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Relationship obsessive compulsive disorder (ROCD) is a disabling presentation of obsessive compulsive disorder (OCD) that has recently received increased research attention. ROCD refers to obsessive preoccupation, doubts, and compulsive behaviors focusing on one's relationship and relationship partner's qualities and attributes). In this paper, we present ROCD through a case study, describe its phenomenology and evaluate the impact of ROCD symptoms on sexual functioning. We then describe processes that may underlie dysfunctional sexual behavior in ROCD drawing on cognitive-behavioral models of ROCD and contemporary theories of sexual response. Conceptual links between ROCD and related constructs to various propensities of sexual behavior are discussed and treatment suggestions are outlined. This paper describes the phenomenon of relationship obsessive compulsive disorder (ROCD), via a case description that presents the reader with the possible effect of ROCD on sexual functioning. We them suggest possible cognitive-behavioral mechanisms that might explain the association between ROCD and sexual dysfunction, and finally, outline several treatment implications. [ABSTRACT FROM AUTHOR]

This study aimed to: (a) explore differences in the prevalence of nomophobia and smartphone addiction (SA) from pre- to during COVID-19; (b) identify students' self-reported changes in smartphone reliance and screen time during COVID-19; and (c) examine whether self-perceived changes in smartphone usage predicted nomophobia and SA scores. Scores on the Nomophobia Questionnaire and Smartphone Addiction Scale between two surveys administered at two timepoints were compared: Sample 1 (September 2019–January 2020; N = 878) and Sample 2 (May-June 2020; N = 258). No significant differences were found between samples on nomophobia or SA. Nearly all of Sample 2 reported using some type of app more, using their smartphone a little more, and about the same perceived smartphone reliance during COVID-19. Increased screen time, smartphone reliance, and social media significantly predicted nomophobia and SA. COVID-19 does not appear to have exacerbated the prevalence of nomophobia or SA. [ABSTRACT FROM AUTHOR]

In the present study, we investigated the relationship between online vigilance and phubbing, a specific form of technoference that implies ignoring someone while favoring technological, Internet-based devices, such as smartphones. We also explored the mediating role of loneliness and the moderating role of moral disengagement in the relationship between online vigilance and phubbing. Our sample comprised 607 young adults aged 18 to 30 (M = 20.80, SD = 2.70, 71.5% females) who completed an online survey. Correlation analyses suggested significant positive relations between phubbing, loneliness, moral disengagement, and online vigilance. Subsequent analyses suggested that loneliness mediated the relation between online vigilance and phubbing, regardless of participants' age and gender. At the same time, moral disengagement moderated this relationship. Finally, we discuss some practical ways to use these results (i.e. online vigilance and loneliness predict phubbing and moral disengagement moderates the relation between online vigilance and phubbing) to prevent and reduce phubbing behaviors among youth [ABSTRACT FROM AUTHOR]

This study aimed to explore healthcare professionals' attribution of meaning to the concept of addiction, treatment and recovery. The study was conducted through semi‐structured interviews with 18 healthcare professionals in the field of addiction: nine nurses, six psychologists, a psychiatrist, a social worker and a psychosocial technician. Based on a qualitative methodology, a thematic analysis was performed using the NVivo software. Regarding professional stress, the results revealed several stress factors related to the intervention (e.g. strategic powerlessness and uncertainty of intervention's effectiveness), the addicted individuals (e.g. motivation, difficulties in adhering to treatment, patient behaviour, negative patient emotionality and lack of socio‐economic resources) as well as the healthcare services (e.g. team stress). Adaptive coping strategies were reported, both used in the work context (e.g. cognitive coping strategies and acceptance) and in personal life (e.g. work‐family boundaries and family support and closeness). Despite the professional stress experienced, the participants' narratives indicated positive transformations of the self, which suggests resilient professional trajectories. [ABSTRACT FROM AUTHOR]

Problematic pornography use (PPU) is the most common manifestation of the newly introduced compulsive sexual behavior disorder diagnosis in the 11th revision of the International Classification of Diseases. Research related to PPU has proliferated in the past two decades, but most prior studies were characterized by several shortcomings (e.g., using homogenous, small samples), resulting in crucial knowledge gaps and a limited understanding concerning empirically based risk factors for PPU. This study aimed to identify the most robust risk factors for PPU using a preregistered study design. Independent laboratories' 74 preexisting self-report data sets (Nparticipants = 112,397; Ncountries = 16) were combined to identify which factors can best predict PPU using an artificial intelligence-based method (i.e., machine learning). We conducted random forest models on each data set to examine how different sociodemographic, psychological, and other characteristics predict PPU, and combined the results of all data sets using random-effects meta-analysis with meta-analytic moderators (e.g., community vs. treatment-seeking samples). Predictors explained 45.84% of the variance in PPU scores. Out of the 700+ potential predictors, 17 variables emerged as significant predictors across data sets, with the top five being (a) pornography use frequency, (b) emotional avoidance pornography use motivation, (c) stress reduction pornography use motivation, (d) moral incongruence toward pornography use, and (e) sexual shame. This study is the largest and most integrative data analytic effort in the field to date. Findings contribute to a better understanding of PPU's etiology and may provide deeper insights for developing more efficient, cost-effective, empirically based directions for future research as well as prevention and intervention programs targeting PPU. General Scientific Summary: This study suggests that the top five predictors of problematic pornography use (PPU) were frequency of use, emotional avoidance pornography use motivation, stress reduction pornography use motivation, moral incongruence, and sexual shame. These findings provide empirically based key insights to develop effective, scientifically driven prevention and intervention programs for PPU that are currently absent from the literature and health care systems. [ABSTRACT FROM AUTHOR]

Introduction: Internet Gaming Disorder (IGD) according to DSM-5 is a behavioral addiction needing additional study. IGD in youth is correlated with anxiety, depression, attention problems, interpersonal problems, social phobia, behavior problems and low academic achievement. The aim of the present research is to contribute to the understanding of the disorder, by providing preliminary data on the factorial structure of the IGD Questionnaire in the Italian version. Participants: 612 Italian students (323 females), mean of age = 13.94 (SD = 2.44). Instruments: a survey comprising IGD Questionnaire, Internet Addiction Test (IAT), Children's Coping Strategies Checklist (CCSC-R1), Assessment of Interpersonal Relations (AIR), and Child Behavior Checklist (CBCL). Results: 15.2% of participants showed a sub-clinical IGD and 2.1% met the full diagnostic criteria. Participants with IGD showed lower scores in interpersonal relationships, worse coping strategies and higher scores in externalization. The factorial structure of the IGD Questionnaire highlights 4 factors ("addiction", "gaming as coping", "impaired control" and "negative outcomes") that explain 52.14% of the variance. A single-factor solution was also tested and results seem to be coherent with the four-factor solution, explaining less variance. Conclusions: IGD is a complex clinical condition that can be thought both as a single-factored and as a multi-faceted condition. [ABSTRACT FROM AUTHOR]

While previous research has shown that compulsivity is related to an imbalance between goal‐directed and habitual learning systems, very little is known about whether this effect is due to the impairment of a single system or the impairment of the arbitration mechanism that determines which system controls behaviour at any given moment; the current study aims to address this disagreement. Nineteen alcohol use disorder, 30 obsessive‐compulsive disorder (OCD) and 20 major depressive disorder patients and corresponding sex‐ and age‐matched controls performed two‐choice, three‐stage Markov decision‐making paradigm. Model‐based and mode‐free reinforcement learning models were used to independently fitted their behavioural data. Alcohol use disorder and OCD patients showed less model‐based strategy choice than healthy controls in task conditions where the model‐based strategy was optimal. Only OCD patients showed higher behavioural control system switching in task conditions where model‐free use was optimal. Major depressive disorder patients did not differ from the matched control in both. These findings suggest that dysfunction in arbitration control between dual systems may be the basis for diverse disorders involving compulsivity. [ABSTRACT FROM AUTHOR]

