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Journal of Behavioral Addictions
Authors:
Adrian Paterna
,
Manuel Alcaraz-Ibáñez
,
Jose M. Aguilar-Parra
,
Carlos Salavera
,
Zsolt Demetrovics
, and
Mark D. Griffiths

Abstract

Background and aims

The present study aimed to synthesize existing quantitative evidence on the relationship between problematic smartphone use (PSU) and academic achievement with a focus on quantifying its magnitude and examining its potential moderators.

Methods

Eligible studies were searched for up to February 10, 2023 in six different databases (i.e., MEDLINE, Current Contents Connect, PsycINFO, Web of Science, SciELO, and Dissertations & Theses Global). Studies were considered eligible if they provided information derived from self-report instruments that allowed statistical calculation of the relationship between PSU and academic achievement. Pooled effect sizes (r) were computed using a random-effects model. Meta-regressions were conducted to test the influence of study-level moderators on the relationship of interest. Influence analyses and a three-parameter selection model (3PSM) were conducted to examine the robustness of the results and publication bias, respectively.

Results

A total of 33 effect sizes from 29 studies (n = 48,490) were retrieved. Results showed a small effect size (r = −0.110), which tended to be larger in samples consisting of students from elementary and middle schools.

Discussion and Conclusions

Findings from the present study contribute to the understanding of a potential determinant of decreased academic achievement by providing evidence that PSU may be one of them.

Open access

Abstract

Background and aim

Problematic pornography use (PPU) can be a manifestation of compulsive sexual behavior disorder (CSBD). Studies investigating PPU confirm approach-avoidance tendencies in response to pornographic stimuli in this population. This study show indications of the significance of the efficacy of imaginal retraining, a variant of approach bias modification, as an intervention for PPU.

Methods

A total of 274 participants (86.5% male; mean age = 30.65, SD = 10.13) with self-reported PPU were randomized to imaginal retraining (instruction video) or a waitlist control group. Assessments were conducted online at baseline and after the six-week intervention period. The primary outcome was a reduction in problematic pornography use. Compulsive sexual behavior, sexual desire, depressiveness, and satisfaction with the intervention served as secondary outcomes.

Results

Retention was low (51.7%), but comparable between groups. The retraining was performed at least once a week (the per-protocol [PP] criterion) by 51.4% of participants. The PP analyses of 111 participants showed a significant reduction in problematic pornography use (primary outcome) in the intervention compared to the control group. The intention-to-treat analyses (ITT), however, did not corroborate this result. Despite low adherence, participants rated their satisfaction with the intervention positively.

Discussion and Conclusion

Imaginal retraining can function as a low-threshold self-help intervention for PPU to overcome help-seeking barriers and may reduce PPU in a subgroup of users. Low adherence limits the results of this trial. Given the need for low-threshold interventions for PPU and/or CSBD, further research should focus on increasing adherence and should evaluate retraining for clinical groups. Modifications to augment efficacy are suggested.

Open access

Statisztikai elemzések a ROP-R szoftver segítségével és szemléltetésük egy kötődéskutatás adataival

Statistical analyses using ROP-R software and illustrating them with data from an attachment survey

Mentálhigiéné és Pszichoszomatika
Authors:
András Vargha
,
Péter Bánsági
, and
Gyöngyvér Jantek

Tanulmányunkban egy ingyenes, kétnyelvű (magyar és angol) és egyszerűen használható többváltozós statisztikai programcsomagot, a ROP-R-t mutatjuk be, amely jól használható pszichológiai kutatások statisztikai elemzésében. A ROP-R a ROPstat programcsomag olyan fejlesztésének tekinthető, amely a többváltozós statisztika három fontos témakörében (regresszióelemzés, főkomponens- és faktoranalízis, illetve klaszteranalízis) teljes körű statisztikai elemzések végrehajtására alkalmas. Különlegessége, hogy a statisztikai menüjében kiválasztott és beállított elemzésekhez R-scripteket ír, azokat automatikusan lefuttatja, majd a kapott eredményeket táblázatos formában ROP-R-ben megjeleníti, illetve az eredményekhez tartozó fontosabb grafikonokat standard formátumú (jpg vagy pdf) képfájlokban elmenti. A ROP-R moduljainak bemutatása után egy kötődéskutatás adatain végzett többváltozós elemzéssor segítségével szemléltetjük hasznosságát a pszichológiai kutatásokban.

