A ‘components’ model of addiction within a biopsychosocial framework

Investigating the links between fear of missing out, social media addiction, and emotional symptoms in adolescence: The role of stress associated with neglect and negative reactions on social media

Fear of missing out (FoMO) is known to be associated with a decrease in emotional well-being in adolescents. However, few studies have investigated the possible mediating factors between FoMO and emotional symptoms. In this study, we studied the relationship between FoMO and emotional symptoms in a sample of 472 Italian adolescents aged 11-19. In particular, the study investigated the possible mediating role of perceived stress associated with experiences of neglect and negative reactions by other social media users, and social media addiction. Self-report measures were used. Results show that FoMO directly and indirectly predicts emotional symptoms. Additionally, FoMO is associated with increased sensitivity to stress associated with experiences of neglect and negative reactions by online peers, and social media addiction. Sensitivity to stress associated with neglect (but not to negative reactions) by online peers is found to mediate the relationship between FoMO and social media addiction, which, in turn, mediates the relationship with emotional symptoms. In general, the study shows that FoMO is a factor in experiencing higher sensitivity to stress associated with neglect by online peers, which in turn my act as a trigger for social media addiction, and ultimately showing a negative impact on emotional well-being of adolescents. Limits and future directions for research are discussed.

Predictors of Problematic Social Media Use: Personality and Life-Position Indicators

Given the preponderance of social media in our increasingly saturated media environments, there is a need for greater understanding of how personality traits and states can influence problematic social media use. This study examines whether contextual age indicators (life satisfaction, interpersonal interaction, social activity), the fear of missing out, and the Big Five personality traits are significant predictors of Facebook, Instagram, and Snapchat addictions. A survey of 337 college students reveals that greater social activity is a positive predictor of addiction to Snapchat. Another significant finding is a positive relationship between social media addiction and the fear of missing out, which explained the most variance in addiction scores for Snapchat (16%). An inductive analysis of open-ended responses indicated strong similarities between those who claimed that they were addicted to these social media apps and those said that they were not addicted. Both groups described largely similar usage patterns and media dependency, yet several users did not self-identify as addicted to social media. These patterns indicate that more research is needed to determine how social media users differentiate between normative, heavy, and addicted usage.

Cross-cultural adaptation, factor structure, and evidence of reliability of the Smartphone Addiction Scale in Brazil

Objective:

To translate, adapt, and examine the factor structure and internal consistency of a Brazilian Portuguese version of the Smartphone Addiction Scale (SAS-BR) among university students.

Methods:

The SAS was translated and adapted for use with Brazilian samples. The resulting instrument (SAS-BR) was then administered to 356 college students. Parallel analysis was used to explore the maximum number of dimensions that underlie the assessment, and data modeling was undertaken using exploratory multidimensional item response theory (E-MIRT). The reliability of the SAS-BR was tested by computing McDonald’s omega (ω) and Cronbach’s alpha (α) coefficients.

Results:

Parallel analysis revealed a maximum of six factors. E-MIRT analysis revealed that a five-factor model was the best fit for the data. The five emergent factors were salience, positive anticipation, cyberspace-oriented relationship, preoccupation with smartphone, and physical symptoms; these factors together explained 50% of the variance. Confirmatory factor analysis, conducted using data from a second sample, replicated the five-factor structure. The internal consistency of the scale was found to be strong.

Conclusion:

The emergent factor structure of the SAS-BR was found to be similar to that of previous adaptations of this instrument for other Western countries.

A psychometric approach to assessments of problematic use of online pornography and social networking sites based on the conceptualizations of internet gaming disorder

BACKGROUND

The problematic use of online gaming, social networking sites (SNS) and online pornography (OP) is an evolving problem. Contrary to the problematic use of SNS and OP, Internet gaming disorder (IGD) was included in the new edition of the Diagnostic and statistical manual of mental disorders (DSM-5) as a condition for further study. The present study adapted the criteria for IGD to the problematic use of SNS and OP by modifying a validated questionnaire for IGD (Internet Gaming Disorder Questionnaire: IGDQ) and investigating the psychometric properties of the modified versions, SNSDQ and OPDQ.

METHODS

Two online samples (SNS: n = 700, 25.6 ± 8.4 years, 76.4% female; OP: n = 700, 32.9 ± 12.6 years, 76.7% male) completed the SNSDQ/OPDQ, the Brief Symptom Inventory (BSI) and the short Internet Addiction Test (sIAT) and provided information on their SNS/OP use. Standard item and reliability analyses, exploratory and confirmatory factor analyses and correlations with the sIAT were calculated. Problematic and non-problematic users were compared.

RESULTS

The internal consistencies were ω_ordinal = 0.89 (SNS) and ω_ordinal = 0.88 (OP). The exploratory factor analyses extracted one factor for both questionnaires. Confirmatory factor analyses confirmed the results. The SNSDQ/OPDQ scores correlated highly with the sIAT scores and moderately with SNS/OP usage time. Of the users, 3.4% (SNS) and 7.1% (OP) lay above the cutoff for problematic use. Problematic users had higher sIAT scores, used the applications for longer and experienced more psychological distress.

CONCLUSION

Overall, the results of the study indicate that the adaption of the IGD criteria is a promising approach for measuring problematic SNS/OP use.

Psychometric Analysis and Validation of the Italian Bergen Facebook Addiction Scale

Social media use, and specifically Facebook use, has become increasingly popular over the past decade. Despite the many benefits of social networking, a small minority of individuals appear to develop issues surrounding social media use, and more specifically Facebook use. It has, therefore, led some scholars to describe such problematic activity as a behavioral addiction. Such problematic behaviors have been reported in many countries including Italy. The present study validated and examined the reliability and validity of the Italian version of the Bergen Facebook Addiction Scale (BFAS) by conducting a psychometric examination among an Italian sample of adults (n = 217; aged 18 to 68 years). Internal reliability was examined using various indicators, including Cronbach’s α, which was excellent (α = 0.94). Results indicated that Facebook addiction was significantly correlated with social media addiction, smartphone addiction, narcissism, depression, and self-esteem. The results of the present study support the use of the Italian version of the BFAS in research and confirms the uni-dimensional nature of the single factor proposed by the original authors.

