María del Mar Simón Márquez
Silvia Fernández Gea*
María del Mar Molero Jurado
Pablo Molina Moreno
María del Carmen Pérez-Fuentes- Department of Psychology, University of Almeria, Almería, Spain
Introduction: Substance abuse and behavioral addictions among adolescents represent a growing public health concern, with significant implications for their physical, mental, and social development. This systematic review aimed to identify the most commonly used substances and prevalent addictive behaviors in this population.
Methods: A comprehensive search was conducted across multiple scientific databases to select studies published between 2018 and 2023. Documents were analyzed qualitatively using the ATLAS.ti Web tool to identify patterns in the use of substances (alcohol, tobacco, cannabis, and cocaine) and behavioral addictions (problematic use of the internet, video games, gambling, smartphones, and social media).
Results: After the systematic and manual selection process, a total of 41 research studies were obtained. Findings indicate that alcohol and tobacco are the most commonly used substances among European adolescents, with early onset linked to a higher risk of addiction. Excessive use of the internet and social media was also identified as a major concern, negatively impacting mental and social health. Video game and gambling addictions showed high prevalence rates, influenced by socioeconomic and family-related factors.
Conclusion: These findings highlight that addictive behaviors in adolescents are multifaceted and influenced by biological, social, and environmental factors. There is a clear need for comprehensive prevention strategies that address both substance use and behavioral addictions to mitigate their impact on adolescent health.
1 Introduction
Adolescence is characterized as a critical period of life, in which a series of continuous biological, behavioral and social changes occur and foster human development (Bustamante et al., 2022). During the transition from childhood to adolescence, young people undergo significant changes in their brains. These changes occur in both the structure and function of the brain. They also take place in the social environment, particularly in the socio-emotional system due to puberty. This leads to an increased pursuit of rewards, especially in the company of peers (Steinberg, 2008; Viejo and Ortega-Ruiz, 2015). As a result, adolescence is a particularly vulnerable period for engaging in risky, problematic, and reckless behaviors, including cyber-aggression, violence within romantic relationships, and various addictive behaviors, which can have long-term consequences that negatively affect the transition and adjustment to adult life (Arrojo et al., 2024; Barragán et al., 2016; Molero et al., 2023).
The availability and consumption of addictive substances is a significant social issue, leading to serious health problems for young people and adversely affecting their environment (Pérez-Fuentes et al., 2018). In its Executive Report of the EDADES study (Ministerio de Sanidad, 2022), the Ministry of Health establishes that the onset of alcohol and tobacco consumption typically occurs between the ages of 16 and 17. The report also indicates that the consumption of alcohol, tobacco, cocaine, and cannabis is more frequent among males. Additionally, it highlights the prevalence of electronic cigarette and cannabis use among individuals aged 15 to 24 and identifies gambling, problem gambling, and gambling disorder as significant behavioral addictions.
Tobacco and alcohol consumption are the most common forms of substance abuse among European adolescents (Dudok and Piko, 2023). There is significant concern generated by traditional substance abuse and newer behavioral addictive habits. For this reason, numerous studies have been conducted to analyze this issue. For instance, Salamó et al. (2010) examine alcohol consumption patterns, social influence, and perceptions of danger. Another study carried out by Rial et al. (2020) explores the repercussions of early onset of consumption and seeks to identify related variables, such as substance use within the family environment or among peers. Currently, traditional cigarettes are not the only ones consumed. Electronic or vapor cigarettes are also widely used (Demissie et al., 2017).
According to the results of the HBSC Study (Ministerio de Sanidad, 2018), the percentage of individuals who report daily tobacco use increases with age, peaking among 17-18-year-olds. At this age, minimal differences in consumption are observed between males and females.
The HBSC Study (Ministerio de Sanidad, 2018) reveals that alcohol consumption increases with age, peaking among 17-18-year-olds. Gender differences become more pronounced with age, as males in this group report higher levels of alcohol consumption. Similarly, substance use, including drugs and alcohol, tends to rise with age, driven largely by curiosity, with men consuming more than women overall.
The HBSC Study further highlights that cannabis use is more prevalent among males than females, particularly within the 17-18-year-old demographic.
According to the ESPAD report, cannabis is the most commonly used illicit substance among European students. On average, 16% of respondents reported having used cannabis at least once, and 32% perceived it as easily accessible. Furthermore, 4% of students are considered at risk of severe dependency. This trend may be driven by the emergence of new cannabis variants and the increasing potency of its derivatives in recent years (Ministerio de Sanidad, 2020).
Other studies investigate the poly-consumption of substances. Barragán et al. (2016) examine the factors associated with alcohol, tobacco, and cannabis use among high school students; Peruga et al. (2022) analyze the use of electronic cigarettes and alcohol with this same population; and Calero-Plaza et al. (2020) explores adolescent poly-consumption of alcohol, cannabis, and marijuana, linking it to violent and delinquent behaviors.
On the other hand, behavioral addictions—addictions not linked to substances—are defined by impulsive and repetitive behaviors marked by a loss of control, a strong compulsion to engage in the behavior, and emotional distress. These behaviors persist despite serious consequences (De Sola et al., 2013).
Nowadays, technologies have become our inseparable companions and young people, in particular, are increasingly immersed in their use and embrace them with great enthusiasm. However, few are fully aware of the dangers they entail, such as cyberbullying, among other risks and challenges (Giménez-Gualdo et al., 2014; Molero et al., 2022, 2023).
Adolescents use Information and Communication Technologies (ICTs) more frequently and for longer hours, often without support from parental supervision. They use these tools in various settings, including educational centers, homes, and leisure contexts. Their purposes range from maintaining social relationships to completing academic tasks or entertaining themselves, either alone or with friends. This frequent use can lead to problematic behavior, especially among those aged 12 to 17 years (Gairín and Mercader, 2018).
Therefore, some studies analyze problematic internet use based on risk profiles, family characteristics, and behavioral and psychological factors (Arrivillaga et al., 2021). Other studies focus on the pathological use of video games (Hidalgo-Fuentes, 2023a; López-Fernández et al., 2020), gambling for money (Pereira, 2021), smartphone addiction (Salcedo and Lara, 2022; Hidalgo-Fuentes, 2023b; Díaz and Extremera, 2020), and social networks (Herrera-Peco et al., 2023; Muñoz and Ramírez, 2016).
Schools are essential for preventing substance use and supporting healthy decision-making, providing a space to identify at-risk youth early and offer them targeted interventions (European Monitoring Centre for Drugs and Drug Addiction, 2022). The significance of this systematic review lies in its broad and integrative approach, encompassing not only traditional substance abuse but also digital addictions linked to emerging technologies. By consolidating findings from diverse studies, this review aims to provide a comprehensive analysis of updated information regarding the most prevalent psychoactive substance use and other addictive behaviors among adolescents. This synthesis serves as a foundational resource for designing evidence-based prevention and intervention programs. These programs address behaviors that are pervasive in the lives of young people and pose serious risks to their physical and psychological health.
