Addictive behaviors最新文献

{"title":"Effects of narrative versus non-narrative pictorial warning labels on visual attention and alcohol-related cancer risk perceptions: An eye-tracking study","authors":"Zexin Ma ,&nbsp;Joshua Haworth ,&nbsp;Jun Hu","doi":"10.1016/j.addbeh.2024.108229","DOIUrl":"10.1016/j.addbeh.2024.108229","url":null,"abstract":"<div><h3>Background</h3><div>Alcohol use is a preventable risk factor for cancer, but public awareness remains low. A promising approach to raising awareness is to include pictorial warning labels (PWLs) on alcohol-containing products, but the typical graphic images used in such warnings can cause inattention. This study investigated whether narrative PWLs (depicting the lived experiences) could lead to greater attention and higher risk perceptions than graphic, non-narrative PWLs (showing graphic health effects).</div></div><div><h3>Methods</h3><div>Moderate and heavy drinkers participated in an online, webcam-based eye-tracking experiment (<em>N</em> = 649). They were randomized to view an order-randomized stimulus set containing either three narrative PWLs or three non-narrative PWLs. Visual attention was assessed by metrics of participant eye movements, including the visit count and dwell time to separate image and text area of interest (AOI) while viewing each PWL. Risk perceptions were assessed by participant responses to questions presented after viewing all PWLs.</div></div><div><h3>Results</h3><div>Participants paid more attention to the image than the text AOI on both metrics (<em>p</em>’s &lt; 0.05). They also spent more time viewing narrative versus non-narrative PWLs (<em>p</em>’s &lt; 0.05). However, PWL type had no significant effect on risk perceptions (<em>p</em>’s &gt; 0.1), and visual attention did not mediate this relationship.</div></div><div><h3>Conclusions</h3><div>Our findings highlight the potential of narrative PWLs to visually engage alcohol consumers’ attention. Further research is needed to understand why narrative PWLs do not outperform non-narrative PWLs in shaping risk perceptions either directly or through attention, the proposed mediator.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"162 ","pages":"Article 108229"},"PeriodicalIF":3.7,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142822828","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}

{"title":"Does cannabis substitute or complement alcohol after recreational cannabis legalization in the Washington State? A three-level mixed-effects modeling","authors":"Yachen Zhu,&nbsp;Pamela J. Trangenstein,&nbsp;William C. Kerr","doi":"10.1016/j.addbeh.2024.108218","DOIUrl":"10.1016/j.addbeh.2024.108218","url":null,"abstract":"<div><h3>Background</h3><div>Whether cannabis substitute or complement alcohol remains inconclusive. Little is known about the daily-level associations between cannabis and alcohol use by cannabis user type (medical vs. recreational use) in people who use alcohol and cannabis within a legalized environment.</div></div><div><h3>Methods</h3><div>Adult participants were from four waves of Washington Panel Survey during 2014–2016, who consumed both cannabis and alcohol in the past six months. Daily measurements of alcohol and cannabis use in the past week were collected at each wave. Our outcome variable was continuous alcoholic drinks, the exposure was any cannabis use. We applied three-level negative binomial models to account for within-person wave-to-wave and between-person variations, deriving pure within-person within-wave associations between cannabis and alcohol use at the daily level. A cross-level interaction between day-level cannabis use and wave-level medical cannabis recommendation investigated the potential differential substitution/complementarity patterns by medical recommendation status.</div></div><div><h3>Results</h3><div>259 respondents with 440 person-waves and 3,051 daily observations were included. We found a statistically significant pure Level 1 (within-person daily-level) effect of cannabis use among recreational cannabis users (IRR = 1.37, 95 % CI: 1.05–1.79, p = 0.02), showing a complementary use pattern. We also found a statistically significant cross-level interaction between medical cannabis recommendation and cannabis use at Level 1 (IRR = 0.57, 95 % CI: 0.34–0.96, p = 0.03), indicating that, differently from recreational users, medical cannabis users may have a substitution use pattern.</div></div><div><h3>Conclusions</h3><div>Cannabis user type may inform co-use patterns. This study suggested recreational cannabis users tended to use alcohol and cannabis in a complementary manner in Washington State following the legalization of recreational use.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"162 ","pages":"Article 108218"},"PeriodicalIF":3.7,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792987","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}

