⭐今日精選 TOP Picks
Pramipexole exposure and risk of incident gambling disorder in individuals with psychiatric disorders: A nationwide register-based cohort study.
· Pramipexole exposure and risk of incident gambling disorder in individuals with psychiatric disorders: A nationwide register-based cohort study.
在精神疾病患者中,長期使用多巴胺激動劑Pramipexole與賭博疾患發生風險呈劑量依存關係增加,特別是在雙相情緒障礙族群,提示用藥監控的重要臨床意涵。
P2006–2021年間被處方Pramipexole的精神疾病患者(全國登記隊列)
I長期Pramipexole使用(累積劑量)
C低暴露或未使用組
O專門醫療註冊中新診斷的賭博疾患(incident GD)
Loot box purchases are associated with problem gambling severity and harms beyond traditional gambling activities.
· Loot box purchases are associated with problem gambling severity and harms beyond traditional gambling activities.
在已有賭博行為的成年玩家中,Loot box購買頻率與花費金額,即使控制傳統賭博後,仍與問題賭博嚴重度及相關傷害顯著正相關,支持其應被視為賭博型行為進行規範。
P定期賭博且定期玩電子遊戲的成年人(N=3709)
ILoot box購買行為(頻率與金額)
C未購買Loot box者
O問題賭博嚴重度(PGSI)與賭博相關傷害
A randomized double-blind sham-controlled preliminary study of a 5-week protocol of repetitive transcranial magnetic stimulation (rTMS) combined with cognitive behavioral therapy (CBT) for gambling disorder in Indonesia.
· A randomized double-blind sham-controlled preliminary study of a 5-week protocol of repetitive transcranial magnetic stimulation (rTMS) combined with cognitive behavioral therapy (CBT) for gambling disorder in Indonesia.
雖然rTMS+CBT未顯著優於安慰組在總症狀減少上,但主動組在減少賭博慾望與認知偏誤(如賭博期望值、無法停止念頭)上顯著更快,顯示rTMS可能增強CBT對特定機制的干預效果。
P印尼被診斷為賭博疾患的成年人(N=27)
I5週真實rTMS + 標準化CBT
C5週假牙rTMS + 標準化CBT
O賭博症狀(GSAS)、賭博慾望、賭博相關認知(期望值、無法停止)
Classification-Behavior Discordance and Problem Gambling: Differential Patterns for Fantasy Sports and Loot Boxes Among College Students.
· Classification-Behavior Discordance and Problem Gambling: Differential Patterns for Fantasy Sports and Loot Boxes Among College Students.
大學生中,將Loot box視為賭博但仍參與者,問題賭博風險最高;而參與幻想運動卻不認為是賭博者,風險反而較低,凸顯主觀分類對行為風險的調節作用,篩查需納入認知層面評估。
P內華達州公立大學學生(N=4016)
I主觀是否將幻想運動/Loot box分類為賭博
C不將其視為賭博者 vs 視為賭博者
O問題賭博(透過問題性賭博篩查工具測量)
Changes in gambling behaviours among young adults in Rhode Island, 2022-2024.
· Changes in gambling behaviours among young adults in Rhode Island, 2022-2024.
儘管過去年賭博參與率穩定,但參與者中多種賭博型態(特別是運動博彩、老虎機、App賭博)及賭博類型數量顯著增加,提示行為正向多樣化與線上化深化,風險可能藏於參與 breadth。
P羅德島州18-25歲青年成人(2022年N=1022,2024年N=1008)
I時間點(2024 vs 2022)
C2022年基線
O過去年賭博參與率、賭博類型數量、特定賭博活動(運動博彩、老虎機、彩券等)
📚其他值得關注的文獻
Online Casino Legalization and Onsite Casino Revenue: Evidence from Early Adopters in the United States.
美國新澤西州與特拉華州2013年線上賭博合法化導致實體 casino 收入持續下降約13%,顯示線上與實體賭博具有替代效應,但新州規模化線上市場帶來財政收益,且收益來源集中於重度與問題賭博者,具累進性風險。
Integrating Yoga and Mindfulness in the Management of Internet Gaming Disorder: A Narrative Review of Current Evidence and Future Directions.
正念與瑜伽介入(YBIs/MBIs)對網路遊戲失調(IGD)顯示潛在療效,尤其改善注意控制與前額葉-紋冠體連結,建議作為CBT的輔助療法,需更多多中心RCT驗證。
Moving Up in Stakes in Tournament Poker: A k-means Analysis of Latent Subgroups of Online Poker Players.
高參與度且回報率較佳(雖仍為負)的撲克玩家更可能提升賽事投入金額,但此行為與負責任賭博相關帳戶關閉無顯著關聯,提示風險可能隱藏在技術型玩家中。
The Stranger at Home: Lived Experiences of Online Gambling Within the Family in Siirt, Türkiye.
