The role of sensitivity to reward and punishment and moral disengagement in the prediction of craving among people with substance dependency

Document Type: Original Article


1 University of Mohaghegh Ardabili , Ardabil, Iran

2 Associate Professor of Psychology, School of Psychology and Educational Sciences, University of Mohaghegh Ardabili,

3 Professor of Psychology, School of Psychology and Educational Sciences, University of Mohaghegh Ardabili, Ardabil,


Craving is considered as one of the most important factors in treatment failure and relapse in patients undergoing abstinence programs. This study was aimed to determine the role of sensitivity to reward and punishment and the moral disengagement in the prediction of craving in people with substance dependency. The method of this study was descriptive-correlational. The statistical society of this research was comprised of the whole people with substance dependence referring to. Ardabil Centers of Addiction Treatment in the second half of 2015 One hundred and Twenty people were selected from this population through multistage random cluster sampling and they were asked to respond to Questionnaires of sensitivity to reward and punishment (Torrubia et al.,1984), moral disengagement (Bandura et al., 2008), and also to craving (Somoza et al., 1995). Pearson’s correlation and multivariate regression tests were used in analyzing data. The results showed that craving was related to: sensitivity, reward and punishment; total score disengagement moral and components; moral justification; language euphemistic; displacement responsibility; responsibility diffusion; distorting consequences; and attribution of blame. Fourteen percent (14%) variance of craving was explained by sensitivity to reward and punishment and moral disengagement in the multiple regression analysis results.The results of this study demonstrated that moral disengagement and sensitivity to reward and punishment might have significant role in predicting craving among substance abusers.


Main Subjects

Abdi, R., Bakhshipour Roudsati, A., & Mahmood Aliloo, M. (2011). The sensitivity levez of behavioral Approach and Inhibition Systems in Substanse Abusers, Smokers and Normal Subjects. Iranian Journal of Psychiatry and clinical Psychology, 17(3), 241-247. URL: /article-1-1420-fa.html

Adrian, C., & Wayne, H. (2013). Ethical implications of research on craving, Journal Addictive Behaviors, 38(2), 1593–1599.

American Psychiatric Association (2013). Diagnostic and Statistical Manual of Dysm-5 Disorders. Translated by: Rezaie, F., Fakhraee, A., Farmand, A., Nilofari, A., Hashemi, Azar, J., Shamloo, F. (2015). Tehran, Arjomand Records, First Edition.

Bandura, A. (1986). Social foundations of thought and action: A social cognitive theory. Prentice-Hall, Inc.

Bandura, A. (1977). Self-efficacy: toward a unifying theory of behavioral change. Journal Psychological Review, 84(2), 191-215.

Bandura, A., Barbaranelli, C., Caprara, G. V., & Pastorelli, C. (1996) Mechanisms of moral disengagement in the exercise of moral agency. Journal of Personality and Social Psychology, 71(2), 364–374.

Basharpoor, S. (2014). Relationships between cognitive emotion regulation and effortful control with severity of dependence and craving in people with substance dependency. Journal of Substance Abuse Addiction Research, 7(28), 131-146.

Delavar, A. (2006). Theoretical and scientific resources of research in humanities and social sciences. (Persian).

Dijkstra, A. (2009). Disengagement beliefs in smokers: Do they influence the effects of a tailored persuasive message advocating smoking cessation. Journal Psychology and Health, 791–804.

Ekhtiari, H. (2008). Addiction as a brain disease. Journal Addict. 1(3), 46-48.

Genovese, J. E., & Wallace, D. (2007). Reward Sensitivity and Substance Abuse in Middle School and High School Students. The Journal of Genetic Psychology, 168(4), 465–469.

Goodarzi, M. A., & Shameli, L. (2010). Prediction of identity styles based on sensitivity to reward and punishment. Journal of Applied Psychology, 4, 3(15), 81-95.

Gray, J. A. (1982). The neuropsychology of anxiety: An inquiry into the functions of the septal-hippocampal system. Journal Behavioral and Brain Sciences. Oxford: Oxford University, 469-534.

Gray, J. A. (1990). Brain systems that mediate bothemotion and cognition. Specialissue: Development of relationships between emotion and cognition. Journal Cognition and Emotion, 4, 269-288.

Gray, J. A., & McNaughton N.  (2003).The neuropsychology of anxiety: An enquiry into the function of the septo-hippocampal system. Oxford university press.

Ivory, N. J., & Kambouropoulos, N. (2012). Personality and Individual Differences, 822–827.

Jason, A., MacQueen, D. O. A., & Drobes, D. J. (2013). Chapter 41 Deprivation, Craving, and Affect: Intersecting Constructs in Addiction, Comprehensive Addictive Behaviors and Disorders, 1, 395-403.

Jonker, N. C., Ostafin, B. D., Glashouwer, K. A., Van Hemel-Ruiter, M. E., de Jong, P. J. (2014). Reward and punishment sensitivity and alcohol use: the moderating role of executive control. JournalAddictive Behaviors, 39(5), 945-8.

Kleinjan, M., Van Den Eijnden, R. J. M., & Engels, R. C. M. E. (2009). Adolescents' rationalizations to continue smoking: The role of disengagement beliefs and nicotine dependence in smoking cessation. Journal Addictive Behaviors, 34, 440–445.