{"title":"Event-level effects of alcohol, cannabis, and simultaneous alcohol and cannabis use on bystander intentions in response to hypothetical situations among college women","authors":"Ruschelle M. Leone ,&nbsp;Michelle Haikalis ,&nbsp;Tiffany L. Marcantonio ,&nbsp;Amanda K. Gilmore ,&nbsp;Cynthia Stappenbeck ,&nbsp;Nancy P. Barnett ,&nbsp;Kevin M. Gray","doi":"10.1016/j.addbeh.2024.108227","DOIUrl":"10.1016/j.addbeh.2024.108227","url":null,"abstract":"<div><div>Bystanders can play an important role in preventing alcohol-related harm (e.g., unintentional injury) or sexual aggression. While the impact of one’s own acute alcohol intoxication on sexual aggression bystander intervention has been explored, less is known about how alcohol impacts the ability to intervene in alcohol-related harm. Further, scant research has examined one’s own cannabis or simultaneous alcohol and cannabis use (i.e., using alcohol and cannabis at the same time so that their effects overlap) on bystander intervention. The present study employed an ecological momentary assessment (EMA) to test the acute effects of alcohol and cannabis on intentions to intervene in (1) alcohol-related harm and (2) sexual aggression. Participants were 81 U.S. college women aged 18 to 24 who engaged in heavy episodic drinking, cannabis, and simultaneous use in the past month. Participants completed an identical report delivered at random times on two evenings assessing acute alcohol and/or cannabis use and then responded to questions assessing bystander intentions to prevent alcohol-related harm and sexual aggression in a hypothetical party situation. Acute alcohol and simultaneous use, compared to no substance use, was associated with fewer intentions to intervene in alcohol-related harm and in sexual aggression. Results highlighted the nuanced impact of alcohol, cannabis, and simultaneous use on bystanders and can help inform bystander training programs for both alcohol-related harm and sexual aggression.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"162 ","pages":"Article 108227"},"PeriodicalIF":3.7,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142820166","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}

{"title":"Dose-dependent effects of alcohol consumption on pressure pain threshold","authors":"Jeff Boissoneault ,&nbsp;Adriana Cushnie ,&nbsp;Madison Sinclair ,&nbsp;Sage Hebert ,&nbsp;Rachel Schorn ,&nbsp;Jonathan Burt ,&nbsp;Riley Dougherty","doi":"10.1016/j.addbeh.2024.108226","DOIUrl":"10.1016/j.addbeh.2024.108226","url":null,"abstract":"<div><h3>Introduction</h3><div>Prior laboratory-based studies have identified significant analgesic effects of acute alcohol. Despite providing excellent experimental control, these studies are limited regarding the range of alcohol exposure that can be practically and ethically achieved. This study capitalized on the heterogeneity in breath alcohol concentration (BrAC) resulting from naturalistic alcohol use at a public event to improve understanding of alcohol analgesia. We hypothesized that BrAC would be significantly and positively associated with pain threshold.</div></div><div><h3>Methods</h3><div>Participants were attendees of the 2024 Minnesota State Fair reporting alcohol use within the last month (N = 149, 55 % women). Each completed a brief assessment of pressure pain threshold at the first dorsal interosseus muscle. BrAC was measured using a standard breathalyzer device. Hierarchical multiple regression analysis characterized BrAC as a predictor of pain threshold, controlling for covariates including clinical pain, age, sex, typical drinking, participant/experimenter gender matching, and expectancies of alcohol analgesia.</div></div><div><h3>Results</h3><div>30.9 % of participants had non-zero BrACs, with an average of 0.038 g/dL. Average pain threshold was 3.58 kgf/cm². Higher BrAC predicted greater pain threshold in both the whole sample (b = 0.145, p = 0.001, η²_p = 0.07) and those participants with non-zero BrACs (b = 0.184, p = 0.009, η²_p = 0.18). Men had significant greater pain thresholds than women (p = 0.007, η²_p = 0.052), but no other covariates reached significance. Addition of quadratic and cubic BrAC terms did not improve model fit.</div></div><div><h3>Discussion</h3><div>Results suggest a significant, dose-dependent association of alcohol use with increased pain threshold, independent of age, sex, number of reported pain conditions, participant/experimenter gender matching, or beliefs regarding alcohol analgesia. The acute analgesic effects of alcohol may scale linearly with amount consumed, at least within the BrAC range observed in the study.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"162 ","pages":"Article 108226"},"PeriodicalIF":3.7,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792991","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}

