Behavioral economic demand in opioid treatment: Predictive validity of hypothetical purchase tasks for heroin, cocaine, and benzodiazepines

Schwartz, Lindsay P.; Blank, Lillian; Hursh, Steven R.

doi:10.1016/j.drugalcdep.2021.108562

Cited by 22 publications

(35 citation statements)

References 37 publications

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“…The concept of "relative value" is central to theories of addiction grounded in behavioral economics [52,53] and has been the focus of much work in other pertinent domains in addiction such as diagnosis and prognosis [54][55][56][57][58][59][60][61][62][63][64][65]. However, the specific effect of craving in drug-vs. nondrug-related valuation has received comparatively less attention.…”

Section: Discussionmentioning

confidence: 99%

A neuroeconomic signature of opioid craving: How fluctuations in craving bias drug-related and nondrug-related value

Biernacki

López-Guzmán

Messinger

et al. 2021

Neuropsychopharmacol.

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How does craving bias decisions to pursue drugs over other valuable, and healthier, alternatives in addiction? To address this question, we measured the in-the-moment economic decisions of people with opioid use disorder as they experienced craving, shortly after receiving their scheduled opioid maintenance medication and ~24 h later. We found that higher cravers had higher drug-related valuation, and that moments of higher craving within-person also led to higher drug-related valuation. When experiencing increased opioid craving, participants were willing to pay more for personalized consumer items and foods more closely related to their drug use, but not for alternative “nondrug-related” but equally desirable options. This selective increase in value with craving was greater when the drug-related options were offered in higher quantities and was separable from the effects of other fluctuating psychological states like negative mood. These findings suggest that craving narrows and focuses economic motivation toward the object of craving by selectively and multiplicatively amplifying perceived value along a “drug relatedness” dimension.

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Section: Discussionmentioning

confidence: 99%

A neuroeconomic signature of opioid craving: How fluctuations in craving bias drug-related and nondrug-related value

Biernacki

López-Guzmán

Messinger

et al. 2021

Neuropsychopharmacol.

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“…In the example demand curves shown in Fig. 1 , the consumption at zero-price is defined as demand amplitude or Q 0 , and this quantity is often correlated with addiction severity or predictive of substance use (Bernstein et al, 2014 ; MacKillop et al, 2016 ; Schwartz et al, 2021 ; Zvorsky et al, 2019 ). Demand elasticity is the rate of change in the slope (in log-log units) and describes how consumption changes with increases in price: elastic demand is characterized by the percent decrease in consumption exceeding the percent increase in price, whereas inelastic demand occurs when the percent decrease in consumption is less than the percent increase in price.…”

mentioning

confidence: 99%

Time Cost and Demand: Implications for Public Policy

Schwartz

Hursh

2022

Perspect Behav Sci

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“…Third, we calculated P max , the price at which demand becomes elastic and maximum expenditure would be expected, with the derived α and Q 0 values using the P max Calculator available on this website (https://www.smallnstats.com/index.php?page=ZBE). If the participants chose 0 likelihood for all the time, their P max value was conceptualized as 0 (see Schwartz et al, 2021, for the same arrangement). For the participants who exclusively chose 100 likelihood, their P max value, which was extraordinarily large (>4 trillion), was replaced with 812.1—the largest P max value observed in other participants (695.9) plus 1 standard deviation of all P max values (116.2).…”

Section: Methodsmentioning

confidence: 99%

A behavioral economic demand analysis of mothers' decision to exclusively breastfeed in the workplace

Hayashi

Fisher

Hantula³

et al. 2022

J Exper Analysis Behavior

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The present study determined whether behavioral economic demand analysis could characterize mothers' decision to exclusively breastfeed in the workplace. Females, aged between 18 and 50 who have given birth in the past three years, completed a novel demand task with hypothetical scenarios, in which they returned to work with a 2-month-old baby. Participants rated their likelihood of breastfeeding their baby at a workplace lactation room versus formula-feeding their baby at their desk. The distance to the lactation room ranged from 10 s to 60 min. This assessment was conducted with and without hypothetical financial incentives for 6-month exclusive breastfeeding. Primary dependent measures were demand intensity and change in demand elasticity, which could conceptually represent initiation and continuation of breastfeeding, respectively. Demand for breastfeeding was more intense and less elastic (i.e., more likely to initiate and continue breastfeeding) among mothers with an experience of 6-month exclusive breastfeeding and under the condition with the financial incentives. The novel demand task can potentially provide a useful behavioral marker for quantifying mothers' decision to initiate and continue exclusive breastfeeding in the workplace, informing workplace policy regarding lactation rooms, identifying risk for early cessation, and developing and individualizing an intervention to assist mothers to exclusively breastfeed in the workplace.

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Behavioral economic demand in opioid treatment: Predictive validity of hypothetical purchase tasks for heroin, cocaine, and benzodiazepines

Cited by 22 publications

References 37 publications

A neuroeconomic signature of opioid craving: How fluctuations in craving bias drug-related and nondrug-related value

A neuroeconomic signature of opioid craving: How fluctuations in craving bias drug-related and nondrug-related value

Time Cost and Demand: Implications for Public Policy

A behavioral economic demand analysis of mothers' decision to exclusively breastfeed in the workplace

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