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行为成瘾的I-PACE模型的当前解读。

Current interpretations of the I-PACE model of behavioral addictions.

作者信息

Brand Matthias, Müller Astrid, Wegmann Elisa, Antons Stephanie, Brandtner Annika, Müller Silke M, Stark Rudolf, Steins-Loeber Sabine, Potenza Marc N

机构信息

1General Psychology: Cognition, Faculty of Computer Science, University of Duisburg-Essen, Germany.

2Center for Behavioral Addiction Research (CeBAR), Center for Translational Neuro- and Behavioral Sciences, University Hospital Essen, University of Duisburg-Essen, Germany.

出版信息

J Behav Addict. 2025 Mar 10;14(1):1-17. doi: 10.1556/2006.2025.00020. Print 2025 Mar 28.

Abstract

BACKGROUND AND AIMS

The Interaction of Person-Affect-Cognition-Execution (I-PACE) model of behavioral addictions is used relatively often as a scientific framework to specify research hypotheses and to interpret empirical findings in behavioral addiction research. There are, however, controversial interpretations in the literature regarding some specific elements of the model, which may require a more precise definition of specific constructs and processes that are central to the I-PACE model.

METHODS

This is neither a comprehensive literature review nor a proposal for a new version of the I-PACE model. We aim to provide a selective, critical evaluation of some interpretations of the model and to include recent developments regarding addiction theories and controversial debates.

RESULTS

The role of gratification and compensation and therefore positive and negative reinforcement are specified. The concepts of cue-reactivity and craving are considered in the context of desire thinking and permissive beliefs. The relationships between impulsive, habitual, and compulsive behaviors in behavioral addictions are discussed. The effects of general self-control and situation-specific executive functions are elaborated. Punishment (in)sensitivity is discussed as a further important process potentially involved in behavioral addictions. These constructs and processes (through their interactions) are considered in the context of changes over time in the course of addictive behaviors.

CONCLUSION

This viewpoint article aims to provide greater precision and clarity regarding some specific elements of the I-PACE model, which may help stimulate research and theory building and advance clinical care in the behavioral addiction field.

摘要

背景与目的

行为成瘾的人-情感-认知-执行(I-PACE)模型相对频繁地被用作科学框架,以明确研究假设并解释行为成瘾研究中的实证结果。然而,文献中对于该模型的一些特定元素存在有争议的解释,这可能需要对I-PACE模型核心的特定结构和过程进行更精确的定义。

方法

本文既不是全面的文献综述,也不是关于I-PACE模型新版本的提议。我们旨在对该模型的一些解释进行有选择性的批判性评估,并纳入成瘾理论的最新进展和有争议的辩论。

结果

明确了满足感和补偿的作用,进而明确了正强化和负强化的作用。在欲望思维和宽容信念的背景下考虑线索反应性和渴望的概念。讨论了行为成瘾中冲动、习惯和强迫行为之间的关系。阐述了一般自我控制和特定情境执行功能的影响。惩罚(不)敏感性作为行为成瘾中可能涉及的另一个重要过程进行了讨论。这些结构和过程(通过它们的相互作用)在成瘾行为过程中随时间的变化背景下进行了考虑。

结论

这篇观点文章旨在提高I-PACE模型某些特定元素的精确性和清晰度,这可能有助于激发行为成瘾领域的研究和理论构建,并推动临床护理的发展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5063/11974429/ada136cc8128/jba-14-001-g001.jpg

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