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Facets of Impulsivity in Gaming Disorder: a Narrative Review 游戏障碍中的冲动性:叙述回顾
2区 医学 Q1 SUBSTANCE ABUSE Pub Date : 2023-10-03 DOI: 10.1007/s40429-023-00522-2
Silke M. Müller, Stephanie Antons, Matthias Brand
Abstract Purpose of review This narrative review provides a detailed look at impulsivity in the context of gaming disorder. Summarizing empirical findings, we aim to identify whether gaming disorder is associated with specific facets of impulsivity, namely motor, attentional, and decisional impulsivity, assessed by self-report and behavioral measures. Wherever possible, we distinguished between general and stimuli-specific (gaming-related) impulsivity. Recent findings Gaming disorder is associated with attentional impulsivity. Heightened motor impulsivity in individuals with gaming disorder is particularly evident in the presence of gaming-related cues. Decisional impulsivity is not per se increased. Gender-related differences and comorbid ADHD are likely to moderate the association between impulsivity and gaming disorder symptoms. Summary Facets of impulsivity are differentially associated with gaming disorder. These associations are dependent upon characteristics of the studied population, used measures, and applied diagnostic criteria. Uniform diagnosis/screening and more targeted investigations are necessary in order to derive effective clinical implications.
摘要:本文对游戏障碍背景下的冲动性进行了详细的研究。总结经验发现,我们旨在通过自我报告和行为测量来确定游戏障碍是否与冲动性的特定方面有关,即运动冲动性、注意力冲动性和决策冲动性。在可能的情况下,我们区分了一般冲动和特定刺激(游戏相关)冲动。最近的研究发现,游戏障碍与注意力冲动有关。游戏障碍患者运动冲动的增强在游戏相关线索的存在下尤为明显。决策冲动本身并没有增加。性别相关差异和共病ADHD可能会缓和冲动和游戏障碍症状之间的联系。冲动的各个方面与游戏障碍有不同的联系。这些关联取决于研究人群的特征、使用的测量方法和应用的诊断标准。为了获得有效的临床意义,统一的诊断/筛查和更有针对性的调查是必要的。
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引用次数: 0
Neural and Psychosocial Mechanisms Underlying Alcohol Use and Pain Interactions: Overview of Current Evidence and Future Directions 酒精使用和疼痛相互作用的神经和社会心理机制:当前证据和未来方向概述
2区 医学 Q1 SUBSTANCE ABUSE Pub Date : 2023-10-02 DOI: 10.1007/s40429-023-00518-y
Jeff Boissoneault, Bethany Stennett-Blackmon, Christina Gilmour, Shelby Blaes
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引用次数: 0
Medical Cannabis Use and Its Impact on Health Among Older Adults: Recent Research Findings and Future Directions 医用大麻的使用及其对老年人健康的影响:最近的研究结果和未来的方向
2区 医学 Q1 SUBSTANCE ABUSE Pub Date : 2023-09-26 DOI: 10.1007/s40429-023-00519-x
Yan Wang, Kendall R. Robinson, Hannah Fechtel, Alexis Hartog
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引用次数: 0
Sex and Gender Differences in Co-Occurring Alcohol Use Disorder and PTSD 同时发生的酒精使用障碍和创伤后应激障碍的性别差异
2区 医学 Q1 SUBSTANCE ABUSE Pub Date : 2023-09-22 DOI: 10.1007/s40429-023-00511-5
Tanya C. Saraiya, Sudie E. Back, Amber M. Jarnecke, Shannon M. Blakey, Alexandria G. Bauer, Delisa G. Brown, Lesia M. Ruglass, Therese Killeen, Denise A. Hien
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引用次数: 0
The Interrelation Between Emotional Impulsivity, Craving, and Symptoms Severity in Behavioral Addictions and Related Conditions: a Theory-Driven Systematic Review 行为成瘾及其相关条件中情绪冲动、渴望和症状严重程度之间的相互关系:一项理论驱动的系统综述
2区 医学 Q1 SUBSTANCE ABUSE Pub Date : 2023-09-16 DOI: 10.1007/s40429-023-00512-4
José López-Guerrero, Juan F. Navas, José C. Perales, Francisco J. Rivero, Ismael Muela
