Abstract:
OBJECTIVES:The present research explored the effect of reward sensitivity bias and metacognitive deficits on substance use disorder (SUD) in the decision-making process. METHODS:The behavioral activation system (BAS) was used as a predictive marker of dysfunctional behavior during the Iowa gambling task (IGT). We also tried to relate this motivational system bias to self-reported metacognitive measures (self-knowledge, strategic planning, flexibility, and efficacy) in the decision processes. Thirty-four SUD participants (cocaine dependent) and 39 participants in the control group underwent the IGT. RESULTS:The SUD group was associated with a poorer performance on the IGT and a dysfunctional metacognition ability (unrealistic representation). An increase in the reward sensitivity (higher BAS, BAS reward responsiveness, and BAS reward) was observed in the SUD group compared with the control group and explained (through a regression analysis) the main behavioral deficits. More generally, an increase in the BAS reward responsiveness may be considered a predictive measure of risk-taking and dysfunctional behavior, not only in pathological (SUD) individuals, but also in subclinical individuals (controls). CONCLUSIONS:We discuss the likely cognitive, brain, and neurotransmitter contributions to this phenomenon.
journal_name
J Addict Medjournal_title
Journal of addiction medicineauthors
Balconi M,Finocchiaro R,Campanella Sdoi
10.1097/ADM.0000000000000065subject
Has Abstractpub_date
2014-11-01 00:00:00pages
399-406issue
6eissn
1932-0620issn
1935-3227journal_volume
8pub_type
杂志文章abstract:OBJECTIVES:Screening, Brief Intervention, and Referral to Treatment (SBIRT) has demonstrated efficacy for addressing unhealthy alcohol use in primary care, yet recent research indicates weaker efficacy for drug use as well as very limited success in referral to specialty care for patients with substance use disorder (S...
journal_title:Journal of addiction medicine
pub_type: 杂志文章
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journal_title:Journal of addiction medicine
pub_type: 杂志文章,随机对照试验
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abstract:UNLABELLED:Previous studies have not examined patterns of pain treatment use among patients seeking office-based buprenorphine-naloxone treatment (BNT) for opioid dependence. OBJECTIVES:To examine, among individuals with pain seeking BNT for opioid dependence, the use of pain treatment modalities, perceived efficacy o...
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pub_type: 杂志文章
doi:10.1097/ADM.0b013e31826d1df3
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pub_type: 杂志文章,评审
doi:10.1097/ADM.0000000000000239
更新日期:2016-09-01 00:00:00
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journal_title:Journal of addiction medicine
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更新日期:2013-11-01 00:00:00
abstract:BACKGROUND:The health burden of cannabis use in patients with other substance dependencies is not fully understood. OBJECTIVE:To assess the impact of cannabis use as secondary drug on mortality of patients with other major substance use disorders. PARTICIPANTS:Patients with opiate, cocaine, or alcohol dependence admi...
journal_title:Journal of addiction medicine
pub_type: 杂志文章
doi:10.1097/ADM.0000000000000266
更新日期:2017-01-01 00:00:00
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journal_title:Journal of addiction medicine
pub_type: 杂志文章
doi:10.1097/ADM.0000000000000055
更新日期:2014-09-01 00:00:00
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journal_title:Journal of addiction medicine
pub_type: 杂志文章
doi:10.1097/ADM.0b013e3181e8b6c4
更新日期:2011-06-01 00:00:00
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更新日期:2020-12-01 00:00:00
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pub_type: 杂志文章
doi:10.1097/ADM.0000000000000109
更新日期:2015-03-01 00:00:00
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journal_title:Journal of addiction medicine
pub_type: 杂志文章
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更新日期:2018-11-01 00:00:00
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journal_title:Journal of addiction medicine
pub_type: 杂志文章
doi:10.1097/ADM.0b013e3181cae4d0
更新日期:2010-12-01 00:00:00
abstract:OBJECTIVES:Efforts to improve buprenorphine access for opioid use disorder have focused on increasing the number of waivered providers. However, it is unknown how efforts to increase initial prescribing result in a sustained pool of prescribers. We examine the prevalence of year-to-year provider-level buprenorphine pre...
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更新日期:2020-11-03 00:00:00
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pub_type: 杂志文章
doi:10.1097/ADM.0000000000000236
更新日期:2016-07-01 00:00:00
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更新日期:2011-09-01 00:00:00
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pub_type: 杂志文章
doi:10.1097/ADM.0b013e3181b562dc
更新日期:2010-09-01 00:00:00
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pub_type: 杂志文章
doi:10.1097/ADM.0b013e318288daa2
更新日期:2013-05-01 00:00:00
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doi:10.1097/ADM.0000000000000356
更新日期:2017-11-01 00:00:00
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更新日期:2020-09-08 00:00:00
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更新日期:2016-11-01 00:00:00
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journal_title:Journal of addiction medicine
pub_type: 杂志文章
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更新日期:2015-03-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2013-03-01 00:00:00
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journal_title:Journal of addiction medicine
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更新日期:2020-08-18 00:00:00
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更新日期:2013-07-01 00:00:00
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更新日期:2013-01-01 00:00:00
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pub_type: 杂志文章
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更新日期:2007-09-01 00:00:00
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更新日期:2019-11-01 00:00:00
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pub_type: 杂志文章
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更新日期:2017-03-01 00:00:00