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The behavioral-and neuro-economic process of temporal discounting: a candidate behavioral marker of addiction
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Addiction science would benefit from the identification of a behavioral marker. A behavioral marker could reflect the projected clinical course of the disorder, function as a surrogate measure of clinical outcome, and/or may be related to biological components that underlie the disorder. In this paper we review relevant literature, made possible with the early and sustained support by NIDA, to determine whether temporal discounting, a neurobehavioral process derived from behavioral economics and further explored through neuroeconomics, may function as a behavioral marker. Our review suggests that temporal discounting 1) identifies individuals who are drug-dependent, 2) identifies those at risk of developing drug dependence, 3) acts as a gauge of addiction severity, 4) correlates with all stages of addiction development, 5) changes with effective treatment, and 6) may be related to the biological and genetic processes that underlie addiction. Thus, initial evidence supports temporal discounting as a candidate behavioral marker. Additional studies will be required in several areas for a more conclusive determination. Confirmation that temporal discounting functions as a behavioral marker for addiction could lead to 1) a screen for new treatments, 2) personalization of prevention and treatment interventions, and 3) the extension of temporal discounting as a behavioral marker for other etiologically similar disorders. This article is part of a Special Issue entitled 'NIDA 40th Anniversary Issue'.
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“Delay discounting (DD) refers to the decline in value of a reinforcer as a function of delay and is a process closely related to the phenotype of addiction and other disorders [29].”
From Addiction Biomarkers: Dimensional Approaches to Understanding Addiction (2018) · cites this paper as [29]
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Metadata
- Authors
- Bickel, W. K., Koffarnus, M. N., Moody, L., & Wilson, A. G.
- Affiliations
- Carilion Clinic (US)
- Corresponding author
- Bickel, Warren K.
- Venue
- Neuropharmacology
- Publisher
- Elsevier BV
- Published
- 2014-01
- Volume
- 76
- Pages
- 518-527
- ISSN
- 0028-3908 (ISSN-L)
- PMC
- PMC3858579
- OpenAlex
- W2063553039
- Cited by
- 386
- References
- 114
- Citations by year
- 2026: 23 · 2025: 22 · 2024: 20 · 2023: 27 · 2022: 21 · 2021: 33 · 2020: 39 · 2019: 50 · 2018: 26 · 2017: 35 · 2016: 39 · 2015: 31 · 2014: 17
- FWCI
- 3.55
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Neuropharmacology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Drug Abuse (R01DA024080, R01DA030241, R01DA034755)
- National Cancer Institute (U19CA157345)
- Topics
- Social Sciences › Decision Sciences › General Decision Sciences › Decision-Making and Behavioral Economics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
- Keywords
- delay discounting, addiction, behavioral markers, drug addiction, addiction severity, addiction risk, behavioral economics, neuroeconomics, personalized treatment
- MeSH terms
- Brain, Choice Behavior, Humans, Behavior, Addictive, Substance-Related Disorders, Economics, Behavioral
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