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See detailEfficacy of metacognitive therapy in improving mental health: A meta-analysis of single-case studies
Rochat, Lucien; Manolov, Rumen; Billieux, Joël UL

in Journal of Clinical Psychology (in press)

Context. Metacognitive therapy and one of its treatment components, the attention training technique are increasingly being delivered to improve mental health. Objective. To examine the efficacy of ... [more ▼]

Context. Metacognitive therapy and one of its treatment components, the attention training technique are increasingly being delivered to improve mental health. Objective. To examine the efficacy of metacognitive therapy and/or attention training technique on mental health outcomes from single-case studies. Methods. Fourteen studies (53 patients) were included. The d-statistic for multiple baseline data and the percentage change index were used to compute the effect sizes. Results. Metacognitive therapy has a large effect on depression, anxiety, other psychopathological symptoms, and all outcomes together. Effect sizes were significantly moderated by the number of sessions, the severity and duration of symptoms, and patient gender, but not by study quality or attention training technique when used as a stand-alone treatment. At the follow-up, 77.36% of the individuals were considered recovered or had maintained improvement. Conclusion. Metacognitive therapy and attention training technique strongly contribute to improving mental health outcomes. This study effectively informs evidence-based practice in the clinical milieu. [less ▲]

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See detailTechnology-mediated addictive behaviors constitute a spectrum of related yet distinct conditions: A network perspective
Baggio, Stéphanie; Starcevic, Vladan; Studer, Joseph et al

in Psychology of Addictive Behaviors : Journal of the Society of Psychologists in Addictive Behaviors (in press)

An important ongoing debate in the addiction field is whether certain technologymediated behaviors constitute tenable and independent constructs. This study investigated whether problematic technology ... [more ▼]

An important ongoing debate in the addiction field is whether certain technologymediated behaviors constitute tenable and independent constructs. This study investigated whether problematic technology-mediated behaviors could be conceptualized as a spectrum of related, yet distinct disorders (spectrum hypothesis), using the network approach that considers disorders as networks of symptoms. We used data from the Cohort Study on Substance Use and Risk Factors (C-SURF), with a representative sample of young Swiss men (subsample of participants engaged in technology-mediated behaviors, n=3,404). Four technology-mediated addictive behaviors were investigated using symptoms derived from the DSM-5 and the component model of addiction: Internet, smartphone, gaming, and cybersex. Network analyses included network estimation and visualization, community detection tests, and centrality indices. The network analysis identified four distinct clusters corresponding to each condition, but only Internet addiction had numerous relationships with the other behaviors. This finding, along with the finding that there were few relationships between the other behaviors, suggests that smartphone addiction, gaming addiction, and cybersex addiction are relatively independent constructs. Internet addiction was often connected with other conditions through the same symptoms, suggesting that it could be conceptualized as an “umbrella construct,” i.e., a common vector that mediates specific online behaviors. The network analysis thus provides a preliminary support to the spectrum hypothesis and the focus on the specific activities performed online, while showing that the construct of “Internet addiction” is inadequate. [less ▲]

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See detailMeasuring impulsivity in Children: Adaptation and Validation of a Short Version of the UPPS-P Impulsive Behaviors Scale in Children and Investigation of Its Links with ADHD
Geurten, Marie; Catale, Corinne; Gay, Philippe et al

in Journal of Attention Disorders (in press)

Objective: Impulsivity is a multifaceted construct known to play a crucial role in the development and maintenance of a wide range of problematic behaviors and psychological disorders in children. Method ... [more ▼]

Objective: Impulsivity is a multifaceted construct known to play a crucial role in the development and maintenance of a wide range of problematic behaviors and psychological disorders in children. Method: In this study, we adapted the short French adult version of the UPPS-P Impulsive Behavior Scale for use with children (short UPPS-P-C) and tested its psychometric properties. Results: Confirmatory factor analyses conducted on a sample of 425 children (aged from 8 to 14 years) supported the five-factor structure of the scale. Additional analyses emphasized the good internal and test-retest reliability of the short UPPS-P-C. Furthermore, our results also revealed that lack of premeditation and urgency subscales were able to discriminate between children diagnosed with attention-deficit/hyperactivity disorder (ADHD) and their matched controls. Conclusion: These results suggest that the short UPPS-P-C may be considered as a promising time-saving tool to assess impulsivity traits in healthy children and in children with psychiatric disorders. [less ▲]

