Let's Open the Decision-Making Umbrella: A Framework for Conceptualizing and Assessing Features of Impaired Decision Making in Addiction

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State: Public
Version: Final published version
License: Not specified
Serval ID
serval:BIB_E687C46AE529
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Let's Open the Decision-Making Umbrella: A Framework for Conceptualizing and Assessing Features of Impaired Decision Making in Addiction
Journal
Neuropsychology Review
Author(s)
Rochat Lucien, Maurage Pierre, Heeren Alexandre, Billieux Joël
ISSN
1040-7308
1573-6660
ISSN-L
1040-7308
Publication state
Published
Issued date
2019
Peer-reviewed
Oui
Volume
29
Number
1
Pages
27-51
Language
english
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Abstract
Decision-making impairments play a pivotal role in the emergence and maintenance of addictive disorders. However, a sound conceptualization of decision making as an umbrella construct, encompassing its cognitive, affective, motivational, and physiological subcomponents, is still lacking. This prevents an efficient evaluation of the heterogeneity of decision-making impairments and the development of tailored treatment. This paper thus unfolds the various processes involved in decision making by adopting a critical approach of prominent dual- or triadic-process models, which postulate that decision making is influenced by the interplay of impulsive-automatic, reflective-controlled, and interoceptive processes. Our approach also focuses on social cognition processes, which play a crucial role in decision making and addictive disorders but were largely ignored in previous dual- or triadic-process models. We propose here a theoretical framework in which a range of coordinated processes are first identified on the basis of their theoretical and clinical relevance. Each selected process is then defined before reviewing available results underlining its role in addictive disorders (i.e., substance use, gambling, and gaming disorders). Laboratory tasks for measuring each process are also proposed, initiating a preliminary process-based decision-making assessment battery. This original approach may offer an especially informative view of the constitutive features of decision-making impairments in addiction. As prior research has implicated these features as risk factors for the development and maintenance of addictive disorders, our processual approach sets the scene for novel and transdiagnostic experimental and applied research avenues.
Keywords
Addiction, Assessment battery, Decision making, Dual-process model, Social cognition, Transdiagnostic and processual approach
Pubmed
Web of science
Create date
17/10/2018 8:59
Last modification date
14/01/2020 6:21
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