21st century neurobehavioral theories of decision making in addiction: Review and evaluation

Bickel, Warren K.; Mellis, Alexandra M.; Snider, Sarah E.; Athamneh, Liqa N.; Stein, Jeffrey S.; Pope, Derek A.

doi:10.1016/j.pbb.2017.09.009

Cited by 134Neurotransmitter Receptor Influence on BehaviorSubstance Abuse Treatment and OutcomesNeural and Behavioral Psychology Studies

21st century neurobehavioral theories of decision making in addiction: Review and evaluation

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Bickel, Warren K., Mellis, Alexandra M., Snider, Sarah E., Athamneh, Liqa N., Stein, Jeffrey S., Pope, Derek A.·2018·Pharmacology Biochemistry and Behavior

DOI 10.1016/j.pbb.2017.09.009PMC PMC5747999

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Abstract

This review critically examines neurobehavioral theoretical developments in decision making in addiction in the 21st century. We specifically compare each theory reviewed to seven benchmarks of theoretical robustness, based on their ability to address: why some commodities are addictive; developmental trends in addiction; addiction-related anhedonia; self-defeating patterns of behavior in addiction; why addiction co-occurs with other unhealthy behaviors; and, finally, means for the repair of addiction. We have included only self-contained theories or hypotheses which have been developed or extended in the 21st century to address decision making in addiction. We thus review seven distinct theories of decision making in addiction: learning theories, incentive-sensitization theory, dopamine imbalance and systems models, opponent process theory, strength models of self-control failure, the competing neurobehavioral decision systems theory, and the triadic systems theory of addiction. Finally, we have directly compared the performance of each of these theories based on the aforementioned benchmarks, and highlighted key points at which several theories have coalesced.

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The tendency for an activity to become addictive depends upon when it was first performed, adolescence and early adulthood representing the most vulnerable period for both drug and sexual addictions.
“The tendency for an activity to become addictive depends upon when it was first performed, adolescence and early adulthood representing the most vulnerable period for both drug (Bickel et al., 2018) and sexual (Black et al., 1997;Hall, 2019;Kafka, 1997) addictions.”
From A motivation model of sex addiction – Relevance to the controversy over the concept (2022) · cites this paper as Bickel et al., 2018

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“The tendency for an activity to become addictive depends upon when it was first performed, adolescence and early adulthood representing the most vulnerable period for both drug (Bickel et al., 2018) and sexual (Black et al., 1997; Hall, 2019; Kafka, 1997) addictions.”
Background
A review of mathematical modeling of addiction regarding both (neuro-) psychological processes and the social contagion perspectives
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How Emergency Physicians Approach Refusal of Observation after Naloxone Resuscitation
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Altered dynamic reconfiguration of brain functional networks during gaming and deprivation in individuals with internet gaming disorder
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Transcranial Magnetic Stimulation for Methamphetamine Use Disorder: A Scoping Review within the Neurocircuitry Model of Addiction
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Stimulation and transient inactivation of ventral tegmental area modify reinstatement of acquisition phase of morphine-induced conditioned place preference in male rats
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Neurobiological Models of Risky Decision-Making and Adolescent Substance Use
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Identifying Patterns of Alcohol Use and Obesity‐Related Factors Among Emerging Adults: A Behavioral Economic Analysis
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Subtypes of cocaine use disorder and their neurobehavioral profiles
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Dissociation and other trauma symptomatology are linked to imbalance in the competing neurobehavioral decision systems
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Changes in temporal discounting, hedonic hunger, and food addiction during recovery from substance misuse
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Effect of Ego Depletion on Interpersonal Trust among Individuals with Substance Use Disorders
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A review of mathematical modeling of addiction regarding both (neuro-)psychological processes and the social contagion perspectivesPreprint
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Validation of the Glover–Nilsson Smoking Behavioral Questionnaire (GN-SBQ) to Evaluate Nicotine Dependence in Spanish Clinical Settings
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Self-citation
Reinforcement learning detuned in addiction: integrative and translational approaches
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Authors: Bickel, W. K., Mellis, A. M., Snider, S. E., Athamneh, L. N., Stein, J. S., & Pope, D. A.
Affiliations: Carilion Clinic (US)
Virginia Tech (US)
Corresponding author: Bickel, Warren K.
ORCID: Bickel, Warren K.
Mellis, Alexandra M.
Snider, Sarah E.
Athamneh, Liqa N.
Stein, Jeffrey S.
Pope, Derek A.
Venue: Pharmacology Biochemistry and Behavior
Publisher: Elsevier BV
Published: 2018-01
Volume: 164
Pages: 4-21
ISSN: 0091-3057 (ISSN-L)
DOI: 10.1016/j.pbb.2017.09.009
PMC: PMC5747999
OpenAlex: W2758629277
Cited by: 134
References: 297
Citations by year: 2026: 8 · 2025: 10 · 2024: 11 · 2023: 24 · 2022: 17 · 2021: 24 · 2020: 14 · 2019: 16 · 2018: 9 · 2017: 1
FWCI: 1.35
Type: journal article
Language: en
Open access: green
europepmc.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Pharmacology Biochemistry and Behavior (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: National Institutes of Health (5UH2DK109543, 5R01DA039456, 5R21DA040559, DP7OD018428, R01AA021529, R01DA034755, R01DA036017, U19CA157345, R01MD007054, 1P01CA200512, 1R01DA042535, 1R21AA023605, R01DA030241)
Topics: Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
Keywords: addiction, decision-making, incentive-sensitization theory, opponent process theory, learning theory, self-control failure, strength model, anhedonia
MeSH terms: Animals, Decision Making, Dopamine, Humans, Models, Psychological, Health Behavior, Substance-Related Disorders, History, 21st Century, Anhedonia

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21st century neurobehavioral theories of decision making in addiction: Review and evaluation

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