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A Veterans Health Administration quality improvement pilot integrated behavioral health providers into hepatology clinics to engage patients with alcohol-associated liver disease in treatment. Referred patients showed significantly higher rates of evidence-based alcohol use disorder psychotherapy and pharmacotherapy within 6 months compared to non-referred patients.
This review traces how the understanding of addiction's neurobiological mechanisms has evolved across six editions of a major neuroscience textbook, from initial psychological theories to modern knowledge about dopamine, basal ganglia, and learning systems. The analysis demonstrates a conceptual shift from homeostatic models toward understanding addiction as a disorder of motivation, learning, and habit formation.
This study examined whether steroid hormones (testosterone and cortisol) measured from hair samples predict problematic pornography use in 252 men, using the dual-hormone hypothesis framework. Results showed testosterone positively associated with pornography use severity, with this effect moderated by cortisol levels—strongest at low cortisol and weakened at high cortisol.
This study examined 100 men with gambling disorder and 59 healthy controls using the Balloon Analog Risk Task and found that individuals with gambling disorder show paradoxical stronger initial loss aversion but faster decline in loss sensitivity over time. The faster-diminishing loss sensitivity was identified as a key cognitive mechanism explaining impaired risky decision-making in gambling disorder, alongside overconfident beliefs and elevated impulsiveness.
This systematic review identified 28 CBT studies across 22 interventions for gaming disorder, synthesizing common therapeutic practice elements through manual analysis and expert evaluation. The most frequently used components were emotion regulation skills training (95.5%), psychoeducation (90.9%), and cognitive restructuring (86.4%), with behavioral activation and relapse prevention appearing universally in individual therapy formats.
