Is task persistence related to smoking and substance abuse? The application of learned industriousness theory to addictive behaviors.

R. Eisenberger's (1992) learned industriousness theory states that individuals display differing degrees of persistence depending on their history of reinforcement for persistent, effortful behavior. These differences may influence the development, maintenance, and cessation of addictive behaviors. lndividuals with low persistence may especially be attracted to the immediate reinforcement of drugs. Drug use may constitute further training in low persistence. These individuals may also fail to persist in behaviors needed for cessation. Therefore, substance users should display lower persistence than nonusers. In an initial test of this hypothesis, cigarette smokers (n?=?52) were found to be less persistent than nonsmokers (n?=?57) on 2 behavioral tasks. Moreover, drug and alcohol abuse was inversely related to persistence. If future research supports a role of learned industriousness in addictive behaviors, possible approaches toward prevention and treatment would follow. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The in vivo antibody response in rat gut-associated lymphoid tissue (GALT) after immunization with bacterial polysaccharide antigen

There are major clinical observations in alcohol and other drug addicts and neurochemical studies in animals and humans that support the hypothesis for a common neurochemical basis for alcohol and other drug addiction. The common occurrence of concurrent alcohol and multiple drug dependence in clinical and general populations, family history and genetic studies, and basic and clinical research in the neurochemistry of addictive behavior provide evidence for a common genealogical vulnerability to combined alcohol and other drug addiction. Clinical neurochemical models for addictive behaviors can be derived from neurochemical pathways for the initiation and sustenance of addictive disorders. The role of tolerance and dependence is not specific to addiction but indicates a homeostatic response of the brain to the presence of a foreign substance. Animal and human studies are analyzed for clinical synthesis of a neurochemical basis for addictive disorders.     

Relapse as a nonlinear dynamic system: Application to patients with alcohol use disorders.

Understanding the relapse process is one of the most important issues in addictive behaviors research. To date, most studies have taken a linear approach toward predicting relapse based on risk factors. Nonlinear dynamical systems theory can be used to describe processes that are not adequately modeled using a linear approach. In particular, the authors propose that catastrophe theory, a subset of nonlinear dynamical systems theory, can be used to describe the relapse process in addictive behaviors. Two small prospective studies using 6-month follow-ups of patients with alcohol use disorders (inpatient, n=51; outpatient, n=43) illustrate how cusp catastrophe theory may be used to predict relapse. Results from these preliminary studies indicate that a cusp catastrophe model has more predictive utility than traditional linear models. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Marital and family therapy of alcohol use disorders: Bridging the gap between research and practice.

Clients with alcohol and other substance use disorders are routinely encountered by practitioners in various treatment settings. This article traces the rationale for using marital and family therapy with alcoholics and describes an ongoing behavioral marital therapy program that exemplifies an integration of clinical practice and research in this area. Specific treatment suggestions are offered and practical considerations for therapists working with families struggling with alcoholism are discussed, including the role of self-help groups in family treatment, the danger of having preconceived notions about "alcoholic families," and the necessity for clinics and clinicians to possess the capacity to assess and treat comorbid psychological disorders as well as addictive behaviors. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Why psychologists should treat alcohol and drug problems.

Because of the prevalence of substance abuse in general clinical populations, it is important for psychologists to have knowledge and skill in this area. Psychologists also have special expertise to offer in the assessment and treatment of alcohol/drug problems. Current evidence indicates that (1) alcohol/drug problems generally obey ordinary behavioral principles and processes, (2) substance abuse frequently occurs within a broader cluster of psychological problems, (3) the treatment approaches most strongly supported by outcome research are fundamentally psychological in nature, (4) cognitive–behavioral principles are of demonstrable value in motivating change in alcohol/drug use, and (5) clinical skills and styles (e.g., empathy) commonly included in the training of psychologists are important determinants of favorable treatment out comes with substance use disorders. These factors in the context of changing health care indicate that psychologists should play an increasing role in assessing and treating addictive behaviors. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Refining behavioral dysregulation in borderline personality disorder using a sample of women with anorexia nervosa.

