The Interrelation Between Emotional Impulsivity, Craving, and Symptoms Severity in Behavioral Addictions and Related Conditions: a Theory‑Driven Systematic Review
Metadatos
Afficher la notice complèteAuteur
López Guerrero, José; Navas, Juan F.; Perales López, José César; Rivero Ramón, Francisco José; Muela Aguilera, IsmaelEditorial
Springer Nature
Materia
Severity Craving Positive urgency Negative urgency Behavioral addiction
Date
2023-09-16Referencia bibliográfica
López-Guerrero, J., Navas, J.F., Perales, J.C. et al. The Interrelation Between Emotional Impulsivity, Craving, and Symptoms Severity in Behavioral Addictions and Related Conditions: a Theory-Driven Systematic Review. Curr Addict Rep (2023). [https://doi.org/10.1007/s40429-023-00512-4]
Patrocinador
Universidad de Granada/ CBUA; R&D project (Proyecto I + D + i), funded by the Spanish Research Agency (Agencia Española de Investigación); Spanish Ministry of Science and Innovation (Ministerio de Ciencia e Innovación) (MCIN/AEI/https:// doi. org/ 10. 13039/ 50110 00110 33); PID2020-116535 GB-I00; PRE2018-085150, Ministerio de Ciencia, Innovación y Universidades); Individual research grant (PRE2021-100665, Ministerio de Ciencia e Innovación); Individual research grant (FPU21/00462, Ministerio de Ciencia e Innovación).Résumé
Purpose of Review Here, we systematically review all available evidence on the triadic relationship between positive and
negative urgency, craving, and severity of symptoms of candidate behavioral addictions.
Recent Findings Current theoretical models attribute a central importance to craving in the chronification and prognosis of
behavioral addictions and other problematic non-substance-related behavioral patterns. Craving, in turn, has been convincingly
shown to be an affect-laden state, and its control can be conceptualized as partially resulting from emotion regulation
mechanisms. However, some gaps remain: first, there is no consensus on the predominantly appetitive or aversive nature of
craving; and, second, although positive and negative urgency have been proposed as proxies to incidental emotion regulation
mechanisms, their direct or indirect role in craving regulation and severity of problematic behaviors is still poorly known.
Summary According to our results, craving emerges as a central construct, partially resulting from emotion dysregulation
as assessed by urgency. The preponderance of positive urgency shown by most studies in this review also reinforces the
view of positive emotions as a ‘trojan horse’ in addictive processes. Negative urgency, in turn, seems to be a complication
factor that could underlie gambling addiction and other related mental health conditions. Most studies, however, are about
gambling behavior, with the few studies in other domains precluding firm conclusions about the differences or similarities
between them.