The Influence of Trait Compulsivity and Impulsivity on Addictive and Compulsive Behaviors During COVID-19.
The Influence of Trait Compulsivity and Impulsivity on Addictive and Compulsive Behaviors During COVID-19.
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DOI：
10.3389/fpsyt.2021.634583
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发表时间：
2021
影响因子：
4.7
通讯作者：
Yücel M
中科院分区：
文献类型：
--
作者：
Albertella L;Rotaru K;Christensen E;Lowe A;Brierley ME;Richardson K;Chamberlain SR;Lee RSC;Kayayan E;Grant JE;Schluter-Hughes S;Ince C;Fontenelle LF;Segrave R;Yücel M
背景：COVID-19 大流行在全世界范围内造成了高度的心理困扰，专家们表示担心，当个人试图应对自己的痛苦时，这可能会导致成瘾行为相应增加。此外，一些人在高压力时期可能比其他人更有可能出现成瘾行为，例如具有高度冲动性和强迫性的人。尽管这些知识有可能为风险的早期检测提供信息，但迄今为止还没有研究检验过特质冲动和强迫性对 COVID-19 期间成瘾行为的影响。为了实现这一目标，当前的研究调查了澳大利亚首次 COVID-19 封锁期间冲动和强迫特征与有问题的成瘾和强迫行为之间的关联。方法：878 名成年人在第一次封锁期间（即 2020 年 5 月下旬至 6 月）完成了一项横断面在线调查。参与者完成了封锁之前和封锁期间的成瘾和强迫行为量表，包括问题饮食、色情、互联网使用、赌博、饮酒和强迫行为。负二项回归研究了冲动性、强迫性及其与锁定期间问题行为的相互作用之间的关联，控制了年龄、性别、样本、心理困扰、接触新冠病毒相关压力源以及新冠病毒爆发前的问题。结果：封锁期间，特质强迫性越大，强迫行为问题越严重（p < 0.001），饮酒问题较少（p = 0.038）。此外，在有问题的饮食行为方面，特质强迫性与特质冲动性相互作用（p = 0.014），因此，仅冲动性较低的个体中，较高的特质强迫性与更多问题相关（p = 0.030）。最后，心理困扰和/或接触与新冠病毒相关的压力源与所有成瘾和强迫行为的更大问题相关，新冠病毒之前问题的严重性也是如此。讨论：特质强迫性以不同的方式与成瘾和强迫行为相关。此外，发现与压力相关的变量（心理困扰和新冠病毒相关的压力源）与所有锁定行为中的更大问题相关，这支持了压力可能促进问题行为或与问题行为相关的观点。这些发现强调需要采取干预措施来增强抗压能力，从而可能降低成瘾和强迫症的风险。
Background: The COVID-19 pandemic has resulted in high levels of psychological distress worldwide, with experts expressing concern that this could result in corresponding increases in addictive behaviors as individuals seek to cope with their distress. Further, some individuals may be at greater risk than others for developing problematic addictive behaviors during times of high stress, such as individuals with high trait impulsivity and compulsivity. Despite the potential of such knowledge to inform early detection of risk, no study to date has examined the influence of trait impulsivity and compulsivity on addictive behaviors during COVID-19. Toward this aim, the current study examined the association between impulsive and compulsive traits and problematic addictive and compulsive behaviors during the first COVID-19 lockdown in Australia. Methods: Eight hundred seventy-eight adults completed a cross-sectional online survey during the first lockdown, between late May to June 2020. Participants completed scales for addictive and compulsive behaviors for the period prior to and during lockdown for problematic eating, pornography, internet use, gambling, drinking, and obsessive-compulsive behaviors. Negative binomial regressions examined the associations between impulsivity, compulsivity, and their interaction with problematic behaviors during lockdown, controlling for age, gender, sample, psychological distress, exposure to COVID-related stressors, and pre-COVID problems. Results: Greater trait compulsivity was associated with more problematic obsessive-compulsive behaviors (p < 0.001) and less problematic drinking (p = 0.038) during lockdown. Further, trait compulsivity interacted with trait impulsivity in relation to problematic eating behaviors (p = 0.014) such that greater trait compulsivity was associated with more problems among individuals with low impulsivity only (p = 0.030). Finally, psychological distress and/or exposure to COVID-related stressors were associated with greater problems across all addictive and compulsive behaviors, as was severity of pre-COVID problems. Discussion: Trait compulsivity was associated with addictive and compulsive behaviors in different ways. Further, the finding that stress-related variables (psychological distress and COVID-related stressors) were associated with greater problems across all lockdown behaviors supports the idea that stress may facilitate, or otherwise be associated with, problematic behaviors. These findings highlight the need for interventions that enhance resilience to stress, which in turn may reduce risk for addictive and compulsive disorders.
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影响因子：
3.6
作者：
Foa, EB;Huppert, JD;Salkovskis, PM
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通讯作者：
de Wit, Harriet