Reynaud · The American journal of drug and alcohol abuse 2010 · narrative review · n=?

Is love passion an addictive disorder?

Cited 140 times in the scientific literature.

Level 5 - mechanism / opinion, no new human data

Narrative review and conceptual analysis with no systematic search protocol or primary empirical data.

PubMed 20545601 · doi:10.3109/00952990.2010.495183 · record verified 2026-08-31

What was done

The authors conducted a narrative review comparing clinical, neuropsychological, neurobiological, and neuroimaging literature on passionate love, proposed concepts of "love addiction," sex addiction, pathological gambling, and substance dependence. Based on these comparisons, they evaluated whether love passion meets criteria for a behavioral addiction and proposed exploratory diagnostic criteria.

What was found

The abstract reports no quantitative data. It describes phenomenological parallels between love passion and substance dependence, including intoxication-like euphoria and craving, withdrawal-like negative affect, anhedonia, and sleep disruption upon separation, obsessive focus, and continued pursuit despite negative consequences. Neurobiological parallels include overlapping brain regions (insula, anterior cingulate cortex, orbitofrontal cortex) and neurotransmitter/neuropeptide systems (dopamine, oxytocin). The authors noted an absence of empirical data on the epidemiology, genetics, comorbidity, and treatment of love addiction, concluding that evidence is insufficient to classify it in official diagnostic nomenclatures.

Why it matters

It clarifies the conceptual and neurobiological overlap between intense romantic attachment and addictive disorders while underscoring that scientific evidence remains too sparse to justify formal medicalization or diagnostic classification.

Limits

As an unsystematic narrative review, study selection and synthesis are prone to bias. The paper provides no primary experimental data, sample sizes, or quantitative meta-analyses. The field lacks validated diagnostic criteria, epidemiological studies, and controlled intervention trials for love addiction.

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