Maria Anna Donati, Massimiliano Padovani, Adriana Iozzi , Caterina Primi
{"title":"Prevention of problematic smartphone use among adolescents: A preliminary study to investigate the efficacy of an intervention based on the metacognitive model","authors":"Maria Anna Donati, Massimiliano Padovani, Adriana Iozzi , Caterina Primi","doi":"10.1016/j.addbeh.2025.108332","DOIUrl":"10.1016/j.addbeh.2025.108332","url":null,"abstract":"<div><div>As there is a significant gap in the development of preventive interventions tailored to adolescents, this study develops and preliminarily investigates the efficacy of a preventive intervention towards Problematic Smartphone Use (PSU) by referring to the metacognitive model. Six classes, a total of 93 high school students (75 % females, <em>M</em>age = 16.26, <em>SD</em> = 1.24), were randomly assigned to either the Training or No Training group. The intervention spanned five weekly sessions, incorporating cognitive behavioral therapy and the conceptual change model to modify metacognitive beliefs. Pre- and post-test measures included daily time spent on the mobile phone, risky behaviors related to smartphone use, and metacognitive beliefs about smartphone use. A mixed ANOVA indicated a significant reduction in daily time spent on the mobile phone and risky behaviors related to smartphone use only in the Training group, with large effect sizes. Findings are promising and discussed in terms of future improvement.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"166 ","pages":"Article 108332"},"PeriodicalIF":3.7,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143685318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
John Erhabor , Zhiqi Yao , Erfan Tasdighi , Omar El Shahawy , Emelia J. Benjamin , Aruni Bhatnagar , Michael J. Blaha
{"title":"Association of e-cigarette use, psychological distress, and substance use: Insights from the All of Us Research Program","authors":"John Erhabor , Zhiqi Yao , Erfan Tasdighi , Omar El Shahawy , Emelia J. Benjamin , Aruni Bhatnagar , Michael J. Blaha","doi":"10.1016/j.addbeh.2025.108322","DOIUrl":"10.1016/j.addbeh.2025.108322","url":null,"abstract":"<div><h3>Background/Aim</h3><div>Understanding the social context of e-cigarette use in the United States (U.S.) remains a high priority.</div></div><div><h3>Methods</h3><div>In this cross-sectional study, we included 68,356 adults aged ≥18 from the All of Us research program’s COVID-19 Participant Experience (COPE) survey who had complete e-cigarette use information. Multivariable-adjusted logistic regression was used to examine the association between e-cigarette use (current, former, and never), psychological distress, and substance use.</div></div><div><h3>Results</h3><div>In the sample, most were male (66.3 %) and white (81.9 %), with 2.9 % reporting former and 2.3 % current e-cigarette use. Individuals reporting former or current e-cigarette use had a higher prevalence of psychological distress (e.g., depressive symptoms: never 49.6 %, former 70.2 %, current 73.4 %) and substance use (e.g., cannabis: never 9.8 %, former 37.0 %, current 42.6 %) than never e-cigarette use. Compared with never use, current e-cigarette use was associated with higher odds of depressive symptoms (aOR, 1.53 95 % CI: 1.34–1.74), anxiety (aOR1.36, 1.19–1.57), suicidal ideation (aOR1.55, 1.32–1.82), stress (aOR1.41, 1.24–1.59), as well as, cannabis (aOR 2.72, 2.40–3.08), opioids (aOR1.92, 1.56–2.36), stimulants (aOR2.33, 1.91–2.83), sedatives (aOR1.68, 1.43–1.98), hallucinogens (aOR1.94, 1.28–2.90), and cocaine use (aOR1.85, 1.21–2.79). Similar significant associations were observed in former, occasional and daily e-cigarette use, with comparable estimates across sexes.</div></div><div><h3>Conclusion</h3><div>In this unique well-powered All of US dataset, there was a significant cross-sectional association between e-cigarette use, psychological distress, and substance use, indicating that the social context of e-cigarette use is closely linked to key well-being domains. These data provide high precision estimates that can be used to inform interventions aimed at creating awareness of e-cigarette use correlates.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"166 ","pages":"Article 108322"},"PeriodicalIF":3.7,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143643262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Clara Sancho-Domingo, José Luis Carballo, Ainhoa Coloma-Carmona, Antonia Pelegrín Muñoz, Carlos van-der Hofstadt
