multiple motives were endorsed. Findings may help inform just-in-time interventions aimed at reducing substance use and co-use-related consequences. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13353201/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148413270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examining day-level predictors of food and alcohol disturbance: An application of the prototype willingness model.","authors":"Luke Herchenroeder, Michelle Stock, Tonya Dodge, Ellen Wanheung Yeung","doi":"10.1037/adb0001169","DOIUrl":"10.1037/adb0001169","url":null,"abstract":"<p><strong>Objective: </strong>Food and alcohol disturbance (FAD; caloric restriction before or during drinking alcohol to enhance alcohol's effects [FAD-intoxication] and/or to compensate for calories from alcohol [FAD-calories]) is common and poses concerns for public health. However, little is known regarding day-level risk factors of FAD. To address this gap, we applied the prototype willingness model to examine which cognitions (i.e., perceived vulnerability, social norms, attitudes, prototypes, intentions, and willingness) predict FAD at the within- and between-person levels.</p><p><strong>Method: </strong>Participants were college students (<i>n</i> = 72) who reported weekly alcohol use and past-month FAD engagement. Participants identified primarily as female (73.8%), White non-Hispanic (51.4%), with a mean age of 19.64 (SD = 1.35). Participants completed a baseline survey as well as two daily surveys for 5 weeks.</p><p><strong>Results: </strong>At the within-person level, intentions and willingness predicted FAD-intoxication and FAD-calories. Further, willingness mediated the association between descriptive norms and prototype similarity with daily FAD-calories engagement. At the between-person level, attitudes as well as prototype similarity, positively associated with FAD-intoxication and FAD-calories.</p><p><strong>Conclusions: </strong>Overall, this study represents one of the most comprehensive multilevel examinations of risk factors for FAD to date, with implications for theory development and intervention efforts aimed at reducing FAD engagement. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148346911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of peer influence in shaping developmental trajectories of substance use expectancies in early adolescence.","authors":"Yixuan Dong, Assaf Oshri, Charles Geier, Kalsea J Koss","doi":"10.1037/adb0001170","DOIUrl":"10.1037/adb0001170","url":null,"abstract":"<p><strong>Objective: </strong>Substance use expectancies are beliefs about the anticipated effects of substance use, serving as key developmental precursors to adolescent substance use. However, the longitudinal trajectories of these expectancies, both substance-specific and higher order cognitive schemas, remain understudied. This study examined the developmental patterns of positive and negative substance use expectancies about alcohol, marijuana, and nicotine use as well as the time-varying influence of deviant peer affiliation and peer intolerance of substance use as environmental correlates of expectancies.</p><p><strong>Method: </strong>Adolescent self-reports were drawn from the Adolescent Brain Cognitive Development Study (<i>N</i> = 11,499; ages 9-13 years). Parallel process and second-order latent growth curve modeling were used to examine trajectories of substance-specific and higher order schemas for expectancies during early adolescence.</p><p><strong>Results: </strong>Positive substance use expectancies increased across all substance types. Negative expectancies showed distinct developmental patterns by substance: increasing for alcohol, decreasing for marijuana, and remaining stable for nicotine. Deviant peer affiliation was associated with increased positive expectancies, whereas peer intolerance of substance use predicted lower positive and higher negative expectancies across time.</p><p><strong>Conclusions: </strong>These findings highlight the dynamic development of substance use expectancies in adolescence and support peer influence as a critical factor shaping cognitive vulnerability to future substance use. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13317714/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148346885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Binge alcohol and cannabis co-use associated with depression in Black men.","authors":"Mary Mbaba, Troy A Kearse, Jenné Massie, Lisa Bowleg","doi":"10.1037/adb0001158","DOIUrl":"10.1037/adb0001158","url":null,"abstract":"<p><strong>Objective: </strong>This study examined the relationship between depression symptoms and co-use of cannabis and binge drinking by establishing substance use patterns in a sample of Black men. Center for Epidemiologic Studies-Depression Scale scores were compared across four mutually exclusive categories of past-30-day use: cannabis only, binge-drinking only, co-use, and nonuse. We hypothesized that men who engaged in both binge drinking and cannabis use would report the highest depression scores compared to other user groups.