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See detailLearning to lose control: A process-based account of behavioral addiction.
Perales, Jose C.; King, Daniel L.; Navas, Juan F. et al

in Neuroscience and biobehavioral reviews (2020), 108

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 ... [more ▼]

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. [less ▲]

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See detailIs there room for attentional impairments in binge drinking? A commentary on Carbia et al. (2018).
Lannoy, Severine; Heeren, Alexandre; Dormal, Valerie et al

in Neuroscience and biobehavioral reviews (2019), 98

Binge drinking is an excessive pattern of alcohol use, highly prevalent in adolescents and young adults. Several studies have explored the cognitive impairments associated with binge drinking, and Carbia ... [more ▼]

Binge drinking is an excessive pattern of alcohol use, highly prevalent in adolescents and young adults. Several studies have explored the cognitive impairments associated with binge drinking, and Carbia et al. (2018) recently proposed a systematic review of these impairments. Although this review offers an insightful and up-to-date synthesis of this research field, the authors concluded that binge drinking is not associated with attentional impairments. We argue that such conclusion is premature. We identified published studies not mentioned by Carbia et al. (2018), which documented attentional impairments in binge drinking. In particular, a differential exploration of attentional networks has suggested that binge drinkers not only exhibit impairments for the executive control of attention, but also for its alerting network. We thus recommend a better consideration of attention in future experimental and translational research agendas. [less ▲]

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See detailNew synthetic opioids: Part of a new addiction landscape.
Karila, Laurent; Marillier, Maude; Chaumette, Boris et al

in Neuroscience and biobehavioral reviews (2019), 106

Synthetic opioids (SO) are a major risk for public health across the world. These drugs can be divided into 2 categories, pharmaceutical and non-pharmaceutical fentanyls. A new generation of SO has ... [more ▼]

Synthetic opioids (SO) are a major risk for public health across the world. These drugs can be divided into 2 categories, pharmaceutical and non-pharmaceutical fentanyls. A new generation of SO has emerged on the drug market since 2010. North America is currently facing an opioid epidemic of morbi-mortality, caused by over-prescription of opioids, illegally diverted prescribed medicines, the increasing use of heroin, is and the emergence of SO. Furthermore, this opioid crisis is also seen in Europe. SO are new psychoactive substances characterized by different feature such as easy availability on the Internet, low price, purity, legality, and lack of detection in laboratory tests. They have not been approved or are not recommended for human use. Opioid misuse is associated with somatic and psychiatric complications. For many substances, limited pharmacological information is available, increasing the risk of harmful adverse events. Health actors and the general population need to be clearly informed of the potential risks and consequences of the diffusion and use of SO. [less ▲]

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See detailElectrophysiological correlates of problematic Internet use: Critical review and perspectives for future research.
D'Hondt, Fabien; Billieux, Joël UL; Maurage, Pierre

in Neuroscience and biobehavioral reviews (2015), 59

Problematic behaviors have emerged with the exponential development of the Internet access, with some individuals failing to constrain their Internet use despite its negative impact on their daily lives ... [more ▼]

Problematic behaviors have emerged with the exponential development of the Internet access, with some individuals failing to constrain their Internet use despite its negative impact on their daily lives. Recent neuropsychological and neuroscience studies have suggested that problematic Internet use is notably associated with increased cue-reactivity and reduced inhibitory control. This review of the electroencephalography (EEG) literature shows that most studies have found that impaired self-control abilities (i.e., inhibition and error monitoring) are associated with underactivated frontal regions in problematic Internet users (PIUs). However, some EEG studies in the domain have also demonstrated alterations in the processing of Internet-related cues and emotional stimuli. As a whole, these data therefore suggest that both reflective (top-down) and automatic/affective (bottom-up) systems, postulated by dual-process models as being determinants in decision making, are impaired among PIUs. On this basis, new research avenues are proposed to better understand the development and maintenance of problematic Internet use, according to six main directions respectively related to (1) the identification of vulnerability biomarkers, (2) the investigation of possible lower level cognitive impairments, (3) the exploration of core reflective and automatic/affective symptoms, (4) the evaluation of Internet use heterogeneity and comorbidities, (5) the development of new neuroscience strategies and (6) the elaboration of behavioral and cognitive interventions. [less ▲]

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