Online Dating and Problematic Use: A Systematic Review

Despite the constant growth in the use of online dating sites and mobile dating applications, research examining potential problematic use of online dating has remained scarce. Previous research has obviated problematic use of online dating in favour of users’ personality correlates and scams through online dating services. A systematic review was carried out using PsycINFO and Web of Science databases to gather previous findings that address potential problematic use of online dating by (i) identifying use and motivations, (ii) assessing users’ personality correlates, (iii) outlining negative correlates of use, (iv) examining sexual and impulsive behaviour, (v) exploring substance use and behavioural addictions in relation to online dating, and (vi) examining problematic use of online dating, resulting in 43 studies. Findings suggest that personality correlates such as neuroticism, sociability, sensation-seeking, and sexual permissiveness are related to greater use of online dating services. Sex-search and self-esteem enhancement are predictors of problematic use of online dating. Previous research coincides with online dating risks (e.g. fear of deception) and objectification tendency due to online dating services (sites and apps) design. Observations regarding methodological weaknesses and future research implications are included.

Co-occurrences of substance use and other potentially addictive behaviors: Epidemiological results from the Psychological and Genetic Factors of the Addictive Behaviors (PGA) Study

BACKGROUND AND AIMS

Changes in the nomenclature of addictions suggest a significant shift in the conceptualization of addictions, where non-substance related behaviors can also be classified as addictions. A large amount of data provides empirical evidence that there are overlaps of different types of addictive behaviors in etiology, phenomenology, and in the underlying psychological and biological mechanisms. Our aim was to investigate the co-occurrences of a wide range of substance use and behavioral addictions.

METHODS

The present epidemiological analysis was carried out as part of the Psychological and Genetic Factors of the Addictive Behaviors (PGA) Study, where data were collected from 3,003 adolescents and young adults (42.6% males; mean age 21 years). Addictions to psychoactive substances and behaviors were rigorously assessed.

RESULTS

Data is provided on lifetime occurrences of the assessed substance uses, their co-occurrences, the prevalence estimates of specific behavioral addictions, and co-occurrences of different substance use and potentially addictive behaviors. Associations were found between (i) smoking and problematic Internet use, exercising, eating disorders, and gambling (ii) alcohol consumption and problematic Internet use, problematic online gaming, gambling, and eating disorders, and (iii) cannabis use and problematic online gaming and gambling.

CONCLUSIONS

The results suggest a large overlap between the occurrence of these addictions and behaviors and underlies the importance of investigating the possible common psychological, genetic and neural pathways. These data further support concepts such as the Reward Deficiency Syndrome and the component model of addictions that propose a common phenomenological and etiological background of different addictive and related behaviors.

Comparing generalized and specific problematic smartphone/internet use: Longitudinal relationships between smartphone application-based addiction and social media addiction and psychological distress

BACKGROUND AND AIMS

The literature has proposed two types of problematic smartphone/internet use: generalized problematic use and specific problematic use. However, longitudinal findings on the associations between the two types of problematic use and psychological distress are lacking among East-Asians. The present study examined temporal associations between both generalized and specific problematic use of the smartphone/internet, and psychological distress.

METHODS

Hong Kong University students (N = 308; 100 males; mean age = 23.75 years; SD ± 5.15) were recruited with follow-ups at three, six, and nine months after baseline assessment. All participants completed the Smartphone Application-Based Addiction Scale (for generalized problematic smartphone/internet use), the Bergen Social Media Addiction Scale (for specific problematic smartphone/internet use), and the Hospital Anxiety and Depression Scale (for psychological distress) in each assessment. Latent growth modeling (LGM) was constructed to understand temporal associations between generalized/specific problematic use and psychological distress.

RESULTS

The LGM suggested that the intercept of generalized problematic use was significantly associated with the intercept of psychological distress (standardized coefficient [β] = 0.32; P < 0.01). The growth of generalized problematic use was significantly associated with the growth of psychological distress (β = 0.51; P < 0.01). Moreover, the intercept of specific problematic use was significantly associated with the intercept of psychological distress (β = 0.28; P < 0.01) and the growth of psychological distress (β = 0.37; P < 0.01).

CONCLUSION

The initial level of problematic use of smartphone/internet increased the psychological distress among university students. Helping young adults address problematic use of the smartphone/internet may prevent psychological distress.

Occurrence and clinical characteristics of Compulsive Sexual Behavior Disorder (CSBD): A cluster analysis in two independent community samples

BACKGROUND AND AIMS

Compulsive Sexual Behavior Disorder (CSBD) is characterized by a persistent failure to control intense and recurrent sexual impulses, urges, and/or thoughts, resulting in repetitive sexual behavior that causes a marked impairment in important areas of functioning. Despite its recent inclusion in the forthcoming ICD-11, concerns regarding its assessment, diagnosis, prevalence or clinical characteristics remain. The purpose of this study was to identify participants displaying CSBD through a novel data-driven approach in two independent samples and outline their sociodemographic, sexual, and clinical profile.

METHODS

Sample 1 included 1,581 university students (females = 56.9%; Mage = 20.58) whereas sample 2 comprised 1,318 community members (females = 43.6%; Mage = 32.37). First, we developed a new composite index to assess the whole range of CSBD symptoms based on three previously validated scales. Based on this new composite index, we subsequently identified individuals with CSBD through a cluster analytic approach.

RESULTS

The estimated occurrence of CSBD was 10.12% in sample 1 and 7.81% in sample 2. Participants with CSBD were mostly heterosexual males, younger than respondents without CSBD, reported higher levels of sexual sensation seeking and erotophilia, an increased offline and especially online sexual activity, more depressive and anxious symptoms, and poorer self-esteem.

CONCLUSIONS

This research provides further evidence on the occurrence of CSBD based on an alternative data-driven approach, as well as a detailed and nuanced description of the sociodemographic, sexual, and clinical profile of adults with this condition. Clinical implications derived from these findings are discussed in detail.

Selfie-engagement on social media: Pathological narcissism, positive expectation, and body objectification - Which is more influential?

The current use of social media platforms by active young users/creators of visual content provides an easy medium to achieve narcissistic goals of self-promotion and attention-seeking, and to socialize with self-objectification experiences. One of the most popular activities associated with social media use is selfie-sharing. Consequently, the global focus on online physical appearance approval could reinforce selfie-engagement as a specific body image-related behavior, potentially associated with selfie-marketing strategies for self-improvement, and problematic social media use. The present study evaluated the main direct effect of pathological narcissism, objectified body consciousness, and expectations toward selfies on young women's and men's selfie-engagement. A total of 570 young adults (66.8% females; mean age = 24.4 years, SD = 3.6) participated in an online survey study. Variables were assessed using the Pathological Narcissism Inventory (Fossati, Feeney, Pincus, Borroni, & Maffei, 2015), Objectified Body Consciousness Scale (Dakanalis et al., 2015), Selfie-expectancies Scale (Boursier & Manna, 2018), and a measure of selfie-engagement. Hierarchical regression analyses were performed on independent male and female subsamples. Results showed that body surveillance and positive selfie-expectancies are consistent selfie-behavior predictors, among both men (R2 = 0.227; p < .001) and women (R2 = 0.332; p < .001). Furthermore, findings confirm women's involvement in appearance concerns and body-image related practices, even though men's engagement in body-objectification deserve attention. The study provides novel findings in the field of self-objectification research as well as contributing to the ongoing debate concerning which psychological factors can be predictive of males' and females' selfie-engagement. The implications of these findings are also discussed in light of the debate on social media use and misuse.