Abstract Purpose of Review Here, we systematically review all available evidence on the triadic relationship between positive and negative urgency, craving, and severity of symptoms of candidate behavioral addictions. Recent Findings Current theoretical models attribute a central importance to craving in the chronification and prognosis of behavioral addictions and other problematic non-substance-related behavioral patterns. Craving, in turn, has been convincingly shown to be an affect-laden state, and its control can be conceptualized as partially resulting from emotion regulation mechanisms. However, some gaps remain: first, there is no consensus on the predominantly appetitive or aversive nature of craving; and, second, although positive and negative urgency have been proposed as proxies to incidental emotion regulation mechanisms, their direct or indirect role in craving regulation and severity of problematic behaviors is still poorly known. Summary According to our results, craving emerges as a central construct, partially resulting from emotion dysregulation as assessed by urgency. The preponderance of positive urgency shown by most studies in this review also reinforces the view of positive emotions as a ‘trojan horse’ in addictive processes. Negative urgency, in turn, seems to be a complication factor that could underlie gambling addiction and other related mental health conditions. Most studies, however, are about gambling behavior, with the few studies in other domains precluding firm conclusions about the differences or similarities between them.
在这里,我们系统地回顾了所有关于候选行为成瘾的积极和消极紧迫性、渴望和症状严重程度之间的三位一体关系的现有证据。当前的理论模型在行为成瘾和其他有问题的非物质相关行为模式的慢性和预后中赋予渴望至关重要。渴望,反过来,已经被令人信服地证明是一种充满情感的状态,它的控制可以被概念化,部分是由情绪调节机制造成的。然而,仍然存在一些差距:首先,对于渴望主要是食欲还是厌恶的本质,人们没有达成共识;第二,虽然积极和消极紧迫感被认为是附带情绪调节机制的代理,但它们在渴望调节和问题行为严重程度中的直接或间接作用仍然知之甚少。根据我们的研究结果,渴望作为一种核心结构出现,部分原因是由紧迫感评估的情绪失调造成的。在这篇综述中,大多数研究显示积极紧迫感的优势也强化了积极情绪作为成瘾过程中的“特洛伊木马”的观点。反过来,消极紧迫感似乎是一个复杂因素,可能是赌博成瘾和其他相关精神健康状况的基础。然而,大多数研究都是关于赌博行为的,在其他领域的少数研究排除了它们之间差异或相似的确切结论。
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引用次数: 0
Food Addiction and Impulsivity in Clinical Populations by Gender: a Systematic Review 临床人群中食物成瘾和冲动的性别:一项系统综述
2区 医学 Q1 SUBSTANCE ABUSE Pub Date : 2023-09-16 DOI: 10.1007/s40429-023-00514-2
Anahí Gaspar-Pérez, Georgios Paslakis, Magda Rosinska, Lucero Munguía, Susana Jiménez-Murcia, Anna Szilágyi, Romina Miranda-Olivos, Lucia Camacho-Barcia, Cristina Ballero Reque, Bea Pászthy, Fernando Fernández-Aranda
Abstract Purpose of Review Food addiction (FA) has been found to be associated with impulsivity, mainly urgency (negative and positive) and lack of perseverance. The present systematic review aimed to identify differences in impulsivity by gender and current implications of treatment regarding FA and impulsivity in clinical populations. The search was conducted in PubMed, Scopus, and Web of Science (WOS) databases, using the following search terms: “food addiction” and “impuls*.” Studies were included if they were written in English, had an observational design (e.g., cross-sectional, longitudinal, case-control), and used a quantitative methodology, without a limited search period to avoid selection bias. Recent Findings We included twenty-nine articles that aimed to examine whether there is a relationship between FA and impulsivity in clinical populations. Looking at gender differences, attentional and motor impulsivity were found to be related to FA in samples of women with obesity, whereas in the only study in a sample of men with obesity, cognitive and non-planning impulsivity appeared to be more associated with FA. Moreover, we identified three studies on the effects of interventions which included motivational, psychosocial, nutritional, and mindfulness components to address impulsivity and FA in cohorts with overweight/obesity and with substance use disorder (SUD). While some studies reported decreased levels of impulsivity, in other studies only FA decreased, and only one study showed significant changes in both FA and impulsivity after treatment. Summary Further research is needed to better understand the association between impulsivity and FA. Specifically, more studies with male populations could provide further evidence on how to better tailor treatment designs.