All this places adolescents in a highly vulnerable situation that can have severe consequences for their health (Morales-Rodríguez, 2022). The combination of substance and behavioral addictions in a single review responds to the need to comprehensively address the factors influencing addictive behaviors during adolescence. Both forms of addiction share neurobiological, psychological, and social characteristics, and their joint analysis allows for a broader understanding of the risks and vulnerability factors in this critical developmental stage. Therefore, the primary objective of this systematic review is to analyze updated information to describe the addictions most prevalent maladaptive behaviors among adolescents. By examining the most relevant data on this issue, this review aims to provide a foundation for prevention and intervention projects designed to reduce or eliminate these behaviors, which are pervasive in the daily lives of young people and detrimental to their physical and psychological health.
2 Materials and methods
2.1 Search process
The search was conducted in the ERIC, Psicodoc, PsycINFO, and Scopus databases, following the “PRISMA” methodology to ensure greater scientific rigor (Page et al., 2021). This search was performed in mid-April 2023, using Boolean operators in both Spanish (“conductas de riesgo” OR adicción OR ciberadicción) AND (adolescencia) and English (“risk behaviors” OR addiction OR cyber addiction) AND (adolescence). The initial results were filtered to include only scientific journal articles and were limited by date, covering the period from 2018 to April 2023, representing five full years and the month of April 2023. The PsycINFO database provided more precise filtering options in terms of subject, classification, and age group (see Table 1).
Table 1. Search results across different databases and applied filters.
2.2 Inclusion and exclusion criteria
The results obtained were filtered manually by reading the titles and abstracts, followed by selection based on a series of inclusion and exclusion criteria. The inclusion criteria were: (a) the sample age should be between 12 and 17 years, inclusive, and (b) the study should describe adolescent addictive behaviors, providing relevant data.
The exclusion criteria were: (a) articles analyzing other problem behaviors not related to substance use and digital addictions, (b) documents where addictive behaviors are mentioned but the results do not provide significant contributions to understanding these behaviors, and (c) documents with samples younger than 12 years or older than 17 years.
2.3 Procedure for information analysis and selection process for publications
Below is the flow diagram that summarizes the stages of the search and study selection process. This scheme, based on the PRISMA guidelines (Page et al., 2021), clearly illustrates the number of records identified, screened, excluded, and ultimately included in the review (Figure 1).
Figure 1. Search equation and flowchart of the document selection process.
2.4 Coding data
After obtaining 2,064 documents from various databases, the distribution was as follows: ERIC with search in Spanish (0), ERIC with search in English (139), Psicodoc with search in Spanish (225), Psicodoc with search in English (107), PsycINFO with search in Spanish (13), PsycINFO with search in English (1,120), Scopus with search in Spanish (2), and Scopus with search in English (458).
Duplicate articles, totaling 128, were subtracted from these results: Psicodoc with search in Spanish (1), Psicodoc with search in English (70), PsycINFO with search in Spanish (6), PsycINFO with search in English (12), Scopus with search in Spanish (1), and Scopus with search in English (38).
After eliminating duplicate articles, a total of 1,936 documents were obtained. Titles and abstracts were then reviewed, and exclusion criteria were applied: (a) the document addresses a different subject matter than the one addressed here, (b) the age range of the participants in the studies is outside the range established for this systematic review, and (c) the document relates addiction to another subject but does not provide the necessary results regarding the subject matter of this systematic review. The following articles were eliminated: ERIC with search in English (a = 126, b = 6, c = 1), Psicodoc with search in Spanish (a = 103, b = 64, c = 15), Psicodoc with search in English (a = 23, b = 4, c = 8), PsycInfo with search in Spanish (a = 6, b = 1, c = 0), PsycInfo with search in English (a = 762, b = 159 and c = 152), Scopus with search in Spanish (a = 0, b = 1, c = 0), and finally, Scopus with search in English (a = 261, b = 61, c = 81). Additionally, 52 articles were excluded for not adhering to the scientific format: ERIC with search in English (5), Psicodoc with search in Spanish (20), Psicodoc with search in English (1), PsycInfo with search in English (19), and lastly, Scopus with search in English (7).
A total of 51 documents were obtained, which were manually filtered after reading the entire document to eliminate those that did not meet the inclusion and exclusion criteria. Consequently, 10 documents were excluded because, although their abstracts presented a mean age that matched the criteria established in this systematic review, the methodology section, specifically the participant section, revealed that the age range did not meet this criterion. These exclusions were from the following databases: ERIC with search in English (1), Psicodoc with search in Spanish (2), PsycInfo with search in English (6), and Scopus with search in English (6).
A total of 41 documents were obtained from the following databases: ERIC with search in English (1), Psicodoc with search in Spanish (20), Psicodoc with search in English (1), PsycInfo with search in English (10), and Scopus with search in English (9).
3 Results
After the systematic and manual selection process, a total of 41 quantitative research studies were obtained. These studies describe the most common addictive patterns among adolescents, which include smartphones, social networks, internet, gambling, video games, tobacco, alcohol, cannabis, and cocaine (see Table 2).
Table 2. Scientific studies on the most common addictions among adolescents.
3.1 Quality assessment of studies
The methodological quality of the included studies was assessed using the “QualSyst” scale (Kmet et al., 2004), which provides a standardized framework for appraising both quantitative and qualitative research based on criteria related to study design, sampling, analysis, and reporting (14 items for quantitative studies and 10 for qualitative studies). Each item is rated on a scale from 0 to 2, with the denominator adjusted when a criterion is not applicable, yielding a final score expressed as a percentage. According to this metric, values above 75% are classified as high quality, those between 55–75% as moderate quality, and those below 55% as low quality. In the present study, scores ranged from 79.19 to 100%, which overall reflects a high methodological quality (see Table 2).
3.2 Country where the research was conducted and types of addictions or problematic behaviors studied
A total of 41 studies conducted across 15 countries were included in this review. The largest proportion of studies originated from Spain (n = 15), followed by the United States (n = 7) and Brazil (n = 3). Other countries represented were South Korea (n = 2), Italy (n = 2), Turkey (n = 2), Australia (n = 2), and single studies from Argentina, Switzerland, Colombia, China, Tunisia, Germany, Slovenia, and Mexico.
Regarding the types of addictions, categories were not mutually exclusive, as several studies examined multiple behaviors or substance uses. The most frequently investigated was alcohol use (n = 18), followed by tobacco use (n = 11), cannabis use (n = 10), problematic internet use (n = 8), gambling (n = 7), video gaming (n = 6), and problematic smartphone use (n = 5).
3.3 Sample size, age of sample, and study design
Regarding the size of the study samples, there is notable variety, ranging from general studies with 27,900 participants to more personal studies with just 2 participants. Specifically, 4.88% of the articles have a sample size of over 15,000 users, 2.44% have between 10,000 and 14,000 users, 4.88% have between 10,000 and 15,000 users, 26.83% have between 5,000 and 10,000 users, 17.07% have between 500 and 1,000 users, 36.58% have between 100 and 500 users, and 7.32% have fewer than 100 users.
