Lane Sean P, Carpenter Ryan W, Sher Kenneth J, Trull Timothy J
University of Missouri-Columbia and Alcoholism Research Center, Columbia, MO.
Clin Psychol Sci. 2016 Sep;4(5):775-792. doi: 10.1177/2167702615616132. Epub 2016 Mar 15.
Substance use is highly prevalent in our society, and substance use disorders are comorbid with most psychiatric disorders, including borderline personality disorder (BPD; Grant et al., 2006, 2008). Craving is a fundamental feature of addiction and disorder, yet the contexts in which craving occurs and is associated with substance use is still under-researched. We examined alcohol craving and consumption in a sample of 56 BPD individuals and a comparison group of community drinkers (COM; = 60) who carried electronic diaries for approximately 21 days. BPD individuals reported more craving than COM individuals in most contexts. Compared to COM individuals, elevated craving in BPD individuals was paralleled by more drinking when at work, at home, and with romantic partners, coworkers, and children. These findings identify contexts of particular relevance to those with BPD and other mood/anxiety disorders in which craving may lead to risky and maladaptive alcohol use.
物质使用在我们的社会中非常普遍，物质使用障碍与大多数精神疾病共病，包括边缘性人格障碍（BPD；Grant等人，2006年，2008年）。渴望是成瘾和障碍的一个基本特征，然而渴望发生的背景以及与物质使用的关联仍未得到充分研究。我们在一个由56名BPD个体和一个社区饮酒者对照组（COM；n = 60）组成的样本中，对酒精渴望和饮酒情况进行了研究，这些参与者携带电子日记约21天。在大多数情况下，BPD个体报告的渴望比COM个体更多。与COM个体相比，BPD个体中升高的渴望与在工作、在家以及与浪漫伴侣、同事和孩子在一起时更多的饮酒行为同时出现。这些发现确定了与BPD及其他情绪/焦虑障碍患者特别相关的背景，在这些背景下，渴望可能导致危险和适应不良的酒精使用。
