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线索暴露作为海洛因成瘾者管理中的一种评估技术:病例报告

Cue exposure as an assessment technique in the management of a heroin addict: case report.

作者信息

Moring J, Strang J

机构信息

Drug and Alcohol Psychology Service, Prestwich Hospital, Manchester, U.K.

出版信息

Drug Alcohol Depend. 1989 Oct;24(2):161-7. doi: 10.1016/0376-8716(89)90080-x.

DOI:10.1016/0376-8716(89)90080-x
PMID:2791891
Abstract

A recently-detoxified heroin addict was exposed to a battery of drug-related stimuli which he had previously assisted in identifying as personally relevant. Skin conductance was measured during exposure to both drug-related stimuli and neutral stimulus items. The amplitude of the first skin conductance response following stimulus presentation and the number of skin conductance responses during stimulus presentation were significantly different for the drug-related and neutral stimuli. Post-exposure subjective ranking of the drug-related items differed markedly from pre-exposure ranking; and the post-exposure subjective rankings were closer to the ranked order of the measured physiological responses than the pre-exposure subjective rankings. The use of cue exposure assessment in planning treatment for relapse prevention and the possible importance of idiosyncratic cues in the environment are discussed.

摘要

一名近期戒毒的海洛因成瘾者暴露于一系列与毒品相关的刺激中,这些刺激他之前曾协助认定为与自身相关。在暴露于与毒品相关的刺激和中性刺激物时,测量了皮肤电导率。刺激呈现后第一个皮肤电导率反应的幅度以及刺激呈现期间皮肤电导率反应的数量,在与毒品相关的刺激和中性刺激之间存在显著差异。暴露后对与毒品相关项目的主观排名与暴露前排名明显不同;并且暴露后的主观排名比暴露前的主观排名更接近所测量的生理反应的排名顺序。文中讨论了线索暴露评估在预防复发治疗规划中的应用以及环境中特殊线索可能具有的重要性。

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[Electrodermal activity in heroin addicts and patients with methadone and morphine substitution].[海洛因成瘾者以及接受美沙酮和吗啡替代治疗患者的皮肤电活动]
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