{"title":"Browsing problematic social media use in autism spectrum disorder: The role of social anxiety","authors":"Ramona Cardillo ,&nbsp;Claudia Marino ,&nbsp;Mara Collini ,&nbsp;Alessio Vieno ,&nbsp;Marcantonio M. Spada ,&nbsp;Irene C. Mammarella","doi":"10.1016/j.addbeh.2024.108225","DOIUrl":"10.1016/j.addbeh.2024.108225","url":null,"abstract":"<div><div>Accessing the Internet is one of the most frequent free-time activities among autistic and non-autistic adolescents. Autistic individuals may experience communicative benefits from using the Internet. However, they may also be at risk of developing Problematic Social Media Use (PSMU). To date, PSMU in autistic adolescents remains underinvestigated, and no research has analyzed the role of emotional correlates. The present study aims to investigate possible differences in terms of PSMU comparing autistic participants to their non-autistic peers, and examine the role of two dimensions of social anxiety (i.e., humiliation/refusal and performance anxiety) as reported by both children and parents in worsening the levels of PSMU. A total of 183 participants (76 on the autism spectrum), aged (8–17 years) participated in the study. Questionnaires on social media use and on social anxiety were administered. Moreover, parents of the participants were asked to complete a questionnaire related to their children’s social anxiety. Results showed similar levels of PSMU across the two groups. However, a different pattern of relationships between PSMU and age, and the two dimensions of social anxiety was observed in autistic adolescents as compared to the non-autistic peers, revealing that individual characteristics and specific social anxiety beliefs might be relevant to understanding PSMU in autism. The clinical and preventive implications of these findings are discussed.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"162 ","pages":"Article 108225"},"PeriodicalIF":3.7,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792984","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":"Latent transition analysis of use frequencies for multiple nicotine and tobacco products among US adults","authors":"Ritesh Mistry PhD ,&nbsp;Irina Bondarenko ,&nbsp;Jihyoun Jeon ,&nbsp;Andrew F. Brouwer ,&nbsp;Evelyn Jimenez Mendoza ,&nbsp;David T. Levy ,&nbsp;Michael R. Elliott ,&nbsp;Jamie Tam ,&nbsp;Nancy L. Fleischer ,&nbsp;Rafael Meza","doi":"10.1016/j.addbeh.2024.108217","DOIUrl":"10.1016/j.addbeh.2024.108217","url":null,"abstract":"<div><h3>Background</h3><div>Given the many nicotine and tobacco products in use, studies of the interdependence of use patterns and transitions are needed.</div></div><div><h3>Methods</h3><div>Using Waves 1–4 of the PATH Study, we analyzed latent transitions among adults who ever regularly used nicotine or tobacco products at Wave 1 to identify latent use states (n = 12,358) and estimated one-wave transition probabilities. Multinomial logistic regression identified demographic factors associated with transitions.</div></div><div><h3>Results</h3><div>We identified seven latent states: Non-current (42.5% in Wave 1); Daily Cigarette (29.7%); Non-daily Cigarette (9.8%); Daily Cigarette and Non-daily Polytobacco (DCNP, 7.4%), Daily Smokeless Tobacco (SLT, 4.9%); Non-daily Cigar (3.2%); and Daily ENDS (Electronic Nicotine Delivery Systems) and Non-daily Cigarette (DENC, 2.4%). Among Daily Cigarette, 93% did not transition, 2.2% transitioned to Non-daily cigarette, 1.7% to DENC, and 2.2% to Non-current. Among DENC, 87.4% did not transition, 7.3% transitioned to Daily Cigarette, and 3.8% to Non-current. Lower income was associated with lower odds of transitioning from Daily Cigarette and DCNP to Non-daily Cigarette and DENC use. Lower education was associated with higher odds of relapse. Non-Hispanic Blacks were more likely than Non-Hispanic Whites to transition from Daily Cigarette to DCNP and less likely to transition to DENC.</div></div><div><h3>Conclusions</h3><div>Most individuals remained in their latent use state. The polytobacco and non-daily use states were most likely to transition. Non-Hispanic Blacks were more likely to make harmful transitions, and lower socioeconomic status was associated with a lower probability of transitioning to less harmful states. These differences in transitions may influence tobacco- and nicotine-related health disparities.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"161 ","pages":"Article 108217"},"PeriodicalIF":3.7,"publicationDate":"2024-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142756968","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}

