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预期和实验室获得的酒精刺激、镇静和奖励之间的关联。

Association of Anticipated and Laboratory-Derived Alcohol Stimulation, Sedation, and Reward.

机构信息

Department of Psychiatry & Behavioral Neuroscience , The University of Chicago, Chicago, Illinois.

Department of Psychology , Wheaton College, Wheaton, Illinois.

出版信息

Alcohol Clin Exp Res. 2017 Jul;41(7):1361-1369. doi: 10.1111/acer.13415. Epub 2017 Jun 5.

Abstract

BACKGROUND

Laboratory alcohol challenges are the "gold standard" for obtaining accurate measurements of subjective alcohol stimulation, sedation, and reward. However, these approaches are time and resource intensive. This study examined the extent to which self-reported anticipated alcohol stimulation, sedation, and reward corresponded with those same responses measured with the Biphasic Alcohol Effects Scale (BAES), Brief-BAES (B-BAES), and Drug Effects Questionnaire (DEQ) during a controlled laboratory alcohol challenge.

METHODS

Participants were 106 light-to-heavy social drinkers (58.5% male; mean ± SD age = 35.8 ± 3.2 years) who completed the Anticipated BAES and DEQ, as well as laboratory-derived versions of these scales 30 and 60 minutes after consuming placebo and 0.8 g/kg alcohol on separate days as part of laboratory sessions in the Chicago Social Drinking Project.

RESULTS

Anticipated BAES/B-BAES and Anticipated DEQ alcohol effects were strong predictors of their corresponding laboratory-derived responses during both the rising limb and at peak breath alcohol concentrations. Effects were significant even when accounting for age, sex, past-month heavy drinking frequency, and laboratory session order (placebo or alcohol first).

CONCLUSIONS

This study provides strong preliminary support for measuring anticipated alcohol effects with the Anticipated BAES/B-BAES and Anticipated DEQ as a proxy of subjective responses experienced during a controlled laboratory alcohol challenge. The findings lend support for these measures as viable alternatives to other anticipatory scales when laboratory-derived alcohol response measurement is not feasible.

摘要

背景

实验室酒精挑战是获得主观酒精刺激、镇静和奖励准确测量的“金标准”。然而,这些方法既费时又费资源。本研究考察了自我报告的预期酒精刺激、镇静和奖励与使用双相酒精效应量表(BAES)、简要 BAES(B-BAES)和药物效应问卷(DEQ)在受控实验室酒精挑战期间测量的相同反应之间的一致性程度。

方法

参与者是 106 名轻度至重度社交饮酒者(58.5%为男性;平均年龄±标准差为 35.8±3.2 岁),他们在芝加哥社交饮酒计划的实验室会议期间,分别在服用安慰剂和 0.8g/kg 酒精后的 30 分钟和 60 分钟,完成了预期的 BAES 和 DEQ,以及实验室衍生的这些量表版本。

结果

预期的 BAES/B-BAES 和预期的 DEQ 酒精效应是其在上升支和呼气酒精浓度峰值期间对应的实验室衍生反应的强预测因子。即使考虑到年龄、性别、过去一个月重度饮酒频率和实验室会议顺序(先服用安慰剂或酒精),效果仍然显著。

结论

这项研究为使用预期的 BAES/B-BAES 和预期的 DEQ 测量预期的酒精效应提供了强有力的初步支持,作为在受控实验室酒精挑战期间经历的主观反应的替代指标。这些发现支持了这些措施作为替代其他预期量表的可行替代方案,当实验室衍生的酒精反应测量不可行时。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d36/5509338/65a883093909/nihms874875f1.jpg

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