Department of Psychiatry, University of Texas Health Science Center at San Antonio, San Antonio, TX 78229, USA.
Drug Alcohol Depend. 2011 Sep 1;117(2-3):198-203. doi: 10.1016/j.drugalcdep.2011.02.001. Epub 2011 Mar 3.
Previous studies have found individuals with family histories of alcohol use disorders are more impulsive on some but not all laboratory behavioral measures, suggesting deficits on specific forms of impulse control. However, drawing conclusions is tenuous because these different measures have not been administered together in the same group of participants.
In the present study, we compared healthy 21-35 year old adults with family histories of alcohol related problems (FHAP+) or without such histories (FHAP-) on behavioral measures of response inhibition, response initiation, and consequence sensitivity impulsivity. FHAP+ (n=36) and FHAP- (n=36) participants were compared on performance on the Immediate Memory Task (IMT, response initiation), GoStop Impulsivity Paradigm (GoStop, response inhibition), Two Choice Impulsivity Paradigm (TCIP, consequence sensitivity) and Single Key Impulsivity Paradigm (SKIP, consequence sensitivity).
FHAP+ individuals were more impulsive on the IMT and GoStop but not on the TCIP or SKIP.
These results suggest that response initiation and response inhibition impulsivity are increased in individuals with family histories of alcohol related problems despite not having alcohol or drug use disorders themselves. In contrast, increased consequence sensitivity impulsivity may be associated with additional risk factors such as more severe family histories of alcohol use disorders, or it may be increased as a consequence of heavy drug or alcohol use.
先前的研究发现,有酗酒家族史的个体在某些而非所有实验室行为测量上表现出冲动,这表明他们在特定形式的冲动控制上存在缺陷。然而,由于这些不同的测量方法并未在同一组参与者中同时进行,因此得出结论是不确定的。
在本研究中,我们比较了有(FHAP+)和没有(FHAP-)酒精相关问题家族史的健康 21-35 岁成年人在反应抑制、反应启动和后果敏感性冲动行为测量上的差异。FHAP+(n=36)和 FHAP-(n=36)参与者在即时记忆任务(IMT,反应启动)、GoStop 冲动性范式(GoStop,反应抑制)、双选择冲动性范式(TCIP,后果敏感性)和单键冲动性范式(SKIP,后果敏感性)上的表现进行了比较。
FHAP+个体在 IMT 和 GoStop 上表现出更高的冲动性,但在 TCIP 或 SKIP 上没有表现出更高的冲动性。
这些结果表明,尽管个体本身没有酗酒或药物使用障碍,但有酗酒相关问题家族史的个体在反应启动和反应抑制冲动性上更高。相比之下,增加的后果敏感性冲动性可能与其他风险因素有关,例如更严重的酗酒家族史,或者可能是由于大量使用毒品或酒精而增加。