Objective: Research suggests that both compulsive exercise and eating disordered behaviors increase during college. Despite strong cross‐sectional associations between compulsive exercise and eating disorders, it is unknown if compulsive exercise is a variable risk factor for eating disorders or simply a correlate. It was hypothesized that increases in compulsive exercise would significantly and prospectively predict increases in overall number of eating disorder symptoms over the study period. Method: A total of 265 first year college students who did not meet criteria for a full or subthreshold eating disorder diagnosis at Time 1 (age M = 18.15; SD = 0.42; 122 female [46%] at Time 1) completed reports of compulsive exercise and eating disorder symptoms via online questionnaires at four timepoints over the 9‐month 2021–2022 academic year (76% retention rate). Hypotheses were tested using a bivariate latent change score model. Results: Hypotheses were not supported. Change in compulsive exercise did not predict change in number of eating disorder symptoms. Change in number of eating disorder symptoms also did not predict change in compulsive exercise. Conclusions: Compulsive exercise did not emerge as a variable risk factor for the development of eating disorder symptoms among first year college students. The relationship between these behaviors should be investigated at different developmental timepoints, such as early adolescence, and potential third variables that may explain the observed co‐occurrence should be explored. Public significance: This study investigated whether increases in compulsive exercise predicted increases in number of eating disorder symptoms among first year college students. Compulsive exercise did not significantly predict number of eating disorder symptoms. Additional research is warranted to clarify the relationship between compulsive exercise and eating disorder symptoms. [ABSTRACT FROM AUTHOR]

There is an increasing demand for effective treatments for depression, particularly for individuals grappling with treatment-resistant depression. Over recent years, a surge of interest has focused on exploring the safety and efficacy of psilocybin as a potential treatment for depression. However, preliminary findings from phase 2 studies have been inconclusive, prompting critical examination of issues such as maintaining blinding and the role of adjunctive psychotherapy. The maintenance of double-blinding and the role of adjunctive psychotherapy introduce biases that complicate the attainment of conclusive results in clinical research. Examining historical data reveals a recurrent pattern linked to the use of psychoactive substances, which starts with an excess of optimism and ends with general addictive behaviors and a heightened risk of serious public health problems. Considering these findings, a cautious and measured approach is imperative, given that the efficacy and safety of psilocybin treatment have yet to be unequivocally established. The potential for excessive optimism among researchers is a notable concern, as unwarranted enthusiasm may inadvertently facilitate the widespread adoption of this treatment without sufficient empirical support. In navigating the complexities of depression treatment, it is necessary to strike a balance between innovation and prudence to ensure evidence-based advancement of therapeutic approaches. [ABSTRACT FROM AUTHOR]

Introduction: The inclusion of Internet Gaming Disorder (IGD) in the fifth revision of the Diagnostic and Statistical Manual of Mental Disorders (DSM‐5) by the American Psychiatric Association and Gaming Disorder in the 11th revision of the International Classification of Diseases (ICD‐11) by the World Health Organization requires consistent psychological measures for reliable estimates. The current study aimed to investigate the psychometric properties of the Gaming Disorder Test (GDT), the Ten‐Item Internet Gaming Disorder Test (IGDT‐10), and the Five‐Item Gaming Disorder Test (GDT‐5) and to compare the WHO and the APA frameworks of gaming disorder symptoms in terms of psychopathological symptoms, life satisfaction, and personality traits. Methods: A sample of 723 Swedish gamers was recruited (29.8% women, 68.3% men, 1.9% other, Mage = 29.50 years, SD = 8.91). Results: The results indicated notable differences regarding the estimated possible risk groups between the two frameworks. However, the association between gaming disorder symptoms and personality traits, life satisfaction, and psychopathological symptoms appeared consistent across the two frameworks. The results showed excellent psychometric properties in support of the one‐factor model of the GDT, IGDT‐10, and GDT‐5, including good reliability estimates (McDonald's omega) and evidence of construct validity. Additionally, the results demonstrated full gender and age measurement invariance of the GDT, IGDT‐10, and GDT‐5, indicating that gaming disorder symptoms are measured equally across the subgroups. Conclusion: These findings demonstrate that the IGDT‐10, GDT‐5, and GDT are appropriate measures for assessing gaming disorder symptoms and facilitating future research in Sweden. [ABSTRACT FROM AUTHOR]

Binge gambling is a relatively under-explored area and the few published studies have all used self-report data (i.e. surveys and interviews). The use of account-based tracking data has increasingly been used to identify indicators of problem gambling. However, no previous study has ever used tracking data to operationalize and explore binge gambling. Therefore, the present study investigated whether it is possible to identify behavioral patterns that could be related to binge gambling among a real-world sample of online gamblers. The authors were given access to an anonymized secondary dataset from a British online casino operator comprising 150,895 online gamblers who gambled between January and March 2023. Using 14 parameters of gambling (e.g. total number of gambling days, total number of gambling sessions, average amount of money spent per game), six distinct clusters of gamblers were identified. Two clusters – Cluster 2 (n = 22,364) and Cluster 5 (n = 12,523) – gambled on a relatively low number of days during three months, but displayed a high gambling intensity on those days compared to the other four clusters. These two profiles could potentially match the habits of binge gamblers. The majority of players retained their behavior in the following three months between April and June 2023 and were consequently assigned to the same cluster in the latter time period. A total of 17% of gamblers in Cluster 3 and 29% of gamblers in Cluster 5 stopped gambling entirely between April and June 2023. The findings suggest that binge gambling may be able to be identified by online gambling operators using account-based tracking data and that targeted interventions could be implemented with binge gamblers. [ABSTRACT FROM AUTHOR]

This research looks at the relationship between gamer roles, motivations, and their association with problematic gaming. Particularly, attitudes, flow, and sunk cost were explored within EA Sport's FIFA, a popular eSports video game that features loot boxes. Loot boxes are purchases made within video games that yield random in-game items, akin to gambling. eSports are popular video games that have attracted fandom, spectators, and audiences often streamed online. This study conducted an online survey (n = 200) of FIFA gamers. Participants were screened to ensure they played FIFA's Ultimate Teams game mode which features the predominant use of loot boxes. Attitudes and flow predicted problematic gaming. Sunk cost was also found to be highly associated with problematic gaming. Importantly, two emergent gaming roles (manager and trader) were explored and discussed in this study. These roles that gamers adopt within the game are defined by gamer motivations. This provides knowledge regarding the impact of loot boxes and its association with problematic gaming. The findings from this research suggest that the gamer roles of trader and manager in FIFA are dynamic, such that sunk cost is greater for those that lean more toward trading, which is associated with problematic gaming. Additionally, games like FIFA as an eSport may create a sense of normalcy for competitive online games that utilize gambling style mechanics. [ABSTRACT FROM AUTHOR]

Impulse control disorders and their consequences display variability among individuals, indicating potential involvement of environmental and genetic factors. In this retrospective study, we analyzed a cohort of Parkinson's disease patients treated with dopamine agonists and investigated the influence of the dopamine D4 receptor gene polymorphism, DRD4 7R+, which is linked to psychiatric disorders, impulsive traits, and addictive behaviors. We found that DRD4 7R+ is a significant genetic risk factor associated with the severity of ICD. [ABSTRACT FROM AUTHOR]

In the present study, we test the model of moral incongruence by examining whether moral disapproval of pornography mediates the relationship between organizational religious activity and self-reported CSB and whether the frequency of viewing pornography moderates the relationship between moral disapproval and self-reported CSB in two samples: a general population sample and a sample of members of the Church of Jesus Christ of Latter-day Saints ("Mormons"). Analyses revealed that, among both samples, frequency of pornography viewing moderated the indirect effect of organizational religious activity on perceived CSB via morally disapproving of pornography. Specifically, moral disapproval of pornography mediated the relationship between organizational religious activity and compulsive sexual behavior when participants viewed pornography approximately monthly or more (mean and +1 SD among the general population sample, +1 SD among the Latter-day Saint sample). Findings suggest that individuals who attend worship services more frequently are more likely to perceive their pornography viewing as compulsive at higher frequencies of usage – even when their frequency of pornography viewing is unlikely to be associated with actual functional impairment – and that this distress is better understood in relation to experiences of moral incongruence. [ABSTRACT FROM AUTHOR]