Open access

Abstract

Background and aims

Nomophobia (NMP) is a contemporary digital ailment referring to the improper utilization of smartphones which can have significant impacts on the physical and mental health of college students. However, as a result of unclear cutoff points, the proportion of people with NMP may be exaggerated. This study therefore aimed to determine the critical value of NMP and assess the extent to which Chinese college students are impacted by NMP using the Nomophobia Questionnaire (NMP-Q).

Methods

Latent profile analysis (LPA) and the receiver operating characteristic curve (ROC) were combined to determine the critical value based on NMP-Q scores using a large sample of 3,998 college students (M age = 20.58; SD = 1.87).

Results

Based on latent profile (i.e., at-risk NMP group), ROC revealed an optimal cut-off point of 73 (Sensitivity = 0.965, Specificity = 0.970, Accuracy = 0.968, AUC = 99.60%, Youden's index = 0.935), and the percentage of NMP students being 28.04%, with 1,121 participants identified as positive cases (probable cases). Positive cases were found to exhibit more severe depression and anxiety symptoms, with a higher proportion of females were observed in the positive group (N = 829; 73.95%).

Conclusions

These findings provide evidence that the proportion of NMP individuals may have been overestimated in the past. Furthermore, this study helps to validate the NMP-Q as a valid tool to identify NMP in college-aged individuals.

Open access

Abstract

Background and aims

Compulsivity contributes to the development and maintenance of multiple addictive disorders. However, the relationship between compulsivity-related cognitive features and problematic usage of the internet (PUI), an umbrella term for various internet use disorders/interfering behaviors, remains largely unclear, partly due to the multidimensional nature of compulsivity. This scoping review utilized a four-domain framework of compulsivity to consider this topic and aimed to summarize available evidence on compulsivity-related neuropsychological characteristics in PUI based on this framework.

Methods

A systematic literature search was conducted by applying the combination of search term to the search engines of PubMed, PsycINFO and Web of Science. A four-domain framework of compulsivity, involving cognitive flexibility, set-shifting, attentional bias, and habit learning, was used to consider its complex structure and frequently used tasks. Main findings in related PUI studies were summarized based on this framework. Our secondary aim was to compare compulsivity-related features between different PUI subtypes.

Results

Thirty-four empirical studies were retained, comprising 41 task-results and 35 independent data sets. Overall, individuals with PUI showed more consistent deficits in attentional biases and were relatively intact in set-shifting. Few studies have examined cognitive flexibility and habit learning, and more evidence is thus needed to establish reliable conclusions. Moreover, most studies focused on internet gaming disorder, whereas other PUI sub-types were not sufficiently examined.

Conclusion

This systematic review highlights the use of the four-domain framework for advancing understanding of mechanisms underlying compulsivity in PUI. Related therapeutic implications and future directions are discussed.

Open access
Journal of Behavioral Addictions
Authors:
Yihong Zhao
,
Martin P. Paulus
,
Susan F. Tapert
,
Kara S. Bagot
,
R. Todd Constable
,
H. Klar Yaggi
,
Nancy S. Redeker
, and
Marc N. Potenza

Abstract

Background and Aims

The precise roles of screen media activity (SMA) and sleep problems in relation to child/adolescent psychopathology remain ambiguous. We investigated temporal relationships among sleep problems, SMA, and psychopathology and potential involvement of thalamus-prefrontal-cortex (PFC)-brainstem structural covariation.

