Kirk J M, de Wit H
Department of Psychiatry, University of Chicago, Illinois 60637, USA.
J Stud Alcohol. 2000 Jan;61(1):64-71. doi: 10.15288/jsa.2000.61.64.
Alcohol-dependent individuals frequently report increased desire for alcohol and exhibit increased alcohol-seeking behaviors following a single drink. The phenomenon, known as priming, has been demonstrated in the laboratory in alcohol-dependent humans and in nonhumans, but the effect is inconsistently observed in nonproblem social drinkers. The current experiment examined this effect in healthy, nonproblem social drinkers across a range of preload doses.
Using a repeated-measures design, 12 social drinkers were given ethanol (0.2, 0.4 or 0.8 g/kg) or placebo preloads. Various subjective effects measures were obtained at regular intervals. In addition, before and after consuming, the preload subjects performed an operant task on which they made repeated choices for either ethanol or money.
Ethanol dose-dependently increased subjective reports of drug liking and desire to take more ethanol. When data from all subjects were examined, ethanol did not affect choices for ethanol on the choice task. However, in subjects who reported the greatest positive mood effects from ethanol (0.8 g/kg), the ethanol preload increased choices for ethanol over money on the choice task.
These findings provide evidence for a priming effect of ethanol in social drinkers as measured by increased subjective desire for drug. The findings also suggest that the priming effects may be strongest in individuals who experience the greatest subjective positive mood effects from ethanol.
酒精依赖者经常报告饮酒欲望增强,且在单次饮酒后会表现出更多的觅酒行为。这种被称为启动效应的现象已在酒精依赖的人类和非人类的实验室研究中得到证实,但在无问题的社交饮酒者中,这种效应的观察结果并不一致。当前的实验在一系列预负荷剂量下,对健康的、无问题的社交饮酒者的这种效应进行了研究。
采用重复测量设计,给12名社交饮酒者给予乙醇(0.2、0.4或0.8克/千克)或安慰剂预负荷。定期获取各种主观效应测量值。此外,在饮用预负荷前后,受试者执行一项操作性任务,在此任务中他们反复选择乙醇或金钱。
乙醇剂量依赖性地增加了对药物喜好的主观报告以及摄取更多乙醇的欲望。当检查所有受试者的数据时,乙醇对选择任务中乙醇的选择没有影响。然而,在报告乙醇产生最大积极情绪影响的受试者(0.8克/千克)中,乙醇预负荷增加了在选择任务中对乙醇而非金钱的选择。
这些发现为乙醇在社交饮酒者中的启动效应提供了证据,该效应通过对药物主观欲望的增加来衡量。研究结果还表明,启动效应在那些从乙醇中体验到最大主观积极情绪影响的个体中可能最强。