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See detailTime for a Plot Twist: Beyond Confirmatory Approaches to Binge-Watching Research
Flayelle, Maèva UL; Maurage, Pierre; Vögele, Claus UL et al

in Psychology of Popular Media Culture (in press)

The advent of the digital age with its progress in digital technology has been associated in recent years with an increase in binge-watching (i.e., seeing multiple episodes of the same TV series in one ... [more ▼]

The advent of the digital age with its progress in digital technology has been associated in recent years with an increase in binge-watching (i.e., seeing multiple episodes of the same TV series in one session). Binge-watching has now become the new normative way to consume TV shows. Nevertheless, along with its recent massive rise has come concerns about the associated mental and physical health outcomes. Currently available results suggest the potential harmfulness and even addictive nature of binge-watching. The psychological investigation of this behavior, however, is still in its infancy, with most studies using a confirmatory approach and assuming a priori its genuine addictive nature. In contrast, the current perspective paper argues the case for an exploratory approach as an initial step for conducting research on behaviors that − at first sight − look like addiction when applying a symptom-based approach. A qualitative understanding of the phenomenological characteristics of binge-watching as the foundation of an initial comprehensive discussion makes it possible to formulate hypotheses concerning its potentially addictive nature and to emphasize challenges and directions for future research. Here we propose an exploration of the dynamics of binge-watching behavior based on a model involving emotion regulation in the etiology and maintenance of problem binge-watching. [less ▲]

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See detailInternet gaming disorder should qualify as a mental disorder
King, Daniel L; Delfabbro, Paul H; Potenza, Marc N et al

in Australian and New Zealand Journal of Psychiatry (in press)

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See detailFurther exploration of the SUPPS-P Impulsive Behavior Scale’s factor structure: Evidence from a large Hungarian sample
Zsila, Ágnes; Bőthe, Beáta; Demetrovics, Zsolt et al

in Current Psychology (in press)

Background: Impulsivity is a multidimensional construct playing a pervasive role in psychiatry and neuropsychology. Lynam et al. (2006) have developed the 59-item UPPS-P Impulsive Behavior Scale, which ... [more ▼]

Background: Impulsivity is a multidimensional construct playing a pervasive role in psychiatry and neuropsychology. Lynam et al. (2006) have developed the 59-item UPPS-P Impulsive Behavior Scale, which assesses five distinct impulsivity dimensions: positive urgency, negative urgency, lack of perseverance, lack of premeditation, and sensation seeking. The short, 20-item version of the UPPS-P (SUPPS-P; Billieux et al. 2012) has been developed and adapted into several languages, including English, French, Italian, Spanish, and Arabic. The aim of the present study was to test four theoretical models of the SUPPS-P in a large sample of Hungarian adults. Methods: A total of 15,703 participants (64.76% male; Mage = 33.42 years, SD = 11.06) completed the SUPPS-P using an online questionnaire. Results: Confirmatory factor analyses corroborated the first-order five-factor model of impulsivity and a hierarchical model representing three higher-order constructs (urgency, lack of conscientiousness, sensation seeking), whereas the one-factor and three-factor model were not supported. The factor structure of the SUPPS-P preserved the original, theory-driven structure of the UPPS-P model and this instrument demonstrated good internal consistency. Hypersexual behavior consequences were positively associated with most SUPPS-P components, thus criterion validity was also supported. Conclusion: The SUPPS-P had strong psychometric properties that reflected the theoretical structure of the original UPPS-P model, thus it constitutes a theoretically grounded and time saving multidimensional instrument for assessing impulsivity. [less ▲]