Forgetting is often viewed as a human frailty. However, over the years, it has been considered an adaptive process that allows people to avoid retrieval of undesirable memories, preventing them from suffering and discomfort. Evidence shows that the ability to suppress memories is affected by several psychopathological conditions characterized by persistent unwanted thoughts, including anxiety and posttraumatic stress disorders. Nevertheless, memory suppression (MS) mechanisms in addiction—a clinical condition characterized by recurrent drug‐related thoughts that contribute to repeated drug use—have received little attention so far. Addiction theories reveal that drugs change behavior by working on memory systems, particularly on declarative memory, which is related to the retrieval and encoding of drug‐related memories. In this review, the main behavioral and neurofunctional findings concerning the Think/No‐Think task—an adaptation of the classical Go/No‐Go tasks typically used to evaluate the suppression of motor response—are presented. We then show how the memory system can be involved in the craving or anticipation/preoccupation stage of the addiction cycle. Subsequently, the study of MS in the context of addictive behaviors is highlighted as a promising approach for gaining knowledge about the mechanisms contributing to the continuation of addiction. Finally, we discuss how interventions aiming to strengthen this ability could impact the anticipation/preoccupation stage by (i) reducing the accessibility of drug‐related memories, (ii) decreasing craving and attention toward drug‐related stimuli, and (iii) improving overall inhibition abilities. In conclusion, this review aims to illustrate how the study of MS may be a valuable approach to enhance our understanding of substance use disorders by unveiling the underlying cognitive and neural mechanisms involved, which could have important implications for addiction treatment. [ABSTRACT FROM AUTHOR]

The construct of sense of agency (SoA) has proven useful for understanding mechanisms underlying obsessive–compulsive disorder (OCD) phenomenology, especially in explaining the apparent dissociation in OCD between actual and perceived control over one's actions. Paradoxically, people with OCD appear to experience both diminished SoA (feeling unable to control their actions) and inflated SoA (having "magical" control over events). The present review investigated the extent to which the SoA is distorted in OCD, in terms of both implicit (ie, inferred from correlates and outcomes of voluntary actions) and explicit (ie, subjective judgment of one's control over an outcome) measures of SoA. Our search resulted in 15 studies that met the criteria for inclusion in a meta-analysis, where we also examined the potential moderating effects of the type of measure (explicit versus implicit) and of the actual control participants had over the outcome. We found that participants with OCD or with high levels of OCD symptoms show lower implicit measures of SoA and at the same time tend to overestimate their control in situations where they do not actually have it. Together, these findings support the hypothesized dissociation in OCD between actual and perceived control over one's actions. [ABSTRACT FROM AUTHOR]

The aim of the study was to estimate the prevalence of gambling disorder (GD) in a sample of Spanish adults and analyze the sociodemographic variables, addictive behaviors (i.e. gambling-related characteristics, substance use, and problematic internet use), and lifetime clinical diagnoses related to the severity of GD. Participants from the 2020 Spanish Survey on Alcohol and Drugs (N = 17,105; 50.52% men; Mage = 38.38 ± 13.07) were included. Individuals were classified as gamblers with GD when scored ≥4 points in the DSM-5 criteria. ANOVA and Pearson correlations were carried out to analyze differences in GD scores according to the variables noted above. The results showed that the rate of GD was 0.63% in the total sample and 1.05% in past-year gamblers. Characteristics which showed significantly higher GD scores were as follows: being a man, younger age, unmarried, greater gambling involvement both online and offline, gambling both online and offline, betting on both strategic and non-strategic games or on exclusively strategic games, lower gambling risk perception, greater substance use, higher problematic alcohol, cannabis, or internet use, or a lifetime diagnosis of anxiety, insomnia, or substance use disorder (all p-values ≤.001). The findings may guide future legal regulation policies and promote actions to prevent gambling-related problems. [ABSTRACT FROM AUTHOR]

Cryptocurrency trading continues to increase in popularity as a broad financial activity in the American populace and across the globe. Despite well-documented risks associated with the behavior and parallels between cryptocurrency trading and gambling, the mental health implications and associations of this behavior are only beginning to be understood. The objective of the current work was to provide preliminary data, using a census-matched, weighted, U.S. sample, of the sociodemographic predictors of cryptocurrency trading and the broad cluster of addictive behaviors that are associated with such behavior. Participants were recruited by YouGov Opinion polling and taken from two samples: a weighted, census-matched sample adults in the United States (N = 2,806) and an oversample of sports-wagering individuals in the United States (N = 1,557). Cryptocurrency trading habits were measured via self-report questions, as were gambling problems, and substance use and dependence. Younger, more educated, higher-income men were more likely to regularly trade cryptocurrency. Cryptocurrency trading was associated with greater frequency of addictive behaviors and greater self-reported feelings of addiction. Collectively, these results suggest that cryptocurrency is often linked a wide variety of impulsive or at-risk behaviors and may be seen as an indicator of more broad concerns with risky behaviors. [ABSTRACT FROM AUTHOR]

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Background: The status of effective therapeutic interventions has been highlighted by rising concerns about adolescent addiction to information and communication technologies (ICT), especially Instagram. Accordingly, the present study was conducted to investigate the effectiveness of the individual psychotherapy program for ICT addiction, focusing on reducing the severity of Instagram addiction... [ABSTRACT FROM AUTHOR]

Background Previous studies have provided initial evidence supporting the association between compulsive sexual behavior (CSB) and alexithymia, but these studies did not investigate the psychometric property of a measure of alexithymia in individuals with CSB, which is necessary. Aim This study investigated the factor analysis, reliability, and construct validity of the Toronto Alexithymia Scale (TAS) in men with CSB and control individuals. Methods This cross-sectional study included 418 participants (304 individuals with CSB and 114 control individuals) who underwent a semi-structured psychiatric interview and completed the following instruments: the Sexual Compulsivity Scale, Hypersexual Disorder Screening Inventory, Beck Anxiety Inventory, Beck Depression Inventory, TAS, and Barratt Impulsiveness Scale. The eligible participants were men 18 years of age or older who were literate and residing in Brazil. Individuals who met the diagnostic criteria for Goodman's criteria for sex addiction were subsequently assessed for the excessive sexual drive (International Classification of Diseases–Tenth Revision F52.7) criteria. Those who met this second criteria were considered individuals with CSB. Participants who did not reach this point were considered control individuals. We conducted factor analysis, reliability analysis (internal consistency and temporal stability), and discriminant and construct validity analyses. Outcomes The outcomes included the TAS total score and scores on TAS factors 1, 2, 3, and 4. Results The extracted factors explained 44% of the variance in the TAS. Factor 1 explained 21%, but 3 items (items 2, 9, and 21) did not load onto this factor. The Cronbach's alpha was 0.83, and the reproducibility (intraclass correlation coefficient) was 0.70. The TAS can differentiate between individuals with CSB and control individuals. The different forms of validity were demonstrated through correlations between factors 1 to 4 and the total score, as well as with impulsivity, hypersexuality, sexual compulsivity, and depression. Surprisingly, anxiety was only weakly correlated with factors 1 and 2. Moreover, the TAS-4 score was not correlated with impulsivity. Clinical Implications The TAS can be used in clinical practice to identify men with difficulties in recognizing subjective experiences, and proper interventions can subsequently be provided to these patients to increase their treatment efficacy. Strengths and Limitations Various dimensions of alexithymia covary with other key psychopathological symptoms of CSB. This study examined a convenience sample. The results cannot be generalized to the broader population. Factors 3 and 4 presented low internal consistency (0.50). Conclusion In general, TAS presented good psychometric properties in a sample mainly composed of individuals with CSB. [ABSTRACT FROM AUTHOR]