The age range for the established sample was 12 to 17 years, as selected for the systematic review. However, about a third of the selected studies have fully addressed this stage of adolescence. The most frequently cited age in the articles was 15 years, while the least cited was 12 years. This is an important aspect to consider, since addictions often begin at early ages.
3.4 Analysis of results
The review of evidence provides a comprehensive and multidimensional perspective on the factors associated with the use of substances (alcohol, tobacco, cannabis, cocaine) and problematic technology use (mobile phones, internet, video games, social media), as well as the phenomenon of polyconsumption among adolescents. These behaviors, rooted in a complex interaction of motivational, familial, social, and psychological variables, are characterized by their heterogeneity and high comorbidity.
Regarding alcohol consumption, the primary motivations include the pursuit of fun, social disinhibition, avoidance of emotional distress, and peer pressure. These motivations exhibit gender differences, with adolescent girls often justifying their consumption for social acceptance, while boys associate it with reinforcing ideals of masculinity (Dos Santos et al., 2018). Family environment is also a critical factor; according to (Rodrigues et al., 2018), 40% of adolescents reported a family history of excessive alcohol use, with first exposure commonly occurring at home. Additionally, peer pressure from high-risk groups and a lack of parental control exacerbate consumption (González-Ramos et al., 2018). Older adolescents with greater purchasing power are at significantly higher risk (Díaz et al., 2018). The consequences include tolerance to negative effects such as hangovers or shame, while academic and social implications receive less acknowledgment (Wicki et al., 2018). Early initiation (before age 14) is associated with a higher risk of problematic consumption and antisocial behaviors (Villanueva et al., 2019; Rial et al., 2020). Protective factors include positive family relationships, community involvement, and strategies focusing on self-efficacy and peer support (Clements-Nolle et al., 2019; Hernández et al., 2022).
Tobacco consumption is similarly influenced by economic and social factors, such as financial accessibility and sensation-seeking, particularly among men (Díaz et al., 2018; Martínez-Fernández et al., 2018). Early initiation increases the risk of antisocial behavior and cognitive deterioration (Villanueva et al., 2019). Additionally, electronic cigarettes, often mistakenly perceived as less harmful, promote dual use with traditional cigarettes, significantly heightening dependence (Strong et al., 2019; Tackett et al., 2021).
Similarly, cannabis use often begins at an early age, with an average initiation age of 12.9 years, and is associated with risks such as dependency (67.1% in regular users) and progression to stronger substances like opioids and methamphetamines (Jones and McCance-Katz, 2019; Matalí et al., 2018). Impulsivity and frequent alcohol consumption further elevate this risk (González-Roz et al., 2021). Furthermore, cannabis consumption is linked to the development of psychopathologies (Díaz et al., 2018).
Problematic mobile phone use negatively impacts psychological health, reducing self-esteem, sleep quality, and social relationships. It is associated with aggressive behaviors, low self-control, and increased risk-taking, with only 25% of adolescents managing to self-regulate their usage (Pastor et al., 2022). Girls primarily use mobile phones for social purposes, while boys prioritize leisure (Lee et al., 2018). This pattern extends to social media use, where poor self-regulation leads 21% of adolescents to addictive behaviors, linked to anxiety, cyberbullying, and substance use (Cimadevilla et al., 2019; Machado et al., 2018). Furthermore, Internet Gaming Disorder, affecting 2.8% of adolescents, is associated with social exclusion, low self-esteem, and executive dysfunction (Warburton et al., 2022). The potential for video game addiction is driven by unmet psychological needs, such as achievement or socialization, and may exacerbate psychotic disorders in vulnerable adolescents (Bekir and Çelik, 2019; Ricci et al., 2023).
Adolescent boys over 16 show a higher prevalence of gambling behaviors (Caselles et al., 2018; Hing et al., 2022). Impulsivity and sensation-seeking often motivate this activity, frequently linked to alcohol and substance use, particularly in online gambling. Cocaine use, while less prevalent, is associated with other risk behaviors like online gambling, with adolescent gamblers twice as likely to use cocaine compared to the general population (Isorna et al., 2022).
The phenomenon of polyconsumption in adolescents highlights the interaction of social, familial, and psychological factors. Motivations include intrinsic ones (e.g., fun, disinhibition) and extrinsic ones (e.g., peer pressure), with gender differences: girls often justify these behaviors for social acceptance, whereas boys link them to displays of status (Dos Santos et al., 2018). Family and social environments are key determinants, with economic availability playing a critical role (Díaz et al., 2018). Polyconsumers exhibit deficits in executive functions and dysfunctional coping styles (Villanueva et al., 2019). Early initiation increases the likelihood of transitioning to stronger substances, such as opioids and cocaine (Jones and McCance-Katz, 2019). Moreover, technological dependency exacerbates alcohol and tobacco consumption (Cimadevilla et al., 2019).
3.5 Qualitative analysis of selected studies
When analyzing the selected documents, the most studied addictions over the past 5 years were identified as alcohol, tobacco, cannabis, cocaine, video games, gambling, internet, social networks, and smartphones. To achieve the main objective of this systematic review, a qualitative analysis was conducted using the technological tool ATLAS.ti Web (version 3.15.0; ATLAS.ti Scientific Software Development GmbH, 2022). This process provided more rigorous information on the subtopics addressed within each addiction (see Figure 2).
Figure 2. Qualitative analysis of the results obtained.
Overall, the results indicate that an early onset of substance use increases the risk of addiction in subsequent years (Hernández et al., 2022; Villanueva et al., 2019). The risk of developing an addiction also increases with age and is more prevalent among males and individuals with greater economic resources (Díaz et al., 2018). The motivations for consumption are influenced by interpersonal and sociocultural factors (Dos Santos et al., 2018).
4 Discussion
4.1 Substance use
Adolescence is a critical life period characterized by ongoing biological, behavioral, and social transformations that drive human development (Bustamante et al., 2022; Zammit et al., 2018). Changes in brain structure and function, along with influences from the social environment, can increase the likelihood of adolescents engaging in problematic behaviors (Viejo and Ortega-Ruiz, 2015). This makes adolescence a stage particularly prone to risky and reckless behaviors (Steinberg, 2008).
Tobacco and alcohol use represent the most common types of substance abuse among European adolescents (Dudok and Piko, 2023). Motivations for consumption are influenced by personal, social, and cultural factors (Dos Santos et al., 2018; Hernández et al., 2022). The availability and consumption of addictive substances pose a serious social problem, leading to significant health disorders for young people and affecting their environment (Pérez-Fuentes et al., 2018). The initial age of alcohol consumption is around 13.4 years (Rial et al., 2020).
