Co-occurrence of alcohol use disorder and behavioral addictions: relevance of impulsivity and craving

Co-occurrence of alcohol use disorder and behavioral addictions: relevance of impulsivity and craving

Highlights • A significantly higher rate of behavioral addictions among alcohol use disorder subjects compared to controls was observed. • Alcohol use disorder patients reported significantly higher scores on scales for gambling disorder, compulsive buying and sexual addiction, as compared to contro...

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Published in:Drug and alcohol dependence Vol. 148; pp. 118 - 125
Main Authors: Di Nicola, Marco, Tedeschi, Daniela, De Risio, Luisa, Pettorruso, Mauro, Martinotti, Giovanni, Ruggeri, Filippo, Swierkosz-Lenart, Kevin, Guglielmo, Riccardo, Callea, Antonino, Ruggeri, Giuseppe, Pozzi, Gino, Di Giannantonio, Massimo, Janiri, Luigi
Format: Journal Article
Language:English
Published: Ireland Elsevier Ireland Ltd 01-03-2015
Subjects:
Adult
Alcohol use disorder
Alcohol-Related Disorders - diagnosis
Alcohol-Related Disorders - epidemiology
Alcohol-Related Disorders - psychology
Behavior, Addictive - diagnosis
Behavior, Addictive - epidemiology
Behavior, Addictive - psychology
Behavioral addictions
Comorbidity
Compulsive Behavior - diagnosis
Compulsive Behavior - epidemiology
Compulsive Behavior - psychology
Craving
Female
Gambling disorder
Humans
Impulsive Behavior
Impulsivity
Internet addiction
Male
Middle Aged
Personality Inventory
Psychiatry
Gambling disorder
Impulsivity
Alcohol use disorder
Behavioral addictions
Craving
Internet addiction
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Abstract Highlights • A significantly higher rate of behavioral addictions among alcohol use disorder subjects compared to controls was observed. • Alcohol use disorder patients reported significantly higher scores on scales for gambling disorder, compulsive buying and sexual addiction, as compared to controls. • We found an overlap between different addictive behaviors. • Alcohol use disorder subjects with co-occurring behavioral addictions experienced more severe impulsivity and alcohol craving.
AbstractList The aims of the study were to evaluate the occurrence of behavioral addictions (BAs) in alcohol use disorder (AUD) subjects and to investigate the role of impulsivity, personality dimensions and craving. 95 AUD outpatients (DSM-5) and 140 homogeneous controls were assessed with diagnostic criteria and specific tests for gambling disorder, compulsive buying, sexual, internet and physical exercise addictions, as well as with the Barratt Impulsiveness Scale (BIS-11) and Temperamental and Character Inventory-Revised (TCI-R). The Obsessive Compulsive Drinking Scale (OCDS) and Visual Analogue Scale for craving (VASc) were also administered to the AUD sample. 28.4% (n=27) of AUD subjects had at least one BA, as compared to 15% (n=21) of controls (χ(2)=6.27; p=.014). In AUD subjects, direct correlations between BIS-11 and Compulsive Buying Scale (CBS), Internet Addiction Disorder test (IAD), Exercise Addiction Inventory-Short Form (EAI-SF) scores (p<.01), between OCDS obsessive and CBS and VASc and CBS, IAD scores (p<.003), were found. BIS-11 (t=-2.36; p=.020), OCDS obsessive (Z=-4.13; p<.001), OCDS compulsive (Z=-2.12; p=.034) and VASc (Z=-4.94; p<.001) scores were higher in AUD subjects with co-occurring BAs. The occurrence of BAs was associated with higher impulsivity traits (BIS-11 scores; OR=1.08; p=.012) and higher craving levels (VASc scores; OR=2.48; p<.001). Our findings emphasize a significant rate of co-occurrence of BAs in AUD. High levels of impulsivity and craving for alcohol seem to be associated with other addictive behaviors.
PURPOSEThe aims of the study were to evaluate the occurrence of behavioral addictions (BAs) in alcohol use disorder (AUD) subjects and to investigate the role of impulsivity, personality dimensions and craving.METHODS95 AUD outpatients (DSM-5) and 140 homogeneous controls were assessed with diagnostic criteria and specific tests for gambling disorder, compulsive buying, sexual, internet and physical exercise addictions, as well as with the Barratt Impulsiveness Scale (BIS-11) and Temperamental and Character Inventory-Revised (TCI-R). The Obsessive Compulsive Drinking Scale (OCDS) and Visual Analogue Scale for craving (VASc) were also administered to the AUD sample.RESULTS28.4% (n=27) of AUD subjects had at least one BA, as compared to 15% (n=21) of controls (χ(2)=6.27; p=.014). In AUD subjects, direct correlations between BIS-11 and Compulsive Buying Scale (CBS), Internet Addiction Disorder test (IAD), Exercise Addiction Inventory-Short Form (EAI-SF) scores (p<.01), between OCDS obsessive and CBS and VASc and CBS, IAD scores (p<.003), were found. BIS-11 (t=-2.36; p=.020), OCDS obsessive (Z=-4.13; p<.001), OCDS compulsive (Z=-2.12; p=.034) and VASc (Z=-4.94; p<.001) scores were higher in AUD subjects with co-occurring BAs. The occurrence of BAs was associated with higher impulsivity traits (BIS-11 scores; OR=1.08; p=.012) and higher craving levels (VASc scores; OR=2.48; p<.001).CONCLUSIONSOur findings emphasize a significant rate of co-occurrence of BAs in AUD. High levels of impulsivity and craving for alcohol seem to be associated with other addictive behaviors.
