Is Love Passion an Addictive Disorder?

Is Love Passion an Addictive Disorder?
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爱情激情是一种成瘾症吗?

DOI:
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发表时间:
2010
期刊:
The American Journal of Drug and Alcohol Abuse
影响因子:
--
通讯作者:
A. Benyamina
A. Benyamina
中科院分区:
--
文献类型:
--
作者:
M. Reynaud;L. Karila;L. Blecha;A. Benyamina

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目的:关于热恋和成瘾之间关系的探究一直是一个激烈争论的话题。神经生物学的最新进展现在允许在这两种状态之间进行检查。方法:在描述了“爱情激情”、“爱情成瘾”和“性成瘾”的临床区别之后,比较了爱情、激情、病态赌博(PG)和物质依赖的临床、神经心理学、神经生物学和神经影像学资料。结果:“爱情成瘾”没有公认的定义或诊断标准,但其现象学与物质依赖有一些相似之处:在爱情对象或相关刺激(药物中毒)存在时的欣快感和无拘无束的欲望;与所爱对象分离时情绪消极、快感缺乏、睡眠障碍(药物戒断);对恋爱对象的集中注意力和侵入性思想;不适应或有问题的行为模式(爱情关系)导致临床显著的损害或痛苦,尽管知道不良后果,仍在追求。有限的动物和人类研究表明,大脑区域(如脑岛、前扣带[ACC]、眶额[OFC])和介导物质依赖的神经递质(多巴胺)也可能与爱情成瘾(如PG)有关。催产素(OT)与社会依恋和交配行为有关,也可能与物质依赖有关。没有关于爱情成瘾的流行病学、遗传学、合并症或治疗的数据。结论:目前没有足够的数据将一些“爱的激情”案例归类为临床障碍,如“爱上瘾”,在官方诊断术语中,或将其坚定地归类为行为成瘾或冲动控制障碍。需要进一步的临床和科学研究来提高我们对这种疾病的理解和治疗。对于这些研究,我们提出了评估爱情成瘾的新标准。
Aims: Inquiry regarding the relationship between passionate love and addiction has long been a topic of intense debate. Recent advances in neurobiology now allow for an examination between these two states. Methods: After describing the clinical distinctions between “love passion,” “love addiction,” and “sex addiction,” we compare clinical, neuropsychological, neurobiological, and neuroimaging data on love, passion, pathological gambling (PG) and substance dependence. Results: There are no recognized definitions or diagnostic criteria for “love addiction,” but its phenomenology has some similarities to substance dependence: euphoria and unrestrained desire in the presence of the love object or associated stimuli (drug intoxication); negative mood, anhedonia, and sleep disturbance when separated from the love object (drug withdrawal); focussed attention on and intrusive thoughts about the love object; and maladaptive or problematic patterns of behavior (love relation) leading to clinically significant impairment or distress, with pursuit despite knowledge of adverse consequences. Limited animal and human studies suggest that brain regions (e.g., insula, anterior cingulated [ACC], orbitofrontal [OFC]) and neurotransmitters (dopamine) that mediate substance dependence may also be involved with love addiction (as for PG). Ocytocin (OT), which is implicated in social attachment and mating behavior, may also be involved in substance dependence. There are no data on the epidemiology, genetics, co-morbidity, or treatment of love addiction. Conclusion: There are currently insufficient data to place some cases of “love passion” within a clinical disorder, such as “love addiction,” in an official diagnostic nomenclature or to firmly classify it as a behavioral addiction or disorder of impulse control. Further clinical and scientific studies are needed to improve our understanding and treatment of this condition. For these studies, we propose new criteria for evaluating addiction to love.
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发表时间: 1992
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