Methods

This study utilized data from the Adolescent Brain Cognitive Development study (n = 4,641 ages 9–12) at baseline, Year1, and Year2 follow-up. Cross-Lagged Panel Models (CLPMs) investigated reciprocal predictive relationships between sleep duration/problems, SMA, and psychopathology symptoms. A potential mediating role of baseline Thalamus-PFC-brainstem covariation on SMA-externalizing relationships was examined.

Results

Participants were divided into discovery (n = 2,359, 1,054 girls) and replication (n = 2,282, 997 girls) sets. CLPMs showed 1) bidirectional associations between sleep duration and SMA in late childhood, with higher frequency SMA predicting shorter sleep duration (β = −0.10 [95%CI: −0.16, −0.03], p = 0.004) and vice versa (β = −0.11 [95%CI: −0.18, −0.05], p < 0.001); 2) externalizing symptoms at age 10–11 predicting sleep problems (β = 0.11 [95%CI: 0.04, 0.19], p = 0.002), SMA (β = 0.07 [95%CI: 0.01, 0.13], p = 0.014), and internalizing symptoms (β = 0.09 [95%CI: 0.05, 0.13], p < 0.001) at age 11–12; and 3) externalizing behavior at age 10-11 partially mediating the relationship between baseline thalamus-PFC-brainstem covariation and SMA at age 11–12 (indirect effect = 0.032 [95%CI: 0.003, 0.067], p-value = 0.030). Findings were replicable.

Conclusion

We found bi-directional SMA-sleep-duration associations in late childhood. Externalizing symptoms preceded future SMA and sleep disturbances and partially mediated relationships between structural brain covariation and SMA. The findings emphasize the need for understanding individual differences and developing and implementing integrated strategies addressing both sleep concerns and screen time to mitigate potential impacts on psychopathology.

Open access
Journal of Behavioral Addictions
Authors:
Ke Zhang
,
Jason D. Rights
,
Xiaolei Deng
,
Tilman Lesch
, and
Luke Clark

Abstract

Background and aims

This study characterized chasing behaviour as the time to return to an online gambling website after a losing or a winning visit.

Methods

We analyzed a naturalistic dataset from an eCasino (PlayNow.com, the provincial platform for British Columbia, Canada), comprising 1,909,681 sessions from 15,544 individuals. Analyses distinguished sessions on slot machines, blackjack, roulette, video poker, probability games, or mixed-category sessions.

Results

Overall, gamblers on most games returned more slowly as a function of the prior loss, and more quickly as a function of the prior win. Loss chasing intensities in blackjack, probability, video poker, and mixed sessions did not differ significantly from slot machines, but roulette was associated with shorter intervals to return (b = −0.13, p < 0.001). Similarly, win chasing did not vary across slot machines, blackjack, probability games, and video poker, but roulette (b = −0.08, p < 0.001) and mixed (b = −0.02, p = 0.009) sessions were associated with shorter intervals.

Discussion and conclusions

The average behavioural patterns provide limited evidence for loss chasing but clearly indicate win chasing. Although slot machines are commonly considered a high-risk product, roulette in our analyses was associated with the greatest chasing intensities.

Open access

Abstract

Background and aims

Problematic smartphone use (PSU) has gained attention, but its definition remains debated. This study aimed to develop and validate a new scale measuring PSU-the Smartphone Use Problems Identification Questionnaire (SUPIQ).

Methods

Using two separate samples, a university community sample (N = 292) and a general population sample (N = 397), we investigated: (1) the construct validity of the SUPIQ through exploratory and confirmatory factor analyses; (2) the convergent validity of the SUPIQ with correlation analyses and the visualized partial correlation network analyses; (3) the psychometric equivalence of the SUPIQ across two samples through multigroup confirmatory factor analyses; (4) the explanatory power of the SUPIQ over the Short Version of Smartphone Addiction Scale (SAS-SV) with hierarchical multiple regressions.

