Aguilar-Yamuza Beatriz, Trenados Yolanda, Herruzo Carlos, Pino María José, Herruzo Javier
Department of Psychology, University of Cordoba, Cordoba, Spain.
Front Psychiatry. 2024 Sep 26;15:1430409. doi: 10.3389/fpsyt.2024.1430409. eCollection 2024.
The aim of this study was to comprehensively review existing treatments for impulsivity and compulsivity in non-substance addictions, driven by the importance of these factors in addictive disorder development and treatment efficacy.
A systematic review carried out following PRISMA guidelines identified 14 articles from a total of 764 studies, highlighting the limited literature that is available on psychological treatments for non-substance addictions, in particular studies focusing on impulsivity and compulsivity. The studies were categorized by behavioral addiction type.
For compulsive sexual behavior and problematic pornography use, cognitive-behavioral therapy (CBT) has shown significant improvements in compulsivity. In gambling disorder, interventions like cognitive bias modification and motivational interviewing combined with CBT have been effective in reducing impulsivity. Cognitive-behavioral therapy was advocated for compulsive shopping, although results varied. For problematic internet use, dialectical behavior therapy and acceptance and commitment therapy have been effective in addressing impulsivity. Despite literature supporting CBT for most behavioral addictions, the review noted that some articles indicate that dialectical behavior therapy and acceptance and commitment therapy were also effective for problematic internet use, suggesting different underlying mechanisms for this type of addiction.
It also highlighted limitations, including the small number of studies and the lack of standardized assessment measures. Further research is needed to understand underlying mechanisms and develop tailored treatments for impulsivity and compulsivity in non-substance addictions. These findings offer new directions for research and intervention guidelines in behavioral addictions.
本研究旨在全面回顾非物质成瘾中冲动性和强迫性的现有治疗方法，因为这些因素在成瘾性障碍的发展和治疗效果中具有重要意义。
按照PRISMA指南进行的系统综述从总共764项研究中筛选出14篇文章，凸显了关于非物质成瘾心理治疗的现有文献有限，尤其是专注于冲动性和强迫性的研究。这些研究按行为成瘾类型进行了分类。
对于强迫性性行为和问题性色情内容使用，认知行为疗法（CBT）已显示出在强迫性方面有显著改善。在赌博障碍中，诸如认知偏差矫正和动机性访谈与CBT相结合的干预措施在减少冲动性方面有效。对于强迫性购物，虽然结果各异，但提倡采用认知行为疗法。对于问题性互联网使用，辩证行为疗法和接纳与承诺疗法在解决冲动性方面有效。尽管有文献支持CBT用于大多数行为成瘾，但该综述指出，一些文章表明辩证行为疗法和接纳与承诺疗法对于问题性互联网使用也有效，这表明这种成瘾类型存在不同的潜在机制。
它还强调了局限性，包括研究数量少以及缺乏标准化评估措施。需要进一步研究以了解潜在机制，并为非物质成瘾中的冲动性和强迫性制定量身定制的治疗方法。这些发现为行为成瘾的研究和干预指南提供了新方向。
