Habitual versus affective motivations in obsessive-compulsive disorder and alcohol use disorder
| Autor: | Samara dos Santos-Ribeiro, Lucy Albertella, Marcelo Santos Cruz, Gabriela M. Ferreira, Murat Yücel, Leonardo F. Fontenelle, Rico S C Lee, Maria E. Moreira-de-Oliveira, Gabriela Bezerra de Menezes, Marcelo Piquet-Pessôa |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Obsessive-Compulsive Disorder Adolescent media_common.quotation_subject Population Alcohol use disorder 03 medical and health sciences Habits 0302 clinical medicine Reward Alcohol Dependence Scale Obsessive compulsive medicine Sensation seeking Humans Behavioral inhibition education media_common Aged education.field_of_study Motivation Fear Middle Aged medicine.disease 030227 psychiatry Psychiatry and Mental health Alcoholism Female Neurology (clinical) Habit Psychology 030217 neurology & neurosurgery Clinical psychology |
| Zdroj: | CNS spectrums. 26(3) |
| ISSN: | 1092-8529 |
| Popis: | ObjectiveTo (1) confirm whether the Habit, Reward, and Fear Scale is able to generate a 3-factor solution in a population of obsessive-compulsive disorder and alcohol use disorder (AUD) patients; (2) compare these clinical groups in their habit, reward, and fear motivations; and (3) investigate whether homogenous subgroups can be identified to resolve heterogeneity within and across disorders based on the motivations driving ritualistic and drinking behaviors.MethodsOne hundred and thirty-four obsessive-compulsive disorder (n = 76) or AUD (n = 58) patients were assessed with a battery of scales including the Habit, Reward, and Fear Scale, the Yale-Brown Obsessive-Compulsive Scale, the Alcohol Dependence Scale, the Behavioral Inhibition/Activation System Scale, and the Urgency, (lack of ) Premeditation, (lack of ) Perseverance, Sensation Seeking, and Positive Urgency Impulsive Behavior Scale.ResultsA 3-factor solution reflecting habit, reward, and fear subscores explained 56.6% of the total variance of the Habit, Reward, and Fear Scale. Although the habit and fear subscores were significantly higher in obsessive-compulsive disorder (OCD) and the reward subscores were significantly greater in AUD patients, a cluster analysis identified that the 3 clusters were each characterized by differing proportions of OCD and AUD patients.ConclusionsWhile affective (reward- and fear-driven) and nonaffective (habitual) motivations for repetitive behaviors seem dissociable from each other, it is possible to identify subgroups in a transdiagnostic manner based on motivations that do not match perfectly motivations that usually described in OCD and AUD patients. |
| Databáze: | OpenAIRE |
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