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See detailExploring gambling craving through the elaborated intrusion theory of desire: a mixed methods approach
Cornil, Aurélien; Lopez-Fernandez, Olatz; Devos, Gaëtan et al

in International Gambling Studies (2018), 18(1), 1-21

Gambling disorder is a well-established behavioural addiction, which was classified with substance-related disorders in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders ... [more ▼]

Gambling disorder is a well-established behavioural addiction, which was classified with substance-related disorders in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders. Although craving was introduced as a new diagnostic criterion for substance-related disorders, it was not included for gambling disorder. This study aimed to explore the experience of gambling craving and to evaluate whether the elaborated intrusion theory of desire (EIT), a cognitive model of craving, fits gambling craving. A mixed methods study was conducted among 31 non-clinical gamblers. The qualitative part consisted of open-ended questions targeting the components of the EIT. The quantitative part consisted of a questionnaire designed to assess triggers and descriptions of gambling craving. Qualitative analysis revealed six distinct conceptual categories related to gambling craving: positive and negative affect, external cues, mental imageries, thoughts and physiological sensations. The quantitative analysis highlighted the most relevant triggers (e.g. spontaneous thoughts) and experiential characteristics (e.g. visual imagery) of gambling craving. The present study allowed the authors to support the relevance of the EIT as it applies to gambling craving by disentangling its core features. Findings from this study suggest that the use of interventions derived from the EIT may be relevant for problem gambling treatment. [less ▲]

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See detailSelfitis, selfie addiction, Twitteritis: Irresistible appeal of medical terminology for problematic behaviours in the digital age
Starcevic, Vladan; Billieux, Joël UL; Schimmenti, Adriano

in Australian & New Zealand Journal of Psychiatry (2018), 52(5), 408-409

Behaviours that are performed compulsively and repetitively and are associated with certain negative consequences have been a conceptual challenge for psychopathology. They are usually labelled as ... [more ▼]

Behaviours that are performed compulsively and repetitively and are associated with certain negative consequences have been a conceptual challenge for psychopathology. They are usually labelled as behavioural addictions, although this term has been vague, misused and applied to an exceptionally wide variety of activities (Starcevic, 2016). A similar trend to medicalise problematic behaviours has appeared more recently, with an emergence of ‘selfitis’ (Balakrishnan and Griffiths, in press). This article draws attention to these troublesome tendencies and aims to shed more light on their origin and implications. [less ▲]

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See detailAffective impairments in binge drinking: Investigation through emotional facial expression decoding
Lannoy, Séverine; Dormal, Valérie; Brion, Mélanie et al

in Comprehensive Psychiatry (2018), 83

Objective: Binge drinking, an excessive alcohol consumption pattern frequently observed in young people, is known to be associated with psychological and cerebral deficits. While cognitive dysfunctions ... [more ▼]

Objective: Binge drinking, an excessive alcohol consumption pattern frequently observed in young people, is known to be associated with psychological and cerebral deficits. While cognitive dysfunctions have been widely investigated, emotional abilities have scarcely been explored. Such an exploration would however offer a more exhaustive understanding of the deficits associated with binge drinking, as well as of the possible transition towards alcohol-dependence. Methods: 46 young adults (23 binge drinkers, 12 women; 23 control participants, 12 women) were recruited among university students. They performed an emotional recognition task consisting of the visual decoding of six basic emotions (i.e. anger, contempt, disgust, fear, happiness, and sadness). Accuracy scores and detection thresholds were collected for each emotion. Results: Binge drinkers showed lower performance than control participants for the decoding of all emotions and increased detection thresholds, this later reflecting less ability to capture an emotion. Binge drinking is thus associated with a need for higher emotional intensity to perform correct detection. Moreover, these emotional difficulties appear specifically related to alcohol consumption. Conclusion: These findings reinforce previous experimental evidence of altered emotional processing among binge drinkers, and extend these results for various emotional contents. They support the hypothesis of a continuum between binge drinking and alcohol-dependence, in which massive emotional impairments have been documented. Indeed, these impairments could be involved in the onset and maintenance of excessive alcohol consumption, notably through the established relationship between emotional deficits and social distress. [less ▲]

