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Behavioral addiction

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and putamen, but not the medial preoptic nucleus. Next, the induction of c-Fos, a downstream (repressed) target of DeltaFosB, was measured in sexually experienced and naive animals. The number of mating-induced c-Fos-IR cells was significantly decreased in sexually experienced animals compared to sexually naive controls. Finally, DeltaFosB levels and its activity in the NAc were manipulated using viral-mediated gene transfer to study its potential role in mediating sexual experience and experience-induced facilitation of sexual performance. Animals with DeltaFosB overexpression displayed enhanced facilitation of sexual performance with sexual experience relative to controls. In contrast, the expression of DeltaJunD, a dominant-negative binding partner of DeltaFosB, attenuated sexual experience-induced facilitation of sexual performance, and stunted long-term maintenance of facilitation compared to DeltaFosB overexpressing group. Together, these findings support a critical role for DeltaFosB expression in the NAc in the reinforcing effects of sexual behavior and sexual experience-induced facilitation of sexual performance. ... both drug addiction and sexual addiction represent pathological forms of neuroplasticity along with the emergence of aberrant behaviors involving a cascade of neurochemical changes mainly in the brain's rewarding circuitry.
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of compulsive buying (80), compulsive sexual behavior (81), internet addiction (82), and pathologic skin picking (83). ... Topiramate, an anti-convulsant which blocks the AMPA subtype of glutamate receptor (among other actions), has shown promise in open-label studies of pathological gambling, compulsive buying, and compulsive skin picking (85), as well as efficacy in reducing alcohol (86), cigarette (87), and cocaine (88) use. N-acetyl cysteine, an amino acid that restores extracellular glutamate concentration in the nucleus accumbens, reduced gambling urges and behavior in one study of pathological gamblers (89), and reduces cocaine craving (90) and cocaine use (91) in cocaine addicts. These studies suggest that glutamatergic modulation of dopaminergic tone in the nucleus accumbens may be a mechanism common to behavioral addiction and substance use disorders (92).
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dopamine. The most common mechanism of dopamine is to create addictive properties along with certain behaviors. There are three stages to the dopamine reward system: bursts of dopamine, triggering of behavior, and further impact to the behavior. Once electronically signaled, possibly through the behavior, dopamine neurons let out a 'burst-fire' of elements to stimulate areas along fast transmitting pathways. The behavior response then perpetuates the striated neurons to further send stimuli. The fast firing of dopamine neurons can be monitored over time by evaluating the amount of extracellular concentrations of dopamine through micro dialysis and brain imaging. This monitoring can lead to a model in which one can see the multiplicity of triggering over a period of time. Once the behavior is triggered, it is hard to work away from the dopamine reward system.
528:ΔFosB has been linked directly to several substance-related behaviors ... Importantly, genetic or viral overexpression of ΔJunD, a dominant negative mutant of JunD which antagonizes ΔFosB- and other AP-1-mediated transcriptional activity, in the NAc or OFC blocks these key effects of drug exposure14,22–24. This indicates that ΔFosB is both necessary and sufficient for many of the changes wrought in the brain by chronic drug exposure. ΔFosB is also induced in D1-type NAc MSNs by chronic consumption of several natural rewards, including sucrose, high fat food, sex, wheel running, where it promotes that consumption14,26–30. This implicates ΔFosB in the regulation of natural rewards under normal conditions and perhaps during pathological addictive-like states. 195:
issue, becoming aware of one's thoughts surrounding the issue, identifying any negative or false thinking, and reshaping said negative and false thinking. While CBT does not cure behavioral addiction, it does help with coping with the condition in a healthy way. Currently, there are no medications approved for treatment of behavioral addictions in general, but some medications used for treatment of drug addiction may also be beneficial with specific behavioral addictions.