The relationship between narcissism, intensity of Facebook use, Facebook flow and Facebook addiction

INTRODUCTION

The present study investigated mechanisms that may contribute to the enhanced risk of narcissistic individuals to develop Facebook addiction.

METHODS

In a sample of 449 Facebook users (age: M(SD) = 31.07(9.52), range: 18-65) the personality trait narcissism, Facebook flow, intensity of Facebook use, and Facebook addiction were assessed by an online survey.

RESULTS

In a moderated mediation analysis, the positive relationship between narcissism and Facebook addiction was positively mediated by the level of flow experienced on Facebook. Intensity of Facebook use moderated the positive association between Facebook flow and Facebook addiction.

CONCLUSIONS

Excessive Facebook use may cause psychological dependence. Narcissistic individuals are at enhanced risk for this form of dependence that is fostered by experience of flow during Facebook use and intensity of Facebook use. Current results should be taken into account, when assessing individuals at risk for pathological Facebook use and when planning specific interventions to deal with it.

Hands-off: Study protocol of a two-armed randomized controlled trial of a web-based self-help tool to reduce problematic pornography use

BACKGROUND AND AIMS

The past-year prevalence of problematic pornography use (PPU) was 1-6% in adult populations. As a result of treatment obstacles and barriers, such as unaffordable treatments, only a minority of problematic pornography users may seek treatment. Having a free, online, self-help program may overcome treatment barriers and may help those individuals who cannot receive traditional or offline treatment for PPU. Although the effectiveness of such online programs reducing substance use and problematic gambling have been reported, no prior study has examined the efficacy of an online self-help intervention aiming to reduce PPU.

METHODS

This two-armed randomized controlled trial (RCT) will examine the effectiveness of an online self-help program (Hands-off) to reduce PPU, while also considering psychopathological comorbidities. The six-week intervention condition includes six core modules developed to reduce PPU based on motivational interviewing, cognitive behavioral therapy, mindfulness, and wise social-psychological intervention techniques. The target sample size is 242 participants. Self-report questionnaires will be administered at baseline, right after the end of the intervention, at one-month, and three-month follow-ups after the end of the intervention. The primary outcome will be the level of PPU. Secondary outcomes will include pornography use frequency, pornography craving, pornography use-avoidance self-efficacy, sex mindset, sexual satisfaction, negative and positive emotions, and life satisfaction. Data will be analyzed on an intention-to-treat basis using linear mixed models.

RESULTS

Results will be reported at conferences and published in a scientific peer-reviewed journal. The participants will be sent a lay-person-friendly summary of the results via e-mail.

Problematic Mukbang Watching and Its Relationship to Disordered Eating and Internet Addiction: A Pilot Study Among Emerging Adult Mukbang Watchers

Internet technology has facilitated the use of a wide variety of different activities and applications in online contexts. One such activity is watching mukbang (i.e., watching videos of “eating broadcasts” where someone eats a large amount of food while interacting with viewers). In the present study, the relationship of problematic mukbang watching with disordered eating and internet addiction was examined. Participants were 140 emerging adults who watched mukbang at least once in the past 30 days (66% female; Mage = 21.66, SD = 1.88, range = 19–29 years). Structural equation modeling indicated that problematic mukbang watching was positively associated with both disordered eating and internet addiction. The present study is the first to explore the predictive role of problematic mukbang watching on adverse consequences, and suggests that mukbang watching may be problematic for a minority of emerging adults and that problematic mukbang watching warrants further examination of its impact on mental health and wellbeing.

Problematic Mobile Phone and Smartphone Use Scales: A Systematic Review

The popularity of smartphones is undeniable in nearly all facets of society. Despite the many benefits attributed to the technology, concern has grown over the potential for excessive smartphone use to become problematic in nature. Due to the growing concerns surrounding the recognized and unrecognized implications of smartphone use, great efforts have been made through research to evaluate, label and identify problematic smartphone use mostly through the development and administration of scales assessing the behavior. This study examines 78 existing validated scales that have been developed over the past 13 years to measure, identify or characterize excessive or problematic smartphone use by evaluating their theoretical foundations and their psychometric properties. Our review determined that, despite an abundance of self-report scales examining the construct, many published scales lack sufficient internal consistency and test-retest reliability. Additionally, there is a lack of research supporting the theoretical foundation of many of the scales evaluated. Future research is needed to better characterize problematic smartphone use so that assessment tools can be more efficiently developed to evaluate the behavior in order to avoid the excessive publication of seemingly redundant assessment tools.

Possible Effects of Social Media Use on Adolescent Health Behaviors and Perceptions

Social media use is one of the most popular leisure activities among adolescents. Concomitant to this is a growing concern regarding problematic social media use and its relationship with health behaviors. To further increase the body of research into this phenomenon, our study explored the relationship between problematic social media use and physical activity levels, sleep peculiarities, and life satisfaction in Lithuanian children and adolescents. The study was conducted in April to June 2018 during the Health Behaviour in School-aged Children survey in Lithuania, a collaborative project of the World Health Organization. The sample comprised 4,191 school children (mean age 13.9 ± 1.69 years). The findings show that problematic social media use associates with about two times higher odds for worse sleep quality and lower life satisfaction. Problematic social media use was related to lower levels of vigorous physical activity in girls, but the possible effect on moderate physical activity was in boys and was inverse-boys with problematic social media use reported higher levels of moderate physical activity. Overall, in our study, girls with problematic social media use tended to have more negative health perceptions than boys. The results suggest that problematic social media use is an independent risk factor for negative health behaviors. This study adds to the accumulating knowledge that problematic social media use among adolescents may lead to worse health perceptions and, likely, further negative health outcomes.

Social Media Addiction Among Individuals Who Underwent Rhinoplasty: Myth or Reality?

