Co-occurrence of alcohol use disorder and behavioral addictions: relevance of impulsivity and craving

Nicola, Marco Di; Tedeschi, D.; Risio, Luisa De; Pettorruso, Mauro; Martinotti, Giovanni; Ruggeri, Filippo; Swierkosz-Lenart, Kevin; Guglielmo, Riccardo; Callea, Antonino; Ruggeri, Giuseppe C.; Pozzi, Gino; Giannantonio, Massimo Di; Janiri, Luigi

doi:10.1016/j.drugalcdep.2014.12.028

Cited by 127 publications

(59 citation statements)

References 80 publications

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“…A common association with substance use disorders was also suggested by a study showing that individuals with alcohol use disorder had a significantly higher rate of various behavioural addictions compared to those without alcohol use disorder (53). This may support the notion about the propensity towards addictive behaviours, regardless of whether these involve psychoactive substances or certain repetitive and problematic activities.…”

Section: Discussionmentioning

confidence: 80%

Relationships between Behavioural Addictions and Psychiatric Disorders: What Is Known and What Is Yet to Be Learned?

Starčević

Khazaal

2017

Front. Psychiatry

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This article provides a narrative review of the relationships between several behavioural addictions [pathological gambling, problematic Internet use (PIU), problematic online gaming, compulsive sexual behaviour disorder, compulsive buying, and exercise addiction] and psychiatric disorders. Associations between most behavioural addictions and depressive and anxiety disorders are strong and seem relatively non-specific. Strong links with substance use disorders may support the notion that some people are more prone to addictive behaviours, regardless of whether these involve substances or problematic activities. Other associations seem relatively specific, for example, those between PIU/online gaming and attention-deficit/hyperactivity disorder, between compulsive buying on the one hand and eating disorders and hoarding on the other hand and between exercise addiction and eating disorders. The quality of the research varies, but most studies suffer from methodological limitations, including a cross-sectional or correlational design, non-representative study populations, small sample sizes, reliance on self-report assessment instruments, diverse diagnostic criteria, and conceptual heterogeneity of most behavioural addictions. Due to these limitations, generalisability of the findings is questionable and the direction of causality, if any, is unknown in the relationships between behavioural addictions and psychiatric disorders. Regardless of the aetiological uncertainty, these relationships often call for a modified treatment approach. Prospective studies are needed to clarify the longitudinal relationships between behavioural addictions and psychiatric disorders.

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Section: Discussionmentioning

confidence: 80%

Relationships between Behavioural Addictions and Psychiatric Disorders: What Is Known and What Is Yet to Be Learned?

Starčević

Khazaal

2017

Front. Psychiatry

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“…Firstly, both psychiatric conditions could be considered as forming part of the impulse control disorder spectrum, with the most evident shared attribute being the impulsive/compulsive nature of the addictive behavior (Leeman and Potenza, 2012; Grant and Chamberlain, 2014; Di Nicola et al, 2015; Konkolý Thege et al, 2015). Other shared characteristics are the early onset of these problematic/excessive behaviors (Balogh et al, 2013), high exposure to adverse life events (Lee et al, 2012), personality traits characterized by high scores in impulsivity, high levels of emotional-psychological distress (Karim and Chaudhri, 2012), and difficulties in emotion regulation (Williams et al, 2012; Pivarunas and Conner, 2015).…”

Section: Introductionmentioning

confidence: 99%

Food Addiction in Gambling Disorder: Frequency and Clinical Outcomes

et al. 2017

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Background: The food addiction (FA) model is receiving increasing interest from the scientific community. Available empirical evidence suggests that this condition may play an important role in the development and course of physical and mental health conditions such as obesity, eating disorders, and other addictive behaviors. However, no epidemiological data exist on the comorbidity of FA and gambling disorder (GD), or on the phenotype for the co-occurrence of GD+FA.Objectives: To determine the frequency of the comorbid condition GD+FA, to assess whether this comorbidity features a unique clinical profile compared to GD without FA, and to generate predictive models for the presence of FA in a GD sample.Method: Data correspond to N = 458 treatment-seeking patients who met criteria for GD in a hospital unit specialized in behavioral addictions.Results: Point prevalence for FA diagnosis was 9.2%. A higher ratio of FA was found in women (30.5%) compared to men (6.0%). Lower FA prevalence was associated with older age. Patients with high FA scores were characterized by worse psychological state, and the risk of a FA diagnosis was increased in patients with high scores in the personality traits harm avoidance and self-transcendence, and low scores in cooperativeness (R2 = 0.18).Conclusion: The co-occurrence of FA in treatment-seeking GD patients is related to poorer emotional and psychological states. GD treatment interventions and related behavioral addictions should consider potential associations with problematic eating behavior and aim to include techniques that aid patients in better managing this behavior.

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“…Those with non-drug addictions share similar personality traits with drug users, including sensation seeking and impulsivity (Di Nicola et al., 2015; Robbins & Clark, 2015). Similarities also exist in psychological and behavioral manifestations of drug and non-drug addictions.…”

Section: Introductionmentioning

confidence: 99%

Addiction in Extreme Sports: An Exploration of Withdrawal States in Rock Climbers

et al. 2016

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Background and aimsExtreme sports athletes are often labeled “adrenaline junkies” by the media, implying they are addicted to their sport. Research suggests during abstinence these athletes may experience withdrawal states characteristic of individuals with an addiction (Celsi, Rose, & Leigh, 1993; Franken, Zijlstra, & Muris, 2006; Willig, 2008). Despite this notion, no research has directly explored withdrawal experiences of extreme sports athletes.MethodsUsing semi-structured interviews, we explored withdrawal experiences of high (n = 4) and average-ability (n = 4) male rock climbers during periods of abstinence. We investigated the psychological and behavioral aspects of withdrawal, including craving, anhedonia, and negative affect; and differences in the frequency and intensity of these states between groups.ResultsDeductive content analysis indicated support for each of the three categories of anhedonia, craving, and negative affect. Consistent with existing substance addiction literature, high-ability climbers recalled more frequent and intense craving states and negative affect during abstinence compared with average-ability climbers. No differences in anhedonic symptoms between high and average-ability participants were found.ConclusionsRock climbing athletes appear to experience withdrawal symptoms when abstinent from their sport comparable to individuals with substance and behavioral addictions. The implications of these findings and suggestions for future research are discussed.

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Co-occurrence of alcohol use disorder and behavioral addictions: relevance of impulsivity and craving

Cited by 127 publications

References 80 publications

Relationships between Behavioural Addictions and Psychiatric Disorders: What Is Known and What Is Yet to Be Learned?

Relationships between Behavioural Addictions and Psychiatric Disorders: What Is Known and What Is Yet to Be Learned?

Food Addiction in Gambling Disorder: Frequency and Clinical Outcomes

Addiction in Extreme Sports: An Exploration of Withdrawal States in Rock Climbers

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