{"title":"Corrigendum to “Alcohol and cannabis as sleep aids among adolescents and associations with sleep quality and problematic use” [Addict. Behav. 165 (2025) 108304]","authors":"Clara Sancho-Domingo, José Luis Carballo, Ainhoa Coloma-Carmona, Antonia Pelegrín Muñoz, Carlos van-der Hofstadt","doi":"10.1016/j.addbeh.2025.108311","DOIUrl":"10.1016/j.addbeh.2025.108311","url":null,"abstract":"","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"166 ","pages":"Article 108311"},"PeriodicalIF":3.7,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143635019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Risk factors for the development of problem gambling in individuals with ADHD symptoms: The mediating roles of gambling engagement and ADHD characteristics","authors":"Keita Tokumitsu , Norio Sugawara , Takahiro Tabuchi , Norio Yasui-Furukori","doi":"10.1016/j.addbeh.2025.108327","DOIUrl":"10.1016/j.addbeh.2025.108327","url":null,"abstract":"<div><div>Gambling disorder is a behavioral addiction characterized by impulsivity and problem gambling, and it often cooccurs with ADHD. This study investigated the associations between ADHD symptoms and problem gambling, focusing on the roles of various forms of gambling engagement. Based on data from the JASTIS 2024 survey, which included 29,268 valid respondents, this cross-sectional study explored how ADHD symptoms are related to the prevalence of problem gambling and specific forms of gambling engagement. Problem gambling was assessed using the Problem Gambling Severity Index, and ADHD symptoms were measured with the Japanese version of the Adult ADHD Self-Report Scale. The results revealed that 22.2 % of the participants with ADHD symptoms exhibited problem gambling, this proportion was significantly higher than that reported in the general population. Causal mediation analysis revealed that all types of gambling engagement, except for lottery, mediated the relationship between ADHD symptoms and problem gambling. Among them, bicycle racing and online casinos exhibited the strongest effects. Multiple regression analysis revealed that online casino use was the strongest predictor of problem gambling both in the general population and among individuals with ADHD symptoms. These findings suggest that individuals with ADHD characteristics increase the risk of engaging in gambling activities, particularly casino and online gambling, which have a high potential for addiction. Given the association between problem gambling and casino-related experiences, this study underscores the need for stringent regulatory measures and targeted prevention strategies, particularly as Japan considers expanding casino operations.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"166 ","pages":"Article 108327"},"PeriodicalIF":3.7,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143636773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Zainab S. Shah , Sarah E. Dreyer-Oren , Sarah Barter , Julie A. Desaulniers , Lisa A. Uebelacker , Ana M. Abrantes
{"title":"Sex differences in the relationship between quit attempt and smoking cessation self-efficacy in adults with depressive symptoms","authors":"Zainab S. Shah , Sarah E. Dreyer-Oren , Sarah Barter , Julie A. Desaulniers , Lisa A. Uebelacker , Ana M. Abrantes","doi":"10.1016/j.addbeh.2025.108328","DOIUrl":"10.1016/j.addbeh.2025.108328","url":null,"abstract":"<div><h3>Objective</h3><div>Smoking self-efficacy is a key predictor of being able to maintain smoking cessation. Smokers with depression have lower confidence that they can abstain from smoking (i.e., lower smoking self-efficacy) than those without depression. Additionally, individuals assigned female at birth (AFAB) have greater difficulty quitting smoking and lower self-efficacy than those assigned male at birth (AMAB). However, limited attention has been given to the experience of making a quit attempt on changes in smoking self-efficacy among smokers with depressive symptoms and how this may differ by abstinence outcomes and sex. The purpose of the current study was to examine whether abstinence or a reduction in cigarettes smoked during a standard smoking cessation treatment predicted post-treatment changes in smoking self-efficacy, and whether assigned sex moderated this relationship.