Background: Social media addiction is currently a common problem worldwide. Studies have suggested that individuals who underwent rhinoplasty are susceptible to the aforementioned condition, but no evidence-based research has been conducted to derive a definitive conclusion to this issue. Objective: This study was aimed at comparing the self-esteem, body perception, and social media use of individuals with and without a history of rhinoplasty. Design, Setting, and Participants: The study was conducted at two treatment centers. Rhinoplasty patients were selected from those who sought treatment in the private clinic of one of the researchers, whereas the control cohort participants were chosen from among employees of a university hospital. After the implementation of inclusion and exclusion criteria, 100 patients and 102 healthy unmatched control subjects were enrolled in the research. Main Measures and Outcomes: The collected sociodemographic data covered age, gender, years of education, and type of social media use. Social media addiction was measured using the social media addiction scale, self-esteem was ascertained with the Rosenberg self-esteem scale, and body perception was assessed using the body perception scale. The independent samples t-test was conducted twice to compare the mean scores of the participants, and mediation analysis was carried out to determine the effects of body image and self-esteem scores on social media addiction scores. Two-sided p-values were calculated, and differences were considered significant at the 0.1, 0.05, and 0.001 levels. Results: The groups obtained similar body image and self-esteem scores, but the difference in the social media addiction scores of the rhinoplasty patients and control participants was statistically significant at the 0.05 level, with the former having higher addiction scores. On the basis of the cutoff for social media addiction, 8 and 10 participants from the rhinoplasty and control groups, respectively, exhibited signs of dependency on Web-based social networks and similar innovations. The self-esteem scores (X) and body image scores (M) predicted the social media addiction scores (Y). The coefficient of the body image scores was statistically significant, but that of the self-esteem scores was not. The X + M → Y model indicated statistically significant effects. Conclusion and Relevance: We compared the social media usage of rhinoplasty patients and control participants. Our findings indicated no evidentiary support for the view of rhinoplasty patients as social media addicts and suggested that such a perception is a form of stigmatization.

Psychometric Validation of the Internet Disorder Scale–Short Form in an Italian Adult Sample

Research examining online addictions has conceptualized generalized internet addiction as an “umbrella” term comprising the addictive use of various online activities such as gambling, gaming, pornograpgy consumption shopping, and social media use. This has led to the development of many different psychometric instruments to assess specific forms of online addiction as well as ones that assess disordered internet use more generally. One such scale is the nine-item short-form Internet Disorder Scale (IDS9-SF) based on the DSM-5 criteria for internet gaming disorder. Although the IDS9-SF has been validated in a number of languages, it has not been validated into Italian. Therefore, the present study validated the IDS9-SF utilizing an Italian-speaking sample (N = 1477). Data were initially collected from 963 participants and the sample was equally split to carry out exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) on the Italian IDS9-SF. Results showed that two items were problematic (i.e., in terms of asymmetry and kurtosis) so a slightly modified Italian IDS9-SF was developed (modifying the two items). Data were then collected from a further 514 participants to test the modified Italian IDS9-SF. The second sample was again equally split, and EFA and CFA were carried out. The modified Italian IDS9-SF was found to be a psychometrically robust measure for assessing the risk of internet disorder among Italian adults.

Dopaminergic signaling of uncertainty and the aetiology of gambling addiction

Although there is increasing clinical recognition of behavioral addictions, of which gambling disorder is the prototype example, there is a limited understanding of the psychological properties of (non-substance-related) behaviors that enable them to become 'addictive' in a way that is comparable to drugs of abuse. According to an influential application of reinforcement learning to substance addictions, the direct effects of drugs to release dopamine can create a perpetual escalation of incentive salience. This article focusses on reward uncertainty, which is proposed to be the core feature of gambling that creates the capacity for addiction. We describe the neuro-dynamics of the dopamine response to uncertainty that may allow a similar escalation of incentive salience, and its relevance to behavioral addictions. We review translational evidence from both preclinical animal models and human clinical research, including studies in people with gambling disorder. Further, we describe the evidence for 1) the effects of the omission of expected reward as a stressor and to promote sensitization, 2) the effect of the resolution of reward uncertainty as a source of value, 3) structural characteristics of modern Electronic Gaming Machines (EGMs) in leveraging these mechanisms, 4) analogies to the aberrant salience hypothesis of psychosis for creating and maintaining gambling-related cognitive distortions. This neurobiologically-inspired model has implications for harm profiling of other putative behavioral addictions, as well as offering avenues for enhancing neurological, pharmacological and psychological treatments for gambling disorder, and harm reduction strategies for EGM design.

[Internet Addiction and Suicidality - A Comparison of Internet-Dependent and Non-Dependent Patients with Healthy Controls]

BACKGROUND

Internet addiction (IA) is associated with a high level of comorbid mental disorders and significant distress. With regard to the resulting hazardous potential, the present study examines the prevalence of suicidal ideation and behavior in a population with IA compared to a clinical and a healthy sample.

METHODS

60 patients with Internet addiction, 29 with and 31 without comorbid mental disorder were compared to an outpatient sample with other mental disorders (n=35) and 57 healthy controls regarding symptom load and suicidality.

RESULTS

48.3% of the patients with Internet addiction (with and without comorbidity) exhibited significantly more often suicidal symptoms as compared to healthy controls (3.5%). The level of both suicidal symptoms was significantly higher in all clinical samples in comparison to healthy controls , whereas no significant differences were shown between the clinical samples. For patients with Internet addiction and comorbid disorders a significant positive correlation between the level of Internet addiction and the extent of suicidal ideations were found.

DISCUSSION

The results contribute to the notion that Internet addiction is associated with an increased risk for suicidal ideation and therefore represents a serious mental illness. Internet addiction is comparable to other mental disorders in terms of symptom load, impaired quality of life and suicidality. Larger samples have to be examined to clarify the question of mediating and moderating variables with regard to suicidality.

CONCLUSION

A diagnostic workup and treatment regime for patients with Internet addiction should include an exploration of suicidality, not least because of possible risks in withdrawl.

Coping Strategies and Factors Related to Problematic Substance Use and Behavioral Addictions Among Adolescents and Young Adults with Cancer

Purpose: This study aimed to explore and identify the factors associated with problematic substance use (alcohol, tobacco, and cannabis) and behavioral addictions (internet and eating disorders) over time in adolescents and young adults (AYAs) treated for cancer. Methods: AYAs newly diagnosed with cancer, 15-25 years of age, completed a questionnaire during their hospitalization (T1), assessing their consumption of alcohol, tobacco, and cannabis (The Alcohol Use Disorders Identification Test; The Smoking Behavior Questionnaire; and The Cannabis Abuse Screening Test), their internet use (The Internet Addiction Test), their body preoccupations (The Eating Attitudes Test), as well as their coping strategies (Brief COPE) and emotional adjustment (The Hospital Anxiety and Depression Scale). Questionnaires were completed again 6 months later (T2). Results: Seventy-three AYAs were included at T1 and 21 AYAs at T2. Nearly one out of two (46.58%) AYAs had a problematic substance use or behavioral addiction after cancer diagnosis (T1). Problematic use of internet was frequently reported (23.29%), as well as harmful alcohol consumption or addiction (16.44%) and cannabis dependence (12.33%). The main factor related to problematic substance use was being older, while the main factor related to behavioral addiction was having a higher anxiety score. Substance use as a coping strategy was used more frequently by AYAs with problematic substance use and emotional support as a coping strategy was used more frequently by AYAs with a behavioral addiction. Conclusions: High rates of problematic substance use and behavioral addiction were reported in our sample. AYAs surveyed had high problematic use of cannabis and high internet use. Attention to substance use and addictive behaviors is recommended to ensure optimal care.