The marketing of heated tobacco products (HTPs), like IQOS, influences consumers' perceptions. This mixed-methods study analyzed (i) survey data (2021) of 2222 US and Israeli adults comparing perceptions of 7 IQOS attributes (design, technology, colors, customization, flavors, cost and maintenance) and 10 marketing messages (e.g. 'Go smoke-free...') across tobacco use subgroups and (ii) qualitative interviews (n  = 84) regarding IQOS perceptions. In initial bivariate analyses, those never using HTPs (86.2%) reported the least overall appeal; those currently using HTPs (7.7%) reported the greatest appeal. Notably, almost all (94.8%) currently using HTPs also currently used cigarettes (82.0%) and/or e-cigarettes (64.0%). Thus, multivariable linear regression accounted for current cigarette/e-cigarette use subgroup and HTP use separately; compared to neither cigarette/e-cigarette use (62.8%), cigarette/no e-cigarette use (17.1%) and e-cigarette/no cigarette use (6.5%), those with dual use (13.5%) indicated greater overall IQOS appeal (per composite index score); current HTP use was not associated. Qualitative data indicated varied perceptions regarding advantages (e.g. harm, addiction and complexity) of IQOS versus cigarettes and e-cigarettes, and perceived target markets included young people, those looking for cigarette alternatives and females. Given the perceived target markets and particular appeal to dual cigarette/e-cigarette use groups, IQOS marketing and population impact warrant ongoing monitoring to inform regulation. [ABSTRACT FROM AUTHOR]

Introduction: Aggression, and therefore gender-based violence, can be an impulsive or compulsive behavior, depending on the consumption of alcohol and/or drugs. In Europe, the prevalence of gender-based violence is 16 to 23%. This prevalence shows that there is a need to make further progress in the treatment of aggression against women. Qualitative techniques allow us to understand perceptions and attributions holistically by analyzing what people who commit the crime say, why they say it and how they say it. Aim: To explore the experience of physical and verbal aggression by a partner, dependent on the presence or absence of alcohol and drug use, in the prison population. Method: A mixed methodology was used (combining qualitative and quantitative techniques). The sample was made up of 140 men divided into two focus groups [with alcohol and/or drug consumption (SAD) and without alcohol and/or drug consumption (NSAD)] who completed the Demographic, Criminal and Behavioral Interview in Penitentiary Institutions; the Gender Violence Questionnaire (both developed for this study) and the MultiCAGE CAD-4 Questionnaire. Qualitative data were analyzed using thematic analysis and quantitative data were obtained using contingency tables. Results: It was found that the SAD group attributed the crime committed to alcohol and/or drug consumption, while the NSAD group attributed it to jealousy and to their partner. The SAD group revealed that the consequence of the physical aggressions was to get what they were looking for from their partner and the consequences of the verbal aggressions was regret, unlike the NSAD group that did not get anything from the aggressions. The SAD group recognized that to avoid future aggressions they would have to avoid alcohol and/or drug use, while the NSAD group mentioned that they would have to avoid contact with their partner. Discussion: The need to include perceptions and attributions as well as the use of alcohol and/or drugs is emphasized when assessing individuals who commit the crime of gender-based violence. [ABSTRACT FROM AUTHOR]

Insecure and disorganized attachment patterns in children are linked to poor health outcomes over the lifespan. Attachment patterns may be predicted by variables that influence the quality of children's interactions with their primary caregivers/parents (usually mothers) such as prenatal and postnatal exposures and the children's own behaviours in interactions. The purposes of this exploratory study were to examine: (1) prenatal predictors of children's attachment patterns, and (2) postnatal mediators and moderators of associations between prenatal predictors and children's attachment patterns, with adjustment for relevant covariates. Mother–child dyads (n = 214) from the longitudinal Alberta Pregnancy Outcomes and Nutrition (APrON) cohort were studied using valid and reliable measures. Hayes' mediation analysis was employed to determine direct and indirect effects. Mothers' prenatal cortisol levels directly predicted disorganized (versus organized) child attachment in unadjusted models. Children's passivity (in adjusted models) and compulsivity (in unadjusted and adjusted models) in parent-child interactions mediated the pathway between mothers' prenatal cortisol levels and children's disorganized attachment patterns. Serial mediation analyses revealed that mothers' cortisol levels predicted their children's cortisol levels, which predicted children's compulsivity, and, ultimately, disorganized attachment in both unadjusted and adjusted models. No predictors were correlated with children's insecure (versus secure) attachment. This exploratory research suggests that prenatal exposure to mothers' cortisol levels and children's behavioural contributions to parent–child interaction quality should be considered in the genesis of children's attachment patterns, especially disorganization. Interventions focused on parent-child interactions could also focus on addressing children's behavioral contributions. [ABSTRACT FROM AUTHOR]

Introduction: Due to an inhibited tryptophan resorption, patients with fructose malabsorption are expected to experience decreased serotonin synthesis. A deficiency of serotonin may cause internalizing mental disorders like depression and anxiety, and a fructose-oriented eating behavior may affect these symptoms. Methods: The parents of 24 children and adolescents with a currently diagnosed fructose malabsorption aged 4;00–13;02  years (M  =  8.10, SD  =  2.05), the parents of 12 patients with a currently confirmed combination of fructose and lactose malabsorption aged 4;00–12;11  years (M  =  8.07, SD  =  2.11) and the parents of a comparative sample of 19 healthy participants aged 5;00 to 17;07  years (M  =  9.06, SD  =  3.04) were interviewed. The interviews were conducted using a screening questionnaire of the German “Diagnostic System of Mental Disorders in children and adolescents based on the ICD-10 and DSM-5 DISYPS-III” and a self-developed questionnaire on eating, leisure and sleeping behavior. Results: On standardized scales parents of children with fructose malabsorption reported higher levels of Depression compared to symptoms of Attention-Deficit/ Hyperactivity Disorders (ADHD) and Oppositional Defiant and Conduct Disorders (ODD/CD). Compared to healthy controls, for patients with fructose malabsorption, higher symptom levels of Depression and Anxiety were reported. With regard to eating behavior, within the group with a combination of fructose and lactose malabsorption, a strong positive association between an increased fruit sugar consumption and higher levels of Anxiety and Obsessive-Compulsive Disorders/Tics were found. Discussion: These results suggest a close association between fructose malabsorption and elevated internalizing psychological symptoms in children and adolescents. [ABSTRACT FROM AUTHOR]

Background: Atypical antipsychotics (AAPs)-induced sexual dysfunction (SD) is a frequent issue in clinical practice, often underestimated by clinicians and not extensively researched. The current study aimed to quantify the strength of association between the use of different AAPs and SD using real-world data from the FDA Adverse Event Reporting System (FAERS), as well as investigate the receptor mechanisms that are involved. Methods: Data from the FAERS database from the first quarter of 2004 to the third quarter of 2023 were queried through OpenVigil 2.1. Disproportionality analysis was estimated using the reporting odds ratio (ROR) and information component (IC) methods, and linear regression was used to investigate the relationship between ROR and receptor occupancy which was estimated using in vitro receptor binding profiles. Results: Our analysis yielded 4839 reports that co-mentioned AAP and SD events, and the findings revealed statistical associations between 12 AAPs and SD. The highest signal value was identified for iloperidone reporting retrograde ejaculation with iloperidone (ROR = 832.09, ROR025 = 552.77; IC = 9.58, IC025 = 6.36), followed by compulsive sexual behavior with aripiprazole (ROR = 533.02, ROR025 = 435.90; IC = 7.30, IC025 = 5.97), and psychosexual disorder for aripiprazole (ROR = 145.80, ROR025 = 109.57; IC025 = 6.47, IC025 = 4.86). Different characteristics of the SD side effects in each AAPs were discovered after further data mining. Regression analysis revealed potential effects for receptor occupancy of D2, D3, and 5-HT1A receptors on ROR. However, no significant correlation persisted following sensitivity analyses. Conclusion: This is the first study to investigate the AAP-SD associations by using FAERS. In this study, we report for the first time a significant association between aripiprazole and SD based on real-world data. The study suggests that different AAPs have varying levels of association with SD, and the D2, D3, and 5-HT1A receptor occupancy may contribute to potential mechanisms. The findings of this study warrant further validation of more studies and clinical causality assessment. [ABSTRACT FROM AUTHOR]