{"title":"Qualitative interviews with young adults at risk for psychosis and who use Cannabis: Informing the development of a mobile intervention","authors":"Jennifer E. Merrill ,&nbsp;Ethan Moitra ,&nbsp;Kayla Giorlando ,&nbsp;Elizabeth M. Olsen ,&nbsp;Avery Leigland ,&nbsp;Ana M. Abrantes ,&nbsp;Laura Whiteley","doi":"10.1016/j.addbeh.2024.108216","DOIUrl":"10.1016/j.addbeh.2024.108216","url":null,"abstract":"<div><div>Cannabis use disorder is common among young adults in psychiatric care, particularly those at risk for psychosis. Yet, interventions tailored to address this issue are limited. The goal of this qualitative study was to determine barriers and facilitators for reducing/quitting cannabis use, and to obtain end-user perspectives to inform a mobile app-based intervention. Twenty young adults (60% female) at high-risk for psychosis who use cannabis completed a brief survey and individual qualitative interview. Results of thematic analysis revealed five barriers (i.e., cannabis to cope, social influences, dependence symptoms, easy access, ambivalence about change) and four facilitators (e.g., experienced/feared consequences, focusing on motivation, social support, coping skills) to cutting down/quitting cannabis. Regarding mobile intervention development, participants recommended high-level personalization and content features such as goal setting, self-monitoring, coping skills, and affirming messages. Additionally, they suggested the intervention be visually appealing and interactive. To assist high-risk youth in reducing/quitting cannabis use, it is important to consider the unique barriers they face in doing so, as well as their specific preferences for the development of a mobile intervention.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"161 ","pages":"Article 108216"},"PeriodicalIF":3.7,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142700968","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}

{"title":"Cannabis use regimens in trauma-exposed individuals: Associations with cannabis use quantity and frequency","authors":"T. Snooks ,&nbsp;P.G. Tibbo ,&nbsp;P. Romero-Sanchiz ,&nbsp;S. DeGrace ,&nbsp;S.H. Stewart","doi":"10.1016/j.addbeh.2024.108203","DOIUrl":"10.1016/j.addbeh.2024.108203","url":null,"abstract":"<div><div>People with trauma histories have an increased odds of cannabis use. Little is known about the frequency or consequences of different cannabis use regimens in cannabis users with trauma histories. Individuals with anxiety disorders tend to administer benzodiazepines in a <em>pro re nata</em> (PRN; i.e., as needed) as opposed to regularly scheduled (RS, e.g., twice daily [BID], three times daily [TID]) manner. Although physicians tend to prescribe benzodiazepines on a PRN regimen to minimize use, this regimen is paradoxically associated with greater use levels. Indeed, PRN administration regimens may increase use via negative reinforcement processes. We extended this older benzodiazepine literature to cannabis by examining regimen of cannabis use among 94 trauma-exposed cannabis users (mean age = 35.1 years; 52.1 % male; 23.4 % with cannabis prescription). Participants reported their initial and current cannabis use regimen (PRN vs. RS vs. both [‘PRN+’]) and their past month cannabis use frequency (use occasions in last month) and quantity (grams/use occasion). Consistent with patterns in benzodiazepine research, PRN (47.1 % of sample) and PRN+ (43.5 % of sample) were more common than RS regimens (9.4 % of sample). Also consistent with patterns seen with benzodiazepines, our sample moved toward PRN regimens from initial to current use: e.g., 100 % of initial RS users switched to a regimen that included PRN use. Consistent with predictions emerging from learning theory, PRN and PRN+ cannabis users reported significantly higher cannabis use frequencies compared to RS users (<em>p</em>’s &lt; 0.01). Unexpectedly, there were no significant differences between cannabis use regimen groups for quantity of cannabis/occasion. While limited by their cross-sectional nature, with longitudinal replication, result may have implications for identifying cannabis use regimens that minimize frequency of use and thereby reduce risk for negative health outcomes.