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Addictions and Cognitive Behavioral Therapy Approaches

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Guest Editor
Psychology Department, Laboratory EA CLIPSYD 4430, Paris Nanterre University, 92000 Nanterre, France
Interests: addictions; eating disorders; cognitive-behavioral therapy; prevention programs in young; views/experience of users and careers of the care system; student’s health

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Guest Editor
Laboratoire Parisien de Psychologie Sociale, Université Paris Nanterre, 200 avenue de la République. F-92000 Nanterre, France
Interests: evolutionary and health psychology; psychophysiology

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Guest Editor
1. Faculty of Psychology, Campus de Somosaguas, Universidad Complutense de Madrid, Ctra. de Húmera s/n, Pozuelo de Alarcón, 28223 Madrid, Spain
2. Universidad Francisco de Vitoria, Psychology, Carretera de Pozuelo a Majadahonda km. 1.800, Pozuelo de Alarcón, 28223 Madrid, Spain
3. Centro de Estudios Universitarios Cardenal Cisneros, University College, Department of Psychology, Calle del General Díaz Porlier 58, 28006 Madrid, Spain
4. Hospital Universitario Fundación Jiménez Díaz, Servicio de Psiquiatría, Avda. Reyes Católicos 2, 28040 Madrid, Spain
Interests: addictive behaviours; behavioural addictions; general online addictive behaviours (e.g., internet addiction, problem mobile phone use); specific online addictive behaviours (e.g., gaming, social networking, cybersex); gender issues (e.g., female, male); lifespan issues (e.g., children, elderly); educational technology (e.g., educative innovations, higher education, online learning and teaching, ePortfolios); e-health (e.g., healthcare practices for behavioural addictions, mhealth, serious games)
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Guest Editor
1. Clinique des maladies mentales et de l’Encéphale (CMME), GHU Paris Psychiatrie et Neurosciences, Hôpital Sainte-Anne, 1 rue Cabanis, 75014 Paris, France
2. Université de Paris, ED 450, Paris, France
3. Université Paris Nanterre, EA 4403 CLIPSYD, Paris, France
Interests: eating disorders; anorexia nervosa; pathways to care; cognitive-behavioral therapy subjective experience of users suffering from mental disorders or chronic conditions, and their careers

Special Issue Information

Dear Colleagues,

Addictive behavior is one of the leading causes of death worldwide (e.g., more than 3 million people worldwide due to alcohol). Addictive behavior can also damage children and adolescents, for example in the case of the consumption of tobacco, cannabis, or alcohol, but also with regard to behavioral addictions such as internet gaming disorder or gambling.

It is known that these behaviors result from the malfunctioning of several mechanisms: executive function, decision-making, motivation, social cognition, problems with managing emotions, repetitive negative thinking, episodic memory bias, and metacognition. This has led to the development of interventions that aim to intervene in these processes (Cognitive Behavioral Therapies, CBTs), which consist of training aimed at relearning the links between problematic (substance or behavior) stimuli, emotions, and thoughts. They are also among the first treatments to have been approved for addictions. However, although these approaches have proven to be successful, they suffer from a number of limitations, both from a fundamental point of view and in terms of implementation. The purpose of this Special Issue is to take stock of the latest advances in CBTs in the field of addiction and to propose and highlight innovative, evidence-based practices and interventions and new approaches. Work based on e-health and remote interventions, on CBTs of the three waves, and on different populations (children, adolescents, adults, and the elderly) are welcome.

Dr. Lucia Romo
Dr. Oulmann Zerhouni
Dr. Olatz Lopez-Fernandez
Dr. Elisabetta Scanferla
Guest Editors

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Keywords

  • Addictions
  • Gambling
  • Internet gaming disorder
  • Behavioral addiction
  • Eating disorders
  • Tobacco
  • e-Cognitive Behavioural Therapy (CBT)
  • CBT prevention programs
  • Motivational and CBT interventions

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Published Papers (4 papers)