</p><p><strong>Method: </strong>Past 30-day substance use data were collected between 2015 and 2016 from 786 Black adult men (<i>M</i>_age = 30.4, <i>SD</i> = 8.0, range = 18-44) as part of <i>Menhood</i>, a cross-sectional observational study assessing the effects of neighborhood and individual-level factors on Black men's HIV risk.</p><p><strong>Results: </strong>Using both analysis of covariance and linear regression models, we found a significant main effect of depression scores regressed on substance user types (nonusers, cannabis only, binge-drinking only, and co-users; <i>F</i> = 12.96, <i>df</i> = 3, <i>p</i> < .001), controlling for age, employment status, previous incarceration, education, and income. Compared to nonuse, mean depression scores were statistically highest among past 30-day co-use (<i>M</i> = 1.02, <i>SE</i> = 0.05), followed by cannabis only (<i>M</i> = 0.84, <i>SE</i> = 0.04) and binge-drinking only (<i>M</i> = 0.75, <i>SE</i> = 0.06). Higher frequency of use of either substance, and co-use, was linked to greater depressive symptoms.</p><p><strong>Conclusions: </strong>As a between-subjects analysis, findings offer insight into population-level affect regulation patterns and may reconcile mixed evidence from within-person studies by highlighting stable risk associations in a structurally disadvantaged group. Results further underscore the need for culturally tailored mental health screening and intervention strategies for minoritized adult populations reporting co-use. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13286054/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pregaming promotes risky drinking patterns and alcohol-induced blackouts: A day-level study among young adults who report high-intensity drinking.","authors":"Jennifer E Merrill, Siobhan N Perks, Nioud Mulugeta Gebru, Byron L Zamboanga, Mary Beth Miller, Nancy P Barnett, Kate B Carey","doi":"10.1037/adb0001171","DOIUrl":"10.1037/adb0001171","url":null,"abstract":"<p><strong>Objective: </strong>This study examined day-level effects of pregaming on same-day drinking outcomes among young adults who report high-intensity drinking (8+/10+ drinks for females/males). We hypothesized that pregaming days would be associated with heavier drinking and greater odds of alcohol-induced memory loss and other consequences. Effects of pregaming on drinks consumed outside of the pregaming context, total drinking duration, and pace within a drinking episode were explored. Additionally, differences by student status (currently in 4-year college or not) were tested.</p><p><strong>Method: </strong>Between 2021 and 2023, participants (<i>n</i> = 203; 57% female, age 18-29, <i>M</i>_age = 22.06) completed 28 days of daily surveys.</p><p><strong>Results: </strong>Pregaming was significantly associated with more total drinks, greater odds of high-intensity and heavy episodic (4+/5+ drinks for females/males; vs. moderate [fewer than 4/5 drinks for females/males]) drinking, higher estimated blood alcohol concentration, greater odds of both en bloc and fragmentary blackouts (vs. no memory loss), and greater odds of any other negative consequence. These effects were not moderated by student status. Pregaming was more strongly associated with faster paced drinking among those in 4-year college than those not, and pregaming was only associated with fewer drinks consumed outside of the pregaming context among those in 4-year college. Conversely, pregaming was more strongly associated with longer drinking duration among those not in 4-year college.</p><p><strong>Conclusions: </strong>Pregaming presents a distinct high-risk drinking behavior. To reduce alcohol-related harm, targeted prevention efforts (including those addressing the timing and context of drinking episodes) are needed for both students and those not in 4-year college. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13286046/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating diagnostic criteria for compulsive buying-shopping disorder.","authors":"Neil Ni, Samuel B Jones, Jonathan David, Astrid Müller, Melissa M Norberg","doi":"10.1037/adb0001166","DOIUrl":"10.1037/adb0001166","url":null,"abstract":"<p><strong>Objective: </strong>Although compulsive buying-shopping disorder (CBSD) has over 100 years of clinical history, its nosology remains a topic of debate. In 2021, Müller and colleagues published a set of diagnostic criteria for the disorder based on a Delphi consensus study. The present study evaluated these criteria among 51 participants who reported a lived experience of CBSD and examined whether their experiences aligned with the components model of addiction.</p><p><strong>Method: </strong>Participants were interviewed using a semistructured interview. Transcripts were analyzed using directed content analysis.</p><p><strong>Results: </strong>Most participants reported a persistent and excessive pattern of buying/shopping, diminished control over buying/shopping, buying/shopping for mood modification, experiencing clinically significant distress and impairment, and continuation despite negative consequences. We recommend these symptoms be considered essential features of CBSD, along with ruling out other explanations for the buying/shopping behavior. Intrusive thoughts and preoccupation with buying/shopping, tolerance, and withdrawal were less common, and we recommend these be considered additional, but not required, features of CBSD.