2644: 1880: 221:'s guidelines to be adequate to include more behavioral addictions based on clinical relevance and empirical evidence, while this 2015 journal article questioned the atheoretical and confirmatory research approaches on the accuracy of qualitative factors and criticized the lack of consideration of social elements and psychological processes. 341:
facilitate a motivational or learned association to a specific behavior. Dopamine neurons take a role in the learning and sustaining of many acquired behaviors. Research specific to Parkinson's disease has led to identifying the intracellular signaling pathways that underlie the immediate actions of
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Behaviors like gambling have been linked to the newfound idea of the brain's capacity to anticipate rewards. The reward system can be triggered by early detectors of the behavior, and trigger dopamine neurons to begin stimulating behaviors. But in some cases, it can lead to many issues due to error,
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may be specific to problematic internet use and problematic online gaming. The authors also conclude that most of current research on the association between behavioral addictions and psychiatric disorders has several limitations: they are mostly cross-sectional, are not from representative samples,
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Naltrexone, a mu-opioid receptor antagonist approved by the US Food and Drug Administration for the treatment of alcoholism and opioid dependence, has shown efficacy in controlled clinical trials for the treatment of pathological gambling and kleptomania (76–79), and promise in uncontrolled studies
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It has been found that deltaFosB gene in the NAc is critical for reinforcing effects of sexual reward. Pitchers and colleagues (2010) reported that sexual experience was shown to cause DeltaFosB accumulation in several limbic brain regions including the NAc, medial pre-frontal cortex, VTA, caudate,
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Addiction canonically refers to substance abuse; however, the term's connotation has been expanded to include behaviors that may lead to a reward (such as gambling, eating, or shopping) since the 1990s. Still, the framework to diagnose and categorize behavioral addiction is a controversial topic in
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introduced the category "Disorders due to substance use or addictive behaviours," based on the diagnostic framework of impaired control, repetitive harmful behavior, and continuation or escalation despite negative consequences. The new sub-category "Disorders due to addictive behaviours" included
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and making lifestyle changes to promote healthier behaviors. Because cognitive behavioral therapy is considered a short-term therapy, the number of sessions for treatment normally ranges from five to twenty. During the session, therapists will lead patients through the topics of identifying the
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Together, these findings demonstrate that drugs of abuse and natural reward behaviors act on common molecular and cellular mechanisms of plasticity that control vulnerability to drug addiction, and that this increased vulnerability is mediated by ΔFosB and its downstream transcriptional
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Brand, Matthias; Rumpf, Hans-JÜrgen; Demetrovics, Zsolt; MÜller, Astrid; Stark, Rudolf; King, Daniel L.; Goudriaan, Anna E.; Mann, Karl; Trotzke, Patrick; Fineberg, Naomi A.; Chamberlain, Samuel R.; Kraus, Shane W.; Wegmann, Elisa; Billieux, JoËl; Potenza, Marc N. (30 June 2020).
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Stein, Dan J.; Szatmari, Peter; Gaebel, Wolfgang; Berk, Michael; Vieta, Eduard; Maj, Mario; de Vries, Ymkje Anna; Roest, Annelieke M.; de Jonge, Peter; Maercker, Andreas; Brewin, Chris R.; Pike, Kathleen M.; Grilo, Carlos M.; Fineberg, Naomi A.; Briken, Peer (27 January 2020).
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gambling disorder (formerly under the habit and impulse disorders), gaming disorder (a new diagnosis), and two residual categories (other specified and unspecified) to raise attention among clinicians and the public and to facilitate further research.
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and are often based on small samples, among others. Especially more longitudinal studies are needed to establish the direction of causation, i.e. whether behavioral addictions are a cause or a consequence of psychiatric disorders.
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factor, has been identified as playing a critical role in the development of addictive states in both behavioral addictions and drug addictions. Overexpression of ΔFosB in the
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was included in the appendix as a condition for further study. Although "addiction" is commonly used to describe repetitive harmful behavior in nonmedical settings,
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has been identified as a necessary common factor involved in both behavioral and drug addictions, which are associated with the same set of neural adaptations.
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recommended the neutral term "disorder" instead of "addiction" under the clinical settings to avoid uncertain definition and potentially negative connotation.
2666: 2402: 1082: 92:, formerly pathological gambling, as the only non-substance-related disorder classified under the chapter of "Substance-Related and Addictive Disorders". 1185:"Disorders due to addictive behaviors: Further issues, debates, and controversies •: Commentary to the debate: "Behavioral addictions in the ICD-11"" 2894: 1122: 114: 1090: 128: 3024: 2323: 967: 921: 607: 455: 1248: 237: 163: 337:, a brain structure which involves emotional significance and associated learning. Research shows that dopaminergic projections from the 2689: 2595: 2067: 1924: 190:(CBT) is the most common form of psychotherapy used in treating behavioral addictions; it focuses on identifying patterns that trigger 2457: 2882: 224:
A recent narrative review in 2017 examined the existing literature for studies reporting associations between behavioral addictions (
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Hyman SE, Malenka RC, Nestler EJ (2006). "Neural mechanisms of addiction: the role of reward-related learning and memory".
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Other addictive behaviors which have received research attention but with insufficient or inconclusive evidence include
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Pinna, F.; Dell’Osso, B.; Di Nicola, M.; Janiri, L.; Altamura, A.C.; Carpiniello, B.; Hollander, E. (1 December 2015).
