日常生活中对渴望及物质使用调查的生态瞬时评估：一项系统评价
Ecological momentary assessment in the investigation of craving and substance use in daily life: a systematic review.
作者信息
Serre Fuschia, Fatseas Melina, Swendsen Joel, Auriacombe Marc
机构信息
University of Bordeaux, PAC Carreire, 146 rue Léo Saignat, CS 61292, 33076 Bordeaux Cedex, France; SANPSY (Addiction Psychiatry), CNRS USR 3413, University of Bordeaux, PAC Carreire, 146 rue Léo Saignat, CS 61292, 33076 Bordeaux Cedex, France; Pôle Addictologie, CH Charles Perrens and CHU de Bordeaux, 121 rue de la Béchade, CS 81285, 33076 Bordeaux Cedex, France.
University of Bordeaux, PAC Carreire, 146 rue Léo Saignat, CS 61292, 33076 Bordeaux Cedex, France; SANPSY (Addiction Psychiatry), CNRS USR 3413, University of Bordeaux, PAC Carreire, 146 rue Léo Saignat, CS 61292, 33076 Bordeaux Cedex, France; INCIA, CNRS UMR 5287, University of Bordeaux, PAC Carreire, 146 rue Léo Saignat, CS 61292, 33076 Bordeaux Cedex, France; Pôle Addictologie, CH Charles Perrens and CHU de Bordeaux, 121 rue de la Béchade, CS 81285, 33076 Bordeaux Cedex, France.
出版信息
Drug Alcohol Depend. 2015 Mar 1;148:1-20. doi: 10.1016/j.drugalcdep.2014.12.024. Epub 2015 Jan 3.
BACKGROUND
Craving is viewed as a major determinant of relapse in persons with substance addiction, but this association remains poorly understood due to its time-limited nature and the biases associated with retrospective reporting. Ecological momentary assessment (EMA) offers new opportunities to examine both craving and substance use with strong ecological validity by collecting real-time data in daily life. This review examined all published studies using EMA to: (1) assess the link between craving and substance use; and (2) identify relevant moderators of craving among substance users.
METHODS
We searched PubMed and PsycInfo databases up to October 31, 2013.
RESULTS
Ninety-one studies were selected, involving mostly tobacco smokers (73%). A majority of studies (92%) reported a positive relationship between craving and substance use, concurrently and prospectively, and among users with different levels of use for both legal and illegal substances. Results suggest that craving is a stronger predictor of relapse episodes when assessed in close temporal proximity to substance use. EMA data also confirmed the influence of diverse within-person and between-person sources of variation in daily life craving reports.
CONCLUSIONS
This review provides strong support for the link between craving and substance use, and underscores the importance of the timing of assessments.
背景
渴望被视为物质成瘾者复发的主要决定因素，但由于其时间限制性质以及与回顾性报告相关的偏差，这种关联仍未得到充分理解。生态瞬时评估（EMA）通过收集日常生活中的实时数据，为以强大的生态效度研究渴望和物质使用提供了新机会。本综述考察了所有使用EMA的已发表研究，以：（1）评估渴望与物质使用之间的联系；以及（2）确定物质使用者中渴望的相关调节因素。
方法
我们检索了截至2013年10月31日的PubMed和PsycInfo数据库。
结果
共筛选出91项研究，其中大多涉及吸烟者（73%）。大多数研究（92%）报告称，在同时期和前瞻性研究中，以及在合法和非法物质不同使用水平的使用者中，渴望与物质使用之间存在正相关关系。结果表明，在与物质使用时间接近时进行评估，渴望是复发事件更强的预测指标。EMA数据还证实了日常生活中渴望报告中个体内部和个体之间不同变异来源的影响。
结论
本综述为渴望与物质使用之间的联系提供了有力支持，并强调了评估时间的重要性。
Zotero 插件