Kober, H. (2014). Emotion Regulationin Substance Use Disorders. In j. j. Gross(Ed), Handbook of emotion regulation (2nd Ed) (pp, 428-446). New York, NY: Guilford.

Kokkinos, C. M., Voulgaridou, I., Mandrali, M., Parousidou, Chr. (2016). Interactive links between relational aggression, theory of mind, and moral disengagement among early adolescents. Journal Psychology in the Schools, 53, 253–269.

Masoomi-Nomandan, S., Hasani, J., & Hatami, M. (2014). The role of emotional schemas in substance abuse craving. Journal of BehavioraSciences, 8(2), 131-136.

Mathew, A., Burris, L. J., Froeliger, B., Saladin, E. M., & Carpenter, J. M. (2015). Impulsivity and cigarette craving among adolescent daily and occasional smokers. Journal Addictive Behaviors, 45, 134–138.

Momtazi, S., & Rawson, R. A. (2010). Substance abuse among Iranian high school students. Journal Current Opinion in Psychiatry, 23(3), 6-221.

Moore, C. (2008). Moral disengagement in processes of organizational corruption. Journal of Business Ethics, 80(1), 129-139.

Morris, D. H., Treloar, H., Tsai, C. L., McCarty, K. N., & McCarthy, D. M. (2016). Acute subjective response to alcohol as a function of reward andpunishment sensitivity. Journal Addictive Behaviors, 60, 90–96.

Newton, N. C., Andrews, G., Champion, K. E., & Teesson, M. (2014). Universal Internet-based prevention for alcohol and cannabis use reduces truancy, psychological distress and moral disengagement: cluster randomised controlled trial. Journal Preventive Medicine, 65, 109-15.

Nicola, M. D., Tedeschi, D., Risio, D. L., Pettorruso, M., & Martinotti, G. (2015). Co-occurrence of alcohol use disorder and behavioral addictions: relevance of impulsivity and craving. Journal Drug and Alcohol Dependence, 1(148), 118-25.

Nielsen, D. A. (2012). Former Heroin Addicts with or Without a History of Cocaine Dependence are More Impulsive than Controls. Journal Drug and Alcohol Dependence, 124(6), 113–120.

Petry, N. M., Bickel, W. k., & Arnett, M. (1998). Shortened time horizons and insensitivity to future consequences in heroin addicts. Journal Addiction, 93(5), 729–738.

Robinson, J. M., Ladd, B. O.,& Anderson, K. G.(2014). When you see it, let it be: Urgency, mindfulness and adolescent substance use. Journal Addictive Behaviors, 39(6), 1038-1041.

Rosenberg, H. (2009). Clinical and Laboratory assessment of the subjective experience of drug craving. Journal Clinical Psychology Review, 29(6), 519 534.

Sajjadi, M. (2008). Investigating the relationship between sensitivity to reward and punishment, encouragement and introversion, extraversionSocial Graduate Degree Master of Science in Psychology, Faculty of Education Sciences and Psychology, Shiraz University.

Singleton, E. G., & Gorelick, D. A. (1998). Mechanisms of alcohol craving and their clinical implications. Journal Recent Developments in Alcoholism, 14, 177–95.

Somoza, E., Dyrenforth, S., Goldsmith, J., Mezinskis, J., & Cohen, M. (1995). In search of a universal drug craving scale. Annual Meeting of the AmericanPsychiatric Association, Miami Florida, 121-132.

Substance Abuse and Mental Health Services Administration (2013). About co-occurring disorders. Retrievedfrom.https: //

Tavakoli, G. H., Shojaei Zadeh, D., & Mazloumi, S. R. (2010). Comparative Study of Factors Associated with Addiction Withdrawal in Clients Referring to Drug-Stop Clinics of Northern khorasan in. Journal of Ilam Medical University, 2(63), 32-43.

Terry, E., Robinson, K., & Berridge C. (1993).The neural basis of drug craving: an incentive-sensitization theory of addiction. Journal Brain Research Reviews, 18, 274-291.

Torrubia, R., & Tobena, A. (1984). A scale for the assessment of susceptibility to punishment as a measure of anxiety: Preliminary results. Personality Journal AndIndividual Differences, 5, 371-375.

Torrubia, R., Avila, C., Molto, J., & Caseras, X. (2001). The sensitivity to punishment and sensitivity to reward questionnaire (SPSRQ) as a measure of Gray’s anxietyand impulsivity dimensions. Journal Personality and Individual Differences, 31, 837–862.

Urošević, S., Collins, p., Muetzel, R., Schissel, A., Lim, K. L., & Luciana, M. (2015). Effects of reward sensitivity and regional brain volumes on substance use initiation in adolescence, Journals Oxford, 106-113.

Vassileva, J., Georgiev, S., Martin, E., Gonzalez, R., & Segala, L. (2011). Psychopathic heroin addicts are not uniformly impaired acrossneurocognitive domains of impulsivity. Journal Drug Alcohol Depend, 114(2-3), 194–200.

Wikler, A. (1984). Recent progress in research on the neurophysiological basis of morphine addiction. American Journal of Psychiatry, 105, 329–338.

Witkiewitz, k., Bowen, S., Douglas, H., & Sharon, H. H. (2013). Mindfulness-based relapse prevention for substance craving. Journal of Addictive Behavios, 38, 1563–1571.