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Dependențe de substanțe și comportamentale.

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StudiuAdicțiiÎncredere înaltă19.06.2026

Neurocognitive Functioning in Gambling Disorder: Systematic Review Comparing Psychiatric and Comorbid Conditions

This systematic review synthesized 30 studies examining cognitive impairments in gambling disorder relative to other psychiatric conditions and comorbidities, rather than only comparing to healthy controls. Results show greatest cognitive impairment in cocaine-dependent individuals and gamblers with comorbid ADHD, followed by those with eating disorders, OCD, and substance dependence, with gamblers lacking comorbidities showing intermediate impairment levels.

StudiuAdicțiiÎncredere bună19.06.2026

Addiction Spectrum Disorder: A Conceptual Framework for Understanding Addictive Disorders

This paper proposes a unified spectrum framework for understanding addiction by integrating substance use disorders, behavioral addictions, and food addiction as related conditions sharing common neurobiological mechanisms. The model identifies three key components: negative reinforcement driving compulsive seeking, cue-induced responses mediated by associative learning, and food addiction as an intermediate phenotype bridging substance and behavioral addictions.

StudiuAdicțiiÎncredere bună19.06.2026

Food Addiction in Behavioral Addictions: A Network Analysis of Comorbidity Patterns

This study used network analysis to explore how food addiction co-occurs with behavioral addictions (gaming disorder, compulsive buying-shopping, compulsive sexual behavior) in 209 treatment-seeking patients. Results identified self-directedness and psychopathological distress as key central nodes differentiating patients with versus without food addiction comorbidity.

StudiuAdicțiiÎncredere bună19.06.2026

Efficacy and Safety of Psychoactive Tryptamines in Addiction: A Systematic Review

This systematic review examined four clinical trials (176 patients with alcohol use disorder) investigating psychoactive tryptamines like dipropyltryptamine and diethyltryptamine as addiction treatments. Results showed abstinence rates ranging from 10-38% at follow-up, with no significant differences compared to control groups and poorly reported adverse effects, indicating limited evidence for efficacy of these compounds in addiction treatment.

StudiuAdicțiiÎncredere înaltă19.06.2026

Cue-Driven Control Mechanisms Across Alcohol Use Disorder, Binge-Eating Disorder, Gambling Disorder, and Internet Gaming Disorder

This review examines how environmental cues associated with rewards influence behavior across multiple addictive disorders including alcohol use, binge eating, gambling, and internet gaming, focusing on learning mechanisms like Pavlovian conditioning and Pavlovian-to-Instrumental Transfer. The evidence suggests partially overlapping but distinct processes (incentive salience, attention capture, instrumental control modulation) differentially expressed across individuals and disorders rather than a single cue-reactivity mechanism.

StudiuAdicțiiÎncredere înaltă19.06.2026

Craving as a transdiagnostic marker of addiction: A perspective for behavioral addictions

This perspective article examines whether craving—an intense, persistent involuntary desire for a substance or behavior—can serve as a unified diagnostic criterion across both substance and behavioral addictions. The author reviews evidence suggesting craving may represent a common mechanism underlying different addiction types, despite its established role in substance addiction being less formalized in behavioral addiction diagnosis.

StudiuAdicțiiÎncredere înaltă19.06.2026

Behavioural addictions in early adulthood and subsequent suicidality: Evidence from a population-based cohort of young Swiss men

This longitudinal study of 5,611 young Swiss men found that behavioural addictions (gambling, gaming, internet use, pornography use, smartphone use, work addiction) at age 25 were significantly associated with increased risk of suicidal ideation and suicide attempts by age 28. The associations remained significant even after accounting for substance use disorders, other mental health problems, and psychological distress, suggesting behavioural addictions represent an independent suicide risk factor.

StudiuAdicțiiÎncredere bună19.06.2026

Differences in Impulsivity-Compulsivity Relationships Between Video Gamers and Gamblers

This study compared 165 video gamers and 130 gamblers in Ecuador using standardized impulsivity and compulsivity measures, finding that gambling-related compulsivity is more strongly linked to executive dysfunction and positive-affect urgency, while gaming compulsivity relates more to negative urgency and distress regulation problems. The findings suggest that behavioral addictions may require tailored interventions based on distinct emotional and cognitive profiles rather than one-size-fits-all approaches.

StudiuAdicțiiÎncredere bună19.06.2026

Problematic Use of Generative AI Chatbots: Current Conceptual and Clinical Understanding

This narrative review examines problematic use of generative AI chatbots (PUGAIC), exploring epidemiology, risk factors, and proposed mechanisms such as emotional attachment and parasocial dynamics in vulnerable individuals. The authors emphasize that while preliminary evidence suggests addiction-like behaviors may emerge, current data remains limited and cross-sectional, with unclear diagnostic boundaries and validation gaps in measurement tools.

StudiuAdicțiiÎncredere bună19.06.2026

Substance use among individuals with internet gaming disorder and gaming disorder: A scoping review

This scoping review synthesizes 36 empirical studies to map patterns of substance use in individuals with Internet Gaming Disorder and Gaming Disorder as defined by DSM-5 and ICD-11 criteria. Findings reveal high co-occurrence of gaming disorder and substance use, particularly in adolescents and young adults, with examination of underlying mechanisms and moderating factors.

StudiuAdicțiiÎncredere bună19.06.2026

Virtual Reality and Augmented Reality Interventions for Gambling and Gaming Disorders: A Systematic Review

This systematic review examined 12 studies evaluating virtual reality and augmented reality-based interventions for preventing and treating gambling disorder and gaming disorder. Results showed these immersive technologies effectively reduced craving, anxiety, symptom severity, and addictive behaviors while improving self-regulation and coping skills.

StudiuAdicțiiÎncredere înaltă19.06.2026

Empathy impairments in patients with gambling disorder: A comparative study with alcohol use disorder

This study examined cognitive and emotional empathy in 25 people with gambling disorder, comparing them to 25 recently detoxified individuals with alcohol use disorder and 25 healthy controls using standardized empathy measures. Results revealed that gambling disorder was associated with impaired cognitive empathy but intact emotional empathy, differing from the empathy profile observed in alcohol use disorder.

StudiuAdicțiiÎncredere bună19.06.2026

Gambling Disorder: Diagnosis and Treatment

Gambling disorder is a behavioral addiction with increasing prevalence, particularly affecting men but with rising rates in women, and is often underdiagnosed despite significant disability. Treatment approaches include pharmacologic interventions (naltrexone, olanzapine) for symptom reduction and psychotherapies such as cognitive behavior therapy and motivational interviewing, with support groups providing adjunctive benefit, though long-term effectiveness requires further research.

StudiuAdicțiiÎncredere bună19.06.2026

Pharmacotherapy for Online Behavioral Addictions: A Systematic Review

This systematic review examined 20 studies on medication treatments for online behavioral addictions, finding preliminary evidence supporting bupropion, SSRIs, and opioid receptor antagonists for symptom reduction. The authors note significant limitations including small sample sizes, few randomized controlled trials, and short follow-up periods, emphasizing the need for future research on combined psychotherapy and pharmacotherapy approaches.

StudiuAdicțiiÎncredere bună19.06.2026

Animal Models for Understanding Digital Technology-Based Disorders and Behavioral Addictions

This paper discusses how animal models using conditioning paradigms have elucidated drug and gambling addiction mechanisms, but notes the absence of validated animal models for internet gaming disorder. The authors propose enhancing existing touchscreen paradigms with non-food reinforcement methods to better understand how behavioral persistence develops independently of traditional reward systems.