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μ-阿片受体基因与大量饮酒同伴数量对酒精使用的相互作用。

Interaction Between the μ-Opioid Receptor Gene and the Number of Heavy-Drinking Peers on Alcohol Use.

机构信息

Department of Psychology, Syracuse University, Syracuse, New York.

SUNY Upstate Medical University, Syracuse, New York.

出版信息

Alcohol Clin Exp Res. 2017 Dec;41(12):2041-2050. doi: 10.1111/acer.13523. Epub 2017 Nov 2.

Abstract

BACKGROUND

The presence of heavy-drinking peers may trigger genetic vulnerabilities to alcohol use. Limited correlational findings, albeit mixed as a function of age, suggest that carriers of a μ-opioid receptor (OPRM1) G allele may be more vulnerable than noncarriers to alcohol-promoting perceived peer environments. However, research has not yet examined such genetic susceptibility to actual (rather than perceived) peer environments through an experimental, ad libitum alcohol administration design. This study examined whether OPRM1 modulates the effects of heavy-drinking group size on alcohol consumption and explored potential mediators of such OPRM1-based differences.

METHODS

Caucasian young adult moderate to heavy drinkers (N = 116; mean age = 22 years [SD = 2.21], 49% female) were randomly assigned to consume alcohol in the presence of none, 1, or 3 heavy-drinking peer confederates.

RESULTS

Results showed no significant moderating effects of OPRM1 in the relationship between the number (or presence) of heavy-drinking peers and voluntary alcohol consumption (partial η  = 0.01). This result remained the same after controlling for sex, age, and typical drinking quantity as well as their 2-way interactions with OPRM1 and social drinking condition. In addition, OPRM1 did not moderate the peer influence on any proposed mediating variables, including craving for alcohol and subjective responses to alcohol.

CONCLUSIONS

Findings suggest no OPRM1-based susceptibility to the number of heavy-drinking peers, adding to the existing mixed findings from correlational studies. Future research on OPRM1-related susceptibility to alcohol-promoting peer environments through meta-analytic synthesis and both experimental and prospective, multiwave designs is needed to resolve these mixed findings.

摘要

背景

大量饮酒的同伴的存在可能会引发对酒精使用的遗传易感性。尽管相关性研究结果有限,但其受年龄因素影响较为混杂,但研究表明,μ-阿片受体(OPRM1)G 等位基因的携带者比非携带者更容易受到促进酒精使用的感知同伴环境的影响。然而,通过实验性的、随意的酒精给药设计,研究尚未检验这种对实际(而非感知)同伴环境的遗传易感性。本研究检验了 OPRM1 是否调节大量饮酒同伴的数量对饮酒量的影响,并探索了基于 OPRM1 的差异的潜在中介因素。

方法

将 116 名白种人年轻成年中重度饮酒者(平均年龄 22 岁[SD=2.21],49%为女性)随机分配到无、1 或 3 名重度饮酒同伴陪伴下饮酒。

结果

结果显示,在同伴中重度饮酒者的数量(或存在)与自愿饮酒量之间的关系中,OPRM1 没有显著的调节作用(偏η 2=0.01)。在控制了性别、年龄和典型饮酒量以及它们与 OPRM1 和社交饮酒条件的 2 个交互作用后,这一结果仍然成立。此外,OPRM1 并没有调节同伴对任何提出的中介变量的影响,包括对酒精的渴望和对酒精的主观反应。

结论

这些发现表明,在同伴中大量饮酒者的数量方面,没有基于 OPRM1 的易感性,这增加了来自相关性研究的现有混合结果。需要通过荟萃分析综合以及实验和前瞻性、多波设计的研究,进一步研究 OPRM1 与促进酒精使用的同伴环境相关的易感性,以解决这些混合结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc02/5711571/f4e0b073e0d2/nihms911853f1.jpg

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