Treatments for internet addiction, sex addiction and compulsive buying: A meta-analysis

BACKGROUND AND AIMS

Internet addiction, sex addiction and compulsive buying are common behavioral problems, which share similarities with gambling disorder and substance use disorders. However, little is known about the efficacy of their treatments. The objective of this meta-analysis was to examine the efficacy of the treatments of such problem behaviors, and to draw parallels to gambling disorder and substance use disorders in terms of treatment response.

METHODS

Literature search yielded 91 studies totaling 3,531 participants to provide a comprehensive evaluation of the short-term and long-term efficacy of psychological, pharmacological and combined treatments for internet addiction, sex addiction, and compulsive buying.

RESULTS

Psychological, pharmacological, and combined treatments were associated with robust pre-post improvements in the global severity of internet addiction (Hedges's g: 1.51, 1.13, and 2.51, respectively) and sex addiction (Hedges's g: 1.09, 1.21, and 1.91, respectively). For compulsive buying, psychological and pharmacological treatments were also associated with a large-sized pre-post reduction in global severity (Hedges's g: 1.00 and 1.52, respectively). The controlled pre-post and within-group pre-follow-up effect sizes were in the similar range, with few exceptions. Moderator analyses suggest that psychological interventions are effective for reducing compulsive behaviors, especially when delivered face-to-face and conducted over extended periods of time. Combinations of cognitive-behavioral approaches with medications showed an advantage over monotherapies.

DISCUSSION AND CONCLUSIONS

The results suggest that treatments for common behavioral addictions are effective in the short term, similar to those implemented for gambling disorder and substance use disorders, but more rigorous clinical trials are needed.

Increased problematic smartphone use among children with attention-deficit/hyperactivity disorder in the community: The utility of Chinese version of Smartphone Addiction Proneness Scale

BACKGROUND

Problematic smartphone use is more prevalent in children than before. This study aimed to evaluate the reliability and validity of the Chinese version of the Smartphone Addiction Proneness Scale (SAPS).

METHODS

We recruited 319 students aged 9 to 12 years including 70 attention-deficit/hyperactivity disorder subjects at a university hospital and 249 controls from elementary school. Finally, 164 males and 138 females were collected for data analysis with mean age of 10.99 ± 0.88 years. Item analysis, exploratory factor analysis, internal consistency test, and t test were performed to verify the reliability and validity of the SAPS-Chinese version. Correlations were examined for relation between the score in the SAPS-Chinese version and the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition diagnostic criteria.

RESULTS

Factor analysis showed two factors: problematic use-associated behaviors and impaired daily functions. Item analysis for every item in the SAPS-Chinese version showed significant differences in t values (p < 0.001) and high correlation in all items (r = 0.37-0.79). The Kaiser-Meyer-Olkin (KMO) was equal to 0.94 and Bartlett's test of Sphericity was significant (p < 0.001). Cronbach's α for the SAPS-Chinese version was 0.93. It revealed high reliability and validity.

CONCLUSION

The SAPS-Chinese version is reliable, valid, and suitable for clinical and research uses with satisfactory properties. Applying the modified SAPS-Chinese version offers early detection of problematic smartphone use.

100 Cases of Exercise Addiction: More Evidence for a Widely Researched but Rarely Identified Dysfunction

Exercise addiction is an extensively studied topic in the sport science and psychology literature as reflected by the more than 1000 papers published in the field. However, only about 12 cases were published in the area, which may suggest that there is difficulty in reaching and studying affected individuals. Relying on the Components Model of Addiction, we performed an extensive search on non-scholar websites (i.e. popular media websites) and identified 100 cases that met the eligibility criteria. These cases reflect the several physical, psychological and social consequences that may accompany the dysfunction, as well as numerous exercise activities to which individuals may become addicted. The findings also raise the question whether women are more affected than men, or perhaps women are more open than men to disclose their problem, as based on the four to one ratio of the identified cases. The current work supports the large volume of research in the field of exercise addiction, because either the prevalence of the dysfunction is greater than expected, or people are more open to disclose their problem on Internet sites.

Measurement, Profiles, Prevalence, and Psychological Risk Factors of Problematic Gaming Among the Turkish Community: A Large-scale National Study

The present study investigated the prevalence, the potential different profiles, and the associated psychological factors of disordered gaming using data from a large-scale epidemiological study (TURBAHAR [Turkey’s Addiction and Mental Health Risk Profile Map Project]) carried out in Turkey in 2018 with 24,494 participants aged 18–81 years. Participants completed a comprehensive survey comprising a demographic questionnaire, Gaming Addiction Risk Questionnaire, Brief Symptom Inventory, Personal Well-Being Index Adult Form, Positive and Negative Affect Schedule, Toronto Alexithymia Scale, and Experiences in Close Relationships-Revised Scale. Latent class analysis showed the existence of eight different game profiles, which differed in relation to the intensity and specific features of the behavior. Results showed that 1.6% of the participants were problematic gamers. Being male, being younger, lower education level, being single, using alcohol and cigarettes, psychiatric distress, positive and negative affect, and anxious adult attachment were positively associated with problematic gaming.

An addiction to seeking fortune-telling services: a case report

The paper describes a case report of a 36-years old female patient suffering from an addiction to seeking fortune-telling services, which is a type of behavioral addiction, or non-substance addiction. This condition is characterized by the addiction to various "occult services", fortune tellers and other representatives of nontraditional practices who are usually manipulative and self-serving. The authors reveal that this case report of fortune telling addiction possesses all of six components universal for addictions.In light of the increasing prevalence of various behavioral addictions, clinical psychiatrists should be aware of this phenomenon.