</div></div><div><h3>Methods</h3><div>Participants (n = 146; 72.6 % AFAB; mean age = 46.6 years) received 12-week standard smoking cessation treatment as part of a randomized controlled trial testing two adjunctive health- and fitness-based interventions. Pre- and post-treatment, participants reported smoking self-efficacy (i.e., confidence abstaining in negative/affective-, positive/social-, and habit/addiction-related situations).</div></div><div><h3>Results</h3><div>Multiple regression analyses showed that abstinence was associated with higher increases in smoking self-efficacy in all facets, and decreasing cigarette use from baseline to post-treatment was significantly associated with increases in total smoking self-efficacy. AMAB smokers had higher levels of positive/social related smoking self-efficacy than did AFAB smokers, and for AFAB smokers, a reduction in cigarettes smoked was associated with greater positive/social smoking self-efficacy.</div></div><div><h3>Conclusions</h3><div>Findings related to the role of self-efficacy in smoking cessation outcomes of smokers with depressive symptoms and how assigned sex impacts the role of self-efficacy provide insight for smoking cessation outcomes. Future research is needed to understand mechanisms underlying smoking self-efficacy and to improve smoking cessation interventions.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"166 ","pages":"Article 108328"},"PeriodicalIF":3.7,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143629525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Isaac C. Rhew, Scott Graupensperger, Griselda Martinez, Christine M. Lee
{"title":"Monthly patterns of depressive symptoms and substance use and their relation to longer-term hazardous substance use and mental health problems: Examining mutual maintenance using monthly data from young adults","authors":"Isaac C. Rhew, Scott Graupensperger, Griselda Martinez, Christine M. Lee","doi":"10.1016/j.addbeh.2025.108326","DOIUrl":"10.1016/j.addbeh.2025.108326","url":null,"abstract":"<div><div>The current study examined whether young adults showing a pattern of greater substance use on months when experiencing greater levels of depressive symptoms showed long-term hazardous alcohol and cannabis use and elevated depressive symptoms. Data were from 772 young adults in Washington State (mean age <em>=</em> 21.1 years, <em>SD</em> = 1.7; 57 % female). For 24 consecutive months, surveys asked about past-month depressive symptoms and typical number of alcoholic drinks per week and typical number hours high on cannabis per week. Participants completed a survey 30 months after baseline that included measures of depressive symptoms and hazardous alcohol and cannabis use. Multilevel models showed substantial variability in monthly within-person associations of depressive symptoms with alcohol and cannabis use across individuals during the first 24 months. On months when experiencing increased depressive symptoms compared to their average, some young adults used more alcohol or cannabis and some used less. When linking outcomes at 30-month follow-up to person-specific slopes extracted from the multilevel models, results showed that young adults who tended to drink more or use more cannabis when they experienced more depressive symptoms than their average reported greater levels of hazardous alcohol and cannabis use at 30-month follow-up, respectively. Person-specific slopes were not associated with 30-month depressive symptoms. Although there was substantial variability in within-person monthly associations, findings suggest that young adults showing short-term patterns consistent with increased alcohol and cannabis use to regulate depressive symptoms may benefit from prevention and intervention efforts aimed at decreasing risk of longer-term problematic substance use.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"166 ","pages":"Article 108326"},"PeriodicalIF":3.7,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143636778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Víctor Ciudad-Fernández , Cora von Hammerstein , Joël Billieux