Little is known about generational differences and similarities in beliefs about addiction. Science Gallery Atlanta (SGA) integrates science and art to approach challenging topics, like addiction, with empathy. Intergenerational communication about addiction could positively impact older and younger adults. This study investigated perceptions of addiction among older (60+ years) and younger (18–26 years) adults through intergenerational dialogue on addiction-focused art, offered through SGA’s HOOKED exhibition. This exploratory pilot study recruited ten randomized older-younger dyads who received a mediated tour of HOOKED. Addiction attitudes were assessed pre- and post-tour with the Belief in a Just World and Addiction Belief Scale questionnaires, concurrent interviews, and focus groups. Qualitative data were recorded, transcribed and analyzed thematically. Thematic analysis revealed younger and older adults were equally concerned with addiction-produced waste and technology addiction. Generational differences emerged regarding social media and drug-induced euphoria. Across age groups, participants scored similarly in their beliefs about justice for others and self. Post-tour, young adults were more likely to view addiction as a disease rather than a choice (p = 0.05). Art-based intergenerational communication may increase empathy. Intergenerational bridging may help young adults see addiction as a disease and older adults understand behavioral addictions. Emergent themes illuminate generational differences and similarities in addiction beliefs. [ABSTRACT FROM AUTHOR]

Simple Summary: Similar to humans, dogs could suffer a syndrome similar to Attention-Deficit/Hyperactivity Disorder (ADHD). Several studies suggest that dogs can serve as a model for studying ADHD. This condition leads to behavioral issues like impulsivity, attention problems, hyperactivity, and sometimes aggression, affecting both the dog's and their caregiver's quality of life. ADHD-like behavior in dogs is linked to disruptions in neurotransmitters like serotonin and dopamine, similar to humans. It seems to result from a mix of genetics and environment. In addition to the mentioned symptoms, dogs with ADHD-like behavior may also display compulsive behaviors, aggression, inappropriate elimination, fearfulness, epilepsy, foreign body ingestion, and itchiness. While there is no clear veterinary diagnosis for ADHD-like behavior in dogs, validated questionnaires can be helpful, but these cannot be used as a unique diagnostic tool. Treatment may involve medications like fluoxetine, along with environmental enrichment, relaxation techniques, and behavior modification to improve the dog's and caregiver's quality of life. Similar to humans, dogs could suffer an Attention-Deficit/Hyperactivity Disorder-like syndrome (ADHD-like). In fact, several studies highlight the use of dogs as a model for studying ADHD. This condition entails behavioral problems expressed through impulsivity, attention issues, hyperactivity, and/or aggression, compromising the quality of life for both the caregiver and the dog. The pathophysiology of ADHD-like is complex and is associated with dysregulation of various neurotransmitters such as serotonin and dopamine. The expression of ADHD-like behavior in dogs would appear to depend on a classical gene–environment interaction as is the case with many neurological disorders in humans. In addition to the described symptomatology, ADHD-like dogs can exhibit strong comorbidities with compulsive behaviors, aggressiveness, inappropriate elimination and fearfulness, in addition to epilepsy, foreign body ingestion, and pruritus. In spite of the fact that there is no veterinary consensus about the diagnosis of ADHD-like, some validated questionnaires could be helpful, but these cannot be used as a unique diagnostic tool. The use of drugs, such as fluoxetine, in addition to an adequate environmental enrichment, relaxation protocols, and behavior modification can achieve an adequate quality of life for both the dog and caregivers. [ABSTRACT FROM AUTHOR]

Background: Over the past decade, smartphone users have substantially increased, raising concerns about potential musculoskeletal problems associated with long-term use. Prolonged smartphone usage may cause discomfort in the thumb, shoulder, and neck that can be exacerbated over time, thereby affecting the electrical activity of several muscles, such as the sternocleidomastoid muscle (SCM). Accordingly, we aimed to examine the impact of smartphone addiction on the myoelectric activity of the SCM. Design and method: Forty-four smartphone users, both male and female, aged 18–30 years, were recruited from the Faculty of Physical Therapy, Cairo University, in this observational study. The participants were equally allocated into two groups, A and B, based on their Smartphone Addiction Scale-Short Version (SAS-SV) scores. Group A consisted of smartphone-non-addicted users who scored below 31 for males and 33 for females, whereas group B included smartphone-addicted users who scored over 31 for men and 33 for females. Additionally, the electromyography (EMG) device was used to monitor the electrical activity during rest and maximum voluntary contraction (MVC). Results: The results showed a significant difference (P < 0.0001) in the electrical activity of the left and right SCMs between the two groups at rest but a nonsignificant difference during MVC. Conclusion: Smartphone addiction significantly impacts the myoelectric activity of the SCM at rest among young adult smartphone users, but this impact is not significant during MVC. [ABSTRACT FROM AUTHOR]

Introduction: The present study evaluated the psychometric properties of the Arabic translation of the Mukbang Addiction Scale (MAS) among Arabic-speaking adults from the general population. Specifically, it aimed to assess the factorial structure through a confirmatory factor analysis, determine the composite reliability through Cronbach alpha and McDonald's omega scores, assess gender invariance, and evaluate the convergent validity by examining its correlation to eating addiction and psychological distress. Methods: A total of 370 individuals with a mean age of 21.94 ± 2.29 years participated in this study, which was conducted using an online platform. The participants were surveyed on demographic information, mukbang addiction, food addiction, and psychological distress. Translation was conducted using the forward and backward technique. Results: The findings demonstrated excellent internal consistency of the Arabic MAS (McDonald's omega coefficient = 0.93). Confirmatory factor analyses validated the one-factor structure of the scale, while establishing measurement invariance across sex at the configural, metric, and scalar levels. No sex differences were observed in the Mukbang addiction levels. Lastly, the MAS scores were significantly and positively correlated with food addiction and psychological distress, supporting their convergent validity. Conclusion: The current research provides evidence supporting the reliability and validity of the Arabic version of the MAS as a self-report method for assessing addictive Mukbang watching. While further validations are needed to corroborate the present findings, this measure can be effectively utilized across different fields, including schools, mental health centers, and researchers aiming to understand this global phenomenon. Plain English Summary: Mukbang refers to individuals or hosts consuming large quantities of food while interacting with their audiences through recorded video or a live stream. The Mukbang phenomenon has gained substantial popularity among young individuals over the past years, rising concerns about its potential impact on their eating habits and health, especially when overconsumed. Overconsumption of mukbang content, or Mukbang addiction, aligns with the core features of addiction, including compulsive engagement, tolerance, and withdrawal symptoms, making it comparable to other addictive behaviors. Mukbang addiction can lead to detrimental effects on mental and physical health, including neglect of balanced nutrition, disordered eating habits, obesity, feelings of guilt, shame, poor self-esteem, distorted self-images, body dissatisfaction, heightened anxiety or depression, and social isolation. Given these significant impacts, valid and reliable tools are crucial to enable an accurate assessment of Mukbang addiction. This study proposes to translate, adapt and examine the psychometric properties of the Mukbang Addiction Scale (MAS) in a sample of Arabic-speaking individuals from the general population. Findings showed that the six MAS items loaded on a single factor with strong internal consistency and good convergent validity, preliminarily indicating its potential validity and reliability for assessing addictive mukbang-watching among Arabic-speaking individuals. [ABSTRACT FROM AUTHOR]

