University of Florida, Department of Health Education & Behavior, Gainesville, FL, United States; University of Florida Center for Addiction Research and Education, Gainesville, FL, United States; University of Florida Center for Behavioral Economic Health Research, Gainesville, FL, United States.
University of Kansas, Department of Psychology, Lawrence, KS, United States; Cofrin Logan Center for Addiction Research and Treatment, Lawrence, KS, United States.
Behav Processes. 2021 May;186:104339. doi: 10.1016/j.beproc.2021.104339. Epub 2021 Feb 2.
Delay discounting (DD) refers to the decrease in the subjective value of a reward as the delay to its receipt increases. As high rates of DD are consistently associated with measures of substance misuse, DD is an important construct in current conceptualizations of addiction. High rates of DD appear to model preference for the immediate rewards provided by substance use, resulting in the interpretation that individuals with substance use disorder are generally unable or unwilling to delay gratification to obtain larger but delayed rewards. This interpretation is largely based on literature implementing binary choice tasks using differing amounts of the same commodity (i.e., single-commodity), in which high rates of DD can result from relative preference for the immediate outcome or relative dispreference for the delayed outcome. We propose that tasks using different commodities (i.e., cross-commodity) for the immediate and delayed outcomes offer potential in disentangling these dissociable and consequentially distinct interpretations. Our review suggests that cross-commodity DD tasks provide unique insights into understanding addiction not captured by single-commodity designs. We conclude that more research implementing cross-commodity DD tasks is needed to better understand the role of intertemporal choice in addiction and recovery.
延迟折扣(DD)是指随着奖励接收时间的延迟,奖励的主观价值降低。由于高 DD 率与物质滥用的衡量标准一致,DD 是当前成瘾概念中的一个重要构建。高 DD 率似乎模拟了对物质使用提供的即时奖励的偏好,从而得出结论,患有物质使用障碍的个体通常无法或不愿意延迟满足以获得更大但延迟的奖励。这种解释主要基于使用不同数量同种商品(即单一商品)实施二元选择任务的文献,其中高 DD 率可能源于对即时结果的相对偏好或对延迟结果的相对厌恶。我们提出,使用不同商品(即跨商品)进行即时和延迟结果的任务具有区分这些可分离且具有不同后果的解释的潜力。我们的综述表明,跨商品 DD 任务为理解单一商品设计无法捕捉的成瘾提供了独特的见解。我们得出的结论是,需要进行更多使用跨商品 DD 任务的研究,以更好地理解时间选择在成瘾和康复中的作用。