{"title":"People are not becoming “AIholic”: Questioning the “ChatGPT addiction” construct","authors":"Víctor Ciudad-Fernández , Cora von Hammerstein , Joël Billieux","doi":"10.1016/j.addbeh.2025.108325","DOIUrl":"10.1016/j.addbeh.2025.108325","url":null,"abstract":"<div><div>Generative artificial intelligence (AI) chatbots such as ChatGPT have rapidly gained popularity in many daily life spheres, even sparking scholarly debate about a potential “ChatGPT addiction.” Throughout history, new technologies have repeatedly been associated with widespread concerns and “moral panics,” especially when their adoption is sudden and involves significant changes in daily functioning. It is thus no surprise that researchers have examined whether intensive use of ChatGPT can be considered an addictive behavior. At least four scales measuring ChatGPT addiction have been developed so far, all framed after substance use disorder criteria. Drawing parallels with previous cases of pathologizing everyday behaviors, we caution against labeling and defining intensive or habitual chatbot use as addictive behavior. To label a behavior as addictive, there must be convincing evidence of negative consequences, impaired control, psychological distress, and functional impairment. However, the existing research on problematic use of ChatGPT or other conversational AI bots fails to provide such robust scientific evidence. Caution is thus warranted to avoid (over)pathologization, inappropriate or unnecessary treatments, and excessive regulation of tools that have many benefits when used in a mindful and regulated manner.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"166 ","pages":"Article 108325"},"PeriodicalIF":3.7,"publicationDate":"2025-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143591827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Chenziheng Allen Weng , Jahshara Bulgin , Savannah Diaz , Jiafang Zhang , Runzi Tan , Le Li , Mari Armstrong-Hough
{"title":"Communication attributes modify the anxiety risk associated with problematic social media use: Evidence from a prospective diary method study","authors":"Chenziheng Allen Weng , Jahshara Bulgin , Savannah Diaz , Jiafang Zhang , Runzi Tan , Le Li , Mari Armstrong-Hough","doi":"10.1016/j.addbeh.2025.108324","DOIUrl":"10.1016/j.addbeh.2025.108324","url":null,"abstract":"<div><h3>Purpose</h3><div>Social media use in younger people has shown mixed associations with mental health. We hypothesized that communication types during social media use might alter the relationship between problematic social media use (PSMU) and anxiety over time. We aimed to identify how four dimensions of communication influence the link between PSMU and anxiety.</div></div><div><h3>Methods</h3><div>We recruited a cohort of undergraduate students aged 18–26 to participate in daily surveys over two weeks using a diary method to assess daily social media use, PSMU, anxiety symptoms, and the four dimensions of communication: Consumption, Broadness, Online Exclusivity, and Parasociality. Lagged logistic regression models with generalized estimating equations evaluated the influence of daily PSMU and communication type on subsequent anxiety levels.</div></div><div><h3>Results</h3><div>Out of 79 participants, 1009 daily records were analyzed. PSMU positively correlated with anxiety (Kendall rank correlation τ = 0.30). Interaction analysis indicated that levels of parasociality and consumption moderated the association between PSMU components and anxiety outcomes. In young adults with high levels of consumption or parasociality, a 1-standard-deviation rise in PSMU’s social conflict component led to an 11 %-13 % increase in next-day anxiety scores. This association was absent for those with low to moderate levels of parasociality and consumption.</div></div><div><h3>Discussion</h3><div>Elevated levels of passive consumption and one-sided interactions amplify the anxiety risk associated with PSMU. Further longitudinal evidence can elucidate the connections between communication types, social media exposure, and anxiety, guiding the development of a model for healthy social media use.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"166 ","pages":"Article 108324"},"PeriodicalIF":3.7,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143591826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Stéphanie Baggio , Anna Schoeni , Philip Bruggmann , Julian Jakob , Reto Auer
{"title":"Commentary on Erinoso et al. (2024): Prior use of smoking cessation products among smokers willing to quit smoking who have substance use problems","authors":"Stéphanie Baggio , Anna Schoeni , Philip Bruggmann , Julian Jakob , Reto Auer","doi":"10.1016/j.addbeh.2025.108312","DOIUrl":"10.1016/j.addbeh.2025.108312","url":null,"abstract":"","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"166 ","pages":"Article 108312"},"PeriodicalIF":3.7,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143549406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}