One of the primary facets of borderline personality disorder (BPD) is behavioral dysregulation, a wide array of behaviors that are difficult to control and harmful to the individual. The purpose of this study was to explore the association between BPD and a variety of dysregulated behaviors, some of which have received little empirical attention. Using a large sample of individuals diagnosed with anorexia nervosa, 41 individuals diagnosed with BPD were compared to the rest of the sample on the presence of dysregulated behaviors using logistic regression analyses. Anorexia nervosa subtypes, age, and other Cluster B personality disorders were used as covariates. Results support an association between BPD and alcohol misuse, hitting someone/breaking things, provoking fights/arguments, self-injury, overdosing, street drug use, binge-eating, impulsive spending, shoplifting/stealing, and risky sexual behaviors. Differences between dichotomous and continuous measures of BPD yielded somewhat different results. Information on co-occurring anorexia nervosa and BPD was generated. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

"Loss of control" in alcoholism and drug addiction: A neuroscientific interpretation.

Considerable neurological evidence indicates that the prefrontal cortex mediates complex "executive" functions including behavioral autonomy and self-control. Given that impairments of self-control are characteristic of alcoholism and other drug addictions, frontal lobe dysfunction may play a significant role in such compulsive behaviors. Consistent with this idea, recent research using brain imaging, neuropsychological testing, and other techniques has revealed that the frontal lobes are particularly vulnerable to the acute and chronic effects of addictive drugs, especially alcohol and cocaine. Evidence implicating a hyperdopaminergic mechanism of acute and chronic drug-induced frontal lobe dysfunction and interactions with premorbid factors and stress are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Alcohol abuse as molar choice: An update of a 1982 proposal.

This article updates a 1982 article (R. E. Vuchinich, 1982) in which an analysis of alcohol abuse that was based on molar behavioral theories of choice was proposed. The original article and subsequent developments in the addiction literature that are related to the choice perspective are summarized. The molar choice view has been incorporated into human and animal research on addictive behaviors other than alcohol abuse, but it has had little impact on the alcohol literature. This lack of influence on alcohol research is attributed to its poor fit with the Zeitgeist of the relevant scientific community rather than to a lack of potential for positive contributions. This tension with the Zeitgeist is created by the contrast between molecular and molar approaches to studying alcohol abuse. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Children's use of frequency information for trait categorization and behavioral prediction.

Two experiments examined young children's use of behavioral frequency information to make behavioral predictions and global personality attributions. In Experiment 1, participants heard about an actor who behaved positively or negatively toward 1 or several recipients. Generally, children did not differentiate their judgments of the actor on the basis of the amount of information provided. In Experiment 2, the actor behaved positively or negatively toward a single recipient once or repeatedly. Participants were more likely to make appropriate predictions and attributions after exposure to multiple target behaviors and with increasing age. Overall, children's performance was influenced by age-related positivity and negativity biases. These findings indicate that frequency information is important for personality judgments but that its use is affected by contextual complexity and information-processing biases. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The addictive personality is the behavior of the addict.

Research on the relation between personality and the etiology of alcohol and drug abuse has revealed a single consistent finding: a correlation between antisocial behavior in childhood and adolescence and alcoholism in adulthood. It is antisocial behavior, however, and not antisocial personality, that most observers identify as a precursor of alcoholism. Unfortunately, the high rates of antisocial behavior in our society render it an inefficient predictor of alcohol and drug abuse. Research on the link between personality and the course of alcohol and drug abuse has suggested that substantial numbers of abusers meet Diagnostic and Statistical Manual of Mental Disorders criteria for antisocial personality disorder and that depression also frequently accompanies alcohol and drug dependence. No personality factors and no other behaviors have reliably differentiated abusers from others: Antisocial behavior and depression are behaviors that are symptomatic, respectively, of disregard for society's rules and of clinical dysphoria. Moreover, the depressed behavior of alcoholics appears largely to be consequent rather than antecedent to their alcoholism. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Longitudinal risk factors for intimate partner violence among men in treatment for alcohol use disorders.

