The association between parental history and delay discounting among individuals in recovery from addiction

Stein, Jeffrey S.; Quisenberry, Amanda J.; Pope, Derek A.; Bickel, Warren K.

doi:10.1016/j.drugalcdep.2017.06.037

Cited by 17 publications

(8 citation statements)

References 67 publications

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“…Numerous studies have shown that the decline in the reward value is not only significantly steeper in addicted individuals compared with their non-drug-using peers [88], but the steepness of decline varies across different drug classes [87]. Choice preference has also been shown to persist during early abstinence [109], which is consistent with the notion of delay discounting being a heritable trait [110][111][112], which may be further exacerbated by chronic substance abuse [113]. However, whether or not delay discounting actually represents an endophenotype for addiction is still unclear.…”

Section: Studies In Humans (A) Impulsivity and Addiction Vulnerabilitymentioning

confidence: 61%

Neural circuitry and mechanisms of waiting impulsivity: relevance to addiction

Dalley

Ersche

2018

Phil. Trans. R. Soc. B

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Impatience—the failure to wait or tolerate delayed rewards (e.g. food, drug and monetary incentives)—is a common behavioural tendency in humans. However, when rigidly and rapidly expressed with limited regard for future, often negative consequences, impatient or impulsive actions underlie and confer susceptibility for such diverse brain disorders as drug addiction, attention-deficit hyperactivity disorder (ADHD) and major depressive disorder. Consequently, ‘waiting’ impulsivity has emerged as a candidate endophenotype to inform translational research on underlying neurobiological mechanisms and biomarker discovery for many of the so-called impulse-control disorders. Indeed, as reviewed in this article, this research enterprise has revealed a number of unexpected targets and mechanisms for intervention. However, in the context of drug addiction, impulsive decisions that maximize short-term gains (e.g. acute drug consumption) over longer-term punishment (e.g. unemployment, homelessness, personal harm) defines one aspect of impulsivity, which may or may not be related to rapid, unrestrained actions over shorter timescales. We discuss the relevance of this distinction in impulsivity subtypes for drug addiction with reference to translational research in humans and other animals. This article is part of the theme issue ‘Risk taking and impulsive behaviour: fundamental discoveries, theoretical perspectives and clinical implications’.

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Section: Studies In Humans (A) Impulsivity and Addiction Vulnerabilitymentioning

confidence: 61%

Neural circuitry and mechanisms of waiting impulsivity: relevance to addiction

Dalley

Ersche

2018

Phil. Trans. R. Soc. B

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“…It may also predispose one to a SUD (Poulton & Hester, 2020). Similar to risk of relapse, delay discounting is associated with individual characteristics and demographic variables including age (Steinberg et al, 2009), education (Jaroni et al, 2004), polysubstance use (Moody et al, 2016), family history of substance misuse (Athamneh et al, 2017a; VanderBroek et al, 2015), abstinence self‐efficacy (Athamneh et al, 2019), intention to quit (Athamneh et al, 2017b), and depression scores (García‐Pérez et al, 2020; Imhoff et al, 2014). Longer time in recovery is associated with lower rates of discounting (Athamneh et al, 2019; Tomlinson et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

The phenotype of recovery V: Does delay discounting predict the perceived risk of relapse among individuals in recovery from alcohol and drug use disorders

Turner

Basso

Bickel

2021

Alcoholism Clin & Exp Res

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Background Substance use recovery is a dynamic process. Relapse, often part of the recovery process, is a persistent problem for individuals seeking freedom from their harmful substance use and has become a focus of research on the improvement of recovery outcomes. Delay discounting is associated with substance use disorder severity, both its negative outcomes and the propensity to relapse. However, the association between delay discounting and perceived risk of relapse as measured by the Alcohol Warning of Relapse Questionnaire has not previously been examined in a population of individuals in long‐term recovery from substance misuse. Methods In this study, using data collected from the International Quit and Recovery Registry, we investigated the association between delay discounting, self‐reported time in recovery, and perceived risk of relapse. Data from 193 individuals self‐reporting to be in recovery from harmful substance use were included in the study. Results Delay discounting rates were significantly negatively associated with length of recovery (p = 0.036) and positively with perceived risk of relapse (p = 0.027) even after controlling for age, gender, education, marital status, ethnicity, race, primary substance, and length in the registry. Moreover, a mediation analysis using Hayes’ methods revealed that the association between the length of recovery and perceived relapse risk was partially mediated by delay discounting, accounting for 21.2% of the effect. Conclusions Our finding supports previous characterizations of delay discounting as a candidate behavioral marker of substance misuse and may help to identify individuals at higher perceived risk of relapse in an extended recovery population.

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“…We chose to examine the relationship of age to these variables within our sample, as age is a construct related to recovery from substance use disorders as demonstrated by the phenomena of maturing out of addiction ( Vergés et al, 2013 , Waldorf, 1983 , Waldorf and Biernacki, 1981 ). Data from these measures and demographic characteristics were collected from the International Quit and Recovery Registry (IQRR) ( http://quitandrecovery.org ), an online community designed to further understand the phenotype of recovery (see also Athamneh et al, 2019 , Athamneh et al, 2017 ). We hypothesized that higher rates of discounting would be associated with higher levels of perceived stress, higher scores regarding beliefs about external locus of control (measured by the IPCS and the DRLOC), and a shorter time in self-reported recovery.…”

Section: Introductionmentioning

confidence: 99%