Relationships between Severity of Internet Gaming Disorder, Severity of Problematic Social Media Use, Sleep Quality and Psychological Distress

Internet gaming and social media use are prevalent and integral to many people's lives. However, excessive engagement in either could lead to negative health impacts. This study aimed to investigate relationships between severities of internet gaming disorder (IGD) and problematic social media use (operationalized as social media addiction; SMA) with sleep quality and psychological distress among young adults. A cross-sectional study with snowball sampling was conducted among Hong Kong university students in 2019. All participants (n = 300; mean (SD) age = 20.89 (1.48); 122 males (40.67%)) responded to an online survey that included Chinese versions of the Internet Gaming Disorder Scale-Short Form (IGDS9-SF), Bergen Social Media Addiction Scale (BSMAS), Pittsburgh Sleep Quality Index (PSQI), and Depression Anxiety Stress Scales (DASS-21). Multiple linear regressions demonstrated that IGDS-SF9 scores demonstrated associations with psychological distress measures (standardized coefficient (β) = 0.295 for depression, 0.325 for anxiety, 0.339 for stress, all p < 0.001). BSMAS scores showed similar albeit numerically less robust associations (β = 0.235 for depression, p < 0.001; 0.219 for anxiety, p = 0.001; 0.262 for stress, p < 0.001). BSMAS scores demonstrated associations with poorer sleep quality (β = 0.292; p < 0.001) and IGDS9-SF scores (β = 0.157; p = 0.024) showed a significantly less robust association (p = 0.01 for comparing the two βs). These findings suggest that both severities of IGD and SMA associate with more psychological distress and poorer sleep quality, although the strengths of associations may differ.

The Associations between Family-Related Factors and Excessive Internet Use in Adolescents

This study examined the relationship between Excessive Internet Use (EIU) in adolescents and their family environment, namely the family type, the family economic status, the effect of parental care, the level of parental control, the amount of parental monitoring, the quality of communication, and the time spent together. The study was based on data from an international survey, Health Behaviour in School Aged Children (HBSC), conducted in Slovakia. The sample representative for adolescents included 2547 participants (51% boys) aged 13–15. Multiple-step linear regression revealed that higher parental care and parental monitoring predicted lower EIU, while higher parental overprotection and lower socioeconomic status predicted higher EIU. The results suggest that both so-called optimal parenting (i.e., the balance of emotional warmth and protection) and the adolescent′s autonomy lower the risk of EIU. Family factors explained about 14% of the variance, which suggests that aside from personal, cognitive and affective factors, a close social environment also plays an important role in adolescence EIU.

The relationship between dysfunctional metacognitive beliefs and problematic social networking sites use

Social networking sites (SNSs) enrol new subscribers each day. However, problematic SNS use has undesirable effects on psychological functioning. Therefore, it is important to identify the factors that contribute to the development of problematic SNS use. Very few studies have focused on revealing the underlying mechanisms of problematic SNS use. Although many past studies have examined the relationship between metacognitive beliefs and Internet addiction, the association between metacognitive beliefs and problematic SNS use has not been adequately explored. In this study, we aimed to explore the association between metacognitive beliefs and problematic SNS use among young adults. A total of 308 individuals participated in this study. A socio-demographic data form, the Metacognitions Questionnaire-30 (MCQ-30), and Social Media Addiction Scale (SMAS) were administered. Group comparisons were performed using multivariate analysis of covariance. Pearson's correlational and multiple linear regression analyses were conducted to examine the associations between metacognitive beliefs and problematic SNS use. The SNS addicts scored higher in all of the SMAS assessments. When compared to non-addicts, SNS addicts obtained higher scores on all the subtests of the SMAS and MCQ-30 except cognitive self-consciousness. The negative beliefs about the uncontrollability and danger of worry, cognitive confidence, and need for control thoughts were associated with SMAS mood modification, relapse and conflict subdimensions. Our findings revealed that dysfunctional metacognitive beliefs are related to problematic SNS use among young adults. These findings indicate that mental health workers should consider the modification of metacognitive beliefs in the treatment of problematic SNS use.

Do Smartphones Create a Coordination Problem for Face-to-Face Interaction? Leveraging Game Theory to Understand and Solve the Smartphone Dilemma

Smartphone use changes the landscape of social interactions, including introducing new social dilemmas to daily life. The challenge of putting down one's smartphone is an example of a classic coordination problem from game theory: the stag hunt game. In a stag hunt game, there are two possible coordination points, one that involves big payoffs for both partners (e.g., working together to hunt large game like stag) and one that involves smaller payoffs for both partners (e.g., individually hunting small game like rabbits) but is safer because it does not require that your partner choose that option as well. This is similar to the challenges of putting down smartphones to have a face-to-face interaction: you and your interaction partner might both prefer the higher payoff option of having a face-to-face interaction, but neither of you wants to put down your phone and risk not having anything to do in the meantime. It is also discussed how new technological innovations are changing the payoffs of face-to-face conversation versus side-by-side smartphone scrolling. Insights that come from applying game theory to this "social media dilemma" are discussed here and potential solutions that come out of a game theoretic analysis are offered. Also see the video abstract here https://youtu.be/9esL578zM-E.

Spanish Validation of the Internet Gaming Disorder Scale-Short Form (IGDS9-SF): Prevalence and Relationship with Online Gambling and Quality of Life

Online gaming is a very common form of leisure among adolescents and young people, although its excessive and/or compulsive use is associated with psychological impairments in a minority of gamers. The latest (fifth) edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5, Section III) tentatively introduced Internet Gaming Disorder (IGD). Since then, a number of evaluation tools using the DSM-5 criteria have been developed, including the Internet Gaming Disorder Scale-Short Form (IGDS9-SF). The main objective of this study was to translate and adapt the IGDS9-SF into Spanish, as well as to obtain indicators relating to its validity and reliability. The Spanish version of four scales were administered: IGDS9-SF, Mobile Phone-Related Experiences Questionnaire (CERM), Online Gambling Disorder Questionnaire (OGD-Q), and KIDSCREEN-27. The sample comprised 535 Vocational Training students (mean age 18.35 years; SD±2.13; 78.5% males) who reported playing video games in the past 12 months. Confirmatory factor analysis yielded a one-dimensional model with a good fit while the reliability indicators were satisfactory. Findings indicated that 1.9% of gamers were classified with IGD (meeting five or more criteria for more than 12 months). Additionally, another 1.9% were considered gamers 'at-risk' because they endorsed four criteria. Positive and significant relationships were found between the IGDS9-SF, the CERM, and the OGD-Q. Participants classified with IGD had poorer health-related quality of life. In conclusion, the Spanish IGDS9-SF is a valid and reliable instrument to assess IGD according to the DSM-5.

