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Psychological journals are peer-reviewed, interdisciplinary journals that publish original work in some areas of psychology. The most common publications include cognitive, health and clinical psychology, applied, developmental, biological, social, experimental, and educational psychology, and psychoanalysis.

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Az MMPI-2 értelmezési és alkalmazási lehetőségei addiktológiai zavarok esetében

Interpretation and application of the MMPI-2 in addictive disorders

Magyar Pszichológiai Szemle
Authors:
Hunor Girasek
,
Aishah Batal Brigitta
,
Alexandra Soós
, and
Anna Kiss

Bevezetés: A Minnesota Multiphasic Personality Inventory-2 (MMPI-2) pszichodiagnosztikai tesztben számos olyan skála – köztük három addikció skála – áll rendelkezésre, amelyek hasznos információt nyújthatnak addiktológiai zavarok diagnosztikus folyamatában és a kezelés megtervezésében. Célkitűzés: Jelen tanulmány célja, hogy bemutassa azon MMPI-2 skálákat, csúcskódokat, melyek relevánsak a szerhasználó betegek személyiségjegyeinek felmérése, kezelésének megtervezése szempontjából. A téma-összefoglaló tanulmányunk első felében röviden ismertetjük az MMPI és az MMPI-2 közötti változásokat, az MMPI-2 felvételének sajátosságait addiktológiai betegek esetében, majd az MMPI-2 addikció skáláit, illetve azon skálákat, melyek a kutatások alapján ezen betegek esetében fontos értelmezési keretet nyújtanak. Tanulmányunk második felében az MMPI-2 pszichoterápiás alkalmazásának lehetőségeit ismertetjük az addiktológiai betegek körében. Következtetések: A hazai és nemzetközi kutatások eredményei rávilágítanak arra, hogy az MMPI-2 addikció skálái (MAC-R, AAS, APS), Klinikai skálái (Pd, Sc, Ma), Újrastrukturált klinikai skálái (RCd, RC1, RC4, RC9), Tartalmi skálái (ANG, CYN, ASP), PSY-5 skálái (AGGR, DISC, NEGE), illetve a Klinikai skálák mentén kirajzolódó csúcskódok segítik az addikció súlyosságának felmérését, illetve azon személyiségvonások feltérképezését (pl. impulzivitás, hangulati labilitás, szorongás, ingerkeresés), melyek szoros kapcsolatot mutatnak az addiktológiai zavarokkal, különös tekintettel a szerhasználati zavarokra. Továbbá a nemzetközi szakirodalmak kiemelik, hogy az MMPI-2 értékes információkkal szolgál a szerhasználati problémákkal küzdő betegek pszichoterápiás konceptualizálásában, ugyanis értelmezési támpontokat ad a személy érzelmi, kognitív és szociális tényezőihez, pszichopatológiai tüneteihez. Konklúzió: Az MMPI-2 eredményei fontos diagnosztikai támpontokkal szolgálhatnak az addiktológiai betegek körében, segítik a beteg személyiségjegyeinek, vonásainak, panaszainak, pszichopatológiai tüneteinek feltérképezését, továbbá a hatékony kezelési terv felállításához és a terápiás intervenciók megtervezéséhez is információkat nyújt.

Open access

Abstract

Psychedelic drugs show promising therapeutic potential; however, some users experience extended difficulties following their use. This study investigated the prevalence, severity, duration, and associated coping strategies of post-psychedelic difficulties. We conducted an online survey of 159 participants, all of whom reported experiencing difficulties lasting more than one day after psychedelic use within the past 2–10 years. Participants rated the severity and duration of 11 types of difficulties and indicated effective coping strategies. Results revealed that social disconnection (72%), anxiety and panic attacks (68%), and existential struggle (65%) were the most prevalent difficulties. Anxiety and panic attacks were rated as most severe, while existential struggle and diminished self-esteem persisted the longest, with mean durations exceeding 15 months. Derealization and depersonalization, despite being common, were consistently rated as less severe than other difficulties. Self-education emerged as the predominant coping strategy for multiple difficulties, including social disconnection and existential struggle. Professional therapy was most effective for depression and diminished self-esteem, while peer and family support were particularly beneficial for managing anxiety and panic attacks. These findings highlight the diverse nature of post-psychedelic difficulties and the varying effectiveness of different coping strategies. Our results contribute to the development of more nuanced, effective approaches to harm reduction and integration in psychedelic use, emphasizing the importance of multifaceted support systems that include professional, educational, and community-based resources.

Open access

Abstract

Background and aims

Deficits in emotion regulation (ER) are considered a key factor in the development of addiction, highlighting ER as a potential target for treatment. However, ER in problematic pornography use (PPU) remains poorly understood.

