Titre
Let's Open the Decision-Making Umbrella: A Framework for Conceptualizing and Assessing Features of Impaired Decision Making in Addiction
Type
synthèse (review)
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Périodique
Auteur(s)
Rochat, Lucien
Auteure/Auteur
Maurage, Pierre
Auteure/Auteur
Heeren, Alexandre
Auteure/Auteur
Billieux, Joël
Auteure/Auteur
Liens vers les personnes
Liens vers les unités
ISSN
1040-7308
Statut éditorial
Publié
Date de publication
2019
Volume
29
Numéro
1
Première page
27
Dernière page/numéro d’article
51
Peer-reviewed
Oui
Langue
anglais
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Publication Status: ppublish
Résumé
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.
PID Serval
serval:BIB_E687C46AE529
PMID
Date de création
2018-10-17T07:59:19.298Z
Date de création dans IRIS
2025-05-21T07:01:43Z
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Nom
Rochat et al., 2018_NR.pdf
Version du manuscrit
published
Taille
979.45 KB
Format
Adobe PDF
PID Serval
serval:BIB_E687C46AE529.P001
Somme de contrôle
(MD5):1c0c8837c7a667fbf451bcbc2085a113