Zusammenfassung
Hintergrund
Theoretische Störungsmodelle fassen die Mechanismen der Entstehung und Aufrechterhaltung einer psychischen Störung zusammen. Für Verhaltenssüchte existieren bereits einige Störungsmodelle, die sich zumeist an Theorien zu substanzgebundenen Süchten orientieren.
Ziel der Arbeit
Der Beitrag informiert über aktuelle theoretische Annahmen zu psychologischen Prozessen, die verschiedenen Verhaltenssüchten zugrunde liegen könnten.
Material und Methoden
Narrative Literaturzusammenfassung.
Ergebnisse
Die theoretischen Modelle unterscheiden zwischen allgemeinen und spezifischen Vulnerabilitätsfaktoren, affektiven Reaktionen auf spezifische Reize und Prozessen der Handlungssteuerung. Diese Prozesse werden als zentral erachtet.
Diskussion
Theoretische Störungsmodelle können die Forschung inspirieren und gleichzeitig in der klinischen Praxis z. B. im Rahmen der Psychoedukation eingesetzt werden. Sie geben Hinweise auf das Potenzial spezifischer Interventionen.
Abstract
Background
Theoretical models summarize the mechanisms that are potentially involved in the development and maintenance of a psychological disorder. Regarding behavioral addictions, several models exist that are mainly based on theories explaining substance use disorders.
Objective
The article informs about recent theoretical assumptions considering psychological processes that are likely involved in behavioral addictions.
Material and methods
Narrative literature review.
Results
The theoretical models differentiate between general and specific vulnerability factors, affective reactions to specific stimuli, and processes of action control. These processes are considered central in recent models.
Conclusion
Theoretical models may inspire research but may also be helpful in clinical practice, for example in the context of psychoeducation. They provide indications for potential specific interventions.
Literatur
Bechara A (2005) Decision making, impulse control and loss of willpower to resist drugs: a neurocognitive perspective. Nat Neurosci 8:1458–1463. https://doi.org/10.1038/nn1584
Berridge KC, Robinson TE (2016) Liking, wanting, and the incentive-sensitization theory of addiction. Am Psychol 71(8):670–679. https://doi.org/10.1037/amp0000059
Bilke-Hentsch O (2019) Clinical use of the I‑PACE-model in treating severe Internet related disorders in adolescents—possibilities and restrictions. JBA 8(Suppl. 1):105–106
Blaszczynski A, Nower L (2002) Apathways model of problem and pathological gambling. Addiction 97:487–499. https://doi.org/10.1046/j.1360-0443.2002.00015.x
Blum K, Gardner E, Oscar-Berman M, Gold M (2012) “Liking” and “wanting” linked to Reward Deficiency Syndrome (RDS): hypothesizing differential responsivity in brain reward circuitry. CPD 18:113–138. https://doi.org/10.2174/138161212798919110
Brand M, Rumpf H‑J, King DL, Potenza MN, Wegmann E (2020) Clarifying terminologies in research on gaming disorder and other addictive behaviors: Distinctions between core symptoms and underlying psychological processes. Curr Opin Psychol 36:49–54. https://doi.org/10.1016/j.copsyc.2020.04.006
Brand M, Wegmann E, Stark R, Müller A, Wölfling K, Robbins TW, Potenza MN (2019) The Interaction of Person-Affect-Cognition-Execution (I-PACE) model for addictive behaviors: Update, generalization to addictive behaviors beyond Internet-use disorders, and specification of the process character of addictive behaviors. Neurosci Biobehav Rev 104:1–10. https://doi.org/10.1016/j.neubiorev.2019.06.032
Claes L, Müller A, Luyckx K (2016) Compulsive buying and hoarding as identity substitutes: the role of materialistic value endorsement and depression. Compr Psychiatry 68:65–71. https://doi.org/10.1016/j.comppsych.2016.04.005
Cooper A, Delmonico D, Griffin-Shelley E, Mathy R (2004) Online sexual activity: an examination of potentially problematic behaviors. Sex Addict Compulsivity 11:129–143. https://doi.org/10.1080/10720160490882642
Dittmar H, Long K, Bond R (2007) When a better self is only a button click away: associations between materialistic values, emotional and identity-related buying motives, and compulsive buying tendency online. J Soc Clin Psychol 26:334–361
Dong G, Potenza MN (2014) A cognitive-behavioral model of Internet gaming disorder: theoretical underpinnings and clinical implications. J Psychiatr Res 58:7–11. https://doi.org/10.1016/j.jpsychires.2014.07.005
