Cited by 386Decision-Making and Behavioral EconomicsSubstance Abuse Treatment and OutcomesNeurotransmitter Receptor Influence on Behavior

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The behavioral-and neuro-economic process of temporal discounting: a candidate behavioral marker of addiction

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Bickel, Warren K., Koffarnus, Mikhail N., Moody, Lara, Wilson, A. George·2014·Neuropharmacology

DOI 10.1016/j.neuropharm.2013.06.013PMC PMC3858579

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Abstract

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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Authors: Bickel, W. K., Koffarnus, M. N., Moody, L., & Wilson, A. G.
Affiliations: Carilion Clinic (US)
Corresponding author: Bickel, Warren K.
ORCID: Bickel, Warren K.
Koffarnus, Mikhail N.
Venue: Neuropharmacology
Publisher: Elsevier BV
Published: 2014-01
Volume: 76
Pages: 518-527
ISSN: 0028-3908 (ISSN-L)
DOI: 10.1016/j.neuropharm.2013.06.013
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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The behavioral-and neuro-economic process of temporal discounting: a candidate behavioral marker of addiction

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