The high use of mass media and video games has strongly attracted the attention of the actors involved in education, questioning the influence that different uses of ICT can present and affect students to the extent of creating a behavioral addiction, if they are aware of its impact and if they negatively influence the learning capacity of students, reflected in the high rate of failure and/or dropout, the objective of this research. After analysis and design, a survey (Cronbach's 0.9434) was applied to undergraduate students of Tecnológico Nacional de México (TecNM), of Engineering: Biochemistry, Computer Systems, Electrical and Industrial, to know their opinions, if there is any addictive behavior of the use of the Internet and the video games and if they consider that they affect their academic performance; The responses indicate a minimal influence that the use of the Internet affects their academic performance and therefore failure and desertion. [ABSTRACT FROM AUTHOR]

Background and aims: The Exercise Addiction Inventory (EAI), based on the components model addictions, is a 6-item instrument used to assess the risk of exercise addiction (REA). Its revised version (EAI-R) was published in 2019 but only differed from the original scale in the response rating range (using a 6-point rather than 5-point Likert scale). In 2023, the EAI-3 was released with two new items (guilt when missing training and exercising despite injury). We aimed to test the validity and reliability of the Hungarian EAI-3 (EAI-3-HU). Methods: We tested 507 regular exercisers (Mage = 38.7 years, SD age = 10.63 years, range age: 18–78 years; 62.7% females) who completed the EAI-3-HU, the obsessive passion subscale of the Passion Scale, and exercise habits questions on the online Qualtrics research platform during autumn/winter 2023–2024. Results: Confirmatory factor analysis resulted in a good model fit for the two factor EAI-3-HU (CFI =.96; TLI =.94; RMSEA =.07; SRMR =.04). However, the covariance between the latent factors was.97, indicating that they measure an identical concept. Thus, a single-factor solution was appropriate (CFI =.96; TLI =.94; RMSEA =.07; SRMR =.04). Testing measurement invariance revealed the partial scalar invariance across genders. The internal reliability of the scale was good (Cronbach's α =.81). The scale had good convergent validity with obsessive passion (r =.72), and discriminant validity based on exercise frequency as well as exercise intensity (p <.001). Conclusion: The 8-item single factor EAI-3-HU adequately assesses the Hungarian samples' REA. Nevertheless, it should be kept in perspective that the revised tool, like its predecessors, only assesses a level of 'risk', which does not imply morbidity, thus it has no clinical diagnostic value. [ABSTRACT FROM AUTHOR]

The article explores the connections between the Pearl poem and medieval romance motifs. Topics include the use of fairy themes and otherworldly landscapes in Pearl to create narrative ambiguity, the influence of similar motifs in works like Sir Gawain and the Green Knight and Le Conte du Graal, and the poem's engagement with the limitations of human knowledge and the contrast between material and spiritual existence.

A growing body of research indicates that phubbing can negatively influence adolescent development, it is not clear how perceived parental phubbing, adolescent phubbing, and adolescents' adjustment problems concurrently relate to each other at the dimension level. This study conducted the contemporaneous network analyses and cross-lagged network analysis to examine the distinct relationships between the various dimensions of perceived father phubbing, perceived mother phubbing, adolescent phubbing and adolescent's adjustment problems. A total of 1447 Chinese students (60.5% females; Mean age = 16.15, SD = 0.65) completed a survey at two-time points. The results of the contemporaneous network analyses indicated that perceived father/mother ignorance have the strongest links with the dimensions of adolescent phubbing and adolescents' adjustment problems, suggesting that adolescents who reported high levels of perceived father/mother ignorance are more likely to concurrently face other issues and thus should be a primary focus of concern. The cross-lagged panel network analysis revealed that academic burnout is the primary catalyst in this dynamic network, which underscores a child-driven effect within the network. This emphasizes the importance of addressing adolescent academic burnout as a pivotal intervention point, both to alleviate phubbing in parent-adolescent interactions and to tackle adolescents' adjustment problems. [ABSTRACT FROM AUTHOR]

Background and aims: Varenicline is one of the most effective smoking cessation treatments. Its supply in England was disrupted in July 2021 due to nitrosamine impurities found by its supplier, Pfizer. This study measured the impact of this disruption on smoking cessation in England. Design, setting and participants: The study used repeated cross‐sectional surveys conducted monthly, from June 2018 to December 2022. Set in England, it comprised a total of 3024 adults who reported smoking during the past year and had made at least one serious attempt to quit in the past 6 months. Measurements: Generalized additive models analyzed the association of the varenicline supply disruption with the trend in self‐reported varenicline use in the most recent quit attempt. We used these results to estimate the population‐level impact of the disruption on smoking cessation. Findings Before July 2021, the proportion of past 6‐month quit attempts using varenicline was stable at approximately 3.9% [risk ratio (RR)trend = 1.034, 95% confidence interval (CI) = 0.823–1.298]. The trend in varenicline use has changed sharply since the supply disruption (RRΔtrend = 0.297, 95% CI = 0.120–0.738), with prevalence falling by 69.3% per year since; from 4.1% in June 2021 to 0.8% in December 2022. Convergently, National Health Service general practitioner prescribing data reported that just 0.1% of prescriptions for smoking cessation treatments in December 2022 were for varenicline. Assuming that varenicline does not return to the market, we estimate that this could result in ~8400 fewer people stopping smoking for at least 6 months, ~4200 fewer long‐term ex‐smokers and ~1890 more avoidable deaths each year. Conclusions: In England, the disruption in supply of varenicline since 2021 has coincided with a substantial fall in the use of varenicline in attempts to quit smoking. [ABSTRACT FROM AUTHOR]

Background/Aim. The term "internet addiction" (IA) describes a compulsive behavior associated with any online activity that disrupts everyday social interactions. The aim of this study was to determine risk factors and predictors of the development of IA in adolescents. Methods. Data were collected using an online form consisting of demographic data, questions related to the use of the Internet, and the Internet Addiction Test (version for adolescents). Results. A total of 1,669 respondents participated in this research; 1,040 of them (62.3%) were female, 590 (35.4%) were male, and 39 (2.3%) did not want to declare their gender. The average age of the respondents was 15.09 ± 1.757 years. Significant factors in the multivariate factor analysis model were age, addictive substance use frequency, purpose, and time spent on the Internet (p < 0.05). Analysis results indicate that the risk of developing IA was higher if an adolescent spent 1-- 3 hrs and more than 3 hrs daily on the Internet (2.8 and 8.2 times, respectively). With increasing age numbers for one unit (year), the risk of developing IA was decreasing by 11.3%. Conclusion. According to the findings of the present study, the relationship between IA and age, addictive substance use frequency, purpose, and time spent on the Internet has been proven. These results should be highlighted so that educators and all those who work with children could create targeted treatments to prevent the development of IA in adolescents. [ABSTRACT FROM AUTHOR]

Self-inflicted dermatoses (SID) are not uncommon in dermatological practice. They can be classified into those associated with hidden or denied underlying behavior and those without hidden or denied underlying behavior. Malingering and factitious disorders are the most common of the first subgroup. Skin picking and related syndromes of compulsive and non-compulsive behavior belong to the second subgroup. Treatment is interdisciplinary, but sometimes frustrating. Conclusion: This method is a safe and efficient alternative to more invasive procedures by minimal to no social downtime and mild to no side effects. [ABSTRACT FROM AUTHOR]

