The Concepts of Rash Impulsiveness and Reward Sensitivity in Substance Use Disorders

Boog, Michiel; Goudriaan, Anna E.; Wetering, B.J.M. van de; Deuss, Hilda; Franken, Ingmar H.A.

doi:10.1159/000346178

Cited by 15 publications

(13 citation statements)

References 41 publications

(81 reference statements)

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“…For example, Boog et al [2] proposed that rash impulsiveness and reward sensitivity are two aspects associated with addiction. According to this theory, rash impulsiveness reflects disinhibition, ‘a rash tendency to act upon acute impulses', and reward sensitivity describes a sensitivity to appetitive rewarding stimuli, which overlaps with the concept and empirical evidence of enhanced salience attribution.…”

Section: Introductionmentioning

confidence: 99%

Is Binge Drinking in Young Adults Associated with an Alcohol-Specific Impairment of Response Inhibition?

Czapla

Simon²,

Friederich³

et al. 2014

Eur Addict Res

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Background/Aims: Little is known about the association of binge drinking with impulsivity related to trait- or state-like aspects of behavior. The aim of the present study was therefore to investigate whether binge drinkers show an impairment of inhibitory control in comparison to non-binge drinkers when confronted with alcohol-associated or control stimuli, and whether this is reflected in self-reported impulsivity. Methods: A go/no-go task with pictures of alcoholic and nonalcoholic beverages as well as control stimuli was administered to binge drinkers and a gender-matched group of non-binge drinkers. All participants also completed the Barratt Impulsiveness Scale (BIS-11). Results: We found an alcohol-specific impairment of response inhibition for binge drinkers only, while the groups did not differ with regard to overall response inhibition to the experimental stimuli or self-reported impulsiveness (BIS-11). In addition, the number of commission errors in response to alcohol-associated stimuli was the only significant predictor of binge drinking. Conclusion: The findings of the present study suggest that when young adults have established binge drinking as a common drinking pattern, impairment of inhibition in response to alcoholic stimuli is the only significant predictor of binge drinking, but not general impulsive behavior. i 2014 S. Karger AG, Basel

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Section: Introductionmentioning

confidence: 99%

Is Binge Drinking in Young Adults Associated with an Alcohol-Specific Impairment of Response Inhibition?

Czapla

Simon²,

Friederich³

et al. 2014

Eur Addict Res

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“…Reward-based cognitive inflexibility, i.e., reversal learning, has been associated with the orbitofrontal cortex (Klanker et al, 2013), the ventral prefrontal cortex (Clark et al, 2004), the ventrolateral prefrontal cortex (de Ruiter et al, 2008) and is facilitated by dopaminergic activity in the ventral regions of the striatum (Clark et al, 2004; Klanker et al, 2013). The concept of reward-based cognitive inflexibility is also closely related to the concept of reward sensitivity (Boog et al, 2013) and the concept of impaired decision making under conflicting contingencies (Goudriaan et al, 2008). …”

Section: Introductionmentioning

confidence: 99%

Cognitive Inflexibility in Gamblers is Primarily Present in Reward-Related Decision Making

Boog

Höppener

Wetering

et al. 2014

Front. Hum. Neurosci.

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One hallmark of gambling disorder (GD) is the observation that gamblers have problems stopping their gambling behavior once it is initiated. On a neuropsychological level, it has been hypothesized that this is the result of a cognitive inflexibility. The present study investigated cognitive inflexibility in patients with GD using a task involving cognitive inflexibility with a reward element (i.e., reversal learning) and a task measuring general cognitive inflexibility without such a component (i.e., response perseveration). For this purpose, scores of a reward-based reversal learning task (probabilistic reversal learning task) and the Wisconsin card sorting task were compared between a group of treatment seeking patients with GD and a gender and age matched control group. The results show that pathological gamblers have impaired performance on the neurocognitive task measuring reward-based cognitive inflexibility. However, no difference between the groups is observed regarding non-reward-based cognitive inflexibility. This suggests that cognitive inflexibility in GD is the result of an aberrant reward-based learning, and not based on a more general problem with cognitive flexibility. The pattern of observed problems is suggestive of a dysfunction of the orbitofrontal cortex, the ventrolateral prefrontal cortex, and the ventral regions of the striatum in gamblers. Relevance for the neurocognition of problematic gambling is discussed.

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“…Functional Impulsivity and Dysfunctional Impulsivity. The Dysfunctional Impulsivity scale (DIS) assesses the tendency to act with little forethought where this leads to negative consequences 48 , and is a valid measure of rash impulsiveness 24,49 . The DIS comprises 12items with dichotomous (True/False) response options.…”

Section: Dickman's Impulsivity Inventory -Dysfunctional Impulsivity Smentioning

confidence: 99%

Craving mediates the effect of impulsivity on lapse-risk during alcohol use disorder treatment

Coates

Gullo

Feeney

et al. 2020

Addictive Behaviors

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Background: Rash impulsiveness, the propensity for approach behaviour despite potential negative consequences, is associated with stronger alcohol craving in patients with Alcohol Use Disorder (AUD). This relationship is poorly understood and implications for treatment response unexamined. This study explored the relationship between rash impulsiveness, craving, and treatment response in a sample of AUD outpatients.Design: Longitudinal study conducted over a 12-week intervention period.Setting: University public hospital outpatient alcohol and drug clinic. Participants: Patients attending an abstinence-based Cognitive-Behavioural Therapy program for AUD (N = 304).Procedure: Assessments were completed pre-and-post treatment. Craving and alcohol consumption were assessed at each treatment session.Results: Higher rash impulsiveness predicted more frequent craving over treatment (b = 0.95, 95% CI = 0.40, 1.50). Higher craving was associated with greater lapse-risk (b = 0.04, 95% CI = 0.03, 0.05). The association between craving and lapse-risk increased as treatment progressed (b = 0.01, 95% CI = 0.01, 0.02). Craving positively mediated the relationship between impulsivity and lapse-risk (µ = 0.38, 95% CI = 0.10, 0.70). Conclusions:Craving mediates the effect of impulsivity in the prediction of lapse during abstinence-oriented treatment for AUD. Frequent assessment and management of craving during treatment is recommended to reduce alcohol lapse.

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The Concepts of Rash Impulsiveness and Reward Sensitivity in Substance Use Disorders

Cited by 15 publications

References 41 publications

Is Binge Drinking in Young Adults Associated with an Alcohol-Specific Impairment of Response Inhibition?

Is Binge Drinking in Young Adults Associated with an Alcohol-Specific Impairment of Response Inhibition?

Cognitive Inflexibility in Gamblers is Primarily Present in Reward-Related Decision Making

Craving mediates the effect of impulsivity on lapse-risk during alcohol use disorder treatment

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