Learning to lose control: A process-‐based account of behavioral addiction
Identificadores
URI: https://hdl.handle.net/10481/87585Metadatos
Mostrar el registro completo del ítemAutor
Perales López, José César; King, Daniel; Navas, Juan F.; Schimmenti, Adriano; Sescousse, Guillaume; Starcevic, Vladan; van Holst, Ruth J.; Billieux, JoëlMateria
Non-substance addictive disorders Behavioral addiction Behavioral control modes Learning Compulsivity Reinforcement learning
Fecha
2020-01Referencia bibliográfica
Perales, J. C., King, D. L., Navas, J. F., Schimmenti, A., Sescousse, G., Starcevic, V., ... & Billieux, J. (2020). Learning to lose control: A process-based account of behavioral addiction. Neuroscience & Biobehavioral Reviews, 108, 771-780.
Patrocinador
JCP, JFN, and JB are supported by a grant from the Spanish Government (Ministerio de Economía y Competitividad, Secretaría de Estado de Investigación, Desarrollo e Innovación; Convocatoria 2017 de Proyectos I+D de Excelencia, Spain; co-funded by the Fondo Europeo de Desarrollo Regional, FEDER, European Union), with reference number PSI2017-85488-P.Resumen
Learning psycho(bio)logy has developed a solid corpus of evidence and theory regarding behavior control modes. The present article briefly reviews that literature and its influence on recent models in which the transition from goal-directed to compulsive behavior is identified as the main process underlying substance use disorders.
This literature is also relevant to non-substance addictive disorders, and serves as basis to propose a restricted definition of behavioral addiction relying on the presence of behavior-specific compulsivity. Complementarily, we consider whether some activities can become disordered while remaining mostly goal-driven. Based on reinforcement learning models, relative outcome utility computation is proposed as an alternative mechanism through which dysfunctional behaviors (even not qualifying as addictive) can override adaptive ones, causing functional impairment.
Beyond issues of conceptual delimitation, recommendations are made regarding the importance of identifying individual etiological pathways to dysregulated behavior, the necessity of accurately profiling at-risk individuals, and the potential hazards of symptom-based diagnosis. In our view, the validity of these recommendations does not depend on the position one takes in the nosological debate.