دورية أكاديمية

The neurobiology of impulsivity and substance use disorders: implications for treatment.

التفاصيل البيبلوغرافية
العنوان: The neurobiology of impulsivity and substance use disorders: implications for treatment.
المؤلفون: Kozak, Karolina, Lucatch, Aliya M., Lowe, Darby J.E., Balodis, Iris M., MacKillop, James, George, Tony P.
المصدر: Annals of the New York Academy of Sciences; Sep2019, Vol. 1451 Issue 1, p71-91, 21p, 2 Diagrams, 3 Charts
مصطلحات موضوعية: SUBSTANCE-induced disorders, NEUROBIOLOGY, RESPONSE inhibition
مستخلص: Impulsivity is strongly associated with substance use disorders (SUDs). Our review discusses impulsivity as an underlying vulnerability marker for SUDs, and treatment of co‐occurring impulsivity in SUDs. Three factors should be considered for the complex relationship between impulsivity and a SUD: (1) the trait effect of impulsivity, centering on decreased cognitive and response inhibition, (2) the state effect resulting from either acute or chronic substance use on brain structure and function, and (3) the genetic and environmental factors (e.g., age and sex) may influence impulsive behavior associated with SUDs. Both subjective and objective measures are used to assess impulsivity. Together, treatment developments (pharmacological, behavioral, and neurophysiological) should consider these clinically relevant dimensions assessed by a variety of measures, which have implications for treatment matching in individuals with SUD. Despite its heterogeneity, impulsivity is a marker associated with SUDs and may be understood as an imbalance of bottom‐up and top‐down neural systems. Further investigation of these relationships may lead to more effective SUD treatments. [ABSTRACT FROM AUTHOR]
Copyright of Annals of the New York Academy of Sciences is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
قاعدة البيانات: Complementary Index
الوصف
تدمد:00778923
DOI:10.1111/nyas.13977