Thewissen Roy, Snijders Steffie J B D, Havermans Remco C, van den Hout Marcel, Jansen Anita
Department of Medical, Clinical and Experimental Psychology, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands.
Behav Res Ther. 2006 Oct;44(10):1441-9. doi: 10.1016/j.brat.2005.10.010. Epub 2005 Dec 22.
The effects of cue exposure therapy are limited, because renewal after extinction is an important source of relapse. In this study, 33 smokers were exposed to a cue predicting smoking availability and a cue predicting smoking unavailability in one context (acquisition context A). Following extinction in another context (extinction context B), a test for renewal took place in the original acquisition context A (i.e. ABA renewal). Urge to smoke was measured using a Visual Analogue Scale. Renewal of differential conditioned urge responding occurred when participants were tested in the acquisition context, while differential urge responding remained extinguished when tested in the extinction context. This experiment provides evidence that ABA renewal occurred in smokers. Clinical implications are discussed.
线索暴露疗法的效果有限，因为消退后的恢复是复发的一个重要来源。在本研究中，33名吸烟者在一种情境（习得情境A）中接触到预测可获得香烟的线索和预测无法获得香烟的线索。在另一种情境（消退情境B）中消退后，在原来的习得情境A中进行恢复测试（即ABA恢复）。使用视觉模拟量表测量吸烟冲动。当在习得情境中对参与者进行测试时，出现了差异性条件性冲动反应的恢复，而在消退情境中测试时，差异性冲动反应仍处于消退状态。该实验提供了吸烟者中发生ABA恢复的证据。并讨论了其临床意义。