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Research

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19 pages, 1251 KiB  
Article
Perceptions Underlying Addictive Technology Use Patterns: Insights for Cognitive-Behavioural Therapy
by Olatz Lopez-Fernandez, Lucia Romo, Laurence Kern, Amélie Rousseau, Pierluigi Graziani, Lucien Rochat, Sophia Achab, Daniele Zullino, Nils Inge Landrø, Juan José Zacarés, Emilia Serra, Mariano Chóliz, Halley M. Pontes, Mark D. Griffiths and Daria J. Kuss
Int. J. Environ. Res. Public Health 2022, 19(1), 544; https://doi.org/10.3390/ijerph19010544 - 4 Jan 2022
Cited by 7 | Viewed by 5009
Abstract
Cognitive-Behavioural Therapy (CBT) is considered the ‘gold standard’ in the treatment of addictive disorders related to excessive technology use. However, the cognitive components of problematic internet use are not yet well-known. The aim of the present study was to explore the cognitive components, [...] Read more.
Cognitive-Behavioural Therapy (CBT) is considered the ‘gold standard’ in the treatment of addictive disorders related to excessive technology use. However, the cognitive components of problematic internet use are not yet well-known. The aim of the present study was to explore the cognitive components, that according to problematic users, can lead to potential internet addiction. A total of 854 European adults completed an online survey using a mixed-methods design. Internet problems and attachment styles were assessed, prevalence rates estimated, correlations, chi-squared automatic interaction detection, and content analysis were performed. Self-reported addictions to social networking, internet, and gaming had a prevalence between 1.2% (gaming) to 2.7% (social networking). Self-perception of the addiction problem and preoccupied attachment style were discriminative factors for internet addiction. In an analysis of qualitative responses from self-identified compulsive internet users, a sense of not belonging and feeling of disconnection during life events were perceived as causes for internet addiction. The development depended on a cycle of mixed feelings associated with negative thoughts, compensated by a positive online identity. The severity of this behaviour pattern produced significant impairment in various areas of the participants’ functioning, suggesting a possible addiction problem. It is suggested that health professionals administering CBT should target unhealthy preoccupations and monitor mixed feelings and thoughts related to internet use to support coping with cognitive distortions. Full article
(This article belongs to the Special Issue Addictions and Cognitive Behavioral Therapy Approaches)
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9 pages, 335 KiB  
Article
How Risk Signaling Influences Binge Drinking Impression Formation: An Evolutionary Experimental Approach
by Jordane Boudesseul, Oulmann Zerhouni and Laurent Bègue
Int. J. Environ. Res. Public Health 2021, 18(11), 5803; https://doi.org/10.3390/ijerph18115803 - 28 May 2021
Viewed by 2132
Abstract
Background. Evolutionary theory-driven alcohol prevention programs for adolescents are lacking. This study introduced a binge drinking impression formation paradigm to test whether emphasizing sexual dysfunction induced by alcohol abuse lowers positive attitudes and expectancies related to binge drinking when compared with cognitive [...] Read more.
Background. Evolutionary theory-driven alcohol prevention programs for adolescents are lacking. This study introduced a binge drinking impression formation paradigm to test whether emphasizing sexual dysfunction induced by alcohol abuse lowers positive attitudes and expectancies related to binge drinking when compared with cognitive or long-term health consequences. Method. In a between-subjects experiment, 269 French high school students (age, M = 15.94, SD = 0.93, 63.20% women) watched professional-quality videos emphasizing sexual impotence (n = 60), cognitive impairment (n = 72), or long-term effects (cancer, cardiovascular disease, n = 68) induced by alcohol and then had to evaluate a drinking scene. We predicted that the video on impotence would be the most impactful when compared with the other videos. Results. Results showed that women evaluated the target as less attractive after viewing the cognitive video compared with the video on impotence. Men were more willing to play sports against the target after viewing the cognitive video, compared with the video on impotence. Conclusions. These results showed that evolutionary meaning might shape impressions formed by participants depending on the context. This study calls for further replications using the same design and materials. Full article
(This article belongs to the Special Issue Addictions and Cognitive Behavioral Therapy Approaches)
11 pages, 349 KiB  
Article
Coping, Resilience, and Perceived Stress in Individuals with Internet Gaming Disorder in Taiwan
by Pai-Cheng Lin, Ju-Yu Yen, Huang-Chi Lin, Wei-Po Chou, Tai-Ling Liu and Chih-Hung Ko
Int. J. Environ. Res. Public Health 2021, 18(4), 1771; https://doi.org/10.3390/ijerph18041771 - 11 Feb 2021
Cited by 22 | Viewed by 5429
Abstract
Aim: Gaming escapism is an essential factor for developing internet gaming disorder (IGD). We evaluated coping strategies, resilience, stress, and depression in individuals with IGD. Methods: We included 69 participants with IGD and 138 controls (69 regular gamers and other non-gamers) in Taiwan. [...] Read more.
Aim: Gaming escapism is an essential factor for developing internet gaming disorder (IGD). We evaluated coping strategies, resilience, stress, and depression in individuals with IGD. Methods: We included 69 participants with IGD and 138 controls (69 regular gamers and other non-gamers) in Taiwan. The self-reported coping strategies, coping stress with gaming, resilience, perceived stress, and depression were assessed. Results: Participants with IGD had higher dysfunctional coping, coping stress by gaming, perceived stress, and depression, as well as lower problem-focused coping and resilience. Regression analysis revealed that coping by gaming was associated with dysfunctional coping mechanisms, particularly venting and self-distraction. Compared with participants with adequate resilience, those with lower resilience had higher perceived stress, depression, and coping by gaming, and lower problem-focused and emotion-focused coping. Dysfunctional coping and coping by gaming were associated with perceived stress and depression in both IGD and control groups. Problem-focused coping was negatively associated with perceived stress and depression in controls. Conclusion: Individuals with IGD had higher perceived stress and depression, as they were more likely to cope with stress by dysfunctional coping and gaming and less likely to try problem-focused coping, particularly those with lower resilience. Interventions for IGD should promote problem-focused coping, such as active coping and planning strategies, particularly among those with lower resilience. Full article
(This article belongs to the Special Issue Addictions and Cognitive Behavioral Therapy Approaches)