Following this first experience, prevalence increases notably, with consumption often escalating from sporadic to habitual and excessive (Martínez-Fernández et al., 2018; González-Ramos et al., 2018; Rodrigues et al., 2018). Addiction to alcohol results in various negative consequences for minors, primarily impacting their physical, mental, and emotional health, and can even lead to school failure (Calero et al., 2019; Clements-Nolle et al., 2019; González-Ramos et al., 2018; Wartberg et al., 2021; Wicki et al., 2018) and violent situations. Another significant problem associated with alcohol is its normalization in society (Villanueva et al., 2019), the ease of acquisition, and the various places of consumption, which include not only social gatherings but also one’s own home (Rodrigues et al., 2018).
Tobacco dependence among adolescents has been observed to have an earlier onset compared to other substances (Barragán et al., 2016; Villanueva et al., 2019), and shows considerable prevalence (Martínez-Fernández et al., 2018).
An increase in prevalence with age has been observed: according to the results of the HBSC Study (Ministerio de Sanidad, 2018), the percentage of individuals who report daily tobacco use increases with age, peaking among 17-18-year-olds. At this age, minimal differences in consumption are observed between males and females.
Various forms of tobacco use have been identified, including cigarettes, cigars, water pipes, vapes, and e-cigarettes, with the latter being the most prominent according to recent research. The motivation for consumption appears to be driven by sensation seeking (Camelo et al., 2019; Martínez-Fernández et al., 2018; Silveira et al., 2019; Strong et al., 2019; Tackett et al., 2021). Negative impacts include increased impulsivity (González-Roz et al., 2021) and a higher propensity for other risky behaviors (Demissie et al., 2017). The peer relationships and peer pressure significantly influence the acquisition of this addiction (Villanueva et al., 2019), along with academic failure. Family structure also plays a crucial role, particularly in reconstructed families (Camelo et al., 2019; Isorna et al., 2022), where age and gender are significant factors, with older males being more likely to consume (Díaz et al., 2018; Peruga et al., 2022). Finally, economic availability directly influences consumption, as adolescents with greater financial resources tend to consume more (Díaz et al., 2018).
The average age of onset for cannabis use is around 13 years, with the mean age for daily use being approximately 13.8 years (Matalí et al., 2018). Over time, there has been an observed increase in the prevalence of cannabis use (Martínez-Fernández et al., 2018). The motivation for consuming this substance appears to be linked to sensation seeking (Camelo et al., 2019; Martínez-Fernández et al., 2018; Silveira et al., 2019), as well as a desire to escape from situations that generate negative feelings or to achieve a state of relaxation (Matalí et al., 2018). Among the negative consequences of cannabis consumption, low self-esteem (Camelo et al., 2019), increased impulsivity (González-Roz et al., 2021), and the manifestation of violent and problematic behaviors (Villanueva et al., 2019) stand out.
According to the ESPAD report, cannabis is the most consumed illicit substance among European students (Ministerio de Sanidad, 2020). They are considered at risk of severe dependence, a trend potentially driven by the emergence of new variants of cannabis and the increasing potency of its derivatives in recent years (Ministerio de Sanidad, 2020).
Cannabis use by adolescents is influenced by several factors, including family background, belonging to reconstructed families, economic resources, and peer groups. Peer pressure exerts a dual influence: surrounding oneself with friends who consume increases the likelihood of addiction (Hahlbeck and Vito, 2022), while adolescents lacking adequate social skills experience fear and pressure due to the potential rejection by their peers (Matalí et al., 2018; Villanueva et al., 2019).
The results of the HBSC Study emphasize that cannabis use is more prevalent among males than females, particularly within the 17-18-year-old demographic (Ministerio de Sanidad, 2018).
Additionally, age, duration of use, and economic status also negatively impact cannabis use among minors (Díaz et al., 2018). Cannabis use is often associated with the poly-consumption of substances harmful to health (Jones and McCance-Katz, 2019).
Due to the growing concern about addiction to both traditional and new behavioral substances, several studies have analyzed this issue. For instance, Salamó et al. (2010) investigate alcohol consumption patterns, social influence, and risk perception, while Rial et al. (2020) examine the impact of early onset of consumption and identify related variables, such as substance use within the family environment or among peers. Additionally, the consumption of not only traditional cigarettes but also electronic or vapor cigarettes has become prevalent (Demissie et al., 2017).
Other studies have explored polydrug use among adolescents. For example, Barragán et al. (2016) examine the factors associated with alcohol, tobacco, and cannabis use in high school students. Similarly, Peruga et al. (2022) analyze the use of electronic cigarettes and alcohol in high school students, while Calero-Plaza et al. (2020) investigate adolescent poly-consumption of alcohol, cannabis, and marijuana, linking it to violent and delinquent behaviors. In addition, Isorna et al. (2022) analyze addiction to the Internet, gambling, tobacco, alcohol, cocaine, and cannabis.
On the other hand, behavioral addictions are defined as impulsive and repetitive behaviors characterized by a loss of control, a strong compulsive desire to engage in them, persistent emotional discomfort, and continuation of the behavior despite its serious consequences (De Sola et al., 2013).
4.2 Problematic use of technology and behavioral addictions
Adolescents use Information and Communication Technologies (ICTs) more frequently and for longer periods of time, often without adequate parental supervision, in various settings such as education, home, or leisure time. They use these tools for a range of purposes, from maintaining social relationships to performing academic tasks or entertaining themselves, either alone or with friends, which can lead to problematic use, especially between the ages of 12 and 17 (Gairín and Mercader, 2018). Consequently, some studies analyze problematic internet use based on risk profiles, family environment characteristics, and behavioral and psychological factors (Arrivillaga et al., 2021). The average age of onset of daily internet use is between 6 and 15 years old (Kaya and Dalgiç, 2021), and the prevalence of internet addiction among adolescents is notable, reaching 21% (Machado et al., 2018). Negative consequences of internet use include low self-esteem (Peris et al., 2018) and lack of self-regulation (Pastor et al., 2022). Significant data related to internet addiction have been observed, such as a higher risk among males at the age of 17, despite an increasing prevalence among females, and low emotional regulation (Arrivillaga et al., 2021). Additionally, the importance of parental control in reducing addictive behaviors is highlighted (Isorna et al., 2022).
Gambling, which involves the use of money or bets, typically begins between the ages of 12 and 13 (Caselles et al., 2018; Isorna et al., 2022). Studies, such as Hing et al. (2022), highlight the ease of access to these games for adolescents. A high prevalence of this activity is observed among adolescents, exacerbated by the normalization of gambling within their immediate environment (Caselles et al., 2018). The primary motivations for gambling include stress management, socialization, and the pursuit of positive emotions (Grande-Gosende et al., 2019). Studies indicate that various types of gambling are readily available and easily accessible (Martínez-Loredo et al., 2019). This addiction is also influenced by the minor’s age, gender, and the social acceptance of gambling within both the family environment and peer groups (Caselles et al., 2018).