食物成瘾(Food addiction, FA)被发现与冲动性、紧迫感(消极和积极)以及缺乏毅力有关。本系统综述旨在确定冲动性的性别差异,以及目前在临床人群中对FA和冲动性的治疗意义。在PubMed, Scopus和Web of Science (WOS)数据库中进行搜索,使用以下搜索词:“食物成瘾”和“冲动*”。如果研究以英文撰写,具有观察性设计(例如,横断面,纵向,病例对照),并使用定量方法,没有有限的搜索期以避免选择偏倚,则纳入研究。我们纳入了29篇旨在研究临床人群中FA与冲动之间是否存在关系的文章。从性别差异来看,在肥胖女性样本中,注意力和运动冲动被发现与FA有关,而在唯一一项针对肥胖男性样本的研究中,认知和非计划性冲动似乎与FA更相关。此外,我们确定了三项关于干预效果的研究,包括动机、社会心理、营养和正念成分,以解决超重/肥胖和物质使用障碍(SUD)队列中的冲动和FA问题。虽然一些研究报告冲动性水平下降,但在其他研究中只有FA下降,只有一项研究显示治疗后FA和冲动性都有显著变化。需要进一步的研究来更好地理解冲动与FA之间的关系。具体来说,更多针对男性人群的研究可以为如何更好地定制治疗设计提供进一步的证据。
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引用次数: 0
Loneliness, Pornography Use, Problematic Pornography Use, and Compulsive Sexual Behavior 孤独,色情使用,有问题的色情使用和强迫性行为
2区 医学 Q1 SUBSTANCE ABUSE Pub Date : 2023-09-14 DOI: 10.1007/s40429-023-00516-0
Gemma Mestre-Bach, Marc N. Potenza
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引用次数: 0
Alcohol Treatment Access and Engagement Among Women in the USA: a Targeted Review of the Literature 2012–2022 美国女性酒精治疗的获取和参与:2012-2022年文献的目标回顾
2区 医学 Q1 SUBSTANCE ABUSE Pub Date : 2023-09-12 DOI: 10.1007/s40429-023-00515-1
Emily A. Levine, Dawn E. Sugarman, Mary Rockas, R. Kathryn McHugh, Chloe Jordan, Shelly F. Greenfield
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引用次数: 0
The Use of Illicit Drugs in Therapy: an Introduction 非法药物在治疗中的使用:导论
IF 4.3 2区 医学 Q1 SUBSTANCE ABUSE Pub Date : 2023-09-08 DOI: 10.1007/s40429-023-00509-z
Anna Ross, Jake Hawthorn
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引用次数: 0
International Prevalence of Self-exclusion From Gambling: a Systematic Review and Meta-analysis 自我排斥赌博的国际流行:系统回顾和元分析
IF 4.3 2区 医学 Q1 SUBSTANCE ABUSE Pub Date : 2023-09-07 DOI: 10.1007/s40429-023-00510-6
R. Bijker, N. Booth, S. Merkouris, N. Dowling, S. Rodda
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引用次数: 0
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