Objective: This study aimed to understand COVID-19 pandemic impacts on anxiety, depression, and addictive/excessive behaviors, with exploration of intolerance of uncertainty (IU) and social connectedness as potential moderators. Participants: Adult college students participated. Method: Our online survey assessed symptoms and behaviors prior to COVID-19, during the initial outbreak (Wave 1), and during early 2021 (Wave 2). Results: Significant increases were found in anxiety, depression, binge eating, sexual behaviors, video game playing, internet/social media usage, and compulsive exercise in both waves. IU moderated the relationship between both depression/anxiety and certain excessive behaviors; social connectedness moderated the relationship between anxiety and smoking. Conclusions: This study replicated prior work and highlights new impacts on addictive/excessive behaviors, as well as moderating effects from social connectedness and IU. Future research is warranted to evaluate the efficacy of treatments targeting IU and social connectedness as the pandemic continues to unfold. [ABSTRACT FROM AUTHOR]

The present article contains a theoretical review aimed at helping understand the influence of the COVID-19 pandemic on the physical, cognitive, social, and emotional developmental factors of adolescents associated with Internet and electronic device addiction behavior. We also seek to present strategies for proper emotional regulation and psychological well-being. Our literature review stemmed from the background of other pandemics and how these affected the world population, including the current health crisis and the factors that promote addictive behaviors. We conclude with the vital role that parents play at this time as role models for their children, with the expectation that they will model the behaviors they expect their adolescent children to practice. [ABSTRACT FROM AUTHOR]

Opioid prescriptions for chronic non-cancer pain raise concerns of addiction risks. Understanding the nuanced intersection of chronic pain and opioid use is crucial in clinical settings. We present four case studies from two tertiary care hospitals illustrating the phenomenon of "pseudoaddiction" in CNCP referred to addiction specialists for management. Each case involves complex pain presentations like pancreatitis, avascular necrosis, and SLE intertwined with escalating opioid demands. Management involved psychoeducation, CBT, and opioid substitution, resulting in reduced pain and need for opioids. Differentiating between addiction and uncontrolled pain is crucial for tailored management, emphasizing individualized care for improved outcomes. [ABSTRACT FROM AUTHOR]

Background: Nomophobia or no-mobile-phone phobia, defined as the fear of being unable to use or being unreachable via one's mobile phone. The pervasive concern has varied bio-psychosocial and clinical implications in an individual's life. Nomophobia is currently in an exploratory phase. Methods: A scoping review was conducted to systematically map the relevant evidence and literature on nomophobia. The review of scholarly literature spanning from January 2010 to May 2023 employed a narrative synthesis methodology to succinctly encapsulate the research findings. Additionally, it encompassed a meticulous examination and visual representation of studies, detailing both the frequency of investigation into specific variables and the instances in which said variables exhibited a statistically significant association with nomophobia. Results: A thorough examination of 92 studies revealed a total of 133 variables spanning demographic, lifestyle-related, academic, smartphone-related, psychosocial, and clinical domains. Notably, 42.86% of these variables have only been investigated in a single research study, underscoring the imperative for replication to enhance the generalizability, validity, and applicability of research findings. Moreover, the review identifies Nomophobia Questionnaire (NMP-Q) by Yildirim and Correia as the most widely used tool for measuring the severity of nomophobia. Conclusion: There is a crucial need for homogeneity and consistency in reporting nomophobia scores and establishing corresponding gradations indicative of functional ramifications or clinical severity of nomophobia. The findings elucidate significant research gaps in existing literature on nomophobia, hold implications for further synthesis of data, and contribute to a comprehensive understanding of nomophobia; ensuring superior diagnostic accuracy and precision, and facilitating successful delivery of targeted interventions. [ABSTRACT FROM AUTHOR]

Sexual and gender minority individuals (SGMI; e.g., lesbian, gay, bisexual, transgender, and queer people) experience increased rates of alcohol use disorder and additional barriers to participating in alcohol use interventions compared to their cisgender and heterosexual counterparts. This suggests a need for accessible, evidence-based alcohol use interventions for these populations. Through conducting a feasibility and preliminary effectiveness trial of SMART Recovery, a cognitive-behavioral mutual help group for addictive behaviors, with a sample of SGMI (N = 32), this study evaluated the feasibility and preliminary outcomes of SMART Recovery for reducing alcohol use and related problems for SGMI. Primary feasibility metrics included average number of sessions attended per participant and average number of participants per session; preliminary outcomes were evaluated by comparing alcohol use symptoms at pre- and post-test through a t-test. Results suggest that SMART Recovery is potentially a feasible and effective intervention for SGMI experiencing challenges with alcohol use. On average, participants attended 5.36 sessions (target: 4-6 sessions). The average session was attended by 3.63 participants (tentative target: 5 participants). A comparison of pre and post-tests (n = 13) suggested significantly lower alcohol use among participants at the end of the intervention relative to the beginning (t = 1.92; p < 0.05). [ABSTRACT FROM AUTHOR]

Objectives: Inequities in physical health outcomes exist for people with mental health and substance use conditions and for Indigenous populations (Māori in Aotearoa New Zealand). These inequities may be partly explained by poorer quality of physical healthcare services, including discrimination at systemic and individual levels. This study investigated the experiences of people with mental health and substance use conditions accessing physical healthcare and differences in service quality for non-Māori relative to Māori. Methods: A cross-sectional online survey of people with mental health and substance use conditions in New Zealand asked about four aspects of service quality in four healthcare settings: general practice, emergency department, hospital and pharmacy. The quality domains were: treated with respect; listened to; treated unfairly due to mental health and substance use conditions; mental health and substance use condition diagnoses distracting clinicians from physical healthcare (diagnostic and treatment overshadowing). Results: Across the four health services, pharmacy was rated highest for all quality measures and emergency department lowest. Participants rated general practice services highly for being treated with respect and listened to but reported relatively high levels of overshadowing in general practice, emergency department and hospital services. Experiences of unfair treatment were more common in emergency department and hospital than general practice and pharmacy. Compared to Māori, non-Māori reported higher levels of being treated with respect and listened to in most services and were more likely to report 'never' experiencing unfair treatment and overshadowing for all health services. Conclusion: Interventions to address discrimination and poor-quality health services to people with mental health and substance use conditions should be tailored to the physical healthcare setting. More needs to be done to address institutional racism in systems that privilege non-Māori. [ABSTRACT FROM AUTHOR]

Introduction: The purpose of this study was to evaluate the usefulness and relevance of projective techniques such as house‐tree‐person (HTP) and family in individuals with Prader‐Willi syndrome (PWS), who have a limited ability to identify and verbalize emotions and express them often using behaviors. Methods: We included individuals with genetic confirmation of PWS immersed in a regular transdisciplinary treatment in an institution dedicated to rare diseases. All individuals were evaluated using the HTP and family projective techniques. These instruments are commonly administered to the general population and, in this case, to people with mild to moderate intellectual disabilities, including difficulties in their communication abilities. Results: A total of 25 individuals with PWS between 10 and 41 years old (15 men and 10 women) were included. We identified the presence of graphic indicators corresponding to the behavioral phenotype of individuals with PWS, such as anxiety, stubbornness, emotional lability, difficulty in achieving adequate externalization and identification of emotions, impulsivity, aggressive traits, poor social skills, need for support and interaction, low self‐concept, and compulsive behaviors. Conclusions: In the present study, we demonstrated the usefulness of graphic techniques to elucidate aspects of behavior, emotions, and thoughts that individuals with PWS cannot formulate due to expression and communication difficulties. [ABSTRACT FROM AUTHOR]

