Delineating the Psychic Structure of Substance Use and Addictions, from Neurobiology to Clinical Implications: Ten Years Later

The diagnosis of substance use disorder is currently based on the presence of specifically identified behavioral symptoms. In addition, other psychiatric signs and symptoms accompany addictive behavior, contributing to the full picture of patients’ psychopathologic profile. Historically, such sympto...

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Main Authors:	Pier Paolo Pani, Angelo G. I. Maremmani, Matteo Pacini, Emanuela Trogu, Gian Luigi Gessa, Pedro Ruiz, Icro Maremmani
Format:	Article
Language:	English
Published:	MDPI AG 2020-06-01
Series:	Journal of Clinical Medicine
Subjects:	psychopathology specific to substance use disorders addiction psychiatric comorbidity
Online Access:	https://www.mdpi.com/2077-0383/9/6/1913

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spelling	doaj-6d4a14e0c23d4a508c77276697ab45512020-11-25T02:28:42ZengMDPI AGJournal of Clinical Medicine2077-03832020-06-0191913191310.3390/jcm9061913Delineating the Psychic Structure of Substance Use and Addictions, from Neurobiology to Clinical Implications: Ten Years LaterPier Paolo Pani0Angelo G. I. Maremmani1Matteo Pacini2Emanuela Trogu3Gian Luigi Gessa4Pedro Ruiz5Icro Maremmani6Social-Health Services, Azienda Tutela Salute Sardegna (Sardinia Health Trust), 09128 Cagliari, ItalyDepartment of Psychiatry, North-Western Tuscany Local Health Unit, Tuscany NHS, Versilia Zone, 55049 Viareggio, ItalyG. De Lisio Institute of Behavioral Sciences, 56100 Pisa, ItalyDepartment of Psychiatry, ASSL, 09121 Cagliari, ItalyEmeritus of Neuropharmacology, University of Cagliari, 09124 Cagliari, ItalyDepartment of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, TX 77030, USAPISA-School of Experimental and Clinical Psychiatry, 56100 Pisa, ItalyThe diagnosis of substance use disorder is currently based on the presence of specifically identified behavioral symptoms. In addition, other psychiatric signs and symptoms accompany addictive behavior, contributing to the full picture of patients’ psychopathologic profile. Historically, such symptoms were confined within the framework of “comorbidity”, as comorbid psychiatric disorders or personality traits. However, an alternative unitary view of the psychopathology of addiction, inclusive of related psychiatric symptoms, has been claimed, with the support of epidemiological, neurobiological, and neuropsychological evidence. In the present article, we highlight the research advancements that strengthen this unified perspective. We then give an account of our group’s definition of a specific SCL-90-based construct of the psychopathology of addiction. Lastly, we discuss the benefits that can be expected to be acquired in the evaluation and treatment of patients with a longitudinal approach including psychological/psychiatric predisposing features, addictive behavior, and psychiatric manifestations.https://www.mdpi.com/2077-0383/9/6/1913psychopathology specific to substance use disordersaddictionpsychiatric comorbidity
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	Pier Paolo Pani Angelo G. I. Maremmani Matteo Pacini Emanuela Trogu Gian Luigi Gessa Pedro Ruiz Icro Maremmani
spellingShingle	Pier Paolo Pani Angelo G. I. Maremmani Matteo Pacini Emanuela Trogu Gian Luigi Gessa Pedro Ruiz Icro Maremmani Delineating the Psychic Structure of Substance Use and Addictions, from Neurobiology to Clinical Implications: Ten Years Later Journal of Clinical Medicine psychopathology specific to substance use disorders addiction psychiatric comorbidity
author_facet	Pier Paolo Pani Angelo G. I. Maremmani Matteo Pacini Emanuela Trogu Gian Luigi Gessa Pedro Ruiz Icro Maremmani
author_sort	Pier Paolo Pani
title	Delineating the Psychic Structure of Substance Use and Addictions, from Neurobiology to Clinical Implications: Ten Years Later
title_short	Delineating the Psychic Structure of Substance Use and Addictions, from Neurobiology to Clinical Implications: Ten Years Later
title_full	Delineating the Psychic Structure of Substance Use and Addictions, from Neurobiology to Clinical Implications: Ten Years Later
title_fullStr	Delineating the Psychic Structure of Substance Use and Addictions, from Neurobiology to Clinical Implications: Ten Years Later
title_full_unstemmed	Delineating the Psychic Structure of Substance Use and Addictions, from Neurobiology to Clinical Implications: Ten Years Later
title_sort	delineating the psychic structure of substance use and addictions, from neurobiology to clinical implications: ten years later
publisher	MDPI AG
series	Journal of Clinical Medicine
issn	2077-0383
publishDate	2020-06-01
description	The diagnosis of substance use disorder is currently based on the presence of specifically identified behavioral symptoms. In addition, other psychiatric signs and symptoms accompany addictive behavior, contributing to the full picture of patients’ psychopathologic profile. Historically, such symptoms were confined within the framework of “comorbidity”, as comorbid psychiatric disorders or personality traits. However, an alternative unitary view of the psychopathology of addiction, inclusive of related psychiatric symptoms, has been claimed, with the support of epidemiological, neurobiological, and neuropsychological evidence. In the present article, we highlight the research advancements that strengthen this unified perspective. We then give an account of our group’s definition of a specific SCL-90-based construct of the psychopathology of addiction. Lastly, we discuss the benefits that can be expected to be acquired in the evaluation and treatment of patients with a longitudinal approach including psychological/psychiatric predisposing features, addictive behavior, and psychiatric manifestations.
topic	psychopathology specific to substance use disorders addiction psychiatric comorbidity
url	https://www.mdpi.com/2077-0383/9/6/1913
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Delineating the Psychic Structure of Substance Use and Addictions, from Neurobiology to Clinical Implications: Ten Years Later

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