Reliability, validity, and classification accuracy of a Spanish translation of a measure of DSM-IV diagnostic criteria for pathological gambling
2008; Cambridge University Press; Volume: 23; Linguagem: Inglês
10.1016/j.eurpsy.2008.01.1129
ISSN1778-3585
AutoresSusana Jiménez‐Múrcia, Randy Stinchfield, Eva M. Álvarez‐Moya, Núria Jaurrieta, Borja García‐Bueno, Roser Granero, Neus Aymamí, Mónica Gómez‐Peña, R. Gimenez-Martinez, Fernando Fernández‐Aranda, J. Vallejo,
Tópico(s)Obsessive-Compulsive Spectrum Disorders
ResumoWe propose an updated version of the Interaction of Person-Affect-Cognition-Execution (I-PACE) model, which we argue to be valid for several types of addictive behaviors, such as gambling, gaming, buying-shopping, and compulsive sexual behavior disorders. Based on recent empirical findings and theoretical considerations, we argue that addictive behaviors develop as a consequence of the interactions between predisposing variables, affective and cognitive responses to specific stimuli, and executive functions, such as inhibitory control and decision-making. In the process of addictive behaviors, the associations between cue-reactivity/craving and diminished inhibitory control contribute to the development of habitual behaviors. An imbalance between structures of fronto-striatal circuits, particularly between ventral striatum, amygdala, and dorsolateral prefrontal areas, may be particularly relevant to early stages and the dorsal striatum to later stages of addictive processes. The I-PACE model may provide a theoretical foundation for future studies on addictive behaviors and clinical practice. Future studies should investigate common and unique mechanisms involved in addictive, obsessive-compulsive-related, impulse-control, and substance-use disorders.
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