Natural course of behavioral addictions: a 5-year longitudinal study

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• 作者：Barna Konkol? Thege ; Erica M Woodin ; David C Hodgins ; Robert J Williams
• 关键词：Behavioral addiction ; Natural course ; Spontaneous recovery ; Prevalence ; Prospective design ; Sex differences ; Help ; seeking ; Substance abuse comorbidity
• 刊名：BMC Psychiatry
• 出版年：2015
• 出版时间：December 2015
• 年：2015
• 卷：15
• 期：1
• 全文大小：724 KB
• 参考文献：1. Sussman S, Lisha N, Griffiths M. Prevalence of the addictions: a problem of the majority or the minority? Eval Health Prof. 2011;34(1):3-6. CrossRef
  2. Marks I. Behavioural (non-chemical) addictions. Br J Addict. 1990;85(11):1389-4. j.1360-0443.1990.tb01618.x" target="_blank" title="It opens in new window">CrossRef
  3. Grant JE, Potenza MN, Weinstein A, Gorelick DA. Introduction to behavioral addictions. Am J Drug Alcohol Abuse. 2010;36(5):233-1. CrossRef
  4. Karim R, Chaudhri P. Behavioral addictions: an overview. J Psychoactive Drugs. 2012;44(1):5-7. CrossRef
  5. Mudry TE, Hodgins DC, el-Guebaly N, Cameron WT, Colman I, Patten SB, et al. Conceptualizing excessive behaviour syndromes: a systematic review. Curr Psychiatry Rev. 2011;7(2):138-1. CrossRef
  6. Hellman M, Schoenmakers TM, Nordstrom BR, van Holst RJ. Is there such a thing as online video game addiction? A cross-disciplinary review. Addict Res Theory. 2013;21(2):102-2. CrossRef
  7. Wong U, Hodgins DC. Development of the Game Addiction Inventory for adults (GAIA). Addict Res Theory. 2014;22(3):195-09. CrossRef
  8. Clarkson J, Kopaczewski S. Pornography addiction and the medicalization of free speech. Am J Clin Pathol. 2013;37(2):128-8.
  9. Garcia FD, Thibaut F. Sexual addictions. Am J Drug Alcohol Abuse. 2010;36(5):254-0. CrossRef
  10. Sussman S, Moran M. Hidden addiction: television. J Behav Addict. 2013;2(3):125-2. CrossRef
  11. Kourosh AS, Harrington CR, Adinoff B. Tanning as a behavioral addiction. Am J Drug Alcohol Abuse. 2010;36(5):284-0. CrossRef
  12. Shulman TD. Something for nothing: Shoplifting addiction and recovery. Haverford, PA: Infinity Publishing; 2003.
  13. Sussman S. Love addiction: definition, etiology, treatment. Sex Addict Compuls. 2010;17(1):31-5. CrossRef
  14. Dubois L, Farmer A, Girard M, Peterson K, Tatone-Tokuda F. Problem eating behaviors related to social factors and body weight in preschool children: a longitudinal study. Int J Behav Nutr Phys Act. 2007;4(1):9. CrossRef
  15. Hodgins DC, Mansley C, Thygesen K. Risk factors for suicide ideation and attempts among pathological gamblers. Am J Addict. 2006;15(4):303-0. CrossRef
  16. Jenaro C, Flores N, Gómez-Vela M, González-Gil F, Caballo C. Problematic internet and cell-phone use: psychological, behavioral, and health correlates. Addict Res Theory. 2007;15(3):309-0. CrossRef
  17. Kim JH, Lau CH, Cheuk K-K, Kan P, Hui HLC, Griffiths SM. Brief report: predictors of heavy internet use and associations with health-promoting and health risk behaviors among Hong Kong university students. J Adolesc. 2010;33(1):215-0. j.adolescence.2009.03.012" target="_blank" title="It opens in new window">CrossRef
  18. Potenza MN, Kosten TR, Rounsaville BJ. Pathological gambling. JAMA. 2001;286(2):141-. jama.286.2.141" target="_blank" title="It opens in new window">CrossRef
  19. Schou Andreassen C, Ursin H, Eriksen HR. The relationship between strong motivation to work, “workaholism- and health. Psychol Health. 2007;22(5):615-9. CrossRef
  20. Shimaz
• 刊物主题：Psychiatry; Psychotherapy;
• 出版者：BioMed Central
• ISSN：1471-244X

文摘

Background Resolving the theoretical controversy on the labeling of an increasing number of excessive behaviors as behavioral addictions may also be facilitated by more empirical data on these behavioral problems. For instance, an essential issue to the classification of psychiatric disorders is information on their natural course. However, longitudinal research on the chronic vs. episodic nature of behavioral addictions is scarce. The aim of the present study, therefore, was to provide data on prevalence, substance use comorbidity, and five-year trajectories of six excessive behaviors—namely exercising, sexual behavior, shopping, online chatting, video gaming, and eating. Methods Analyses were based on the data of the Quinte Longitudinal Study, where a cohort of 4,121 adults from Ontario, Canada was followed for 5?years (2006 to 2011). The response rate was 21.3%, while retention rate was 93.9%. To assess the occurrence of each problem behavior, a single self-diagnostic question asked people whether their over-involvement in the behavior had caused significant problems for them in the past 12?months. To assess the severity of each problem behavior reported, the Behavioral Addiction Measure was administered. A mixed design ANOVA was used to investigate symptom trajectories over time for each problem behavior and whether these symptom trajectories varied as a function of sex. Results The large majority of people reported having problematic over-involvement for just one of these behaviors and just in a single time period. A main effect of time was found for each problem behavior, indicating a moderately strong decrease in symptom severity across time. The time x sex interaction was insignificant in each model indicating that the decreasing trend is similar for males and females. The data also showed that help seeking was very low in the case of excessive sexual behavior, shopping, online chatting, and video gaming but substantially more prevalent in the case of excessive eating and exercising. Conclusions The present results indicate that self-identified excessive exercising, sexual behavior, shopping, online chatting, video gaming, and/or eating tend to be fairly transient for most people. This aspect of the results is inconsistent with conceptualizations of addictions as progressive in nature, unless treated.