Department of Psychological Sciences, Kent State University, 144 Kent Hall, P.O. Box 5190, Kent, OH 44242-0001, USA.
Center for Behavioral Health, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195, USA.
Curr Opin Psychol. 2019 Dec;30:24-28. doi: 10.1016/j.copsyc.2019.01.017. Epub 2019 Feb 4.
The inability to stop or reduce substance use despite motivation to do so is thought to result, in part, from self-control failure and can be understood within the framework of dual process models of addiction. These models view addictive behavior as the relative balance between automatic impulses and executive decision processes. This review focuses on treatments that aim to improve executive decision processes which often become dysregulated and ineffective in individuals with substance use disorders. It is posited that improving these executive function deficits should restore control over automatic impulses and drug seeking behavior.
尽管有停止或减少物质使用的动机，但仍无法做到这一点，据认为部分原因是自我控制失败，并且可以在成瘾的双重加工模型框架内理解。这些模型将成瘾行为视为自动冲动和执行决策过程之间的相对平衡。本综述重点介绍旨在改善执行决策过程的治疗方法，这些过程在物质使用障碍患者中经常变得失调和无效。据推测，改善这些执行功能缺陷应该可以恢复对自动冲动和觅药行为的控制。