Highlights • A significantly higher rate of behavioral addictions among alcohol use disorder subjects compared to controls was observed. • Alcohol use disorder patients reported significantly higher scores on scales for gambling disorder, compulsive buying and sexual addiction, as compared to controls. • We found an overlap between different addictive behaviors. • Alcohol use disorder subjects with co-occurring behavioral addictions experienced more severe impulsivity and alcohol craving.
•A significantly higher rate of behavioral addictions among alcohol use disorder subjects compared to controls was observed.•Alcohol use disorder patients reported significantly higher scores on scales for gambling disorder, compulsive buying and sexual addiction, as compared to controls.•We found an overlap between different addictive behaviors.•Alcohol use disorder subjects with co-occurring behavioral addictions experienced more severe impulsivity and alcohol craving. The aims of the study were to evaluate the occurrence of behavioral addictions (BAs) in alcohol use disorder (AUD) subjects and to investigate the role of impulsivity, personality dimensions and craving. 95 AUD outpatients (DSM-5) and 140 homogeneous controls were assessed with diagnostic criteria and specific tests for gambling disorder, compulsive buying, sexual, internet and physical exercise addictions, as well as with the Barratt Impulsiveness Scale (BIS-11) and Temperamental and Character Inventory–Revised (TCI-R). The Obsessive Compulsive Drinking Scale (OCDS) and Visual Analogue Scale for craving (VASc) were also administered to the AUD sample. 28.4% (n=27) of AUD subjects had at least one BA, as compared to 15% (n=21) of controls (χ2=6.27; p=.014). In AUD subjects, direct correlations between BIS-11 and Compulsive Buying Scale (CBS), Internet Addiction Disorder test (IAD), Exercise Addiction Inventory-Short Form (EAI-SF) scores (p<.01), between OCDS obsessive and CBS and VASc and CBS, IAD scores (p<.003), were found. BIS-11 (t=−2.36; p=.020), OCDS obsessive (Z=−4.13; p<.001), OCDS compulsive (Z=−2.12; p=.034) and VASc (Z=−4.94; p<.001) scores were higher in AUD subjects with co-occurring BAs. The occurrence of BAs was associated with higher impulsivity traits (BIS-11 scores; OR=1.08; p=.012) and higher craving levels (VASc scores; OR=2.48; p<.001). Our findings emphasize a significant rate of co-occurrence of BAs in AUD. High levels of impulsivity and craving for alcohol seem to be associated with other addictive behaviors.
Author Ruggeri, Giuseppe
Pozzi, Gino
Tedeschi, Daniela
Guglielmo, Riccardo
Pettorruso, Mauro
Di Giannantonio, Massimo
Ruggeri, Filippo
Di Nicola, Marco
Swierkosz-Lenart, Kevin
De Risio, Luisa
Martinotti, Giovanni
Callea, Antonino
Janiri, Luigi
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  fullname: Tedeschi, Daniela
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  fullname: De Risio, Luisa
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  fullname: Pettorruso, Mauro
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  fullname: Martinotti, Giovanni
– sequence: 6
  fullname: Ruggeri, Filippo
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  fullname: Swierkosz-Lenart, Kevin
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  fullname: Guglielmo, Riccardo
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  fullname: Callea, Antonino
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  fullname: Ruggeri, Giuseppe
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  fullname: Pozzi, Gino
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  fullname: Di Giannantonio, Massimo
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  fullname: Janiri, Luigi
BackLink https://www.ncbi.nlm.nih.gov/pubmed/25630963$$D View this record in MEDLINE/PubMed
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Keywords Gambling disorder
Impulsivity
Alcohol use disorder
Behavioral addictions
Craving
Internet addiction
Language English
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Snippet Highlights • A significantly higher rate of behavioral addictions among alcohol use disorder subjects compared to controls was observed. • Alcohol use disorder...
•A significantly higher rate of behavioral addictions among alcohol use disorder subjects compared to controls was observed.•Alcohol use disorder patients...
The aims of the study were to evaluate the occurrence of behavioral addictions (BAs) in alcohol use disorder (AUD) subjects and to investigate the role of...
PURPOSEThe aims of the study were to evaluate the occurrence of behavioral addictions (BAs) in alcohol use disorder (AUD) subjects and to investigate the role...
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StartPage 118
SubjectTerms Adult
Alcohol use disorder
Alcohol-Related Disorders - diagnosis
Alcohol-Related Disorders - epidemiology
Alcohol-Related Disorders - psychology
Behavior, Addictive - diagnosis
Behavior, Addictive - epidemiology
Behavior, Addictive - psychology
Behavioral addictions
Comorbidity
Compulsive Behavior - diagnosis
Compulsive Behavior - epidemiology
Compulsive Behavior - psychology
Craving
Female
Gambling disorder
Humans
Impulsive Behavior
Impulsivity
Internet addiction
Male
Middle Aged
Personality Inventory
Psychiatry
Title Co-occurrence of alcohol use disorder and behavioral addictions: relevance of impulsivity and craving
URI https://www.clinicalkey.es/playcontent/1-s2.0-S0376871614020080
https://dx.doi.org/10.1016/j.drugalcdep.2014.12.028
https://www.ncbi.nlm.nih.gov/pubmed/25630963
https://search.proquest.com/docview/1657326978
Volume 148
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