Is Craving a Central Criterion for Diagnosing a Behavioral Addiction?

NCT07854912 — Recruiting, 150 participants, University of Bordeaux

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RegistryNCT07854912, acronym CRIBA
StatusRecruiting
Study typeObservational
Enrollment150 (Estimated)
SponsorUniversity of Bordeaux (Other)
ConditionsAddictive Behaviors, Internet Addiction Disorder, Gambling, Technology Addiction, Food Addiction, Compulsive Sexual Behavior, Screen Use
InterventionsQuestionnaires, Telephone interview (Other)
Datesstart 2026-09-02, primary completion 2029-09-01 (estimated), completion 2029-09-01 (estimated), first posted 2026-10-02, last updated 2026-10-05
Locations1 site in France

Related Papers Related Patents Related Grants Related Experts
All trials for Addictive Behaviors All trials for Internet Addiction Disorder All trials of Questionnaires All trials of Telephone interview

-Summary

This study is a cross-sectional observational study designed to evaluate the diagnostic criteria for behavioral addictions (gambling, online video game disorder, screen addiction, food addiction, and pathological use of sex and/or pornography).

The main objective of this project is to explore the value of the "craving" criterion in the diagnosis of behavioral addictions.

Individuals reporting regular engagement in these different behaviors will be recruited through broad communication campaigns, with the aim of including participants across different levels of severity and thereby better assessing the importance of craving as a diagnostic criterion.

Value of the craving criteria will be evaluated based on:

1. its parameters derived from a two-parameter Item Response Theory (IRT) model, namely discrimination (a; the item's ability to distinguish between severity levels) and difficulty (b; the severity level at which the item has a high probability of being endorsed), considered relevant when the values exceed significant thresholds (discrimination > 1 and difficulty within a specific range on the severity continuum);
2. its centrality within the network of criteria, as measured by four indices (strength, proximity, interdependence, and expected influence) from network analysis (NA).

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+Arms and interventions

ArmTypeInterventionsDescription
Telephone InterviewOther: Telephone interviewIf a participant reports regular use AND has experienced a problem with at least one of the behaviors of interest, he/she will be offered the opportunity to participate in a telephone interview. After obtaining the participant's consent to participate in the research, the participant will be asked to provide their phone number so they can be contacted for a telephone assessment interview.
Online QuestionnaireOther: QuestionnairesIf a participant reports regular engagement in at least one of the behaviors of interest without reporting any perceived problems, he/she will be offered the opportunity to participate in an online questionnaire. After obtaining the participant's consent to participate in the research, the participant will be invited to complete an online questionnaire.
  • Questionnaires (Other): * the 9 DSM-5 criteria for gambling and video gaming, plus an item assessing craving (for a total of 10 criteria for these two behaviors), * the 11 DSM-5 criteria for substance use disorder adapted to addictive behaviors (screen use, eating, and sex). The total time required to complete the online questionnaires is estimated to be between 5 and 15 minutes, depending on the number of behaviors reported by the participant.
  • Telephone interview (Other): * the 9 DSM-5 criteria for gambling and video gaming, plus an item assessing craving (for a total of 10 criteria for these two behaviors), * 11 DSM-5 criteria for substance use disorder adapted to addictive behaviors (screen use, eating, and sex). The telephone interview will include additional questions from the Addiction Severity Index, covering all of its assessment domains except for the sections on legal issues and family history. This information will be supplemented by an assessment of the Mini International Neuropsychiatric Interview's substance use disorder (SUD) assessment for substances used regularly. All of this data aims to establish a severity profile for each substance or addictive behavior reported as problematic by the participant, taking into account the associated medical, occupational, social, psychological, and consumption dimensions. The total duration of the telephone questionnaire administration is estimated to be between 30 and 60 minutes, depending on t

+Outcome measures

Primary outcomes

  • Discrimination parameter (a) of items, estimated with a 2PL IRT model [Baseline]: For each behavioral addiction studied (online gambling, video gaming, screen use, eating, sex/pornography use), the discrimination parameter (a) of all items will be estimated using a two-parameter (2PL) item response theory model.
  • Difficulty parameter (b) of items, estimated with a 2PL IRT model [Baseline]: For each behavioral addiction studied (online gambling, video gaming, screen use, eating, sex/pornography use), the difficulty parameter (b) of all items will be estimated using a two-parameter (2PL) item response theory model.

Secondary outcomes

  • Discrimination parameter (a) of the craving criterion across behaviors [Baseline]: The discrimination parameter (a) of the craving criterion will be compared across behaviors (gambling, video games, screen use, eating, sex/pornography) and their subtypes.
  • Difficulty parameter (b) of the craving criterion across behaviors [Baseline]: The difficulty parameter (b) of the craving criterion will be compared across behaviors (gambling, video games, screen use, eating, sex/pornography) and their subtypes.
  • Network centrality of the craving criterion across behaviors [Baseline]: Centrality indices (strength, closeness, betweenness, expected influence) of the craving criterion will be compared across behaviors (gambling, video games, screen use, eating, sex/pornography) and their subtypes.

+Eligibility

Sex: All, ages: 18 Years to any, accepts healthy volunteers

Inclusion Criteria:

* Men/Women
* Be over 18 years of age
* No objection to participating in the study after receiving prior information
* Regularly engage in at least one of the behaviors of interest (gambling, video games, eating, screen time, sex/pornography)

Exclusion Criteria:

* Difficulty understanding, reading, or writing in French
* Being under legal guardianship or conservatorship, or under judicial protection
* Severe somatic or psychiatric condition incompatible with understanding the assessment tools
* Being pregnant

+Locations (1)

FacilityCityCountryStatus
Université de Bordeaux Pôle Addictologie - CH Charles PerrensBordeauxFranceRecruiting

+Investigators

  • Marc AURIACOMBE, Ph-D, Principal investigator, Université de Bordeaux Pôle Addictologie - CH Charles Perrens