Exploring Gender and Sex Differences in Behavioral Dyscontrol: from Drug Addiction to Impulse Control Disorders

Males and females exhibit discrete attitudes and skills, experience dissimilar emotional and psychological needs, and react differently to peer pressure, lack of self-realization, or other personal and social expectations. In addition, they are differently influenced by family history, and diverge i...

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Main Authors: Liana Fattore, Miriam Melis
Format: Online
Language:English
Published: Frontiers Media SA 2021
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Online Access:18220
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author Liana Fattore
Miriam Melis
author_browse Liana Fattore
Miriam Melis
author_facet Liana Fattore
Miriam Melis
author_sort Liana Fattore
collection Directory of Open Access Books
description Males and females exhibit discrete attitudes and skills, experience dissimilar emotional and psychological needs, and react differently to peer pressure, lack of self-realization, or other personal and social expectations. In addition, they are differently influenced by family history, and diverge in the perception of self-image and health risks. To complicate the matter on gender dichotomy, male testosterone levels markedly vary over the course of the day, while female levels of sex hormones significantly fluctuate depending upon the menstrual cycle, the pre- or post-menopausal age, and the use of oral contraceptives. All of these factors interact with genetic background and sex hormonal fluctuations, and determine the differences observed in their predisposition to develop an addiction. This term is traditionally associated to the abuse of legal and illegal substances. However, a compulsion toward the engagement in a non-drug-related rewarding behavior, usually involving a natural reward, also activates the brain reward system and engenders persistent behavior, thus resulting in a diminished control over it. These latter behaviors are defined as “behavioral addictions”. This definition encompasses any behavior characterized by the followings: i) feeling of tension or arousal before the action; ii) gratification and/or relief at the time of performing the act; iii) inability to resist an urge or drive even against great obstacles or dangers; iv) absence of consideration for the negative consequences that may affect family, friends, and/or work. As such, behavioral addictions include compulsive food intake and sexual activity, pathological gambling and Internet addiction, excessive exercising, compulsive buying and pyromania. These behaviors, which are often classified as "impulse control disorders", result in actions that are harmful to oneself and/or others, share common features (e.g. compulsiveness, impulsivity, impaired decision-making, craving, tolerance, withdrawal, high rates of relapse), and involve dysfunction of several brain circuits. Derangement from functional neurobiological mechanisms underpinning both sensitivity to reward and inhibitory control can also lead to compulsive behaviors. For instance, pathological gambling and other impulse control disorders (e.g., hypersexuality, compulsive painting, eating and buying) are often reported in Parkinson's disease patients. Gender-dependent differences in the rate of initiation and frequency of misuse of addicting drugs have been widely described. Yet, men and women also differ in their propensity to become addicted to other rewarding stimuli (e.g. sex, food) or activities (e.g. gambling, exercising). The goal of the present Research Topic is to explore and summarize current evidence for gender (and sex) differences not only in drug addiction, but also in other forms of addictive behaviors. Thus, it will include studies showing gender-dependent differences in drug addiction, food addiction, compulsive sexual activity, pathological gambling, Internet addiction and physical exercise addiction. Psychiatric comorbidity, potential risk factors and the underlying neural mechanisms will be also examined, with particular emphasis to the role of sex hormones in modulating addictive and compulsive behaviors.
