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StudiuAdicțiiÎncredere înaltă19.06.2026

Outpatient Psychotherapeutic Treatment of Gambling Disorder: Clinical Patterns and Uptake in Routine Care (Bavaria Study)

This study analyzed health insurance data from 3,154 adults with gambling disorder in Bavaria, finding that only 18.6% received psychotherapy despite evidence supporting its effectiveness. Patients receiving psychotherapy were younger and more likely female, with higher rates of comorbid depression and anxiety compared to those receiving only psychiatric/neurological care or no specialist treatment.

StudiuAdicțiiÎncredere bună19.06.2026

Case Report: Acamprosate Treatment for Volatile Hydrocarbon Inhalant Use Disorder with Comorbid Alcohol Use Disorder

A 39-year-old male with escalating volatile hydrocarbon inhalant use (computer duster) and comorbid alcohol use disorder was treated with acamprosate, a medication approved for alcohol use disorder, based on shared glutamatergic and GABAergic pathways. The case suggests acamprosate may warrant further investigation as a potential pharmacotherapy for inhalant use disorder, an understudied substance use condition.

StudiuAdicțiiÎncredere bună19.06.2026

Machine Learning Applications in Alcohol Research: A Systematic Review of Current Methods and Clinical Potential

This systematic review examines machine learning approaches applied to alcohol-related outcomes across 110 peer-reviewed studies published 2015–2025, focusing on predictions of alcohol consumption and alcohol use disorder diagnosis. The authors identify that most studies use single-modality data and conventional machine learning techniques, highlighting opportunities to advance personalized medicine for AUD through overcoming current methodological limitations.

StudiuAdicțiiÎncredere bună19.06.2026

Daily Stress and Gaming Patterns: An Ambulatory Assessment Study of Pathological, Risky, and Non-Problematic Gaming Behavior

This study examined the relationship between daily stress and gaming usage in 186 individuals categorized by gaming disorder severity (pathological, risky, non-problematic) using 14-day ambulatory assessment. Contrary to expectations, daily stress negatively predicted gaming usage and time, suggesting individuals may reduce gaming on high-stress days to manage competing demands, though social motives and symptom severity remained positive predictors.

StudiuAdicțiiÎncredere bună19.06.2026

Global Review of Online Video Gaming Policies for Young People: Effectiveness of Age Ratings, Time Restrictions, and Loot Box Regulations

This systematic review evaluates worldwide policies regulating online video gaming for youth, examining age rating systems, gameplay time restrictions, and regulations on gambling-like mechanics (loot boxes). The findings indicate that while age ratings are widely implemented, compliance is poor; time restrictions are easily circumvented; and loot box regulations lack adequate enforcement, leaving consumer protection gaps that require stricter oversight and ongoing research.

StudiuAdicțiiÎncredere înaltă19.06.2026

Elevated risk of alcohol use disorder in Japanese men living with HIV: Psychosocial determinants and protective role of sense of coherence

This cross-sectional study of 883 Japanese men living with HIV found that 53.2% engaged in at-risk or suspected alcohol use disorder, with heterosexual orientation, higher education, and older age associated with lower risk. Higher sense of coherence—the ability to cope with stress—emerged as a significant protective psychosocial factor against both at-risk drinking and suspected AUD.

StudiuAdicțiiÎncredere înaltă19.06.2026

Dual-engram architecture within a single striatal cell type distinctly controls alcohol relapse and extinction

This neuroscience study demonstrates that two functionally distinct groups of neurons (dMSNs) in the striatum encode opposing memories: one promotes relapse to alcohol use while the other supports extinction learning. The findings suggest that relapse is driven by persistent synaptic strengthening in alcohol-associated neural circuits, providing potential targets for therapeutic intervention in addiction treatment.

StudiuAdicțiiÎncredere bună19.06.2026

Adaptation of Dialectical Behavioral Therapy Skills for Inpatient Addiction Treatment

This article addresses the clinical gap in applying dialectical behavior therapy (DBT) to inpatient addiction treatment, where patients typically present with more severe symptoms than outpatients. The authors illustrate practical adaptations of DBT skills including Wise Mind, Dialectical Abstinence, and ABC PLEASE, while discussing the psychologist's role in multidisciplinary teams and ethical considerations in balancing treatment fidelity with accessibility.

StudiuAdicțiiÎncredere bună19.06.2026

Machine Learning Models for Differentiating Alcohol and Substance Use Disorders Using Hemogram Parameters

A retrospective study explored whether routine blood count parameters analyzed with machine learning could help distinguish between alcohol use disorder, substance use disorder, and healthy controls in 228 participants. Random Forest models achieved 81.6% accuracy in classification, identifying monocyte count, basophil count, and RDW-CV as significant differentiating parameters, though sensitivity varied across disorder types.

