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酒精和速可巴比妥的作用与家族性酒精中毒的关系:急性心理生理效应

Alcohol and secobarbital effects as a function of familial alcoholism: acute psychophysiological effects.

作者信息

McCaul M E, Turkkan J S, Svikis D S, Bigelow G E

机构信息

Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland.

出版信息

Alcohol Clin Exp Res. 1990 Oct;14(5):704-12. doi: 10.1111/j.1530-0277.1990.tb01230.x.

Abstract

Previous research has demonstrated response differences following administration of alcohol between adult males with a positive (FHP) versus negative (FHN) family history of alcoholism. These response differences are thought to reflect differences in vulnerability to dependence on alcohol. Thus, the role of positive family alcoholism history in increasing risk of addiction to a variety of drug classes might be studied by determining whether FHP subjects show different responses to drug classes other than alcohol. This was done in the present study by determining dose-effect functions for a variety of physiological (heart rate, skin conductance, skin temperature), subjective (analog mood and drug effect, Subjective High Assessment Scale), and psychomotor measures (hand tremor, body sway, Digit Symbol Substitution Test, eye-hand coordination, and numeric recall) in FHP and FHN college-aged males for secobarbital (0, 100, 200 mg by mouth) and ethanol (1 g/kg). FHP and FHN subjects were matched on light-to-moderate drinking patterns, anthropometric dimensions, age, years of schooling, and drug use. At equivalent blood alcohol levels family-history positive subjects reported greater effects of ethanol than did family-history negative subjects on almost all subjective measures. Following the high dose of secobarbital, FHP but not FHN subjects showed elevated subjective effects; these effects were substantially less and were evident in fewer measures than following ethanol. In contrast to effects on the subjective measures, ethanol and secobarbital produced comparable impairment in both groups of subjects for most psychomotor responses. Group differences were not obtained on any physiological measures.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

先前的研究表明,有酒精中毒阳性家族史(FHP)的成年男性与有阴性家族史(FHN)的成年男性在摄入酒精后反应存在差异。这些反应差异被认为反映了对酒精依赖易感性的不同。因此,通过确定FHP受试者对酒精以外的其他药物类别是否有不同反应,可能会研究阳性家族酒精中毒史在增加对各种药物成瘾风险中的作用。本研究通过确定FHP和FHN大学年龄男性对司可巴比妥(口服0、100、200毫克)和乙醇(1克/千克)的各种生理指标(心率、皮肤电导率、皮肤温度)、主观指标(类似情绪和药物效应、主观兴奋评估量表)以及精神运动指标(手部震颤、身体摇摆、数字符号替换测试、眼手协调和数字回忆)的剂量效应函数来进行此项研究。FHP和FHN受试者在轻度至中度饮酒模式、人体测量维度、年龄、受教育年限和药物使用方面相匹配。在同等血酒精水平下,家族史阳性受试者在几乎所有主观指标上报告的乙醇效应都比家族史阴性受试者更大。在高剂量司可巴比妥之后,FHP受试者而非FHN受试者表现出主观效应增强;这些效应比摄入乙醇后明显要小,且在较少的指标中明显。与对主观指标的影响相反,乙醇和司可巴比妥在两组受试者的大多数精神运动反应中产生了相当的损害。在任何生理指标上均未获得组间差异。(摘要截短至250字)

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