Associations between delay discounting and unhealthy behaviors in substance use recovery.

Autor: Cabral DAR; Fralin Biomedical Research Institute at Virginia Tech Carilion, Roanoke, VA, USA., Tegge AN; Fralin Biomedical Research Institute at Virginia Tech Carilion, Roanoke, VA, USA., Dwyer CL; Fralin Biomedical Research Institute at Virginia Tech Carilion, Roanoke, VA, USA; Department of Psychology at Virginia Tech, Blacksburg, VA, USA., Quddos F; Fralin Biomedical Research Institute at Virginia Tech Carilion, Roanoke, VA, USA., Kaur RP; Fralin Biomedical Research Institute at Virginia Tech Carilion, Roanoke, VA, USA., Nguyen J; William Byrd High School, Vinton, VA, USA., Athamneh L; Fralin Biomedical Research Institute at Virginia Tech Carilion, Roanoke, VA, USA., Bickel WK; Fralin Biomedical Research Institute at Virginia Tech Carilion, Roanoke, VA, USA. Electronic address: wkbickel@vtc.vt.edu.
Jazyk: angličtina
Zdroj: Drug and alcohol dependence [Drug Alcohol Depend] 2024 Sep 01; Vol. 262, pp. 111395. Date of Electronic Publication: 2024 Jul 11.
DOI: 10.1016/j.drugalcdep.2024.111395
Abstrakt: Background: Research on delay discounting (DD) is mixed on whether DD is a domain-specific component related to specific behaviors or a domain-general process that cuts across various behaviors. A pivotal group to test the associations between DD and unhealthy behaviors is individuals in recovery from substance use disorders (SUD), as they are moving away from a disorder toward a healthier state.
Methods: Individuals in SUD recovery (n = 317) completed the Temptation Scale, the Health Behaviors Questionnaire, and an Adjusting Delay Discounting Task. An exhaustive model space search was performed using linear regression to examine associations between DD with temptation, engagement in unhealthy behaviors, and the total number of unhealthy behaviors participants engage in. We also tested whether remission status is associated with the total number of unhealthy behaviors participants engage in.
Results: Results revealed that DD was positively associated with poor eating (p<.001), physical inactivity (p=.003), financial irresponsibility (p<.001), risky behaviors (p<.001), lack of personal development goals (p<.001), lack of household savings (p=.004), and lack of health behaviors (p=.003). DD was also positively associated with the total number of unhealthy behaviors participants engage in (p<.001). Participants who were not in remission engaged in more unhealthy behaviors compared to those who were in remission (p<.001).
Conclusion: In a sample of individuals in recovery from SUD, DD is not domain-specific and undergirds engagement in several maladaptive health behaviors that can negatively impact recovery. Thus, DD can be a target for interventions aiming to reduce other maladaptive behaviors in SUD recovery.
Competing Interests: Declaration of Competing Interest The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: Although the following activities/relationships do not create a conflict of interest pertaining to this manuscript, in the interest of full disclosure, Dr. Bickel would like to report the following: W. K. Bickel is a principal of HealthSim, LLC; BEAM Diagnostics, Inc.; and Red 5 Group, LLC. In addition, he serves on the scientific advisory board for Ria Health and as a consultant for Lumanity. Dr. Tegge would like to report the following: A. N. Tegge works on a project supported by Indivior, Inc
(Copyright © 2024 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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