Dermatological disorders constitute a significant proportion of primary health care (PHC) setups. The pattern of dermatological disorders varies among different countries and different parts of the same country owing to climatic and geographical variations, level of education, access to health care, etc. To study the clinical spectrum of patients presenting with dermatological disorders at an urban health center (UHC) in East Delhi. To identify the various risk factors associated with dermatological disorders in study subjects. A total of 1,148 patients who reported skin diseases for the first time at the Dermatology Outpatient Clinic at UHC in East Delhi were recruited. Detailed demographic data, history, and examination and potential risk factors of skin diseases (socioeconomic status, level of education, occupation, comorbidities, and addictions) were recorded on a predesigned proforma. A total of 616 (53.7%) patients had infectious dermatoses and 532 (46.3%) had non-infectious dermatoses. Among the infectious dermatoses, fungal diseases (44.8%) were the most common followed by parasitic infections (31.17%) and bacterial infections (9.74%). Among the non-infectious group, eczematous disorders (28.01%) were the most common, followed by pigmentary disorders (21.62%) and acne (19.55%). A significant association between level of education, occupation, and comorbidities with the distribution of infectious and non-infectious dermatoses was found. As a significant proportion of patients with a vivid spectrum of dermatological disorders present at the PHC setups, therefore dermatologists supervise that specialty clinics should be held regularly at these centers along with the availability of all the basic investigations to aid diagnosis and management. [ABSTRACT FROM AUTHOR]

Objective: The development of novel treatments for anorexia nervosa (AN) requires a detailed understanding of the biological underpinnings of specific, commonly occurring symptoms, including compulsive exercise. There is considerable bio‐behavioral overlap between AN and obsessive‐compulsive disorder (OCD), therefore it is plausible that similar mechanisms underlie compulsive behavior in both populations. While the association between these conditions is widely acknowledged, defining the shared mechanisms for compulsive behavior in AN and OCD requires a novel approach. Methods: We present an argument that a better understanding of the neurobiological mechanisms that underpin compulsive exercise in AN can be achieved in two critical ways. First, by applying a framework of the neuronal control of OCD to exercise behavior in AN, and second, by taking better advantage of the activity‐based anorexia (ABA) rodent model to directly test this framework in the context of feeding pathology. Results: A cross‐disciplinary approach that spans preclinical, neuroimaging, and clinical research as well as compulsive neurocircuitry and behavior can advance our understanding of when, why, and how compulsive exercise develops in the context of AN and provide targets for novel treatment strategies. Discussion: In this article, we (i) link the expression of compulsive behavior in AN and OCD via a transition between goal‐directed and habitual behavior, (ii) present disrupted cortico‐striatal circuitry as a key substrate for the development of compulsive behavior in both conditions, and (iii) highlight the utility of the ABA rodent model to better understand the mechanisms of compulsive behavior relevant to AN. Public Significance: Individuals with AN who exercise compulsively are at risk of worse health outcomes and have poorer responses to standard treatments. However, when, why, and how compulsive exercise develops in AN remains inadequately understood. Identifying whether the neural circuitry underlying compulsive behavior in OCD also controls hyperactivity in the activity‐based anorexia model will aid in the development of novel eating disorder treatment strategies for this high‐risk population. [ABSTRACT FROM AUTHOR]

Objective: To identify ketamine's dosing schedule that ameliorates voluntary food restriction, hyperactivity and body weight loss of adult mice undergoing activity‐based anorexia (ABA), an animal model of anorexia nervosa. Method: Female and male C57BL6 mice underwent three cycles of ABA, starting from mid‐adolescence. ABA vulnerability was compared within and across two groups of animals: those injected intraperitoneally with 30 mg/kg ketamine for three consecutive days (30mgKetx3) during the second ABA in late adolescence (ABA2) or with vehicle only (Vx3). Results: Vx3 females and males exhibited individual differences in wheel running and weight retention during first ABA in mid‐adolescence (ABA1), ABA2, and third ABA in adulthood (ABA3). Their wheel running correlated with anxiety‐like behavior. During ABA1 and ABA3, weight gain of Vx3 females (but not males) after food consumption correlated negatively with food‐anticipatory activity (FAA) preceding the feeding hours, indicating that females with higher levels of running restrict feeding more and persistently. This paradoxical relationship confirms earlier findings of ABA females without ketamine treatment, capturing the maladaptive behaviors exhibited by individuals diagnosed with anorexia nervosa. By contrast, 30mgKetx3 had an effect on both sexes of reducing hyperactivity during the feeding hours acutely and reducing anxiety‐like behavior's contribution to running. For females, only, 30mgKetx3 acutely improved the extent of compensatory food consumption relative to FAA and improved weight retention during ABA3, 12 days post ketamine in adulthood. Discussion: Sub‐anesthetic ketamine evokes behavior‐specific ameliorative effects for adult mice re‐experiencing ABA, supporting the notion that multiple doses of ketamine may be helpful in reducing relapse among adults with anorexia nervosa. Public Significance Statement: This study examined whether ketamine reduces anorexia‐like behaviors in adult mice. Three daily sub‐anesthetic ketamine injections suppress wheel running during and leading up to the hours of food availability and enable animals to compensate better for weight loss associated with excessive exercise by eating more. These findings suggest that ketamine may help adult females diagnosed with anorexia nervosa but also point to sex‐ and age‐related differences in the action of ketamine. [ABSTRACT FROM AUTHOR]

Stigma toward those using cocaine and other substances remains a barrier to treatment and social inclusion. As part of a larger study exploring stigma toward those experiencing symptoms of various DSM5 diagnoses an experimental vignette methodology was used to examine factors associated with stigma toward individuals using cocaine in Mexico. Results from the subset of 66 individuals who were randomly assigned a vignette featuring cocaine use indicate that the gender of person using cocaine was not associated with differential levels of stigma. Lower levels of stigma were reported by respondents who had familiarity with mental health and substance use issues and by those endorsing higher levels of spirituality. Having a high school education or beyond was associated with greater stigma. Public health and education efforts are needed to inform community members and service providers about how stigma could affect addiction treatment and recovery. Implications for practice and research are explored. [ABSTRACT FROM AUTHOR]

Rates of exposure to traumatic events are up to two times higher among people with substance use disorders (SUDs) compared to the US general population. Overdoses (OD) and overdose fatalities have continued to increase nationally and in Kentucky and are associated with elevated trauma symptoms. This paper examines the impacts of witnessing and experiencing OD among people who inject drugs (PWIDs) in Kentucky. Study participants were recruited via Respondent-Driven Sampling techniques supplemented with direct community outreach. Our findings showed that participants reporting past year severe mental health distress and lifetime violence exposure had higher odds of both witnessing and experiencing OD. Additionally, participants who reported early abuse had higher odds of both witnessing and experiencing OD as did participants with early onset injection drug use. The study findings suggest the need for incorporating knowledge about trauma into policies, procedures, and practices in treating SUD among PWID. [ABSTRACT FROM AUTHOR]

While cognitive impairment, which was previously considered a red flag against the clinical diagnosis of multiple system atrophy (MSA), is a common symptom of this rare neurodegenerative disorder, behavioral disorders are reported in 30 to 70% of MSA patients. They include anxiety, apathy, impaired attention, compulsive and REM sleep behavior disorders (RBD), and these conditions, like depression, are early and pervasive features in MSA, which may contribute to disease progression. Despite changing concepts of behavioral changes in this synucleinopathy, the underlying pathophysiological and biochemical mechanisms are poorly understood. While specific neuropathological data are unavailable, neuroimaging studies related anxiety disorders to changes in the cortico-limbic system, apathy (and depression) to dysfunction of prefrontal–subcortical circuits, and compulsive behaviors to impairment of basal ganglia networks and involvement of orbito-frontal circuits. Anxiety has also been related to α-synuclein (αSyn) pathology in the amygdala, RBD to striatal monoaminergic deficit, and compulsive behavior in response to dopamine agonist therapy in MSA, while the basic mechanisms of the other behavioral disorders and their relations to other non-motor dysfunctions in MSA are unknown. In view of the scarcity of functional and biochemical findings in MSA with behavioral symptoms, further neuroimaging and biochemical studies are warranted in order to obtain better insight into their pathogenesis as a basis for the development of diagnostic biomarkers and future adequate treatment modalities of these debilitating comorbidities. [ABSTRACT FROM AUTHOR]