</p><p><strong>Conclusions: </strong>Given these findings and evidence that tolerance and withdrawal are not necessary or sufficient components of addiction, we recommend that CBSD be considered a behavioral addiction. Future research should use these empirically informed criteria to develop and validate a structured diagnostic interview to be used in field studies to formally recognize CBSD as a mental disorder. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148200653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Revisiting the role of negative affect in alcohol use disorder: A longitudinal evaluation of Koob's allostatic model.","authors":"Isabella F Jackson, Rui Cao, Zheyue Peng, Kenneth J Sher, Ashley L Watts","doi":"10.1037/adb0001154","DOIUrl":"10.1037/adb0001154","url":null,"abstract":"<p><strong>Objective: </strong>Little research has tested the within-person processes that are thought to underlie alcohol use disorder as depicted in Koob and Le Moal's allostatic model of addiction in humans, specifically the associations between alcohol consumption, withdrawal, and negative affect.</p><p><strong>Method: </strong>We examined the temporal dynamics among these constructs over time using data from two samples that tracked undergraduate students across their college experience (<i>n</i> = 3,138 and 417). We estimated a random-intercept cross-lagged panel model to parse between- and within-person associations across time.</p><p><strong>Results: </strong>At the between-person level, there was moderate-to-high overlap between withdrawal and negative affect, whereas there was little-to-weak overlap between alcohol consumption and negative affect. At the within-person level, there was no strong evidence of bidirectional prospective associations for withdrawal and negative affect or consumption and negative affect. Within-person cross-sectional associations were also negligible, with some weak but inconsistent evidence that withdrawal and negative affect became increasingly coupled over time. These findings were robust across numerous study design features that included conditioning on heavier, more chronic drinking; focusing on participants with a family history of alcohol problems; and examining differing subforms of negative affect, varied assessment methods for withdrawal and negative affect, and varied timescales of negative affect.</p><p><strong>Conclusions: </strong>Our findings offer weak support for the within-person associations proposed by Koob's allostatic model and suggest that negative affect may function more robustly as a weak trait-level risk factor for alcohol consumption. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13249018/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148200589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of sensory feedback on simulated online slot machine gambling.","authors":"Mariya V Cherkasova, Alik Z Assi, Margaret Craw, Logan S Riffey, Mario A Ferrari, Luke Clark","doi":"10.1037/adb0001130","DOIUrl":"10.1037/adb0001130","url":null,"abstract":"<p><strong>Objective: </strong>A prominent feature of land-based and online slot machines is audiovisual feedback that accompanies winning outcomes. Prior laboratory work suggests that this design feature may influence game experience, facilitate immersion, increase arousal, and promote riskier decision making, but whether this generalizes to realistic gambling products remains unclear. In this preregistered study, we used a realistic slot machine simulator, deployed online, to evaluate effects of win-accompanying sensory feedback (SF) on gambling experience and behavior.</p><p><strong>Method: </strong>Participants were recruited via Amazon Mechanical Turk and stratified as online active gamblers or nongamblers. Participants were randomly assigned to complete 200 spins on an online slot machine that featured either enhanced or diminished SF.</p><p><strong>Results: </strong>Enhanced SF reduced time to initiate spins (i.e., faster speed of play) but did not affect bet size or self-reported experience. Relative to nongamblers, active gamblers reported greater game immersion and positive affect during the game, and these variables were also predicted across all participants by greater problem gambling severity and monetary gains in the gambling session. In addition, self-reported immersion and affect were predicted by attention deficit hyperactivity disorder and depressive symptoms.</p><p><strong>Conclusions: </strong>Faster gambling under SF may incur greater losses over time, raising concerns about harm potential. By contrast, game experience was influenced by monetary outcomes and personal characteristics rather than SF. Overall, these findings support the notion that both product and personal characteristics confer risk of harm. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":"432-444"},"PeriodicalIF":2.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147475358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}