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酒精使用障碍个体的自传体记忆损害:对心理治疗研究的启示

Autobiographical memory compromise in individuals with alcohol use disorders: Towards implications for psychotherapy research.

作者信息

Nandrino Jean-Louis, Gandolphe Marie-Charlotte, El Haj Mohamad

机构信息

Univ. Lille, CNRS, CHU Lille, UMR 9193 - SCALab - Sciences Cognitives et Sciences Affectives, F-59000 Lille, France.

Univ. Lille, CNRS, CHU Lille, UMR 9193 - SCALab - Sciences Cognitives et Sciences Affectives, F-59000 Lille, France.

出版信息

Drug Alcohol Depend. 2017 Oct 1;179:61-70. doi: 10.1016/j.drugalcdep.2017.06.027. Epub 2017 Jul 21.

Abstract

It has been found that Autobiographical memory (i.e., memory for personal experiences and facts about the self) are not properly maintained in people with alcohol-use disorders (AUD). The present paper offers a comprehensive overview of findings regarding the consequences of AUD on autobiographical memory. More specifically, we offer a theoretical model (the AMAUD Autobiographical Memory and Alcohol Use Disorders model) according to which chronic alcohol consumption compromises emotion regulation as well as executive control, which maintains the construction of autobiographical memory. Compromises in emotional regulation and executive functioning can be linked to a weak aspiration to construct detailed memories (i.e., autobiographical overgenerality), compromises of subjective reliving, anterograde amnesia, negative self-defining memories, and a difficulty to mentally project oneself forward in time to generate complex autobiographical representations and self-images. By gathering cognitive and clinical aspects of autobiographical decline in AUD, this model constitutes a theoretical foundation that may lead to a better understanding of this decline. Different clinical perspectives are proposed for developing personalized autobiographical memory rehabilitation programs for individuals with AUD.

摘要

研究发现,酒精使用障碍(AUD)患者的自传体记忆(即对个人经历和关于自我的事实的记忆)无法得到妥善维持。本文全面概述了有关AUD对自传体记忆影响的研究结果。更具体地说,我们提出了一个理论模型(AMAUD自传体记忆与酒精使用障碍模型),根据该模型,长期饮酒会损害情绪调节以及执行控制,而情绪调节和执行控制维持着自传体记忆的构建。情绪调节和执行功能的损害可能与构建详细记忆的愿望薄弱(即自传体记忆过度泛化)、主观重温受损、顺行性遗忘、消极的自我定义记忆以及难以在心理上把自己投射到未来以生成复杂的自传体表征和自我形象有关。通过收集AUD患者自传体记忆衰退的认知和临床方面的信息,该模型构成了一个理论基础,可能有助于更好地理解这种衰退。文中还提出了不同的临床观点,以便为AUD患者制定个性化的自传体记忆康复计划。

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