Objective: This study examined static and time-varying risk factors for perpetration of intimate partner violence (IPV) among men in treatment for alcohol use disorders. Method: Participants were 178 men diagnosed with alcohol abuse or dependence and their partners. Most (85%) of the men were European American; their average age was 41.0 years. Participants completed measures assessing initial alcohol problem severity, baseline beliefs related to alcohol use, antisocial personality characteristics, alcohol and drug use, relationship adjustment, and IPV. Results: According to couples' reconciled reports, 42% of participants perpetrated IPV at baseline. Among this group, the IPV recurrence rate was 43% at 6-month follow-up and 36% at 12-month follow-up. For participants without IPV perpetration at baseline, new incidence of IPV was 15% and 7% at the 6-month and 12-month follow-up points, respectively. Fixed marker predictors of IPV rates included baseline alcohol problem severity variables, baseline beliefs related to alcohol use, and antisocial personality characteristics. Variable risk factor predictors included alcohol and drug use variables, relationship adjustment factors, and anger. Alcohol use variables and anger were associated with new incidents of IPV among those without reported IPV at baseline only. Conclusions: Findings suggest that assessing and monitoring IPV occurrence by both partners is important for men in treatment for alcohol use disorders. Results indicate vulnerability factors that may identify individuals at risk for IPV and provide targets for IPV prevention among those with alcohol use disorders. These findings can aid in the development of more comprehensive models that more precisely predict IPV. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The role of physical exercise in alcoholism treatment and recovery.

A growing body of literature has demonstrated that physical exercise is associated with favorable mental health outcomes. Exercise has the potential to be an accessible and affordable adjunct treatment option for persons with alcohol use disorders (AUD); however, exercise-based interventions have rarely been applied to this population. The authors examine the potential role of physical exercise in the process of recovery from AUD. Possible physiological, psychological, and social mechanisms whereby exercise may exert influence on alcohol use outcomes are outlined. Studies examining the effects of physical exercise on alcohol and other addictive behaviors are reviewed, and the viability of structured, exercise-based adjunct interventions for AUD populations is discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of AIDS and alcohol/drug abuse: Psychosocial research.

Reviews the book, AIDS and alcohol/drug abuse: Psychosocial research, edited by Dennis G. Fisher (1991). Substance use, primarily intravenous drug use, accounts for an increasingly large proportion of new acquired immunodeficiency syndrome (AIDS) cases. As such, psychosocial research in the addictions plays an important role in evaluating strategies for reaching out to and educating those at risk for the human immunodeficiency virus (HIV) and in developing effective prevention and risk-reduction strategies for this special population. This book is thus a timely contribution to the field. The seven brief chapters in this volume cover an extremely broad range of topics related to the relationship between AIDS and substance abuse. On the whole, however, the chapters in this volume are strikingly uneven in their sophistication and degree of relevance to the general psychologist working in addictive behaviors. Whereas some of the chapters are too brief to fully explore the implications of some of the issues they raise, the brevity of others is appropriate. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Models of addiction: Introduction to the Special Issue.

This Special Issue contains articles that highlight empirical approaches to addiction that have clear theoretical relevance as well as articles that present significant theoretical perspectives on addiction. This collection reflects the implicit assumption that types of addiction are more similar than dissimilar. The characteristics of drug exposure that promote physical dependence, the occurrence of tolerance, the associative elicitation of tolerance, the time course of relapse to drug use, the phenomenology of drug urges or cravings, the precipitants of relapse, the obsessive concern with securing and using drugs are all commonalities among addictive disorders that underscore the fact that addiction is expressed through universal motivational mechanisms and processes. Diverse addictive disorders are phenotypically similar because their motivational bases are similar; if not in particular, then in principle. The selections in this Special Issue reflect a set of assumptions that can be seen as promising areas for future research and theorizing. The first area concerns the application of traditional motivational models and concepts to addictive disorders. The second area for future research and theorizing deals with cognitive or information processing models of addiction. The third area covered in this Special Issue concerns interpersonal/social context. The final area covered in this issue deals with genetics. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Role of cytosolic calcium balance on cell injury in cultured bovine aortic endothelial cells during hypoxia and reoxygenation]

The integration of pharmacological therapies for comorbid disorders requires an acceptance of independence and interactions of respective addictive and psychiatric disorders. At the same time, alcohol and other drugs induce psychiatric states that are indistinguishable from psychiatric disorders. On the other hand, while psychiatric disorders do not induce addictive use of alcohol and drugs, they do pose vulnerabilities to the development of addictive disorders. Generally, the treatment of comorbid disorders begins with abstinence and evaluation of the effects of alcohol and other drugs in contributing to the psychiatric picture. In the case of comorbid disorders, stabilization and standard treatments can be employed with certain cautions, namely, to avoid the use of addicting medications such as benzodiazepines and opiates beyond the detoxification stage. High potency neuroleptics and antidepressants, particularly selective serotonin reuptake inhibitors (SSRIs) can be used to treat continuing psychiatric states after the exclusionary criteria in DSM-IV for substance-related disorders have been applied to the clinical case. If the psychiatric symptoms clear with sustained abstinence, little or no medications may be required. Specific treatment of the addictive disorders will often determine the extent that addictive disorders are responsible for psychiatric symptomatology. Alternatively, treatment of the psychiatric disorder will enhance compliance with addiction treatment.     

