Impulsivity across substance use categories: Consideration of sex/gender.

Impulsivity across substance use categories: Consideration of sex/gender.
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DOI:
10.1007/s40473-020-00213-6
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发表时间:
2020-09
影响因子:
1.7
通讯作者:
Allen AM
Allen AM
中科院分区:
其他
文献类型:
--
作者:
DeVito EE;Weinberger AH;Pang RD;Petersen N;Fagle T;Allen AM

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其目的是回顾最近(2015年1月至2020年2月)关于冲动是物质使用障碍或物质(酒精、大麻、尼古丁、阿片类药物、兴奋剂)使用的特征在男性与女性之间的证据:a)物质使用组的冲动(或与对照组相比),以及b)冲动与物质使用行为、临床严重性或治疗结果之间的关系。在通过搜索确定的361篇论文中,69篇符合纳入标准,39篇因考虑到性/性别与药物使用人群的冲动有关而被突出。总而言之,研究结果支持使用物质的男性和女性比对照组有更高的冲动;在性别/性别中,更高的冲动与更多的物质使用/严重程度有关。在使用药物的个体中,关于男性和女性在冲动方面的差异,或者在冲动和药物使用严重性之间的关系的大小方面,有不同的发现。目前的证据表明,在药物使用障碍中和跨药物使用障碍中,冲动的作用并没有一致的性别/性别差异。冲动性是一种与临床相关的概念,适用于使用各种物质的男性和女性个体。
The goal was to review recent (1/2015-2/2020) evidence of impulsivity as a feature of substance use disorders or use of substances (alcohol, cannabis, nicotine, opioids, stimulants) in males compared to females in terms of: a) impulsivity in substance-using groups (or substance-using compared to control groups), and b) relationship between impulsivity and substance use behavior, clinical severity, or treatment outcomes. Of 361 papers identified by the searches, 69 met inclusion criteria, and 39 were highlighted for considering sex/gender in relation to impulsivity in substance-using populations. Taken together, findings supported higher impulsivity in males and females who use substances, relative to controls; and higher impulsivity was linked with more substance use/severity in both sex/genders. There were mixed findings regarding male versus female differences in impulsivity among individuals who use substances, or in the magnitude of the relationship between impulsivity and substance use severity. The current body of evidence does not point to a consistent sex/gender difference in the role of impulsivity within and across substance use disorders. Impulsivity is a clinically-relevant construct for male and female individuals who use substances, across a range of substances.
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