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Blunted Reward Sensitivity and Trait Disinhibition Interact to Predict Substance Use Problems
Journal article   Open access   Peer reviewed

Blunted Reward Sensitivity and Trait Disinhibition Interact to Predict Substance Use Problems

Keanan J. Joyner, Colin B. Bowyer, James R. Yancey, Noah C. Venables, Jens Foell, Darrell A. Worthy, Greg Hajcak, Bruce D. Bartholow and Christopher J. Patrick
Clinical psychological science, Vol.7(5), pp.1109-1124
09/01/2019
DOI: 10.1177/2167702619838480
PMCID: 6919657
PMID: 31853427
url
https://www.ncbi.nlm.nih.gov/pmc/articles/6919657View
Open Access

Abstract

Reward-deficit models of addiction posit weaknesses in reward sensitivity to be promotive of substance dependence, whereas the externalizing spectrum model views substance problems as arising in large part from a general disinhibitory liability. In the current study we sought to integrate these perspectives by testing for separate and interactive associations of disinhibition and reward dysfunction with interview-assessed substance use disorders (SUDs). Community and college adults (N = 199) completed a scale measure of trait disinhibition and performed a gambling-feedback task yielding a neural index of reward sensitivity, the "Reward Positivity" (RewP). Disinhibition and blunted RewP independently predicted SUDs and also operated synergistically, such that participants-in particular, men-with high levels of disinhibition together with blunted RewP exhibited especially severe substance problems. Though limited by its cross-sectional design, this work provides new information about the interplay of disinhibition, reward processing, and gender in SUDs and suggests important directions for future research.
Life Sciences & Biomedicine Psychiatry Psychology Psychology, Clinical Science & Technology Social Sciences

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