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See detailEmotionally laden impulsivity interacts with affect in predicting addictive use of online sexual activity in men
Wéry, Aline; Deleuze, Jory; Canale, Natale et al

in Comprehensive Psychiatry (2018), 80

The interest in studying addictive use of online sexual activities (OSA) has grown sharply over the last decade. Despite the burgeoning number of studies conceptualizing the excessive use of OSA as an ... [more ▼]

The interest in studying addictive use of online sexual activities (OSA) has grown sharply over the last decade. Despite the burgeoning number of studies conceptualizing the excessive use of OSA as an addictive disorder, few have tested its relations to impulsivity, which is known to constitute a hallmark of addictive behaviors. To address this missing gap in the literature, we tested the relationships between addictive OSA use, impulsivity traits, and affect among a convenience sample of men (N = 182; age, M = 29.17), building upon a theoretically driven model that distinguishes the various facets of impulsivity. Results showed that negative urgency (an impulsivity trait reflecting the tendency to act rashly in negative emotional states) and negative affect interact in predicting addictive OSA use. These results highlight the pivotal role played by negative urgency and negative affect in addictive OSA use, supporting the relevance of psychological interventions that focus on improving emotional regulation (e.g., to reduce negative affect and learn healthier coping strategies) to mitigate excessive use of OSA. [less ▲]

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See detailInduced sadness increases persistence in a simulated slot machine task among recreational gamblers
Devos, Gaëtan; Clark, Luke; Maurage, Pierre et al

in Psychology of Addictive Behaviors : Journal of the Society of Psychologists in Addictive Behaviors (2018), 32(3), 383-388

Gambling may constitute a strategy for coping with depressive mood, but a direct influence of depressive mood on gambling behaviors has never been tested via realistic experimental designs in gamblers ... [more ▼]

Gambling may constitute a strategy for coping with depressive mood, but a direct influence of depressive mood on gambling behaviors has never been tested via realistic experimental designs in gamblers. The current study tested whether experimentally induced sadness increases persistence on a simulated slot machine task using real monetary reinforcement in recreational gamblers. Sixty participants were randomly assigned to an experimental (sadness induction) or control (no emotional induction) condition, and then performed a slot machine task consisting of a mandatory phase followed by a persistence phase. Potential confounding variables (problem gambling symptoms, impulsivity traits, gambling cognitions) were measured to ensure that the experimental and control groups were comparable. The study showed that participants in the sadness condition displayed greater gambling persistence than control participants (p = .011). These data support the causal role of negative affect in decisions to gamble and persistence, which bears important theoretical and clinical implications [less ▲]

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See detailAutomatic social comparison: Cognitive load facilitates an increase in negative thought accessibility after thin ideal exposure among women
Bocage-Barthélémy, Yvana; Chatard, Armand; Jaafari, Nematollah et al

in PLoS ONE (2018), 13(3), 0193200

Women are routinely exposed to images of extremely slim female bodies (the thin ideal) in advertisements, even if they do not necessarily pay much attention to these images. We hypothesized that ... [more ▼]

Women are routinely exposed to images of extremely slim female bodies (the thin ideal) in advertisements, even if they do not necessarily pay much attention to these images. We hypothesized that paradoxically, it is precisely in such conditions of low attention that the impact of the social comparison with the thin ideal might be the most pronounced. To test this prediction, one hundred and seventy-three young female participants were exposed to images of the thin ideal or of women’s fashion accessories. They were allocated to either a condition of high (memorizing 10 digits) or low cognitive load (memorizing 4 digits). The main dependent measure was implicit: mean recognition latency of negative words, relative to neutral words, as assessed by a lexical decision task. The results showed that thin-ideal exposure did not affect negative word accessibility under low cognitive load but that it increased it under high cognitive load. These findings are consistent with the hypothesis that social comparison with the thin ideal is an automatic process, and contribute to explain why some strategies to prevent negative effects of thin-ideal exposure are inefficient. [less ▲]

