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31 - Considering the Overlap and Nonoverlap of Compulsivity, Impulsivity, and Addiction

from Part V - Ongoing and Future Research Directions

Published online by Cambridge University Press:  13 July 2020

By
Austin W. Blum  and
Jon E. Grant
Edited by
Steve Sussman
Steve Sussman
Affiliation:
University of Southern California
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Summary

Impulsivity and compulsivity are the defining features of various psychiatric disorders, including attention-deficit/hyperactivity disorder, obsessive–compulsive disorder, and behavioral and substance addictions. Once thought to be diametrically opposed, compulsivity and impulsivity are increasingly recognized as orthogonal symptom dimensions that are linked by shared neurobiological mechanisms. This chapter selectively reviews impulsivity and compulsivity from a transdiagnostic perspective. It begins by discussing the neurobiology of impulsivity and compulsivity and the relationship of these constructs to addictive disorders. The chapter then discusses the clinical features of specific compulsive and impulsive disorders (as well as gambling disorder, a putative behavioral addiction), with a focus on comorbidity and treatment. The complex interrelationships among compulsive, impulsive, and addictive disorders have implications for how these disorders are assessed and treated.

Keywords

compulsivityimpulsivityaddictiontransdiagnosticcomorbidityADHDOCDgambling disordergo-no go tasksIEDpharmacotherapy
Type
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Information
The Cambridge Handbook of Substance and Behavioral Addictions , pp. 373 - 385
Publisher: Cambridge University Press
Print publication year: 2020

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