Objectified Body Consciousness, Body Image Control in Photos, and Problematic Social Networking: The Role of Appearance Control Beliefs

At present, adolescents' photo-taking and photo-sharing on social media represent ubiquitous practices and objectified body consciousness (OBC) might offer a useful framework to explore online self-presentation and social networking site (SNS) use. Indeed, SNS might represent a highly accessible medium for socializing with self-objectification. However, the relationship between OBC components and problematic SNS use is still understudied. The present study evaluated the previously unexplored predictive role of appearance control beliefs on problematic SNS use, testing the mediating effect of body image control in photos (BICP) across male and female groups. A total of 693 adolescents (55% females; mean age 16 years) participated in the study. Results showed the negatively predictive role of appearance control beliefs on control over body image in photos. Moreover, BICP mediated the appearance control beliefs' negative effect on problematic SNS use in girls. The present study tested the unexplored effect of appearance control beliefs upon problematic SNS use, contributing to the OBC research field and the ongoing debate concerning predictive and protective factors in problematic SNS use.

High-Frequency Pornography Use May Not Always Be Problematic

BACKGROUND

Previously, variable-centered analytic approaches showed positive, weak-to-moderate associations between frequency of pornography use (FPU) and problematic pornography use (PPU). However, person-centered studies are sparse in the literature, and these could provide insight into whether there are individuals who use pornography frequently and do not experience problems or whether there are individuals with comparable high-frequency use who differ on reported experiencing of negative consequences.

AIM

The aims of the present study were (i) to identify profiles of pornography use based on FPU and PPU by applying a person-centered analytic approach and (ii) to examine whether the identified profiles could be distinguished based on theoretically relevant demographic and psychological constructs.

METHODS

Latent profile analyses were conducted on 3 nonclinical samples recruited from general websites and a pornography site (study 1: N = 14,006; study 2: N = 483; study 3: N = 672).

RESULTS

Results were consistent across all studies. 3 distinct pornography-use profiles emerged: nonproblematic low-frequency pornography use (68-73% of individuals), nonproblematic high-frequency pornography use (19-29% of individuals), and problematic high-frequency use (3-8% of individuals). Nonproblematic and problematic high-frequency-use groups showed differences in several constructs (ie, hypersexuality, depressive symptoms, boredom susceptibility, self-esteem, uncomfortable feelings regarding pornography, and basic psychological needs).

CLINICAL TRANSLATION

FPU should not be considered as a sufficient or reliable indicator of PPU because the number of people with nonproblematic high-frequency use was 3-6 times higher than that with problematic high-frequency use. These results suggest that individuals with PPU use pornography frequently; however, FPU may not always be problematic.

STRENGTHS & LIMITATIONS

Self-report cross-sectional methods have possible biases that should be considered when interpreting findings (eg, underreporting or overreporting). However, the present research included 3 studies and involved large community samples and visitors of a pornography website. The present study is the first that empirically investigated pornography-use profiles with a wide range of correlates using both severity of PPU and FPU as profile indicators on specific and general samples.

CONCLUSION

The present study is a first step in the differentiated examination of pornography-use profiles, taking into consideration both PPU and FPU, and it provides a foundation for further clinical and large-scale studies. Different psychological mechanisms may underlie the development and maintenance of FPU with or without PPU, suggesting different treatment approaches. Therefore, the present results may guide clinical work when considering reasons for seeking treatment for PPU. Bőthe B, Tóth-Király I, Potenza MN, et al. High-Frequency Pornography Use May Not Always Be Problematic. J Sex Med 2020;17:793-811.

Associations between emotion recognition and social networking site addiction

With the widespread use of the internet today, many studies have been conducted regarding the use of social networking sites (SNS). Despite the growing literature on the effects of SNS on human life, there are limited successful therapeutic interventions for SNS addiction. Our study aimed to elucidate the potential role of emotion recognition in the development of SNS addiction and to propose novel strategies for alleviating problems emerging from SNS addiction. A total of 337 individuals participated in the study. A sociodemographic data form, the Reading the Mind in the Eyes Test (RMET), and the Social Media Addiction Scale (SMAS) were administered. The results revealed the presence of emotion recognition deficits among individuals with SNS addiction, relative to non-addicts. RMET positive and negative scores were associated with SNS addiction in a negative direction. Additionally, RMET negative scores predicted SNS addiction. Our findings indicate a possible link between SNS addiction and emotion recognition, which might serve as a crucial target in novel treatment strategies.

Time invariance of three ultra-brief internet-related instruments: Smartphone Application-Based Addiction Scale (SABAS), Bergen Social Media Addiction Scale (BSMAS), and the nine-item Internet Gaming Disorder Scale- Short Form (IGDS-SF9) (Study Part B)

Given the many technological advances over the past two decades, a small minority of young people are at risk of problematic use or becoming addicted to these technologies (including activities on the internet and smartphones). Many brief psychometric scales have been developed to assess those at risk of problematic use or addiction including the six-item Smartphone Application-Based Addiction Scale [SABAS], the six-item Bergen Social Media Addiction Scale [BSMAS], and the nine-item Internet Gaming Disorder Scale-Short Form [IGDS-SF9]). However, to date, the reproducibility of these three scales has only been examined over a short period of time (e.g., two weeks), and it is unclear whether they are time invariant across a longer period (e.g., three months). Given the emergence of internet and smartphone addiction in Chinese population, the present study translated the three instruments into Chinese and recruited 640 university students (304 from Hong Kong [99 males] and 336 from Taiwan [167 males]) to complete the three scales twice (baseline and three months after baseline). Multigroup confirmatory factor analysis (MGCFA) was applied to examine the time invariance. The intraclass correlation coefficient (ICC) was used to assess the relative reliability, and the percentage of smallest real difference (SRD%) was utilized to explore the absolute reliability for the three scales. MGCFA showed that all three scales were time invariant across three months. ICC demonstrated that all the scales were satisfactory in reproducibility (0.82 to 0.94), and SRD% indicated that all the scales had acceptable measurement noise (23.8 to 29.4). In conclusion, the short, valid, reliable, and easy-to-use Chinese SABAS, BSMAS, and IGDS-SF9 show good properties across periods of three months.