Everitt BJ, Robbins TW (2016) Drug addiction: updating actions to habits to compulsions ten years on. Annu Rev Psychol 67:23–50. https://doi.org/10.1146/annurev-psych-122414-033457
Houben K, Nederkoorn C, Wiers RW, Jansen A (2011) Resisting temptation: decreasing alcohol-related affect and drinking behavior by training response inhibition. Drug Alcohol Depend 116:132–136. https://doi.org/10.1016/j.drugalcdep.2010.12.011
Leonard CA, Williams RJ (2016) The relationship between gambling fallacies and problem gambling. Psychol Addict Behav 30:694–704. https://doi.org/10.1037/adb0000189
Müller KW, Wölfling K (2017) Pathologischer Mediengebrauch und Internetsucht. Kohlhammer, Stuttgart
Müller A, Brand M, Claes L, Demetrovics Z, de Zwaan M, Fernández-Aranda F, Kyrios M et al (2019) Buying-shopping disorder—Is there enough evidence to support its inclusion in ICD-11? CNS Spectr 24:374–379. https://doi.org/10.1017/S1092852918001323
Noël X, Brevers D, Bechara A (2013) A neurocognitive approach to understanding the neurobiology of addiction. Curr Opin Neurobiol 23:632–638. https://doi.org/10.1016/j.conb.2013.01.018
Potenza MN, Balodis IM, Derevensky J, Grant JE, Petry NM, Verdejo-Garcia A, Yip SW (2019) Gambling disorder. Nat Rev Dis Primers 5:51. https://doi.org/10.1038/s41572-019-0099-7
Rief W, Strauß B (2018) Integratives Störungsmodell als Grundlage der Therapieplanung. Psychotherapeut 63:401–408. https://doi.org/10.1007/s00278-018-0295-z
Sherman LE, Hernandez LM, Greenfield PM, Dapretto M (2018) What the brain ‘Likes’: neural correlates of providing feedback on social media. Soc Cogn Affect Neurosci 13:699–707. https://doi.org/10.1093/scan/nsy051
Starcke K, Antons S, Trotzke P, Brand M (2018) Cue-reactivity in behavioral addictions: a meta-analysis and methodological considerations. JBA 7:227–238. https://doi.org/10.1556/2006.7.2018.39
Stark R, Kruse O, Wehrum-Osinsky S, Snagowski J, Brand M, Walter B, Klucken T (2017) Predictors for (problematic) use of Internet sexually explicit material: role of trait sexual motivation and implicit approach tendencies towards sexual explicit material. Sex Addict Compulsivity 24:180–202
Trotzke P, Brand M, Starcke K (2017) Cue-reactivity, craving, and decision making in buying disorder: a review of the current knowledge and future directions. Curr Addict Rep 4:246–253. https://doi.org/10.1007/s40429-017-0155-x
Vaccaro AG, Potenza MN (2019) Diagnostic and classification considerations regarding gaming disorder: Neurocognitive and neurobiological features. Front Psychiatry 10:405. https://doi.org/10.3389/fpsyt.2019.00405
Volkow ND, Koob GF, McLellan AT (2016) Neurobiologic advances from the brain disease model of addiction. N Engl J Med 374:363–371. https://doi.org/10.1056/NEJMra1511480
Wegmann E, Brand M (2019) A narrative overview about psychosocial characteristics as risk factors of a problematic social-network use. Curr Addict Rep 6:402–409. https://doi.org/10.1007/s40429-019-00286-8
Wegmann E, Oberst U, Stodt B, Brand M (2017) Online-specific fear of missing out and Internet-use expectancies contribute to symptoms of Internet-communication disorder. Addict Behav Rep 5:33–42. https://doi.org/10.1016/j.abrep.2017.04.001
Wei L, Zhang S, Turel O, Bechara A, He Q (2017) A tripartite neurocognitive model of Internet Gaming Disorder. Front Psychiatry 8:285. https://doi.org/10.3389/fpsyt.2017.00285
Wiers CE, Ludwig VU, Gladwin TE, Park SQ, Heinz A, Wiers RW, Bermpohl F et al (2015) Effects of cognitive bias modification training on alcohol approach tendencies in male alcohol-dependent patients. Addict Biol 20:990–999. https://doi.org/10.1111/adb.12221
Wölfling K, Müller KW, Dreier M, Ruckes C, Deuster O, Batra A, Beutel ME et al (2019) Efficacy of short-term treatment of internet and computer game addiction: A randomized clinical trial. JAMA Psychiatry 76:1018–1025. https://doi.org/10.1001/jamapsychiatry.2019.1676
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Interessenkonflikt
M. Brand gibt an, dass kein Interessenkonflikt besteht.
Für diesen Beitrag wurden vom Autor keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.
Rights and permissions
About this article
Cite this article
Brand, M. Verhaltenssüchte: theoretische Modelle. Psychotherapeut 66, 84–90 (2021). https://doi.org/10.1007/s00278-020-00486-y
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00278-020-00486-y