Delay discounting and reward sensitivity in a 2 × 2 study of bipolar disorder and alcohol dependence.

Background and Aims: Separate studies have shown increased delay discounting in people with bipolar disorder (BD) and people with alcohol dependence (AD) relative to people without mental health problems. Delay discounting was compared in people with no mental health problems, AD, BD and AD plus BD....

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Publicado en:Addiction Vol. 114; no. 8; pp. 1369 - 1379
Autores principales: Mellick, William, Tolliver, Bryan K., Brenner, Helena, Prisciandaro, James J.
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Aug2019
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        atl: Delay discounting and reward sensitivity in a 2 × 2 study of bipolar disorder and alcohol dependence.
      aug:
        au:
          Mellick, William
          Tolliver, Bryan K.
          Brenner, Helena
          Prisciandaro, James J.
        affil: Department of Psychiatry and Behavioral Sciences, Addiction Sciences Division, Medical University of South Carolina, Charleston SC, USA
      sug:
        subj:
          Bipolar Disorder
          Alcoholism
          Delay Discounting
          Reward
          Human
          Male
          Female
          Adult
          Middle Age
          Factorial Design
          Comparative Studies
          Nonexperimental Studies
          Academic Medical Centers South Carolina
          South Carolina
          Self Report
          Questionnaires
          Univariate Statistics
          Bivariate Statistics
          Regression
          Impulsive Behavior
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Background and Aims: Separate studies have shown increased delay discounting in people with bipolar disorder (BD) and people with alcohol dependence (AD) relative to people without mental health problems. Delay discounting was compared in people with no mental health problems, AD, BD and AD plus BD. Associations of delay discounting with self‐reported impulsivity and reward sensitivity were also assessed. Design: The study was a two‐by‐two factorial comparative observational design. Setting: Data were collected at baseline diagnostic visits as part of a neuroimaging study at a medical university in South Carolina, USA. Participants: Twenty‐two BD + AD, 33 BD, 28 AD and 27 people without mental health problems participated. Measurements Diagnostic and clinician‐rated symptom measures, self‐report questionnaires and a computerized delay discounting task were administered. Two‐by‐two general linear univariate models were tested to examine between‐group differences on discounting rates, and bivariate correlations and hierarchical regression analyses were performed to examine associations between discounting rates and self‐reported reward sensitivity and impulsivity. Findings There was a significant main effect of AD (P = 0.006, η2 = 0.068). The main effect of BD and the BD × AD interaction terms were non‐significant (P ≥ 0.293, η2 ≤ 0.010). Reward sensitivity and impulsivity were not significantly associated with discounting rates after adjustment for the other (P ≥ 0.089). Conclusions: People with alcohol dependence appear to have higher delay discounting, while previously found associations between bipolar disorder and delay discounting may be secondary to alcohol use disorder.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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