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Using the Syndrome Model of Addiction: a Preliminary Consideration of Psychological States and Traits

  • Howard J. Shaffer
  • Matthew A. Tom
  • Rhiannon C. Wiley
  • Margaret F. Y. Wong
  • Elda M. L. Chan
  • Gordon L. F. Cheng
  • Camilla K. M. Lo
  • Eric K. Y. Ma
  • Ryan H. Y. Wong
  • Mary Lee
Original Article

Abstract

This article describes a collaborative research project between the Division on Addiction, Cambridge Health Alliance, a Harvard Medical School Teaching Hospital, and the Integrated Centre on Addiction Prevention and Treatment (ICAPT) of the Tung Wah Group of Hospitals (TWGHs) in Hong Kong. The goal of this research is to better understand the syndrome model of addiction by establishing an epidemiology of addiction treatment seekers across various expressions of addiction (e.g., alcohol and other psychoactive drugs, gambling, sexual behaviors, online gaming). This paper presents initial findings about the demographic and psychological characteristics of three groups of treatment seekers in TWGHs in Hong Kong: (1) a group seeking treatment for chemical expressions of addiction (n = 35); (2) a group seeking treatment for behavioral expressions of addiction (n = 125); and (3) a comparison group seeking services (n = 18) unrelated to addiction. The initial findings identified various common psychological vulnerabilities (i.e., trait anxiety, state anxiety, depression, using emotional support and venting as psychological coping, higher levels of attentional impulsiveness) shared among both the behavioral expression and chemical expression groups, and possible unique psychological characteristics associated with each expression of addiction (e.g., coping mechanisms). These findings provide support for conceptualizing addiction as a syndrome.

Keywords

Syndrome model Addiction Treatment seekers Hong Kong 

Notes

Acknowledgements

We would like to express our gratitude to all of our colleagues and patients from the Integrated Centre on Addiction Prevention and Treatment, Even Centre, and Alcohol Abuse Prevention and Treatment of the Tung Wah Group of Hospitals for their assistance, commitment, and participation in this research project.

Funding Information

This study was funded by the Hong Kong Jockey Club Charities Trust. During the preparation of this article, the Division on Addiction at the Cambridge Health Alliance received funding support from a variety of sources, including the following: bwin.party Interactive Entertainment, AG; The Foundation for Advancing Alcohol Responsibility (FAAR); National Institutes of Health (i.e., NIDA, NIAAA, NIMH); Substance Abuse and Mental Health Services Administration (SAMHSA); The National Center for Responsible Gambling (NCRG); Massachusetts Council on Compulsive Gambling; The Massachusetts Gaming Commission; The University of Nevada, Las Vegas; and DraftKings. Dr. Shaffer has received funding for consultation from Las Vegas Sands Corp., Davies Ward Phillips & Vineberg, LLP, and the DUNES of Easthampton.

Compliance with Ethical Standards

The ICAPT research ethics committee, consisting of members who were not involved in the daily operation of the treatment centers, reviewed and approved this study and its procedures.

Conflict of Interest

The authors declare that they have no conflicts of interest.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Howard J. Shaffer
    • 1
  • Matthew A. Tom
    • 1
  • Rhiannon C. Wiley
    • 1
  • Margaret F. Y. Wong
    • 2
  • Elda M. L. Chan
    • 3
  • Gordon L. F. Cheng
    • 4
  • Camilla K. M. Lo
    • 3
  • Eric K. Y. Ma
    • 3
  • Ryan H. Y. Wong
    • 3
  • Mary Lee
    • 3
  1. 1.Division on AddictionCambridge Health Alliance, a Harvard Medical School Teaching HospitalMedfordUSA
  2. 2.Community Services Division, Youth and Family ServicesTung Wah Group of HospitalsSai WanHong Kong
  3. 3.Tung Wah Group of Hospitals Integrated Centre on Addiction Prevention and TreatmentSai WanHong Kong
  4. 4.Department of Clinical PsychologyCastle Peak HospitalTuen MunHong Kong

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