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has been a controversial subject among the clinical research field. For example, this 2020 narrative review considered
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or reward-prediction errors. These errors can act as teaching signals to create a complex behavior task over time.
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as well as addictions to natural rewards such as sex, exercise, and food. A recent study also demonstrated a
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between drug reward (amphetamine) and a natural reward (sex) that was mediated by ΔFosB.
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The classification and diagnostic framework of behavioral addictions under
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Behavioral addiction is a treatable condition. Treatment options include
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Rev. Neurosci 870:10.2147/PRBM.S39476 328:cross-sensitization 192:compulsive behavior 2706:Computer addiction 2623:Incentive salience 2611:Inhibitory control 2586:Category:Addiction 2576:Addiction medicine 2371:Relapse prevention 2308:Tanning dependence 494:Nat. Rev. Neurosci 356:Addictive behavior 300:neural adaptations 288:gene transcription 246:exercise addiction 160:exercise addiction 3097: 3096: 2769:Digital sociology 2656: 2655: 2606:Cognitive control 2564: 2563: 2448:Smoking cessation 2403:Physical exercise 2318: 2317: 2304:Non-drug stimuli 2203: 2202: 2047:Internet-related 1883:Media related to 969:978-0-89042-575-6 923:978-0-89042-575-6 696:(5544): 980–982. 609:978-1-58562-254-2 553:Neuropharmacology 457:978-0-89042-575-6 292:nucleus accumbens 242:compulsive buying 90:gambling disorder 16:(Redirected from 3137: 3130:Social influence 2920:Anorexia nervosa 2905:Bipolar disorder 2873:Anxiety disorder 2683: 2676: 2669: 2660: 2646: 2645: 2333: 2214: 2139:G9a-like protein 1955: 1927: 1920: 1913: 1904: 1893: 1882: 1867: 1866: 1838: 1829: 1828: 1818: 1794: 1788: 1787: 1777: 1745: 1739: 1738: 1724: 1692: 1686: 1685: 1683: 1681: 1666: 1660: 1659: 1649: 1617: 1611: 1610: 1574: 1568: 1567: 1557: 1539: 1515: 1509: 1508: 1498: 1456: 1450: 1445: 1439: 1438: 1424: 1392: 1386: 1385: 1345: 1339: 1338: 1337: 1335: 1302: 1296: 1295: 1269: 1239: 1233: 1232: 1222: 1180: 1171: 1170: 1160: 1117: 1108: 1107: 1105: 1103: 1087: 1079: 1073: 1072: 1070: 1068: 1051: 1045: 1044: 1034: 1016: 991: 982: 981: 945: 936: 935: 899: 893: 892: 882: 872: 848: 842: 841: 830:. pp. 1–5. 819: 813: 812: 802: 793: 787: 786: 736: 730: 729: 685: 679: 678: 664: 632: 621: 620: 618: 616: 593: 587: 586: 576: 544: 531: 530: 517: 485: 470: 469: 433: 427: 426: 386: 298:for many of the 254:anxiety disorder 37:that involves a 21: 3145: 3144: 3140: 3139: 3138: 3136: 3135: 3134: 3100: 3099: 3098: 3093: 2941: 2915:Eating disorder 2865: 2859: 2809:Neuroergonomics 2789:Cyberpsychology 2752: 2698: 2692: 2687: 2657: 2652: 2634: 2630:Sober companion 2560: 2514:Reagent testing 2490: 2469: 2413: 2407: 2358: 2352: 2327: 2325: 2314: 2243: 2199: 2086:Transcriptional 2078: 2072: 1999: 1985:Methylphenidate 1980:Methamphetamine 1944: 1931: 1891: 1875: 1870: 1840: 1839: 1832: 1796: 1795: 1791: 1747: 1746: 1742: 1694: 1693: 1689: 1679: 1677: 1668: 1667: 1663: 1626:Prog. 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Index

Behavioral addictions
addiction
compulsion
substance
reward system
gene transcription factor
ΔFosB
psychopathology
Diagnostic and Statistical Manual of Mental Disorders (DSM)
DSM-5
gambling disorder
Internet gaming addiction
DSM-5
DSM-5
International Classification of Diseases
ICD-11
American Society of Addiction Medicine
substance use
compulsive behaviors
pornography use disorder
compulsive buying disorder
social network use disorder
work addiction
exercise addiction
compulsive sexual behavior disorder
food addiction
psychotherapy
psychopharmacotherapy
Cognitive behavioral therapy
compulsive behavior

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