Personality traits and the development of nicotine, alcohol, and illicit drug disorders: Prospective links from adolescence to young adulthood.

The personality traits constraint (CN) and negative emotionality (NE) have been more (CN) or less (NE) consistently associated with alcoholism. The authors examined the association of personality at age 17 with timing of onset and with prospective prediction of nicotine, alcohol, and illicit drug disorders 3 years later in a twin sample (569 females; 432 males). Earlier onset of alcohol and drug disorders (by age 17) was related to significantly lower CN compared with later onsets (by age 20); high NE was related to either onset. NE, as well as CN, uniquely predicted new onsets of all 3 types of substance use disorders by follow-up, with preexisting substance disorders taken into account. Personality traits confer generalized risk for developing any substance disorder, though some traits are more strongly linked with some substance disorders than with others. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Traditional versus behavioral personality assessment: A comparison of methodological and theoretical assumptions.

Examines the traditional and behavioral approaches to the prediction of human behavior with respect to such underlying assumptions as the basic conception of personality functioning, the selection of test items, and the interpretation of responses. Whereas traditional tests of personality involve the assessment of hypothesized personality constructs which, in turn, are used to predict overt behavior, the behavioral approach entails more of a direct sampling of the criterion behaviors themselves. In addition to requiring fewer inferences than traditional tests, behavioral assessment procedures are seen as being based on assumptions more amenable to direct empirical test and more consistent with empirical evidence. The available research findings on the comparative predictive ability of the 2 approaches similarly suggest that the behavioral orientation is a potentially useful approach toward the construction of assessment procedures that can more accurately predict human behavior. (49 ref.) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Personality and substance dependence symptoms: Modeling substance-specific traits.

Personality traits related to neuroticism and disinhibition have been consistently associated with substance use disorders (SUDs). It is unclear, however, whether different personality traits predict distinct forms of substance dependence. Additionally, it is unclear whether personality traits continue to predict alcohol, drug, and tobacco dependence after controlling for comorbid antisociality and other SUDs. The current study addresses these questions by characterizing relations between personality traits and substance dependence symptoms in a longitudinal sample of 3,720 college students. Results revealed that antisociality and certain core personality traits predicted multiple types of substance pathology. In addition, several personality traits were differentially associated with alcohol, drug, and tobacco symptomatology. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Validation of a system of classifying female substance abusers on the basis of personality and motivational risk factors for substance abuse.

This study explored the validity of classifying a community-recruited sample of substance-abusing women (N?=?293) according to 4 personality risk factors for substance abuse (anxiety sensitivity, introversion-hopelessness, sensation seeking, and impulsivity). Cluster analyses reliably identified 5 subtypes of women who demonstrated differential lifetime risk for various addictive and nonaddictive disorders. An anxiety-sensitive subtype demonstrated greater lifetime risk for anxiolytic dependence, somatization disorder, and simple phobia, whereas an introverted-hopeless subtype evidenced a greater lifetime risk for opioid dependence, social phobia, and panic and depressive disorders. Sensation seeking was associated with exclusive alcohol dependence, and impulsivity was associated with higher rates of antisocial personality disorder and cocaine and alcohol dependence. Finally, a low personality risk subtype demonstrated lower lifetime rates of substance dependence and psychopathology. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Personality and substance use disorders: II. Alcoholism versus drug use disorders.

The relationship between personality and substance use disorders was investigated in a community-based sample of 638 individuals who were alcoholic and/or had a drug use disorder, and 1,530 individuals who did not have a substance use disorder. Personality was assessed by the Multidimensional Personality Questionnaire; substance use diagnoses were based on standard criteria as assessed by interview. Data were analyzed using a 3-factor (Gender?×?Alcoholism?×? Drug Use Disorder) multivariate analysis of variance. The significant alcoholism main effect was associated primarily with negative emotionality, whereas the significant drug use disorder main effect was associated primarily with constraint. No significant interactions with gender were observed. These findings suggest that the elevated levels of behavioral disinhibition observed with alcoholic individuals may be attributable to a subset of alcoholic individuals who also abuse drugs other than alcohol. (PsycINFO Database Record (c) 2010 APA, all rights reserved)