Methods

The current study investigated both spontaneous and instructed ER in male individuals at-risk for PPU (n = 35, average age = 20.40 ± 1.29) and in a control group (n = 33, average age = 20.06 ± 1.44). Initially, participants were evaluated with the Emotion Regulation Profile-Revised (ERP-R) to measure their spontaneous use of eight ER strategies across various negative emotion-eliciting scenarios. Subsequently, they completed an emotion reappraisal task, in which they were instructed to either observe or reappraise their reactions to negative images. Subjective emotional ratings (valence and arousal) and event-related potentials (ERPs) were recorded to examine the effects of deliberate ER on emotional processing.

Results

The results indicated that individuals at-risk for PPU reported less frequent spontaneous use of reappraisal compared to those in the control group. Furthermore, in both groups, reappraisal led to a decrease in the late positive potential (LPP) and the self-reported intensity of emotions elicited by negative images.

Discussion and conclusions

This indicates that both groups were able to effectively downregulate negative emotions through reappraisal when instructed. Our findings underscore the importance of incorporating ER skills, particularly reappraisal-based strategies, into the prevention and psychotherapy of PPU.

Open access

Abstract

Background

Gambling content on streaming platforms has gained popularity. Given their intense, cue-laden nature, watching gambling streams may trigger cravings among viewers. At the same time, people who gamble may be motivated to watch gambling streams in an attempt to regulate their cravings.

Methods

We tested these ideas across two preregistered online studies, recruiting i) people who gamble to compare a subgroup of gambling stream viewers with non-viewers (Study 1; n viewers = 221, n non-viewers = 642), and ii) a group of gambling stream viewers (Study 2; n viewers = 271).

Results

Gambling stream viewers were younger, tended to identify as men, and displayed higher levels of problem gambling and gambling cravings compared to non-viewers. Problem gambling severity was correlated positively with both the motivation to use gambling streams to regulate cravings and with cravings elicited by watching gambling streams.

Discussion

Our findings indicate that while viewers with higher levels of problem gambling may use gambling streams to regulate their cravings, doing so might evoke cravings.

Open access
Journal of Behavioral Addictions
Authors:
Alessandro Giardina
,
Loïs Fournier
,
Vladan Starcevic
,
Daniel L. King
,
Maria Di Blasi
,
Adriano Schimmenti
, and
Joël Billieux

Abstract

Background

In the Compensatory-Dissociative Online Gaming (C-DOG; Giardina et al., 2024) model, we proposed a continuum from compensatory to dissociative gaming involvement. This continuum represents different degrees of integration between physical and virtual environments with three core processes – Active Escapism, Escape, and Dissociation – and two peripheral processes – Gaming-Related Relaxation and Body-Mind Detachment. Here, we developed and tested a multidimensional measure based on this model.

Method

We capitalized on existing items for measuring escapism and dissociation and we generated new items consistent with the hypothesized model dimensions. A total of 54 items were administered to 1,176 online gamers playing different game genres, together with measures of problematic gaming, passion for gaming, and other psychological distress indicators.

Results

Exploratory and confirmatory factor analyses yielded a six-factor, 36-item structure, with multiple hierarchical regression analyses highlighting unique associations with other psychological constructs assessed.

Discussion

The following factors were identified: (1) Emotional Displacement - redirection of negative emotion into the game with associated relaxation; (2) Absorption - detachment of the player from time and space while gaming; (3) Active Escapism - simulative use of the game to compensate for lack of self-confidence in reaching physical life objectives; (4) Virtual Withdrawal – maladaptive gaming to balance impaired social functioning, predicted by traumatic experiences and pervasive depression; (5) Dissociative Regulation - dysfunctional level of engagement associated with excessive anxiety; (6) Failure Escape - problematic avoidance via gaming related to fear of future failures.

Conclusions

The C-DOG factors identify critical psychological processes associated with problematic gaming, with relevant research and clinical implications.

Open access
Journal of Behavioral Addictions
Authors:
Vasileios Stavropoulos
,
Daniel Zarate
,
Maria Prokofieva
,
Noirin Van de Berg
,
Leila Karimi
,
Angela Gorman Alesi
,
Michaella Richards
,
Soula Bennet
, and
Mark D. Griffiths
Open access

Machine Learning(s) in gaming disorder through the user-avatar bond: A step towards conceptual and methodological clarity

Reply to: User-avatar bond as diagnostic indicator for gaming disorder: A word on the side of caution (2024)

Journal of Behavioral Addictions
Authors:
Vasileios Stavropoulos
,
Maria Prokofieva
,
Daniel Zarate
,
Michelle Colder Carras
,
Rabindra Ratan
,
Rachel Kowert
,
Bruno Schivinski
,
Tyrone L. Burleigh
,
Dylan Poulus
,
Leila Karimi
,
Angela Gorman-Alesi
,
Taylor Brown
,
Rapson Gomez
,
Kaiden Hein
,
Nalin Arachchilage
, and
Mark D. Griffiths

