Department of Psychology, University of Maryland, Center for Addictions, Personality and Emotion Research, Maryland 20742, USA.
Alcohol Clin Exp Res. 2010 Aug;34(8):1334-45. doi: 10.1111/j.1530-0277.2010.01217.x. Epub 2010 May 14.
Alcohol use disorders (AUDs) are a devastating public health problem. The construct of impulsivity is biologically based and heritable, and its various dimensions are relevant for understanding alcohol use. The goal of the current manuscript is to review recent behavioral and biological research examining various dimensions of impulsivity and their relation to AUDs from risk for initial use through dependence and relapse. Moreover, we also highlight key psychological variables including affective processes as they relate to current use and early indications of alcohol problems, as well as psychopathology, violence, and aggression in relation to AUDs. Each section includes a critical summary and we conclude the review with future directions focused on issues relevant to measurement, causality, and intervention. Throughout the review, we attempt to be as specific as possible about the dimensions of impulsivity being referenced, while attempting to draw parallels and highlighting differences as the existing literature allows.
酒精使用障碍(AUD)是一个严重的公共卫生问题。冲动性的结构具有生物学基础和遗传性,其各个维度对于理解酒精使用是相关的。本手稿的目的是回顾最近的行为和生物学研究,从最初使用到依赖和复发,检查冲动性的各个维度及其与 AUD 的关系。此外,我们还强调了关键的心理变量,包括情感过程,因为它们与当前的使用和酒精问题的早期迹象有关,以及与 AUD 有关的精神病理学、暴力和攻击。每个部分都包括一个批判性的总结,我们以关注与测量、因果关系和干预相关的问题的未来方向结束综述。在整个综述中,我们试图尽可能具体地说明所参考的冲动性维度,同时在现有文献允许的情况下,试图进行类比并突出差异。