Review

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19 pages, 464 KiB  
Review
Cognitive Behavioral Therapy and Acceptance and Commitment Therapy for the Discontinuation of Long-Term Benzodiazepine Use in Insomnia and Anxiety Disorders
by Mélinée Chapoutot, Laure Peter-Derex, Hélène Bastuji, Wendy Leslie, Benjamin Schoendorff, Raphael Heinzer, Francesca Siclari, Alain Nicolas, Patrick Lemoine, Susan Higgins, Alexia Bourgeois, Guillaume T. Vallet, Royce Anders, Marc Ounnoughene, Jessica Spencer, Francesca Meloni and Benjamin Putois
Int. J. Environ. Res. Public Health 2021, 18(19), 10222; https://doi.org/10.3390/ijerph181910222 - 28 Sep 2021
Cited by 21 | Viewed by 10198
Abstract
Benzodiazepines have proven to be highly effective for treating insomnia and anxiety. Although considered safe when taken for a short period of time, a major risk–benefit dilemma arises in the context of long-term use, relating to addiction, withdrawal symptoms, and potential side effects. [...] Read more.
Benzodiazepines have proven to be highly effective for treating insomnia and anxiety. Although considered safe when taken for a short period of time, a major risk–benefit dilemma arises in the context of long-term use, relating to addiction, withdrawal symptoms, and potential side effects. For these reasons, benzodiazepines are not recommended for treating chronic sleep disorders, anxiety disorders, nor for people over the age of 65, and withdrawal among long-term users is a public health issue. Indeed, only 5% of patients manage to discontinue using these drugs on their own. Even with the help of a general practitioner, this rate does not exceed 25 to 30% of patients, of which approximately 7% manage to remain drug-free in the long term. Cognitive Behavioral Therapies (CBT) offer a crucial solution to this problem, having been shown to increase abstinence success to 70–80%. This article examines traditional and novel CBT techniques in this regard, such as Acceptance and Commitment Therapy, which address both the underlying condition (insomnia/anxiety) and the substance-related disorder. The theoretical framework and evidence supporting the use of these approaches are reviewed. Finally, current research gaps are discussed, and key research perspectives are proposed. Full article
(This article belongs to the Special Issue Addictions and Cognitive Behavioral Therapy Approaches)
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