Playing video games is not inherently negative, but it can sometimes develop into a pathological practice (Hidalgo-Fuentes, 2023a; Pereira, 2021). The estimated global prevalence of gaming addiction is 3.5% (Ricci et al., 2023), and studies such as Buja et al. (2020) estimate that nearly a third of gamers experience difficulties related to playing video games. The motivations behind this problem include fun, the search for new sensations, the ease of playing from home with peers, the constant positive reinforcement from prizes and winning, and the adventure experience it provides, fulfilling the psychological needs of adolescents (Bekir and Çelik, 2019). Video games help them manage stress and develop positive emotions (Grande-Gosende et al., 2019), serving as a method of coping with social difficulties (López-Fernández et al., 2020). Male adolescents, particularly younger ones, are most associated with this problematic practice (Macur and Pontes, 2021; Warburton et al., 2022). Factors such as executive dysfunction, lack of self-regulation, impulsivity, and unmet needs outside the virtual world contribute to this issue. Adolescents from disconnected and disaffected family environments are also at increased risk (López-Fernández et al., 2020; Warburton et al., 2022). Other studies highlight profiles with low agreeableness and responsibility in males, and low extraversion and responsibility in females (López-Fernández et al., 2021). The repercussions of excessive video game playing include decreased self-control (Macur and Pontes, 2021), altered sleep patterns, and an increased risk of engaging in harmful behaviors such as substance use, alcohol, tobacco, or gambling on slot machines (Cimadevilla et al., 2019). Additionally, a correlation has been observed between excessive video game playing and mental health symptoms, as well as increased severity in behavioral problems (Richard et al., 2023).
Adolescents at high risk of smartphone addiction exhibited significantly more severe levels of psychopathologies across all dimensions of the Youth Self-Report scale (Lee et al., 2018). This addiction affects psychological factors such as anxiety, behavioral inhibition system, and aggression (Lee et al., 2020), leading to a greater tendency toward risky behaviors and lower self-control, particularly in girls (Dou et al., 2020).
Lastly, social networks have a significant influence on daily life and are widely used by adolescents. Some individuals are more susceptible to developing addictions to these platforms, particularly those with an introverted profile (Muñoz and Ramírez, 2016). It has been observed that females are more likely to experience symptoms of addiction, excessive use, and nomophobia compared to males, with these tendencies being more pronounced in the age range of 12 to 14 years (Peris et al., 2018). This phenomenon can adversely impact the mental health of adolescents, as it encourages constant comparison with others, decreases self-esteem, increases exposure to online bullying, and promotes dependence and social isolation, all of which affect emotional well-being (Herrera-Peco et al., 2023).
This study synthesizes findings from a range of sources to provide a comprehensive and multidimensional perspective on adolescent substance use initiation and abuse. By analyzing substance use alongside behavioral patterns, it identifies emerging trends and offers actionable insights to inform the development of evidence-based prevention and intervention strategies. The findings emphasize the need for tailored prevention approaches that address early onset, gender-specific risk factors, and the influence of family environment and peer relationships.
For clinicians, the study underscores the importance of incorporating routine screenings for substance use and behavioral addictions into adolescent health assessments. For educators and policymakers, it provides critical insights to design targeted educational campaigns and enforce policies that limit access to harmful substances. This integrative approach fills significant gaps in current research, offering valuable guidance to stakeholders aiming to reduce the risks associated with adolescent substance use and behavioral addictions.
5 Conclusion
This systematic review has identified research addressing the most common substance abuse and digital addictions among adolescents, providing a comprehensive analysis of this issue. This review has successfully fulfilled its primary objective of analyzing updated information to describe the most prevalent substance use and behavioral patterns among adolescents. By examining the most relevant data on this problem, it serves as a foundation for prevention and intervention projects aimed at reducing or eliminating these behaviors, which are pervasive in the daily lives of young people and detrimental to their physical and psychological health.
This study has presented several limitations. Despite the large number of studies found, most methodologies used were quantitative in nature. This limits a more descriptive research development that could address more individualized cases. However, the quantitative nature of these studies has allowed for the representation of results from a larger sample of students.
Additionally, this review may be affected by potential publication bias, the limited number of longitudinal studies, and the exclusion of research not available in the databases consulted. These factors could influence the comprehensiveness of the findings and highlight the need for more diverse and longitudinal research in the future.
To address substance abuse and digital addictions in adolescents, it is vital to implement comprehensive education that encompasses biological, psychological, social, and cultural aspects. This includes promoting coping skills, critical thinking, and resistance to group influence, as well as utilizing educational technology and fostering interdisciplinary collaboration. In light of the strong influence that both positive and negative peer relationships exert on adolescent behavior, future research and interventions should explore the potential of peer-based programs. Such initiatives—whether in school, community, or online settings—can harness peer support to promote healthy behaviors and reduce the impact of peer pressure. Evidence from health promotion and prevention studies suggests that well-structured peer-led approaches can enhance self-efficacy, foster positive social norms, and serve as an effective complement to family- and school-based strategies. Therefore, it is essential to develop prevention and intervention programs to curb this problem, and to provide minors and their immediate environment with sufficient information about the risks and consequences of both substance use and behavioral addictions.
Data availability statement
The original contributions presented in the study are included in the article/supplementary material, further inquiries can be directed to the corresponding author.
Author contributions
MS: Supervision, Writing – original draft, Investigation, Software, Data curation, Methodology, Writing – review & editing, Visualization, Resources, Conceptualization, Project administration, Funding acquisition, Validation, Formal analysis. SF: Investigation, Software, Funding acquisition, Supervision, Conceptualization, Writing – review & editing, Resources, Visualization, Data curation, Project administration, Writing – original draft, Formal analysis, Methodology, Validation. MM: Project administration, Visualization, Funding acquisition, Data curation, Resources, Validation, Methodology, Conceptualization, Writing – original draft, Supervision, Formal analysis, Investigation, Writing – review & editing, Software. PM: Project administration, Visualization, Funding acquisition, Validation, Resources, Formal analysis, Supervision, Methodology, Writing – review & editing, Conceptualization, Software, Writing – original draft, Investigation, Data curation. MP-F: Resources, Validation, Visualization, Investigation, Data curation, Conceptualization, Project administration, Formal analysis, Writing – review & editing, Funding acquisition, Software, Supervision, Writing – original draft, Methodology.
Funding
The author(s) declare that financial support was received for the research and/or publication of this article. This work has been conducted thanks to the IE-MOTION Project: A digital resource for teachers in the design of personalised interventions aimed at preventing violence and promoting the well-being of secondary school students (Reference: PROYEXCEL_00607), funded by Grants for Excellence Projects, under competitive concurrence, intended for entities qualified as agents of the Andalusian Knowledge System, within the scope of the Andalusian Plan for Research, Development, and Innovation (PAIDI 2020). Also thanks to the pre-doctoral contracts for doctors training, offered by the Ministry of Education and Professional Training, through the aid program for University Teacher Training (FPU) granted to Silvia Fernández Gea with reference FPU21/03514. As well as with the support of the State Training Subprogram of the State Program to Develop, Attract and Retain Talent, within the framework of the State Plan for Scientific, Technical and Innovation Research 2021–2023 granted to Pablo Molina Moreno (Reference: PRE2021-097460).
