Linzmayer Leopold, Boeck Gerda, Fischer Gabriele
Bereich Klinische Psychodiagnostik, Universitätsklinik für Psychiatrie, Währinger Gürtel 18-20, A-1090 Wien.
Wien Med Wochenschr. 2003;153(3-4):76-9. doi: 10.1046/j.1563-258x.2003.02082.x.
In the present investigation we tried to answer the question whether differences between heroin-dependent patients (n = 26, age: M = 24.96, SD = 6.30 years), a methadone substitution group (n = 20, age: M = 30.92, SD = 8.21 years) and a morphine substitution group (n = 20, age: M = 33.25, SD = 4.59 years) and healthy normals (n = 31, age: M = 25.07, SD = 4.62 years) could be found by means of measurement of electrodermal activity (SC, SCR, habituation of the SCR). Concerning "basal" skin conductance reflecting sympathetic activity, no significant differences were obtained. The methadone substitution group showed slight shortened onset latencies (information processing). In the morphine substitution group as compared to the other groups a small increase of the amplitude was observed indicating a slight increase in cognitive emotional intensity of appraisal after presentation of an acoustic stimulus. This small changes could be mediated by adaptation processes of the vegetative nervous system to the opioid, which occur "below" of those neuronal networks connected directly with the emotional stimuli processing. Concerning the speed of habituation no significant differences between the groups could be obtained. This indicates that no psychovegetative attenuation could be observed. The morphine substitution group as compared to the other groups was characterized by a longer persistence and a small increase of the intensity of excitement. However these variables ranged within normal limits and did not reach the level of statistical significance. This could be mediated by the effects of the opioid on the vegetative nervous system.
在本研究中,我们试图通过测量皮肤电活动(皮肤电导、皮肤电反应、皮肤电反应的习惯化)来回答以下问题:海洛因依赖患者(n = 26,年龄:M = 24.96,标准差 = 6.30岁)、美沙酮替代组(n = 20,年龄:M = 30.92,标准差 = 8.21岁)、吗啡替代组(n = 20,年龄:M = 33.25,标准差 = 4.59岁)与健康正常人(n = 31,年龄:M = 25.07,标准差 = 4.62岁)之间是否存在差异。关于反映交感神经活动的“基础”皮肤电导,未获得显著差异。美沙酮替代组的起始潜伏期略有缩短(信息处理方面)。与其他组相比,吗啡替代组在声音刺激呈现后观察到幅度略有增加,表明评估的认知情绪强度略有增加。这些微小变化可能由自主神经系统对阿片类药物的适应过程介导,这些过程发生在与情绪刺激处理直接相关的神经网络“之下”。关于习惯化速度,各组之间未获得显著差异。这表明未观察到心理植物神经功能衰减。与其他组相比,吗啡替代组的特点是兴奋的持续时间更长且强度略有增加。然而,这些变量在正常范围内,未达到统计学显著水平。这可能由阿片类药物对自主神经系统的作用介导。