Abstract

In response to our study, the commentary by Infanti et al. (2024) raised critical points regarding (i) the conceptualization and utility of the user-avatar bond in addressing gaming disorder (GD) risk, and (ii) the optimization of supervised machine learning techniques applied to assess GD risk. To advance the scientific dialogue and progress in these areas, the present paper aims to: (i) enhance the clarity and understanding of the concepts of the avatar, the user-avatar bond, and the digital phenotype concerning gaming disorder (GD) within the broader field of behavioral addictions, and (ii) comparatively assess how the user-avatar bond (UAB) may predict GD risk, by both removing data augmentation before the data split and by implementing alternative data imbalance treatment approaches in programming.

Open access

User-avatar bond as diagnostic indicator for gaming disorder: A word on the side of caution

Commentary on: Deep learning(s) in gaming disorder through the user-avatar bond: A longitudinal study using machine learning (Stavropoulos et al., 2023)

Journal of Behavioral Addictions
Authors:
Alexandre Infanti
,
Alessandro Giardina
,
Josip Razum
,
Daniel L. King
,
Stephanie Baggio
,
Jeffrey G. Snodgrass
,
Matthew Vowels
,
Adriano Schimmenti
,
Orsolya Király
,
Hans-Juergen Rumpf
,
Claus Vögele
, and
Joël Billieux

Abstract

In their study, Stavropoulos et al. (2023) capitalized on supervised machine learning and a longitudinal design and reported that the User-Avatar Bond could be accurately employed to detect Gaming Disorder (GD) risk in a community sample of gamers. The authors suggested that the User-Avatar Bond is a “digital phenotype” that could be used as a diagnostic indicator for GD risk. In this commentary, our objectives are twofold: (1) to underscore the conceptual challenges of employing User-Avatar Bond for conceptualizing and diagnosing GD risk, and (2) to expound upon what we perceive as a misguided application of supervised machine learning techniques by the authors from a methodological standpoint.

Open access

Abstract

Background

Attention deficit hyperactivity disorder (ADHD) and behavioral addictions (BAs) are highly comorbid but little is known about the effect of anti-ADHD medications on behavioral addiction symptoms. Thus, the aim of this naturalistic prospective study was to investigate the long-term changes on BAs symptoms among methylphenidate-treated adults with a primary diagnosis of ADHD.

Methods

37 consecutive adult ADHD outpatients completed a baseline and follow-up assessment of ADHD, mood and BAs symptoms (internet, shopping, food, sex addictions and gambling disorder) after one year of methylphenidate (flexible dose) treatment.

Results

Internet addiction test scores pre-treatment were significantly higher than post-treatment scores (p < 0.001). The same trend was seen for the shopping addiction (p = 0.022), food addiction scores (p = 0.039) and sex addiction scores (p = 0.047). Gambling disorder scores did not differ pre and post treatment since none of the included patients reported significant gambling symptoms at baseline. The rate of ADHD patients with at least one comorbid BA was reduced after methylphenidate treatment (51.4% vs 35.1%). The correlation analyses showed a moderate positive correlation between the changes in sluggish cognitive tempo symptoms, cognitive impulsivity, mood and anxiety symptoms and changes in internet addiction symptoms.

Conclusions

This is the first study showing that after one-year of treatment with methylphenidate, adult ADHD patients show a significant reduction on internet, food, shopping and sex addiction symptoms. Further controlled studies with larger samples should replicate these preliminary results and elucidate the role of methylphenidate and other moderator factors (such as concomitant psychological treatments or lifestyle habits changes) on BAs improvements.

Open access

Measured or communicated?

University Rankings as the Postmodern Media Communication of Higher Education

Journal of Adult Learning, Knowledge and Innovation
Author:
György Fábri

Abstract

This research paper explores the intricate relationship between university rankings, mass democracy, and postmodernity, elucidating the societal shift in evaluating academic excellence. As higher education experiences mass democratization, rankings emerge as vital tools in the new information market, providing accessible metrics for an increasingly diverse audience. The concept of “medialization” underscores the impact of rankings on shaping public perception, as journalists, lacking deep understanding of academic intricacies, turn to rankings for clarity. Reactivity within universities to achieve higher ranking placements underscores the internal influence of external media-driven evaluations. The paper argues that postmodern relativism challenges traditional meritocracy, disrupting the established communicative status of universities. Amidst ongoing debates about the legitimacy of rankings, the research recommends embracing a communicative meritocracy as a strategic response, emphasizing the importance of universities actively shaping their narrative. The emergence of AI, exemplified by chatGPT, is identified as a potential transformative force, offering personalized information and challenging traditional ranking methodologies. The research concludes with a call for continuous self-reflection within ranking systems and universities amidst a changing higher education landscape.

Open access