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Textbook of Addiction Treatment pp 889–910Cite as

Biological Underpinning of Behavioral Addictions and Management Implications

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Abstract

Neurobiological and clinical data indicate that maladaptive engagement in certain behaviors warrants consideration as “behavioral” or non-substance addictions. This chapter reviews existing neurobiological and genetic/family history evidence for behavioral addictions involving gambling, internet use, video-gaming, sex, eating, and shopping. At a neurochemical level, behavioral addictions may involve dysregulation of serotoninergic, dopaminergic, noradrenergic, and opioidergic systems. At a neurocircuitry level, findings suggest dysfunction in subcortical and frontal areas; disruption in these regions and related circuits could lead to disadvantageous decision making, impaired inhibition, and increased cue-induced craving. While a genetic understanding is at an early stage, genetics/family-history data support heritability for behavioral addictions and suggest genetic overlap with other psychopathologies. As this represents an emerging area of research, data remain sparse in multiple domains. An improved understanding of behavioral addictions will help in establishing appropriate nomenclature and enhance the ability to recognize, prevent, and treat these disorders more effectively.

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Authors and Affiliations

  1. Department of Neurology and Neurosurgery, McGill University, Montreal, QC, Canada

    Yvonne H. C. Yau

  2. Department of Health Education and Behavior, University of Florida, Gainesville, FL, USA

    Robert F. Leeman

  3. Department of Psychiatry, Yale University, New Haven, CT, USA

    Robert F. Leeman & Marc N. Potenza

  4. Departments of Child Study and Neurobiology, Yale University, New Haven, CT, USA

    Marc N. Potenza

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  1. Yvonne H. C. Yau
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  2. Robert F. Leeman
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  3. Marc N. Potenza
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Correspondence to Marc N. Potenza .

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Editors and Affiliations

  1. Division of Addiction Department of Psychiatry, University of Calgary, Calgary, AB, Canada

    Nady el-Guebaly

  2. Mental Health Department, University of Milano-Bicocca, Monza, Monza e Brianza, Italy

    Giuseppe Carrà

  3. Division of Alcoholism and Drug Abuse Department of Psychiatry, NYU School of Medicine, New York, NY, USA

    Marc Galanter

  4. Population and Behavioural Science Division (Psychiatry and Addictions), University of St Andrews, St.Andrews, UK

    Alexander M. Baldacchino

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Yau, Y.H.C., Leeman, R.F., Potenza, M.N. (2021). Biological Underpinning of Behavioral Addictions and Management Implications. In: el-Guebaly, N., Carrà, G., Galanter, M., Baldacchino, A.M. (eds) Textbook of Addiction Treatment. Springer, Cham. https://doi.org/10.1007/978-3-030-36391-8_63

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