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spelling doab-20.500.12854ir-472312024-03-30T23:21:36Z Exploring Gender and Sex Differences in Behavioral Dyscontrol: from Drug Addiction to Impulse Control Disorders Liana Fattore Miriam Melis R5-920 RC435-571 Behavioral dyscontrol gender Addiction Brain dimorphism sex-differences Loss of control impulsivity Psychiatric comorbidity compulsivity Gonadal Hormones thema EDItEUR::M Medicine and Nursing Males and females exhibit discrete attitudes and skills, experience dissimilar emotional and psychological needs, and react differently to peer pressure, lack of self-realization, or other personal and social expectations. In addition, they are differently influenced by family history, and diverge in the perception of self-image and health risks. To complicate the matter on gender dichotomy, male testosterone levels markedly vary over the course of the day, while female levels of sex hormones significantly fluctuate depending upon the menstrual cycle, the pre- or post-menopausal age, and the use of oral contraceptives. All of these factors interact with genetic background and sex hormonal fluctuations, and determine the differences observed in their predisposition to develop an addiction. This term is traditionally associated to the abuse of legal and illegal substances. However, a compulsion toward the engagement in a non-drug-related rewarding behavior, usually involving a natural reward, also activates the brain reward system and engenders persistent behavior, thus resulting in a diminished control over it. These latter behaviors are defined as “behavioral addictions”. This definition encompasses any behavior characterized by the followings: i) feeling of tension or arousal before the action; ii) gratification and/or relief at the time of performing the act; iii) inability to resist an urge or drive even against great obstacles or dangers; iv) absence of consideration for the negative consequences that may affect family, friends, and/or work. As such, behavioral addictions include compulsive food intake and sexual activity, pathological gambling and Internet addiction, excessive exercising, compulsive buying and pyromania. These behaviors, which are often classified as "impulse control disorders", result in actions that are harmful to oneself and/or others, share common features (e.g. compulsiveness, impulsivity, impaired decision-making, craving, tolerance, withdrawal, high rates of relapse), and involve dysfunction of several brain circuits. Derangement from functional neurobiological mechanisms underpinning both sensitivity to reward and inhibitory control can also lead to compulsive behaviors. For instance, pathological gambling and other impulse control disorders (e.g., hypersexuality, compulsive painting, eating and buying) are often reported in Parkinson's disease patients. Gender-dependent differences in the rate of initiation and frequency of misuse of addicting drugs have been widely described. Yet, men and women also differ in their propensity to become addicted to other rewarding stimuli (e.g. sex, food) or activities (e.g. gambling, exercising). The goal of the present Research Topic is to explore and summarize current evidence for gender (and sex) differences not only in drug addiction, but also in other forms of addictive behaviors. Thus, it will include studies showing gender-dependent differences in drug addiction, food addiction, compulsive sexual activity, pathological gambling, Internet addiction and physical exercise addiction. Psychiatric comorbidity, potential risk factors and the underlying neural mechanisms will be also examined, with particular emphasis to the role of sex hormones in modulating addictive and compulsive behaviors. 2021-02-11T13:17:52Z 2021-02-11T13:17:52Z 2016-01-19 14:05:46 2016 book 18220 16648714 9782889198337 https://directory.doabooks.org/handle/20.500.12854/47231 eng Frontiers Research Topics image/jpeg Attribution 4.0 International http://www.frontiersin.org/books/Exploring_Gender_and_Sex_Differences_in_Behavioral_Dyscontrol_From_Drug_Addiction_to_Impulse_Contro/849#nogo http://journal.frontiersin.org/researchtopic/2790/exploring-gender-and-sex-differences-in-behavioral-dyscontrol-from-drug-addiction-to-impulse-control Frontiers Media SA 10.3389/978-2-88919-833-7 10.3389/978-2-88919-833-7 bf5ce210-e72e-4860-ba9b-c305640ff3ae 9782889198337 99 open access
spellingShingle R5-920
RC435-571
Behavioral dyscontrol
gender
Addiction
Brain dimorphism
sex-differences
Loss of control
impulsivity
Psychiatric comorbidity
compulsivity
Gonadal Hormones
thema EDItEUR::M Medicine and Nursing
Liana Fattore
Miriam Melis
Exploring Gender and Sex Differences in Behavioral Dyscontrol: from Drug Addiction to Impulse Control Disorders
title Exploring Gender and Sex Differences in Behavioral Dyscontrol: from Drug Addiction to Impulse Control Disorders
title_full Exploring Gender and Sex Differences in Behavioral Dyscontrol: from Drug Addiction to Impulse Control Disorders
title_fullStr Exploring Gender and Sex Differences in Behavioral Dyscontrol: from Drug Addiction to Impulse Control Disorders
title_full_unstemmed Exploring Gender and Sex Differences in Behavioral Dyscontrol: from Drug Addiction to Impulse Control Disorders
title_short Exploring Gender and Sex Differences in Behavioral Dyscontrol: from Drug Addiction to Impulse Control Disorders
title_sort exploring gender and sex differences in behavioral dyscontrol from drug addiction to impulse control disorders
topic R5-920
RC435-571
Behavioral dyscontrol
gender
Addiction
Brain dimorphism
sex-differences
Loss of control
impulsivity
Psychiatric comorbidity
compulsivity
Gonadal Hormones
thema EDItEUR::M Medicine and Nursing
topic_facet R5-920
RC435-571
Behavioral dyscontrol
gender
Addiction
Brain dimorphism
sex-differences
Loss of control
impulsivity
Psychiatric comorbidity
compulsivity
Gonadal Hormones
thema EDItEUR::M Medicine and Nursing
url 18220
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