Literature DB >> 25630963

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

Marco Di Nicola1, Daniela Tedeschi2, Luisa De Risio2, Mauro Pettorruso2, Giovanni Martinotti3, Filippo Ruggeri2, Kevin Swierkosz-Lenart4, Riccardo Guglielmo2, Antonino Callea5, Giuseppe Ruggeri2, Gino Pozzi2, Massimo Di Giannantonio3, Luigi Janiri6.   

Abstract

PURPOSE: 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.
METHODS: 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.
RESULTS: 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).
CONCLUSIONS: 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.
Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

Entities:  

Keywords:  Alcohol use disorder; Behavioral addictions; Craving; Gambling disorder; Impulsivity; Internet addiction

Mesh:

Year:  2015        PMID: 25630963     DOI: 10.1016/j.drugalcdep.2014.12.028

Source DB:  PubMed          Journal:  Drug Alcohol Depend        ISSN: 0376-8716            Impact factor:   4.492


  26 in total

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10.  Compulsive Buying Behavior: Clinical Comparison with Other Behavioral Addictions.

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