School of Psychology, University of Nottingham, Nottingham, UK.
School of Psychology, University of Nottingham, Nottingham, UK.
Clin Psychol Rev. 2017 Mar;52:69-76. doi: 10.1016/j.cpr.2016.11.010. Epub 2016 Dec 2.
This review discusses research on behavioural addictions (i.e. associative learning, conditioning), with reference to contemporary models of substance addiction and ongoing controversies in the behavioural addictions literature. The role of behaviour has been well explored in substance addictions and gambling but this focus is often absent in other candidate behavioural addictions. In contrast, the standard approach to behavioural addictions has been to look at individual differences, psychopathologies and biases, often translating from pathological gambling indicators. An associative model presently captures the core elements of behavioural addiction included in the DSM (gambling) and identified for further consideration (internet gaming). Importantly, gambling has a schedule of reinforcement that shows similarities and differences from other addictions. While this is more likely than not applicable to internet gaming, it is less clear whether it is so for a number of candidate behavioural addictions. Adopting an associative perspective, this paper translates from gambling to video gaming, in light of the existing debates on this matter and the nature of the distinction between these behaviours. Finally, a framework for applying an associative model to behavioural addictions is outlined, and it's application toward treatment.
这篇综述讨论了行为成瘾(即联想学习、条件作用)的研究,参考了当代物质成瘾模型和行为成瘾文献中的持续争议。在物质成瘾和赌博中,行为的作用已经得到了很好的探索,但在其他候选行为成瘾中,这种关注往往不存在。相比之下,行为成瘾的标准方法是研究个体差异、精神病理学和偏见,这些通常是从病理性赌博指标中转化而来的。目前,联想模型捕捉到了 DSM(赌博)中包含的行为成瘾的核心要素,并确定了进一步考虑的要素(网络游戏)。重要的是,赌博有一个强化时间表,与其他成瘾有相似之处也有不同之处。虽然这很可能适用于网络游戏,但对于许多候选行为成瘾来说,情况是否如此就不太清楚了。鉴于目前关于这一问题的争论以及这些行为之间的区别性质,本文从赌博的角度出发,通过联想的观点来探讨视频游戏。最后,概述了将联想模型应用于行为成瘾的框架,并探讨了其在治疗中的应用。