StudiuAdicțiiÎncredere înaltă19.06.2026

Glucocorticoid receptor blockade reverses heroin and alcohol withdrawal-induced hyperalgesia in rats

This preclinical study demonstrates that mifepristone, a glucocorticoid receptor antagonist, can reverse pain hypersensitivity (hyperalgesia) occurring during alcohol and opioid withdrawal in rats, with differential effects depending on substance and sex. The findings suggest targeting glucocorticoid signaling may address withdrawal-related pain, a significant barrier to addiction recovery.

StudiuAdicțiiÎncredere bună19.06.2026

Development of the Inclusion of Videogame in the Self (IVS) Scale: A Symbol-Based Screening Tool for Internet Gaming Disorder in Youth

This study developed and evaluated the IVS scale, a brief pictorial screening instrument for Internet Gaming Disorder in children and adolescents, finding that a single-item measure of the perceived relationship with a favorite game showed strong sensitivity (100%) as a quick screening proxy. While the tool shows promise for identifying at-risk youth, the high false-positive rate (45%) and limited full-scale diagnostic accuracy indicate the need for further validation in larger, more diverse populations.

StudiuAdicțiiÎncredere bună19.06.2026

Should Gaming Disorder Diagnostic Criteria Include Non-Digital Gaming Activities?

This academic commentary argues that ICD-11's gaming disorder definition focuses exclusively on digital gaming and may overlook potential harms from non-digital gaming activities like collectible card games and tabletop games, which share similar monetization mechanisms with online games. The authors call for empirical research to examine whether non-digital gaming produces similar addiction patterns and harms as digital gaming, and whether such research might inform prevention strategies.

StudiuAdicțiiÎncredere bună19.06.2026

Psychological Mechanisms in Video Game Monetization: A Typology of Contemporary Strategies Beyond Loot Boxes

This research synthesizes literature on video game monetization systems to identify how design strategies exploit psychological mechanisms—including reinforcement, fear of missing out, and loss aversion—across different payment models. The study categorizes monetization into four types and discusses their association with problematic gaming and behavioral addiction, proposing frameworks for consumer protection.

StudiuAdicțiiÎncredere înaltă19.06.2026

Geographic Availability of Medications for Alcohol Use Disorder in US Treatment Facilities (2017-2023)

This nationwide study tracked trends in availability of evidence-based medications (acamprosate, disulfiram, naltrexone) for alcohol use disorder across US substance use disorder treatment facilities from 2017 to 2023. The research identified geographic disparities and county-level characteristics associated with access to these medications to inform expansion of treatment capacity.

StudiuAdicțiiÎncredere bună19.06.2026

Behavioral addictions in Africa: Emerging trends, challenges, and policy implications

Behavioral addictions such as problematic internet use, gaming, and gambling are rising public health concerns in Africa due to digitalization and socioeconomic changes, with significant impact on youth. The continent faces substantial obstacles including insufficient epidemiological data, culturally inappropriate assessment tools, and weak mental health infrastructure, necessitating culturally adapted research and evidence-based policy responses.

StudiuAdicțiiÎncredere bună19.06.2026

Implementation outcomes of video-observed oral fluid self-collection for drug testing in substance use disorder treatment: a pilot study

This pilot study evaluated the acceptability, feasibility, and usability of video-observed oral fluid self-collection for remote drug screen monitoring in substance use disorder treatment across outpatient and residential settings. Results showed the approach was generally acceptable, appropriate, and feasible (scores exceeding 3.0 threshold), though system usability scores were below average and variable, suggesting potential for refinement in real-world implementation.

StudiuAdicțiiÎncredere înaltă19.06.2026

Deep Learning Model for Predicting Alcohol Use Disorder Risk in Adolescents and Young Adults

Researchers developed a deep learning model using longitudinal data to predict individualized risk of developing alcohol use disorder in adolescents and young adults who drink, identifying biological sex, delinquency, and personality traits as key risk factors. The model demonstrated good predictive performance (AUC 0.86 at 1-6 year follow-up) with appropriate validation and calibration metrics.

StudiuAdicțiiÎncredere bună19.06.2026

Metacognitions, Emotion Regulation, and Gambling Disorder: A Two-Wave Longitudinal Study

This longitudinal study examined how metacognitions about gambling and emotion regulation jointly contribute to gambling disorder among 585 Chinese adults using cross-lagged panel analysis. Results showed that both positive and negative metacognitions about gambling were stronger predictors of gambling disorder than emotion regulation alone, and identified a bidirectional relationship suggesting a vicious cycle between metacognitions and gambling disorder that emotion regulation may help interrupt.