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See detailPassion or addiction ? Correlates of healthy versus problematic use of videogames in a sample of French-speaking regular gamers
Deleuze, Jory; Long, Jiang; Liu, Tie-Qiao et al

in Addictive Behaviors (2018), 82

A criticism of current diagnostic approaches to gaming disorder is that they fail to take into account that high and repeated engagement is not problematic per se, nor is it necessarily associated with ... [more ▼]

A criticism of current diagnostic approaches to gaming disorder is that they fail to take into account that high and repeated engagement is not problematic per se, nor is it necessarily associated with adverse consequences. To tackle this controversy, we used confirmatory factor analysis to test, in regular gamers (N = 268), whether high (but healthy) engagement can be distinguished from problematic engagement by using the Addiction-Engagement Questionnaire (Charlton & Danforth, 2007). We then tested whether differential relationships exist between the engagement and addiction constructs, DSM-5 criteria for Internet gaming disorder (IGD), and psychological factors linked to gaming use and misuse (self-reported impulsivity, motives to play, and depression). Results indicated that a model holding engagement and addiction as two distinct, but related, constructs fits the data well. Second, we showed that although both constructs are linked to the number of IGD criteria endorsed, the relationship is more pronounced for the addiction construct. Third, a differential pattern of correlations was observed with the other study variables, further supporting the need to distinguish the two constructs. Our study emphasizes that research is needed to refine the diagnostic approach to gaming disorder to avoid conflating healthy passion with pathological behavior. [less ▲]

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See detailA multifactorial and integrative approach to impulsivity in neuropsychology: Insights from the UPPS model of impulsivity
Rochat, Lucien; Billieux, Joël UL; Gagnon, Jean et al

in Journal of Clinical and Experimental Neuropsychology (2018), 40(1), 45-61

Risky and excessive behaviors, such as aggressive and compulsive behaviors, are frequently described in patients with brain damage and have dramatic psychosocial consequences. Although there is strong ... [more ▼]

Risky and excessive behaviors, such as aggressive and compulsive behaviors, are frequently described in patients with brain damage and have dramatic psychosocial consequences. Although there is strong evidence that impulsivity constitutes a key factor at play in these behaviors, the literature about impulsivity in neuropsychology is to date scarce. In addition, examining and understanding these problematic behaviors requires the assumption that impulsivity is a multidimensional construct. Consequently, this article aims at shedding light on frequent risky and excessive behaviors in patients with brain damage by focusing on a unified, comprehensive, and well-validated model, namely, the UPPS model of impulsivity (Whiteside & Lynam, 2001). This model considers impulsivity as a multidimensional construct that includes four facets: urgency, (lack of) premeditation, (lack of) perseverance, and sensation seeking. Furthermore, we discuss the psychological mechanisms underlying the dimensions of impulsivity, as well as the laboratory tasks designed to assess each mechanism and their neural bases. We then present a scale specifically designed to assess these four dimensions of impulsivity in patients with brain damage and examine the data regarding this multidimensional approach to impulsivity in neuropsychology. This review supports the need to adopt a multifactorial and integrative approach toward impulsive behaviors, and the model presented provides a valuable rationale to disentangle the nature of brain systems and mechanisms underlying impulsive behaviors in patients with brain damage. It may also foster further relevant research in the field of impulsivity and improve assessment and rehabilitation of impulsive behaviors in clinical settings. [less ▲]

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See detailLe jeu pathologique: un trouble des processus impliqués dans la prise de décision?
Brevers, Damien; Billieux, Joël UL

in Strowel, Alain; Philippe, Denis; Schamps, Geneviève (Eds.) Droit des jeux de hasard (2018)

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See detailProblematic smartphone use: Investigating contemporary experiences using a convergent design
Kuss, Daria J.; Harkin, Lydia; Kanjo, Eiman et al

in International Journal of Environmental Research and Public Health (2018), 15

Internet-enabled smartphones are increasingly ubiquitous in the Western world. Research suggests a number of problems can result from mobile phone overuse, including dependence, dangerous and prohibited ... [more ▼]