Results

The results showed that the SUPIQ included 26 items and 7 factors (i.e., Craving, Coping, Habitual Use, Social Conflicts, Risky Use, Withdrawal, and Tolerance), with good construct and convergent validity. The configural measurement invariance across samples was established. The SUPIQ also explained more variances in mental health problems than the SAS-SV.

Discussion and conclusions

The findings suggest that the SUPIQ shows promise as a tool for assessing PSU. Further research is needed to enhance and refine the SUPIQ as well as to investigate its clinical utility.

Open access
Journal of Behavioral Addictions
Authors:
Ágnes Zsila
,
Lynn E. McCutcheon
,
Rita Horváth
,
Róbert Urbán
,
Borbála Paksi
,
Gergely Darnai
,
József Janszky
, and
Zsolt Demetrovics

Abstract

Background and aims

Celebrity worship, defined as an excessive admiration towards celebrities, has generated considerable research and public interest. A widely used assessment instrument to measure celebrity worship is the 23-item Celebrity Attitude Scale. However, concerns have been raised regarding the measurement, including the inconsistent factor structure and lack of a cut-off point to identify “celebrity worshipers”. The present study aims to address these concerns by testing the psychometric appropriateness of a short, 7-item version of the CAS (i.e., CAS-7) and estimating the prevalence of individuals with high-level celebrity admiration using a representative sample of Hungarian adults (between 18 and 64 years of age) according to gender, age, geographic location, and size of residence.

Methods

The total sample comprised 2028 respondents, of which 769 valid responses were administered from participants who reported having a favorite celebrity (51.11% men, M age = 36.38 years, SD = 13.36).

Results

Results indicated an excellent model fit for the two-factor and bifactor model of the CAS-7. Based on the suggested cut-off score of 26, the prevalence of high-level celebrity admiration is 4.53% in the Hungarian adult population (18–64 years of age) and 8.51% among young adults (18–34 years of age). Individuals with this high level of admiration towards a favorite celebrity reported more symptoms of problematic Internet use, depression, anxiety, and stress than individuals with general celebrity admiration levels.

Discussion and conclusions

The CAS-7 demonstrated sound psychometric properties, confirming its applicability in research and practice.

Open access
Journal of Behavioral Addictions
Authors:
Hui Wang
,
Xiang Li
,
Grace Ka In Lok
,
Chunmei Meng
,
Yaheng Tan
,
Un Man Lee
,
Louisa Sok Man Lei
, and
Natalia Chan

Abstract

Background and aims

Internet addiction (IA) has been identified as a major public health problem that is more prominent in adolescents and young adults. Some researchers have indicated certain advantages of family-based therapy over other treatments in participants with IA, but no conclusive evaluation has been reported. The present meta-analysis aims to review the efficacy of family-based therapy on Internet addiction in adolescents and young adults.

Methods

Relevant articles published from 1996 to February 15th, 2024, were searched from 14 databases, including three Chinese databases. A total of 19,590 articles were identified using a combination of three sets of search terms (Internet addiction, family therapy, and adolescents). Only RCTs and nonrandomized controlled trials were included.

Results

18 studies, most of which were conducted in Asian countries, were included in the final data analysis. The overall severity of Internet addiction in the family-based therapy group was significantly lower than that in the control group. However, significant heterogeneity was detected. Subgroup analysis showed a beneficial effect of family-based therapy when compared with non-intervention and when added to another psychological or behavioural therapy in psychiatric patients with co-medication. Few studies have examined secondary outcomes or follow-up effects.

Discussion and Conclusions

Family-based therapy is most effective in reducing the severity of Internet addiction when combined with other therapies, especially medication treatments in psychiatric patients. It might also be helpful to relieve depression and enhance family functions, which needs further evidence. More studies following up on the post-intervention effects are recommended in the future.

Open access