“…Additionally, the sample composition was highly skewed in terms of male gender. However, this reflects extant literature, which supports the predominance of males versus females in use and engagement but also in the development of the disorder and in vulnerability factors, despite growing evidence for higher female use (Dauphin & Heller, 2010;Dong, Wang, Du, & Potenza, 2018;Milani et al, 2018;Veltri, Krasnova, Baumann, & Kalayamthanam, 2014). A significant limitation of this study is its cross-sectional design, particularly with respect to its attempt to establish causality and its direction between the variables examined.…”