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"161 ","pages":"Article 108203"},"PeriodicalIF":3.7,"publicationDate":"2024-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142650023","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":"Metacognitive beliefs and desire thinking as potential maintenance factors of compulsive sexual behavior","authors":"Carlotta Olivari ,&nbsp;Giovanni Mansueto ,&nbsp;Claudia Marino ,&nbsp;Giulio Candellari ,&nbsp;Jessica Cericola ,&nbsp;Jon Binnie ,&nbsp;Marcantonio M. Spada ,&nbsp;Gabriele Caselli","doi":"10.1016/j.addbeh.2024.108214","DOIUrl":"10.1016/j.addbeh.2024.108214","url":null,"abstract":"<div><div>Using the Elaborated Intrusion Theory of Desire and the Self-Regulatory Executive Function model of psychopathology as bases, this study explored whether metacognitive beliefs and desire thinking (DT) are associated with higher levels of Compulsive Sexual Behavior (CSB). A total of 1185 participants from the general population were included in the study (mean ± SD age = 25.32 years ± 5.58; age range = 18–19 years; females = 76.7 %). Metacognitive beliefs, DT, CSB, anxiety and depressive symptoms were assessed. Correlation analyses and path analyses were run. Results of the path analysis showed that positive metacognitive beliefs about DT were associated with DT-Imaginal Prefiguration (DT-IP), which in turn was positively associated with DT-Verbal Perseveration (DT-VP). The latter was strongly and positively associated with negative metacognitive beliefs about DT, which in turn was linked to CSB. Moreover, DT-VP was also found to be directly linked to the outcome variable and positive metacognitive beliefs about DT were also directly linked to DT-VP and negative metacognitive beliefs about DT. The total Coefficient of Determination (0.45) indicated a good fit to the observed data. Metacognitive beliefs and DT may be potential maintenance factors in CSB. Metacognitive beliefs and DT could also be considered as potential therapeutic targets in clinical interventions aimed at reducing the severity of CSB.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"161 ","pages":"Article 108214"},"PeriodicalIF":3.7,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142694005","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}

{"title":"The co-occurrence between symptoms of internet gaming disorder, depression, and anxiety in middle and late adolescence: A cross-lagged panel network analysis","authors":"Tingting Gao ,&nbsp;Yan Chen ,&nbsp;Qian Gai ,&nbsp;Carl D’Arcy ,&nbsp;Yingying Su","doi":"10.1016/j.addbeh.2024.108215","DOIUrl":"10.1016/j.addbeh.2024.108215","url":null,"abstract":"<div><div>Although there is a growing awareness of the co-occurrence of internet gaming disorder (IGD) with other mental health problems, the specific patterns of how these symptoms interact over time, especially across different age groups, remain unclear. The current study utilizes cross-lagged panel network modeling (CLPN) to investigate the dynamic, longitudinal relationships among symptoms of IGD, depression and anxiety among adolescents across time, and how these connections change with different developmental stages. A total of 3296 middle and late adolescents who have finished 3-time points research were included in the present study. Significant differences were found between middle and late adolescents in the structures and strengths of the contemporaneous and longitudinal networks. For middle adolescents, symptoms tended to predict subsequent symptoms within the same disorder. However, late adolescents showed a stronger trend of symptoms being interconnected across comorbid conditions. <em>Feelings of worthlessness</em> &amp; <em>hopelessness</em> were the most impactful symptoms for middle adolescents in the short term and they continued to significantly affect late adolescents in the long term. In addition, <em>restless</em> and <em>suicide or self-harm</em> were the most important bridge symptoms for middle and late adolescents, respectively. This study emphasizes the importance of developing targeted intervention strategies focusing on both central and bridging symptoms of the comorbid conditions of IGD, depression, and anxiety in adolescence. Recognizing distinct adolescents’ needs, interventions should be tailored to effectively address the unique challenges at different developmental stages.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"161 ","pages":"Article 108215"},"PeriodicalIF":3.7,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683470","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}