Delay-discounting among homeless, out-of-treatment, substance-dependent men who have sex with men

Dierst-Davies, Rhodri; Reback, Cathy J.; Peck, James A.; Nuño, Miriam A; Kamien, Jonathan B.; Amass, Leslie

doi:10.3109/00952990.2010.540278

Cited by 11 publications

(10 citation statements)

References 23 publications

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“…Hence, rates of monetary delay discounting are correlated with sexual behavior that is risky. Furthermore, higher rates of discounting than those of healthy controls are found in individuals who already have HIV (Dierst-Davies et al, 2011) or hepatitis C (Huckans et al, 2011). …”

Section: Research On the Discounting Of Delayed Reinforcersmentioning

confidence: 99%

Excessive discounting of delayed reinforcers as a trans-disease process contributing to addiction and other disease-related vulnerabilities: Emerging evidence

Bickel

Jarmolowicz

Mueller

et al. 2012

Pharmacology & Therapeutics

531

470

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Delay discounting describes the devaluation of a reinforcer as a function of the delay until its receipt. Although all people discount delayed reinforcers, one consistent finding is that substance-dependent individuals tend to discount delayed reinforcers more rapidly than do healthy controls. Moreover, these higher-than-normal discounting rates have been observed in individuals with other behavioral maladies such as pathological gambling, poor health behavior, and overeating. This suggests that high rates of delay discounting may be a trans-disease process (i.e., a process that occurs across a range of disorders, making findings from one disorder relevant to other disorders). In this paper, we argue that delay discounting is a trans-disease process, undergirded by an imbalance between two competing neurobehavioral decision systems. Implications for our understanding of, and treatment for, this trans-disease process are discussed.

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Section: Research On the Discounting Of Delayed Reinforcersmentioning

confidence: 99%

Excessive discounting of delayed reinforcers as a trans-disease process contributing to addiction and other disease-related vulnerabilities: Emerging evidence

Bickel

Jarmolowicz

Mueller

et al. 2012

Pharmacology & Therapeutics

531

470

View full text Add to dashboard Cite

show abstract

“…However, the vast majority of participants in previous studies selected only opposite gender partners on the SDT, making it unclear whether the aforementioned findings generalize to choices MSM make about condom use with male partners. Indeed, there are no published reports that examine discounting of condom-protected sex or any other HIV-related outcomes among MSM, and to our knowledge, only two studies have examined discounting of any commodity (money) among MSM (13, 23). Taken together, these studies demonstrated associations between steeper discounting of delayed monetary rewards and substance dependence (13) and higher rates of UAI (23) among MSM, and acknowledge that future studies that examine relations between discounting and HIV risk among MSM would benefit from using delay discounting tasks specific to sexual risk taking (23), as no such studies exist in the literature, indicating an important opportunity to extend this area of research.…”

Section: Introductionmentioning

confidence: 99%

Examining Delay Discounting of Condom-Protected Sex Among Men Who Have Sex with Men Using Crowdsourcing Technology

Herrmann

Johnson

2015

AIDS Behav

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“…For example, using tasks assessing monetary preferences, one recent study found that substance-dependent men who have sex with men (MSM) exhibit significantly more impulsive delay discounting compared to a control group [28]. Impulsive monetary discounting has also been shown to be associated with younger age of sexual initiation and recent sexual infidelity in healthy young adults [29], albeit with some methodological ambiguity.…”

Section: Introductionmentioning

confidence: 99%

Behavioral Economic Decision Making and Alcohol-related Sexual Risk Behavior

et al. 2014

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The discipline of behavioral economics integrates principles from psychology and economics to systematically characterize decision-making preferences. Two forms of behavioral economic decision making are of relevance to HIV risk behavior: delay discounting, reflecting preferences for immediate small rewards relative to larger delayed rewards (i.e., immediate gratification), and probability discounting, reflecting preferences for larger probabilistic rewards relative to smaller guaranteed rewards (i.e., risk sensitivity). This study examined questionnaire-based indices of both types of discounting in relation to sexual risk taking in an emergency department sample of hazardous drinkers who engage in risky sexual behavior. More impulsive delay discounting was significantly associated with increased sexual risk-taking during a drinking episode, but not general sexual risk-taking. Probability discounting was not associated with either form of sexual risk-taking. These findings implicate impulsive delay discounting with sexual risk taking during alcohol intoxication and provide further support for applying this approach to HIV risk behavior.

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Delay-discounting among homeless, out-of-treatment, substance-dependent men who have sex with men

Abstract: A better understanding of the prevalence of delay-discounting type behaviors among homeless, substance-dependent MSM can be used to inform the development of tailored substance abuse interventions for this high-risk population.

Cited by 11 publications

References 23 publications

Excessive discounting of delayed reinforcers as a trans-disease process contributing to addiction and other disease-related vulnerabilities: Emerging evidence

Excessive discounting of delayed reinforcers as a trans-disease process contributing to addiction and other disease-related vulnerabilities: Emerging evidence

Examining Delay Discounting of Condom-Protected Sex Among Men Who Have Sex with Men Using Crowdsourcing Technology

Behavioral Economic Decision Making and Alcohol-related Sexual Risk Behavior

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