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Decision-Making in Gambling Disorder, Problematic Pornography Use, and Binge-Eating Disorder: Similarities and Differences

  • Addictions (M Potenza, SectionEditor)
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Abstract

Purpose of Review

The present review attempts to provide a comprehensive and critical overview of the neurocognitive mechanisms of gambling disorder (GD), problematic pornography use (PPU), and binge-eating disorder (BED), focusing specifically on decision-making processes.

Recent Findings

GD, PPU, and BED have been associated with decision-making impairments both under risk and ambiguity. Features such as intelligence, emotions, social variables, cognitive distortions, comorbidities, or arousal may condition decision-making processes in these individuals.

Summary

Impairments in decision-making seem to be a shared transdiagnostic feature of these disorders. However, there is varying support for the degree to which different features may affect decision-making. Therefore, the study of decision-making processes can provide crucial evidence for understanding addictions and other disorders with addiction-like symptomatology.

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Funding

Financial support was received through the Ministerio de Ciencia, Innovación y Universidades (grant RTI2018-101837-B-100). FIS PI14/00290 and FIS PI17/01167 received aid from the Ministerio de Sanidad, Servicios Sociales e Igualdad. The research was also funded by the Delegación del Gobierno para el Plan Nacional sobre Drogas (2017I067), CIBER Fisiología Obesidad y Nutrición (CIBERobn), ISCIII. We thank CERCA Programme/Generalitat de Catalunya for institutional support. Fondo Europeo de Desarrollo Regional (FEDER) “Una manera de hacer Europa”/“a way to build Europe.” Dr. Mestre-Bach was supported by a postdoctoral grant from the Fundación Ciudadanía y Valores. Dr. Potenza’s involvement was supported by the NIH grant R01 DK121551 and by the Connecticut Council on Problem Gambling and the Connecticut Department of Mental Health and Addiction Services.

Author information

Authors and Affiliations

  1. Universidad Internacional de La Rioja, Logroño, La Rioja, Spain

    Gemma Mestre-Bach

  2. Department of Psychiatry, Bellvitge University Hospital-IDIBELL, Barcelona, Spain

    Gemma Mestre-Bach, Fernando Fernández-Aranda & Susana Jiménez-Murcia

  3. Ciber Fisiopatología Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III, Madrid, Spain

    Gemma Mestre-Bach, Fernando Fernández-Aranda & Susana Jiménez-Murcia

  4. Department of Clinical Sciences, School of Medicine, University of Barcelona, Barcelona, Spain

    Fernando Fernández-Aranda & Susana Jiménez-Murcia

  5. Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA

    Marc N. Potenza

  6. Department of Neuroscience, Yale University School of Medicine, New Haven, CT, USA

    Marc N. Potenza

  7. Yale Child Study Center, Yale University School of Medicine, New Haven, CT, USA

    Marc N. Potenza

  8. Connecticut Mental Health Center, New Haven, CT, USA

    Marc N. Potenza

Authors
  1. Gemma Mestre-Bach
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  2. Fernando Fernández-Aranda
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  3. Susana Jiménez-Murcia
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  4. Marc N. Potenza
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Corresponding author

Correspondence to Marc N. Potenza.

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Conflict of Interest

None of the authors have any conflicts of interest. Marc Potenza has consulted for Rivermend Health, Opiant Therapeutics, Game Day Data, Addiction Policy Forum, Idorisa Pharmaceuticals and AXA; has received research support from Mohegan Sun Casino and the National Center for Responsible Gaming; has participated in surveys, mailings, or telephone consultations related to drug addiction, impulse-control disorders, or other health topics; has consulted for and/or advised gambling, health, and legal entities on issues related to impulse-control/addictive disorders; has provided clinical care in a problem gambling services program; has performed grant reviews for research-funding agencies; has edited journals and journal sections; has given academic lectures in grand rounds, CME events, and other clinical or scientific venues; and has generated books or book chapters for publishers of mental health texts. Dr. Mestre-Bach reports grants from Fundación Ciudadanía y Valores during the conduct of the study.

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Mestre-Bach, G., Fernández-Aranda, F., Jiménez-Murcia, S. et al. Decision-Making in Gambling Disorder, Problematic Pornography Use, and Binge-Eating Disorder: Similarities and Differences. Curr Behav Neurosci Rep 7, 97–108 (2020). https://doi.org/10.1007/s40473-020-00212-7

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