Internet-enabled smartphones are increasingly ubiquitous in the Western world. Research suggests a number of problems can result from mobile phone overuse, including dependence, dangerous and prohibited use. For over a decade, this has been measured by the Problematic Mobile Phone Use Questionnaire (PMPU-Q). Given the rapid developments in mobile technologies, changes of use patterns and possible problematic and addictive use, the aim of the present study was to investigate and validate an updated contemporary version of the PMPU-Q (PMPU-Q-R). A mixed methods convergent design was employed, including a psychometric survey (N = 512) alongside qualitative focus groups (N = 21), to elicit experiences and perceptions of problematic smartphone use. The results suggest the PMPU-Q-R factor structure can be updated to include smartphone dependence, dangerous driving, and antisocial smartphone use factors. Theories of problematic mobile phone use require consideration of the ubiquity and indispensability of smartphones in the present day and age, particularly regarding use whilst driving and in social interactions [less ▲]

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See detailUrgency
Billieux, Joël UL

in Zeigler-Hill, Virgil; Shackelford, Todd K. (Eds.) Encyclopedia of Personality and Individual Differences (2017)

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See detailProblematic cybersex: Conceptualization, assessment, and treatment.
Wery, A.; Billieux, Joël UL

in Addictive Behaviors (2017), 64

Problematic involvement in cybersex is generally considered to be an excessive and uncontrolled use of online sexual activities associated with tangible negative outcomes and functional impairment. To ... [more ▼]

Problematic involvement in cybersex is generally considered to be an excessive and uncontrolled use of online sexual activities associated with tangible negative outcomes and functional impairment. To date, there is no consensus in the literature regarding the conceptualization and labeling of this disorder, or of its diagnosis and assessment (e.g., screening questionnaires and diagnostic criteria). Through a systematic examination of the literature, we emphasize that problematic cybersex is an umbrella construct that regroups various types of distinct dysfunctional online behaviors. Despite a considerable increase in studies on problematic cybersex, no clear diagnostic guidelines exist for clinicians and researchers. Moreover, the factors involved in the development and maintenance of the disorder remain poorly examined, and the evidence regarding valid assessment and treatment are lacking. [less ▲]

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See detailToward a Qualitative Understanding of Binge-Watching Behaviors: A Focus Group Approach
Flayelle, Maèva UL; Maurage, Pierre; Billieux, Joël UL

in Journal of Behavioral Addictions (2017), 6(4), 457-471

Background and aims: Binge-watching (i.e., seeing multiple episodes of the same TV series in a row) now constitutes a widespread phenomenon. However, little is known about the psychological factors ... [more ▼]

Background and aims: Binge-watching (i.e., seeing multiple episodes of the same TV series in a row) now constitutes a widespread phenomenon. However, little is known about the psychological factors underlying this behavior, as reflected by the paucity of available studies, most merely focusing on its potential harmfulness by applying the classic criteria used for other addictive disorders without exploring the uniqueness of binge-watching. The present study thus aimed to take the opposite approach as a first step toward a genuine understanding of binge-watching behaviors through a qualitative analysis of the phenomenological characteristics of TV series watching. Methods: A focus group of regular TV series viewers (N=7) was established to explore a wide range of aspects related to TV series watching (e.g., motives, viewing practices, related behaviors). Results: A content analysis identified bingewatching features across three dimensions: TV series watching motivations, TV series watching engagement, and structural characteristics of TV shows. Most participants acknowledged that TV series watching can become addictive, but they all agreed having trouble recognizing themselves as truly being an “addict.” Although obvious connections could be established with substance addiction criteria and symptoms, such parallelism appeared to be insufficient, as several distinctive facets emerged (e.g., positive view, transient overinvolvement, context dependency, low everyday life impact). Discussion and conclusions: Research should go beyond the classic biomedical and psychological models of addictive behaviors to account for binge-watching in order to explore its specificities and generate first steps toward an adequate theoretical rationale for these emerging problematic behaviors. [less ▲]

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