在土耳其東部保守社會中,線上賭博導致家庭經濟崩解、角色位移與文化汙名,擴大家庭透過宗教誓言幫助債務清算,反映文化脈絡對賭博傷害的調節與應對機制。
Gambling and Gaming Disorders, Problematic Pornography Use, and Other Addictive Behaviors (Use of Social Media and Artificial Intelligence Chatbots) in Youth.
青少年行為成癮(賭博、遊戲、色情、社交媒體、AI聊天機器人)應以連續體模式理解而非診斷門檻,需彈性治療模式並強化新興介入(如神經調節)的證據基礎。
Bidirectional perspectives on internet-related family communication: Development and validation of the parent-child internet communication scale (PCICS) and associations with problematic internet use.
新編父母-子網路溝通量表(PCICS)證實雙向感知差異:子女自覺低諮商障礙與較低問題網路使用相關,但父母主觀接受度對子女保護作用較弱,提醒需評估雙方觀點而非單方面。
Parent-child communication and adolescent problematic internet use: A cross-sectional dyadic study of protective effects and the primacy of adolescents' own perceptions.
青少年自身報告的低諮商障礙是預防問題網路使用的最強保護因子(β=-0.51),遠勝於父母報告(β=0.10,無顯著),凸顯青少年主觀體驗在預防中的核心角色。
Testosterone is associated with affective feedback processing in ambiguous decision-making.
睾固酮與風險決策無直接關聯,但在男性中調節反饋相關生理反應:高睾固酮男性在獲得或損失後的生理回饋會促進後續風險選擇,提示內在生物機制在性別特定路徑上影響衝動決策。
Phubbing and social media addiction in patients with epilepsy: A cross-sectional case-control study.
癲癇患者並未顯示比健康對照組更高的嗑菸或社交媒體成癮,但其TikTok使用率顯著較高(23.5% vs 3.9%),焦慮症是兩組數位行為成癮的共同強預測因子。
Response to the commentary by Tundo et al. on "Pramipexole exposure and risk of incident gambling disorder in individuals with psychiatric disorders: A nationwide register-based cohort study".
Fusion of ERP and fNIRS signals for classification of internet gaming disorder in an attention-modulating dot-probe task.
結合事件相關電位(ERP)與功能近紅外線光譜(fNIRS)提升網路遊戲失調(IGD)分類準確率至85.4%,右側 dorsolateral 前額葉血氧減少可能為IGD的客觀神經生物標誌。
Comment on "Pramipexole exposure and risk of incident gambling disorder in individuals with psychiatric disorders: A nationwide register-based cohort study".
Intermediate doses of d -amphetamine promote perseverative risky choices following the presentation of win-paired cues.
去甲基苯丙胺(d-amph)劑量依賴增加風險選擇,尤其在輸局後伴隨贏-paired提示時促進風險反應的執着,支持其可能加劇電子賭博機上堅持下注的生物機制。
A qualitative investigation of the retrospective lived experiences and emotional trajectories of Australian gamblers.
澳洲賭徒回顧顯示賭博過程中情緒波動極為動態:從挫敗到歸屬感、從預期興奮到遊戲中喚醒,正負面情緒皆為駕動持續賭博的強大內在動力,挑戰傳統負向強化模型。
Changes in gambling behaviour and harm across the adult population, among priority groups, and by population subgroups in Great Britain, 2021-2024: Repeat cross-sectional annual survey.
英國2021-2024年賭博頻率與傷害上升,日常賭博從1.1%增至1.7%,治療賭博疾患從0.9%增至1.6%,約36.6萬人新增賭博疾患,最高風險群為超飲酒指標與大麻使用者,提醒政策需跟蹤趨勢並投資預防。
A systematic review of the prevalence of ADHD and autism among those experiencing gambling harm.
經驗損害個體中ADHD盛行率達24%(遠高於一般人口2.58%),顯著提示神經發育缺陷與賭博傷害的關聯,雖自閉症數據有限,但強調需針對ADHD族群加強預防與早期篩檢。
Network intervention analysis of a school-based gaming disorder prevention program in Hong Kong primary school students.
香港小學預防介入透過網路干預分析證實可降低IGD核心症狀如遊戲驅動的肯定依賴、渴望與危及關係,證實早期預防可從症狀網路層面改變認知行為模式。
Cross-lagged panel model among metacognitions about gambling, emotion regulation, and gambling disorder: A two-wave longitudinal study.
正負面賭博元認知比情緒調節更強預測賭博疾患傾向,且疾病傾向又強化負面元認知,形成惡性循環,提示情緒調節訓練應融入元認知療法以斷負向回饋。