Conflict of interest
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
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References
Arrivillaga, C., Rey, L., and Extremera, N. (2021). Perfil emocional de adolescentes en riesgo de un uso problemático de internet. Rev. Psicol. Clín. Niños Adolesc. 8, 47–53. doi: 10.21134/rpcna.2021.08.1.6
Arrojo, S., Martín-Fernández, M., Lila, M., Conchell, R., and Gracia, E. (2024). The perceived severity of adolescent dating violence (PS-ADV) scale: a validation study. Eur. J. Psychol. Appl. Legal Context 16, 27–36. doi: 10.5093/ejpalc2024a3
ATLAS.ti Scientific Software Development GmbH (2022). ATLAS.ti Web, v3.15.0 [En línea]. Available online at: https://atlasti.com [Accessed June 12, 2023].
Barragán, A. B., Martos, A., Simón, M. M., Pérez-Fuentes, M. C., Molero, M. M., and Gázquez, J. J. (2016). Consumo de tabaco y alcohol en adolescentes y relación con la familia. Eur. J. Child Dev. Educ. Psychopathol. 4, 49–61. doi: 10.30552/ejpad.v4i1.34
Bekir, S., and Çelik, E. (2019). Examining the factors contributing to adolescents’ online game addiction. An. Psicol. 35, 444–452. doi: 10.6018/analesps.35.3.323681
Buja, A., Mortali, C., Mastrobattista, L., De Battisti, E., Minutillo, A., Pichini, S., et al. (2020). Uso de sustancias estimulantes y comportamiento de juego en adolescentes. Juego y uso de estimulantes. Adicciones 32, 273–280. doi: 10.20882/adicciones.1312
Bustamante, L. K., Luzuriaga, M. A., Rodríguez, P. E., and Espadero, R. G. (2022). Desarrollo psicológico del adolescente: una revisión sistemática. Pro Sci. Rev. Prod. Ciencias Invest. 6, 389–398. doi: 10.29018/issn.2588-1000vol6iss42.2022pp389-398
Calero, A. D., Barreyro, J. P., Formoso, J., and Injoque-Ricle, I. (2019). Emotional intelligence and frequency of alcohol use during adolescence. Health Addict. 19, 60–69. doi: 10.21134/haaj.v19i1.405
Calero-Plaza, J., Tomás, J. M., Navarro-Pérez, J. J., and Viera, M. (2020). Delincuencia violenta, abuso y no consumo de drogas en adolescentes con riesgo de reincidencia. Convergencia 27:e14060. doi: 10.29101/crcs.v27i0.14060
Camelo, S. M., Olivares, T., Carballeira, M., and Betancort, M. (2019). Executive functions and clinical adjustment in Colombian adolescent polyconsumers. Ter. Psicol. 37, 141–153. doi: 10.4067/S0718-48082019000200141
Caselles, P., Cabrera, V., and Lloret, D. (2018). Prevalencia del juego de apuestas en adolescentes. Un análisis de los factores asociados. Health Addict. 18, 165–173. doi: 10.21134/haaj.v18i2.392
Cimadevilla, R., Jenaro, C., and Flores, N. (2019). Impact on psychological health of internet and mobile phone abuse in a spanish sample of secondary students. Rev. Argent. Clín. Psicol. 28, 339–347. doi: 10.24205/03276716.2019.1147
Clements-Nolle, K., Oman, R. F., Lu, M., Lensch, T., and Moser, L. (2019). Youth assets and alcohol-related problems among male and female youth: results from a longitudinal cohort study. Prev. Med. 123, 192–196. doi: 10.1016/j.ypmed.2019.03.042
De Sola, J., Rubio, G., and de Rodríguez, F. (2013). La impulsividad: ¿Antesala de las adicciones comportamentales? Health Addict. 13, 145–155. doi: 10.21134/haaj.v13i2.211
Demissie, Z., Jones, S. E., Clayton, H. B., and King, B. A. (2017). Adolescent risk behaviors and use of electronic vapor products and cigarettes. Pediatrics 139:e20162921. doi: 10.1542/peds.2016-2921
Díaz, A., Busto, A., and Caamaño, F. (2018). Consumo de alcohol, tabaco y cannabis en adolescentes de una población multicultural (Burela, Lugo). Adicciones 30, 264–270. doi: 10.20882/adicciones.915
Díaz, N., and Extremera, N. (2020). Inteligencia emocional, adicción al smartphone y malestar psicológico como predictores de la nomofobia en adolescentes. Know. Share Psychol. 1, 7–13. doi: 10.25115/kasp.v1i2.3195
Dos Santos, E. L., Opaleye, E. S., and Noto, A. R. (2018). Álcool e relações de gênero: motivações e vulnerabilidades na percepção de adolescentes. Psicol. Estud. 23, 1–16. doi: 10.4025/psicolestud.v23i0.40636
Dou, K., Wang, L. X., Li, J. B., Wang, G. D., Li, Y. Y., and Huang, Y. T. (2020). Mobile phone addiction and risk-taking behavior among Chinese adolescents: a moderated mediation model. Int. J. Environ. Res. Public Health 17:5472. doi: 10.3390/ijerph17155472
Dudok, R., and Piko, B. F. (2023). Multi-level protective factors of adolescent smoking and drinking. Eur. J. Investig. Health Psychol. Educ. 13, 932–947. doi: 10.3390/ejihpe13060071
European Monitoring Centre for Drugs and Drug Addiction. (2022). Schools and drugs: health and social responses. Available online at: https://www.euda.europa.eu/publications/mini-guides/schools-and-drugs-health-and-social-responses_en [Accessed December 2, 2024]
Gairín, J., and Mercader, C. (2018). Usos y abusos de las TIC en los adolescentes. Rev Investig. Educ. 36, 125–140. doi: 10.6018/rie.36.1.284001
Giménez-Gualdo, A. M., Maquilón-Sánchez, J. J., and Arnaiz, P. (2014). Acceso a las tecnologías, rendimiento académico y cyberbullying en escolares de secundaria. Rev. Iberoam. Psicol. Salud 5, 119–133.