Measurement invariance across young adults from Hong Kong and Taiwan among three internet-related addiction scales: Bergen Social Media Addiction Scale (BSMAS), Smartphone Application-Based Addiction Scale (SABAS), and Internet Gaming Disorder Scale-Short Form (IGDS-SF9) (Study Part A)

Internet addiction has been found to be prevalent worldwide, including Asian countries, and related to several negative outcomes and other behavioral addictions. The Bergen Social Media Addiction Scale (BSMAS), Smartphone Application-Based Addiction Scale (SABAS), and nine-item Internet Gaming Disorder Scale-Short Form (IGDS-SF9) have been extensively used to assess internet-related addictions. However, the three aforementioned instruments have rarely been used in Asian countries. The aim of the present study was to investigate whether the BSMAS, SABAS, and IGDS-SF9 were appropriate for use in heterogeneous subsamples from Hong Kong and Taiwan. University students from Hong Kong (n = 306) and Taiwan (n = 336) were recruited via an online survey. Multigroup confirmatory factor analysis (MGCFA) was used to assess measurement invariance of the BSMAS, SABAS, and IGDS-SF9 across the two subcultures. The original unidimensional structures of BSMAS, SABAS and IGDS-SF9 were confirmed through confirmatory factorial analysis in both subcultures. The MGCFA results showed that the unidimensional structures of the BSMAS and IGDS-SF9 were invariant across the two Chinese cultural areas (Hong Kong and Taiwan). However, the measurement invariance of the SABAS was established after some model modifications. In conclusion, the present study found that the Chinese BSMAS, SABAS, and IGDS-SF9 were all adequate instruments to validly assess internet-related addictions among university students. The three brief instruments used for assessing addictions to social media, smartphone applications, and online gaming are valid and psychometrically robust across two Chinese subcultures and can be used by healthcare professionals in these regions.

Well-Being and Social Media: A Systematic Review of Bergen Addiction Scales

Does social media addiction impair the well-being of non-clinical individuals? Despite the Internet being able to be considered as a promoting factor for individual empowerment, previous literature suggests that the current massive availability of Information and Communication Technologies (ICT) may be dangerous for users’ well-being. This article discusses the relationship between the most used social media addiction measures (i.e., the Bergen Facebook Addiction Scale—BFAS, the Bergen Social Media Addiction Scale—BSMAS) and well-being. A systematic review considering all the publications indexed by PsycInfo, PsycArticles, PubMed, Science Direct, Sociological Abstracts, Academic Search Complete, and Google Scholar databases was performed to collect the data. Ten of 635 studies were included in the qualitative synthesis. Overall, most of the included works captured a negative but small relationship between BFAS/BSMAS and well-being, across multiple definitions and measurement.

Is it meaningful to distinguish between Facebook addiction and social networking sites addiction? Psychometric analysis of Facebook addiction and social networking sites addiction scales

Studies conducted on Social Networking Sites (SNSs) addiction have to a large extent focused on Facebook as a prototypical example of SNS. Nonetheless, the evolution of SNSs has spawn conceptual and methodological controversies in terms of the operationalization of SNS addiction. In order to bring more clarity to this field the present study aimed to investigate the construct validity of the Bergen Social Media Addiction Scale (BSMAS) in comparison to the Bergen Facebook Addiction Scale (BFAS) among 1099 young subjects (146 Facebook-only users and 953 who had an account on Facebook and at least one additional SNS). Furthermore, the study aimed to investigate the unique contribution of SNS addiction to stress and general well-being above and beyond personality characteristic and Facebook addiction specifically. Participants completed a survey assessing SNS addiction, Facebook addiction, demography, Big Five personality traits, perceived stress, and general subjective well-being. BSMAS had acceptable fit with the data and demonstrated good reliability. Results showed that the scores of BSMAS were strongly associated with those of BFAS and that the relationship between the two measures was stronger in the group of Facebook-only users than in the group of multisite-social networkers. Moreover, SNS addiction was positively associated with perceived stress and negatively associated with subjective well-being after controlling for Facebook addiction and other study variables. Theoretical and methodological implications of the findings are discussed.

Passive objective measures in the assessment of problematic smartphone use: A systematic review

Research focussing on problematic smartphone use has predominantly employed psychometric tests which cannot capture the automatic processes and behaviours associated with problematic use. The present review aimed to identify passive objective measures that have been used or developed to assess problematic smartphone use. A systematic search was conducted using Web of Science, Scopus, PsychInfo and PubMed databases to identify passive objective measures that have been employed to assess problematic smartphone use, resulting in 18 studies meeting the inclusion criteria. Objective data that were monitored predominantly focussed on general screen usage time and checking patterns. Findings demonstrate that passive monitoring can enable smartphone usage patterns to be inferred within a relatively short timeframe and provide ecologically valid data on smartphone behaviour. Challenges and recommendations of employing passive objective measures in smartphone-based research are discussed.

Transdiagnostic or Disorder Specific? Indicators of Substance and Behavioral Addictions Nominated by People with Lived Experience

Using a transdiagnostic perspective, the present research examined the prominent indicators of substance (alcohol, cocaine, marijuana, tobacco) and behavioral (gambling, video games, sex, shopping, work, eating) addictions nominated by people with lived experiences. Specifically, we aimed to explore whether the perceived most important indicators nominated were consistent across the 10 addictions or differed based on the specific addiction. Additionally, we explored gender differences in the perceived most important indicators across addictive behaviors. A large online sample of adults recruited from a Canadian province (n = 3503) were asked to describe the most important signs or symptoms of problems with these substances and behaviors. Open-ended responses were analyzed among a subsample of 2603 respondents (n = 1562 in the past year) who disclosed that they had personally experienced a problem with at least one addiction listed above. Content analyses revealed that dependence (e.g., craving, impairments in control) and patterns of use (e.g., frequency) were the most commonly perceived indicators for both substance and behavioral addictions, accounting for over half of all the qualitative responses. Differences were also found between substance and behavioral addictions regarding the proportion of the most important signs nominated. Consistent with the syndrome model of addiction, unique indicators were also found for specific addictive behaviors, with the greatest proportion of unique indicators found for eating. Supplemental analyses found that perceived indicators across addictions were generally gender invariant. Results provide some support for a transdiagnostic conceptualization of substance and behavioral addictions. Implications for the study, prevention, and treatment of addictions are discussed.

Psychometric Properties of the Italian Version of the Smartphone Application-Based Addiction Scale (SABAS)

The aim of the present study was to test the psychometric properties of the Italian version of the Smartphone Application-Based Addiction Scale (SABAS; Csibi et al., International Journal of Mental Health and Addiction, 16, 393–403, 2018), a short and easy to use six-item tool for screening the risk of addiction to smartphone-based applications. A further goal was to explore the impact on smartphone addiction of several variables related to smartphone use habits, perceived quality of life, and sociability measures. The data were collected online from 205 Italian-speaking volunteers (128 males and 77 females aged 18 to 99 years). The psychometric instruments included in the study were the SABAS and the Nomophobia Questionnaire (NMP-Q). Psychometric testing showed that the six items included in the SABAS comprised a unidimensional factor with good reliability (Cronbach’s alpha = .890). Therefore, the SABAS appears to be a reliable instrument to assess the risk of addiction to smartphone apps. Moreover, longer daily time spent using the smartphone was found to be positively correlated with the total SABAS and NMP-Q scores, while perceived quality of life and self-reported sociability were found to be negatively correlated with such scores.