ARTICLES

Letter to Editor

Gamblification Mechanisms and the Risk of Addiction among Adolescents

Ozan Kayar
2025, 9(2), s:5-7

Online games today are not merely a means of entertainment or socialization for adolescents, but rather a risky domain that fosters addictive behaviors. While the digital gaming industry has reached a multibillion-dollar scale, this growth has been driven by technological advances as well as design strategies referred to as “gamblification.” Random reward systems embedded in popular games provide cosmetic features alongside competitive advantages, creating a perception of “easy winning” and integrating gambling dynamics into the gaming experience. Research indicates that when combined with the need for social approval and competitive pressure, these mechanisms lead adolescents to repeated attempts; moreover, linking game progression directly to such systems normalizes gambling-like behaviors and reinforces tendencies toward addiction. Although some countries have introduced concrete regulatory measures in this field, a systematic legal framework has not yet been established in Türkiye. In light of this gap, the academic community, policymakers, educators, and clinicians should develop a shared awareness and implement comprehensive measures to protect adolescents.


Review Article

Dermatological Symptoms in Alcohol and Substance Use Disorders: A Review with Current Literature

Yusuf İslam EREN,Çiçek HOCAOĞLU
2025, 9(2), s:8-19

Alcohol and substance use disorders (ASUD) are chronic, relapsing psychiatric conditions with significant individual and public health implications. While their neuropsychiatric effects are well documented, their dermatological manifestations often remain under-recognized in clinical practice, leading to delays in diagnosis and treatment. This narrative review systematically explores skin findings associated with the use of alcohol, cannabis, hallucinogens, inhalants, opioids, stimulants, and tobacco, based on recent literature. Alcohol is frequently linked with telangiectasias, seborrheic dermatitis, pruritus, and rosacea-like eruptions. Opioid use often results in pruritus, ulcerations, and scarring at injection sites. Stimulants such as cocaine and amphetamines are associated with vasculitic rashes, formication-induced excoriations, and ulcerative dermatoses. Cannabis, hallucinogens, and inhalants may cause contact dermatitis, pigmentary changes, and perioral lesions. Tobacco use, though legally sanctioned, significantly contributes to premature skin aging and exacerbation of chronic inflammatory dermatoses. Early recognition of these dermatologic signs may serve as clinical clues, aiding in the timely diagnosis of ASUD. Integrating dermatological evaluation into addiction treatment protocols can improve outcomes and reduce unnecessary investigations. This review emphasizes the importance of skin manifestations in ASUD and encourages greater clinical attention and multidisciplinary collaboration in addressing these often-overlooked indicators.


Original Article

Investigation Of the Relationship Between Online Shopping Addiction And Social Media Addiction In University Students: As Social Media Use Increases, Shopping Desire Increases

Yunus Emre Öksüz,Gözde Masatcıoğlu
2025, 9(2), s:20-27

Online shopping is more attractive to consumers than physical shopping due to the convenience and variety of products it offers. This situation has introduced the concept of online shopping addiction, a concept that is increasingly used in literature. The increasing commercial potential of social media platforms and the advertising strategies of shopping websites on social media show that social media platforms encourage shopping. This study aims to examine the online shopping habits of individuals who spend significant time on social media and to investigate the potential impulsive effects of social media on online shopping. The study was conducted with 254 participants through an online survey method. The relational survey method was used in the study. The study was conducted through the Online Shopping Addiction Scale and the Social Media Addiction Scale-Adult Form. As a result of the correlation analysis, a significant relationship was found between social media use and online shopping (p <.01). The regression analysis showed that a one-unit increase in social media addiction caused a 0.762-unit increase in online shopping behavior (B = .762, SE = .041). These findings support the hypothesis of this study that as social media addiction increases, online shopping addiction increases.


Original Article

Smoking, Alcohol, and Substance Addiction Treatment Program (SAMBA): A Retrospective Analysis of the Effectiveness

Remzi Oğulcan Çıray,Mehmet Akif Çeçen,Pelin Çiray
2025, 9(2), s:28-34

Alcohol and substance use disorders are common public health issues that impair individuals’ biopsychosocial functioning and present various challenges during the treatment process. The Tobacco, Alcohol, and Substance Use Disorder Treatment Program (SAMBA) is structured with the aim of providing psychoeducation to individuals struggling with addiction, enhancing their communication and problem-solving skills, and supporting impulse control. This study aims to evaluate the implementation, participant characteristics, and treatment-related outcomes of the SAMBA program conducted over the course of one year at a training and research hospital. The study examines the demographic characteristics of the individuals participating in the program, their level of treatment adherence, and their relationship with the SAMBA program. The findings suggest that SAMBA provides a structured and holistic approach to addiction treatment and may serve as an effective model for enhancing treatment adherence.


Original Article

Psychostatic Theory in Childhood Delinquency and Violence Addiction, and Adolescent Column Gaps, Ideological Leakage, and Risk Behaviors

Mesut Kölçe
2025, 9(2), s:35-60

This study argues that cognitive, emotional, and behavioral column gaps and fractures formed during childhood create an invisible foundation for internal stress, social maladjustment, and behavioral risks in later life, while also constituting the fundamental building blocks that determine an individual’s lifelong functionality (22). Within the framework of Psychostatic Theory, it examines the developmental risks of children and adolescents aged 0-14 and the psychosocial functions of their column structures. The theory assesses risks related to ideology, violence, and substance use through static structures based on the individual’s developmental columns. These columns represent essential psychological constructs such as belonging, trust, self-esteem, meaning and value, boundary awareness, emotional literacy, and body image. The solidity of these columns determines the individual’s resilience against stress, trauma, ideological manipulation, and social pressures, whereas cracks or deficiencies in the columns increase susceptibility to risky behaviors. Unlike classical psychodynamic and cognitive developmental approaches, Psychostatic Theory conceptualizes individual development through the metaphor of static and structural columns. While Freud’s drive-based explanations and Erikson’s socially oriented developmental crises describe development as dynamic processes, Psychostatic Theory concretizes the root causes of risky behaviors through the solidity and gaps of these columns. Research indicates that emotional, social, and cognitive deficiencies in childhood are associated with violence, substance use, bullying, and ideological radicalization later in life (13-32). Psychostatic Theory clarifies these relationships by mapping them onto the column structures and their gaps, thereby offering the capacity to explain both individual and societal risks. Particularly during adolescence, the rapid maturation of the limbic system and the relatively slower development of the prefrontal cortex directly interact with the load-bearing functions of these columns (36). This interaction strengthens the relationship between the solidity of columns-such as belonging, trust, self-esteem, boundary awareness, and emotional literacyand the individual’s vulnerability to risky behaviors. Moreover, external risks such as ideological manipulation, peer bullying, and substance use exert influence through these column gaps. In conclusion, this study demonstrates that Psychostatic Theory provides a comprehensive and preventive framework for monitoring, assessing, and reinforcing psychological columns. As a result, the theory offers a scientific approach aimed at reducing violence, criminal tendencies, and risky behaviors at both individual and societal levels.