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Third, where in the course of treatment DD was assessed varied across participants in the present study, which may have unnecessarily increased between-subject variability. That said, the number of days in treatment prior to completing the DD assessment was not a significant confounding variable in the regression model, and DD has been shown in other studies to be highly stable over many months Audrain-McGovern et al. This also suggests that the DD measure is likely to have utility in predicting treatment response if implemented upon entry into treatment. In conclusion, the present findings extend to cocaine-dependent patients prior observations with cigarette smokers and opioid-dependent patients showing that steeper discounting predicts less during-treatment and post-treatment abstinence Krishnan-Sarin et al.
In addition, the relationship between steeper discounting and shorter periods of abstinence may be conditional on the type or intensity of treatment provided, which, to our knowledge, has not been reported previously. National Center for Biotechnology Information , U. Author manuscript; available in PMC Oct Yukiko Washio , 1 Stephen T. Higgins , 1, 2 Sarah H.
Heil , 1, 2 Todd L. McKerchar , 3 Gary J. Badger , 4 Joan M. Skelly , 4 and Robert L. A Find articles by Yukiko Washio. A Find articles by Stephen T. A Find articles by Sarah H. A Find articles by Todd L. A Find articles by Gary J. A Find articles by Joan M. A Find articles by Robert L. Author information Copyright and License information Disclaimer. The publisher's final edited version of this article is available at Exp Clin Psychopharmacol.
Find a copy in the library Finding libraries that hold this item Please re-enter recipient e-mail address es. Study participants were the 36 cocaine-dependent adult outpatients from the Heil et al. Heil , 1, 2 Todd L. The name field is required.
See other articles in PMC that cite the published article. Abstract Rationale Delay discounting DD describes the rate at which reinforcers lose value as the temporal delay to their receipt increases. Objectives In the present study, we examined whether DD of hypothetical monetary reinforcers is associated with the duration of cocaine abstinence achieved among cocaine-dependent outpatients. Conclusions These results provide further evidence on associations between DD and treatment response and extend those observations to a new clinical population i.
Temporal discounting, delay discounting, cocaine dependence, contingency management, vouchers, treatment response.
Method Participants Study participants were the 36 cocaine-dependent adult outpatients from the Heil et al. Briefly, participants were seated in front of a computer screen, which displayed the following message: Urinalysis Monitoring Urine specimens were collected from all study participants according to a thrice-weekly schedule Monday, Wednesday, Friday during weeks 1—12 and a twice-weekly schedule Monday, Thursday during weeks 13—24 of treatment.
Results Participants Characteristics Table 1 shows participant characteristics in each voucher condition. Table 1 Participant Characteristics. Open in a separate window. Association of DD with Treatment Outcome The discounting equation provided a good fit to the data with median R 2 values of 0. Discussion To our knowledge, this is the first study to report significant associations between DD and treatment response among those being treated for cocaine dependence.
Does delay discounting play an etiological role in smoking or is it a consequence of smoking? Drug and Alcohol Dependence. Toward a behavioral economic understanding of drug dependence: Behavioral and neuroeconomics of drug addiction: Competing neural systems and temporal discounting processes. Impulsivity and cigarette smoking: Delay discounting in current, never, and ex-smokers. Delay discounting in currently using and currently abstinent cocaine-dependent outpatients and non-drug-using matched controls.
Participation of significant others in outpatient behavioral treatment predicts greater cocaine abstinence. Community reinforcement therapy for cocaine-dependent outpatients. Archives of General Psychiatry. Effects of varying the monetary value of voucher-based incentives on abstinence achieved during and following treatment among cocaine-dependent outpatients. Within-subject comparison of real and hypothetical money rewards in delay discounting.
Journal of the Experimental Analysis of Behavior. Behavioral impulsivity predicts treatment outcome in a smoking cessation program.
Delayed reward discounting predicts treatment response for heavy drinkers receiving smoking cessation treatment. Multidimensional assessment of impulsivity in undergraduate hazardous drinkers and controls. Journal of Studies on Alcohol and Drugs. Discounting of delayed rewards in opioid-dependent outpatients: Exponential or hyperbolic discounting functions? Experimental and Clinical Psychopharmacology.
The behavioral and neurological science of discounting. American Psychological Association; An adjusting procedure for studying delayed reinforcement. Quantitative analyses of behavior: The effects of delay and of intervening events on reinforcement value. Neuropsychological predictors of clinical outcome in opiate addiction. Commitment, choice, and self-control. Subjective probability and delay.
Abstinence-contingent reinforcement and engagement in non-drug-related activities among illicit drug abusers. Psychology of Addictive Behaviors. Discounting delayed and probabilistic monetary gains and losses by smokers of cigarettes. Two-month stability of hyperbolic discount rates for delayed monetary gains in abstinent inpatient alcoholics. Hyperbolic temporal discounting in social drinkers and problem drinkers. Delay-discounting and substance abuse-dependence.
Turning k on its head: Comments on use of an ED50 in delay discounting research. Please enter the message. Please verify that you are not a robot. Would you also like to submit a review for this item? You already recently rated this item.
Your rating has been recorded. Write a review Rate this item: Preview this item Preview this item. This volume is an approachable, comprehensive overview of the behavioural science and neuroscience of our impulsive choices and their relation to delay discounting - the tendency to devalue temporally distant rewards or punishments, even though they may greatly outbalance the immediate benefit of our choices. The cutting-edge researchers who contributed to this volume have documented cross-species similarities in impulsive decision making and pioneered the neuroscience of impulsive choice.
In this text they provide insights into harmless impulsive acts as well as those that dominate and destory lives. Allow this favorite library to be seen by others Keep this favorite library private. Find a copy in the library Finding libraries that hold this item Offers an overview of the behavioural science and neuroscience of our impulsive choices and their relation to delay discounting - the tendency to devalue temporally distant rewards or punishments, even though they may greatly outbalance the immediate benefit of our choices.
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