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Short-term abstinence effects across potential behavioral addictions: A systematic review.
Clinical Psychology Review ( IF 12.8 ) Pub Date : 2020-02-03 , DOI: 10.1016/j.cpr.2020.101828
David P Fernandez 1 , Daria J Kuss 1 , Mark D Griffiths 1
Affiliation  

Observing short-term abstinence effects across potential behavioral addictions is vital for informing understanding about how addiction-related symptoms (withdrawal, craving and relapse) might manifest across these behaviors. Short-term abstinence may also have potential as a clinical intervention for behavioral addictions. This review aimed to synthesize existing research evidence on short-term abstinence effects across potential behavioral addictions in light of (1) manifestations of withdrawal, craving and relapse, and (2) benefits or counterproductive consequences of abstinence. We reviewed 47 prospective studies examining effects of short-term abstinence across six potential behavioral addictions (exercise, gambling, gaming, mobile phone use, pornography use, social media use). Findings of the review showed that there is a paucity of prospective studies investigating abstinence effects in relation to potential behavioral addictions, except for exercise. Across all behaviors, exercise demonstrated the clearest pattern of withdrawal-related symptoms mainly related to mood disturbances. While withdrawal and craving were investigated to a fair extent across the studies, the study of relapse using abstinence protocols is underutilized within behavioral addiction research. Short-term abstinence shows promise as an intervention for some problematic behaviors, especially gaming, pornography use, mobile phone use, and social media use. However, potential counterproductive consequences of abstinence (e.g., rebound effects and compensatory behaviors) were not adequately assessed by the studies, which limits current evaluation of the utility of abstinence as an intervention.



中文翻译:

短期戒酒对潜在行为成瘾的影响:系统评价。

观察潜在的行为成瘾的短期禁欲作用,对于了解有关成瘾相关症状(戒断,渴望和复发)如何在这些行为中体现的理解至关重要。短期禁欲也可能作为行为成瘾的临床干预手段。这篇综述的目的是根据(1)戒断,渴望和复发的表现,以及(2)禁欲的好处或适得其反的结果,综合现有的研究证据,以探讨跨潜在行为成瘾的短期禁欲作用。我们回顾了47项前瞻性研究,研究了短期禁欲对六种潜在行为成瘾(运动,赌博,游戏,手机使用,色情内容,社交媒体使用)的影响。审查的结果表明,除了运动以外,很少有前瞻性研究调查节制与潜在行为成瘾有关的影响。在所有行为中,锻炼表现出最明显的与戒断有关的症状,主要与情绪障碍有关。尽管在整个研究中对戒断和渴望进行了相当程度的调查,但在行为成瘾研究中,使用节制协议进行的复发研究并未得到充分利用。短期禁欲显示出对某些有问题行为的干预的希望,尤其是游戏,色情制品的使用,手机的使用以及社交媒体的使用。但是,研究并未充分评估禁欲的潜在适得其反的后果(例如反弹作用和代偿行为),

更新日期:2020-02-03
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