González-Ramos, O. J., Marrero-Montelongo, M., Navarro-Rodríguez, C., and Torres-García, M. (2018). Consumo de alcohol y factores asociados en futbolistas cadetes españoles (14-16 años). Retos 33, 204–209. doi: 10.47197/retos.v0i33.55332
González-Roz, A., Suárez-Martínez, I., Aonso-Diego, G., Martínez-Loredo, V., and Secades-Villa, R. (2021). Insights from behavioral economics to characterize substance use involvement in adolescents: a cluster analysis. Rev. Psicol. Clín. Niños Adolesc. 8, 37–43. doi: 10.21134/rpcna.2021.08.2.5
Grande-Gosende, A., Martínez-Loredo, V., and Fernández-Hermida, J. R. (2019). Validación del Cuestionario de Motivos de Juego en adolescentes: Diferencias según la gravedad y las actividades de juego. Adicciones 31, 212–220. doi: 10.20882/adicciones.1057
Hahlbeck, S. M., and Vito, A. G. (2022). Adolescent Marijuana Dependence: The Role of Social Bonds and Social Learning Theory. J. Psychoactive Drugs 54, 43–53. doi: 10.1080/02791072.2021.1903122
Hernández, E. K., Calixto-Olalde, M. G., Álvarez-Aguirre, A., Aguilar-Zavala, H., and Leija, A. (2022). Intervención de enfermería a través de pares para la autoeficacia y el consumo de alcohol en adolescentes. Health Addict. 22, 215–226. doi: 10.21134/haaj.v22i2.684
Herrera-Peco, I., Fernández-Quijano, I., and Ruiz-Núñez, C. (2023). The role of social media as a resource for mental health care. Eur. J. Investig. Health Psychol. Educ. 13, 1026–1028. doi: 10.3390/ejihpe13060078
Hidalgo-Fuentes, S. (2023a). Internet Gaming Disorder Test (IGDT-10): un meta-análisis de generalización de la fiabilidad. Eur. J. Educ. Psychol. 16, 1–23. doi: 10.32457/ejep.v16i2.2188
Hidalgo-Fuentes, S. (2023b). Smartphone Application-Based Addiction Scale: un meta-análisis de generalización de la fiabilidad. Eur. J. Educ. Psychol. 16, 1–20. doi: 10.32457/ejep.v16i1.1954
Hing, N., Lole, L., Russell, A. M. T., Rockloff, M., King, D. L., Browne, M., et al. (2022). Adolescent betting on esports using cash and skins: links with gaming, monetary gambling, and problematic gambling. PLoS One 17:e0266571. doi: 10.1371/journal.pone.0266571
Isorna, M., Feijoó, S., Mora, J., Braña, T., Gómez, P., and Rial, A. (2022). Adolescents, online gambling, problematic internet use, and substance use. Health Addict. 22, 255–266. doi: 10.21134/haaj.v22i2.702
Jones, C. M., and McCance-Katz, E. F. (2019). Relationship between recency and frequency of youth cannabis use on other substance use. J. Adolesc. Health 64, 411–413. doi: 10.1016/j.jadohealth.2018.09.017
Kaya, A., and Dalgiç, A. I. (2021). How does internet addiction affect adolescent lifestyles? Results from a school-based study in the Mediterranean region of Turkey. J. Pediatr. Nurs. 59, e38–e43. doi: 10.1016/j.pedn.2021.01.021
Kmet, L.M., Cook, L.S., and Lee, R.C. (2004) Standard quality assessment criteria for evaluating primary research papers from a variety of fields (HTA Initiative No. 13). Alberta Heritage Foundation for Medical Research. doi: 10.7939/R37M04F16
Lee, M., Chung, S. J., Lee, Y., Park, S., Kwon, J. G., Kim, D. J., et al. (2020). Investigation of correlated internet and smartphone addiction in adolescents: copula regression analysis. Int. J. Environ. Res. Public Health 17:5806. doi: 10.3390/ijerph17165806
Lee, J., Sung, M. J., Song, S. H., Lee, Y. M., Lee, J. J., Cho, S. M., et al. (2018). Psychological factors associated with smartphone addiction in south Korean adolescents. J. Early Adolesc. 38, 288–302. doi: 10.1177/0272431616670751
López-Fernández, F., Etkin, P., Ortet, J., Mezquita, L., and Ibáñez, M. I. (2020). Causas y consecuencias psicosociales del uso patológico de videojuegos en adolescentes. Àgora de Salut VII, 147–153. doi: 10.6035/AgoraSalut.2020.7.15
López-Fernández, F. J., Mezquita, L., Griffiths, M. D., Ortet, G., and Ibáñez, M. I. (2021). El papel de la personalidad en el juego problemático y en las preferencias de géneros de videojuegos en adolescentes. Adicciones 33, 263–272. doi: 10.20882/adicciones.1370
Machado, M. D. R., Bruck, I., Antoniuk, S. A., Nunes, M., Soares, M. C., and Da Silva, A. F. (2018). Internet addiction and its correlation with behavioral problems and functional impairments - A cross-sectional. J. Bras. Psiquiatr. 67, 34–38. doi: 10.1590/0047-2085000000181
Macur, M., and Pontes, H. M. (2021). Internet gaming disorder in adolescence: investigating profiles and associated risk factors. BMC Public Health 21, 1–9. doi: 10.1186/s12889-021-11394-4
Martínez-Fernández, V., Lloret-Irles, D., and Segura-Heras, J. V. (2018). Impulsividad y búsqueda de sensaciones como predictores del consumo de drogas en adolescentes: Un estudio longitudinal. Rev. Psicol. Clín. Niños Adolesc. 5, 9–15. doi: 10.21134/rpcna.2018.05.3.1
Martínez-Loredo, V., Grande-Gosende, A., Fernández-Artamendi, S., Secades-Villa, R., and Fernández-Hermida, J. R. (2019). Substance use and gambling patterns among adolescents: differences according to gender and impulsivity. J. Gambl. Stud. 35, 63–78. doi: 10.1007/s10899-018-09824-x
Matalí, J., Simons, J., Pardo, M., Lleras, M., Pérez, A., and Andión, O. (2018). Propiedades psicométricas de la versión española del Marihuana Motives Measure en población adolescente consumidora. Adicciones 30, 282–291. doi: 10.20882/adicciones.947
Ministerio de Sanidad (2018). Informe del estudio HBSC 2018: Resultados del estudio Health Behavior in School-age Children en España. Available online at: https://www.sanidad.gob.es/areas/promocionPrevencion/entornosSaludables/escuela/estudioHBSC/2018/docs/HBSC2018_InformeTecnico.pdf [Accessed May 7, 2024].
Ministerio de Sanidad (2020). Informe del proyecto ESPAD 2019: Encuesta Europea sobre Alcohol y otras Drogas en España. Available online at: https://pnsd.sanidad.gob.es/profesionales/sistemasInformacion/sistemaInformacion/pdf/20201112_Informe_ESPAD_2019_final.pdf [Accessed May 7, 2024].
Ministerio de Sanidad (2022). Executive report of the EDADES study: Survey on alcohol and other drugs in Spain. Available online at: https://pnsd.sanidad.gob.es/profesionales/sistemasInformacion/sistemaInformacion/pdf/2022_Informe_Ejecutivo_EDADES_en.pdf [Accessed May 6, 2024].
Molero, M. M., Martos, Á., Barragán, A. B., Pérez-Fuentes, M. C., and Gázquez, J. J. (2022). Anxiety and depression from cybervictimization in adolescents: a meta-analysis and meta-regression study. Eur. J. Psychol. Appl. Leg. Context 14, 42–50. doi: 10.5093/ejpalc2022a5
Molero, M. M., Pérez-Fuentes, M. C., Martos, Á., Pino, R. M., and Gázquez, J. J. (2023). Network analysis of emotional symptoms and their relationship with different types of cybervictimization. Eur. J. Psychol. Appl. Leg. Context 15, 23–32. doi: 10.5093/ejpalc2023a3
Morales-Rodríguez, M. (2022). Adolescentes en riesgo: Búsqueda de sensaciones, adicción al internet y procrastinación. Inf. Psicol. 22, 43–60. doi: 10.18566/infpsic.v22n1a03
Muñoz, N. E., and Ramírez, S. (2016). Adicción a las redes sociales y personalidad en adolescentes. PsicoEducativa 2, 46–52.
Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., et al. (2021). PRISMA 2020 statement: an updated guide for publishing systematic reviews. Rev. Esp. Cardiol. 74, 790–799. doi: 10.1016/j.recesp.2021.06.016
Pastor, Y., García-Jiménez, A., and López-de-Ayala, M. C. (2022). Regulatory strategies for smartphone use and problematic internet use in adolescence. An. Psicol. 38, 269–277. doi: 10.6018/analesps.461771
Pereira, M. I. V. D. S. (2021). Problemas de gaming e gambling em adolescentes: fatores de risco e inter-relações. [doctoral thesis]. Available online at: http://hdl.handle.net/10451/52776 [Accessed May 7, 2024].
Pérez-Fuentes, M. D. C., Molero, M. D. M., Martos, Á., Barragán, A. B., Hernández, C. M., Simón, M. D. M., et al. (2018). Factores que influyen en el inicio o mantenimiento de consumo de sustancias adictivas en Estudiantes de Secundaria. Rev. Psicol. Educ. 13, 13–22. doi: 10.23923/rpye2018.01.154
Peris, M., Maganto, C., and Garaigordobil, M. (2018). Escala de Riesgo de Adicción-Adolescente a las Redes Sociales e Internet: fiabilidad y validez (ERA-RSI). Rev. psicol. clín. niños adolesc. 5, 30–36. doi: 10.21134/rpcna.2018.05.2.4
Peruga, A., Martínez, C., Fu, M., Ballbè, M., Tigova, O., Carnicer-Pont, D., et al. (2022). Consumo actual de cigarrillos electrónicos entre estudiantes de secundaria que nunca han fumado. Gac. Sanit. 36, 433–438. doi: 10.1016/j.gaceta.2022.01.004
Rial, A., Golpe, S., Barreiro, C., Gómez, P., and Isorna, M. (2020). La edad de inicio en el consumo de alcohol en adolescentes: implicaciones y variables asociadas. Adicciones 32, 52–62. doi: 10.20882/adicciones.1266
Ricci, V., De Berardis, D., Maina, G., and Martinotti, G. (2023). Internet gaming disorders and early onset psychosis in young people: a case study and clinical observations. Int. J. Environ. Res. Public Health 20:3920. doi: 10.3390/ijerph20053920
Richard, J., Ivoska, W., and Derevensky, J. L. (2023). Understanding adolescent esports bettors: are they a homogeneous group? Addict. Behav. 140:107598. doi: 10.1016/j.addbeh.2022.107598
Rodrigues, A., Siqueira, A., Koller, S. H., and Martins, R. M. (2018). Altos níveis de impulsividade e consumo de álcool na adolescência. Rev. Latinoam. Psicol. 50, 1–8. doi: 10.14349/rlp.2018.v50.n1.1
Salamó, A. M., Gras, E. Y., and Font-Mayolas, S. (2010). Patrones de consumo de alcohol en la adolescencia. Psicothema 22, 189–195.
Salcedo, R. M., and Lara, M. (2022). Nomophobia and its relationship with social skills in adolescents. Cienc. Lat. Rev. Cient. Multidiscip. 6, 10554–10565. doi: 10.37811/cl_rcm.v6i6.4148
Silveira, M. L., Green, V. R., Iannaccone, R., Kimmel, H. L., and Conway, K. P. (2019). Patterns and correlates of polysubstance use among US youth aged 15-17 years: wave 1 of the population assessment of tobacco and health (PATH) study. Addiction 114, 907–916. doi: 10.1111/add.14547
Steinberg, L. (2008). A social neuroscience perspective on adolescent risk-taking. Dev. Rev. 28, 78–106. doi: 10.1016/j.dr.2007.08.002
Strong, D. R., Messer, K., White, M., Shi, Y., Noble, M., Portnoy, D. B., et al. (2019). Youth perception of harm and addictiveness of tobacco products: findings from the population assessment of tobacco and health study (wave 1). Addict. Behav. 92, 128–135. doi: 10.1016/j.addbeh.2018.12.005
Tackett, A. P., Hébert, E. T., Smith, C. E., Wallace, S. W., Barrington-Trimis, J. L., Norris, J. E., et al. (2021). Youth use of e-cigarettes: does dependence vary by device type? Addict. Behav. 119:106918. doi: 10.1016/j.addbeh.2021.106918
Viejo, C., and Ortega-Ruiz, R. (2015). Cambios y riesgos asociados a la adolescencia. Psychol. Soc. Educ. 7, 109–118. doi: 10.25115/psye.v7i2.527
Villanueva, V. J., Eslava, D., Vázquez, A., and González, B. (2019). Perfiles de menores policonsumidores de drogas y su relación con la conducta antisocial: orientaciones para la prevención. Inf. Psicol. 117, 17–31. doi: 10.14635/IPSIC.2019.117.3
Warburton, W. A., Parkes, S., and Sweller, N. (2022). Internet gaming disorder: evidence for a risk and resilience approach. Int. J. Environ. Res. Public Health 19:5587. doi: 10.3390/ijerph19095587
Wartberg, L., Fischer-Waldschmidt, G., Kriston, L., Hoven, C. W., Sarchiapone, M., Carli, V., et al. (2021). Longitudinal predictors of problematic alcohol use in adolescence: a 2-year follow-up study. Addict. Behav. 120:106952. doi: 10.1016/j.addbeh.2021.106952
Wicki, M., Mallett, K. A., Delgrande Jordan, M., Reavy, R., Turrisi, R., Archimi, A., et al. (2018). Adolescents who experienced negative alcohol-related consequences are willing to experience these consequences again in the future. Exp. Clin. Psychopharmacol. 26, 132–137. doi: 10.1037/pha0000184
Keywords: alcohol, tobacco, Cannabis, problematic internet use, adolescents, systematic review
Citation: Simón Márquez MM, Fernández Gea S, Molero Jurado MM, Molina Moreno P and Pérez-Fuentes MC (2025) Addictions and risk behaviors in adolescence: a systematic review and qualitative analysis. Front. Psychol. 16:1646746. doi: 10.3389/fpsyg.2025.1646746
Edited by:
Francisco Manuel Morales Rodríguez, University of Granada, SpainReviewed by:
Inmaculada Méndez, University of Murcia, SpainJoana R. Casanova, University of Minho, Portugal
Copyright © 2025 Simón Márquez, Fernández Gea, Molero Jurado, Molina Moreno and Pérez-Fuentes. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
*Correspondence: Silvia Fernández Gea, c2ZnMDIzQHVhbC5lcw==