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一种针对危险饮酒者情绪诱发复发的新型并发图像选择模型。

A novel concurrent pictorial choice model of mood-induced relapse in hazardous drinkers.

作者信息

Hardy Lorna, Hogarth Lee

机构信息

School of Psychology, University of Exeter.

出版信息

Exp Clin Psychopharmacol. 2017 Dec;25(6):448-455. doi: 10.1037/pha0000155.

Abstract

This study tested whether a novel concurrent pictorial choice procedure, inspired by animal self-administration models, is sensitive to the motivational effect of negative mood induction on alcohol-seeking in hazardous drinkers. Forty-eight hazardous drinkers (scoring ≥7 on the Alcohol Use Disorders Inventory) recruited from the community completed measures of alcohol dependence, depression, and drinking coping motives. Baseline alcohol-seeking was measured by percent choice to enlarge alcohol- versus food-related thumbnail images in two alternative forced-choice trials. Negative and positive mood was then induced in succession by means of self-referential affective statements and music, and percent alcohol choice was measured after each induction in the same way as baseline. Baseline alcohol choice correlated with alcohol dependence severity, r = .42, p = .003, drinking coping motives (in two questionnaires, r = .33, p = .02 and r = .46, p = .001), and depression symptoms, r = .31, p = .03. Alcohol choice was increased by negative mood over baseline (p < .001, ηp2 = .280), and matched baseline following positive mood (p = .54, ηp2 = .008). The negative mood-induced increase in alcohol choice was not related to gender, alcohol dependence, drinking to cope, or depression symptoms (ps ≥ .37). The concurrent pictorial choice measure is a sensitive index of the relative value of alcohol, and provides an accessible experimental model to study negative mood-induced relapse mechanisms in hazardous drinkers. (PsycINFO Database Record

摘要

本研究检验了一种受动物自我给药模型启发的新型并行图片选择程序,是否对消极情绪诱导对危险饮酒者酒精寻求行为的动机效应敏感。从社区招募的48名危险饮酒者(酒精使用障碍量表得分≥7)完成了酒精依赖、抑郁和饮酒应对动机的测量。在两项二选一强制选择试验中,通过选择放大与酒精相关的缩略图与食物相关的缩略图的百分比来测量基线酒精寻求行为。然后通过自我参照情感陈述和音乐依次诱导消极和积极情绪,并以与基线相同的方式在每次诱导后测量酒精选择百分比。基线酒精选择与酒精依赖严重程度相关,r = 0.42,p = 0.003,与饮酒应对动机相关(在两份问卷中,r = 0.33,p = 0.02和r = 0.46,p = 0.001),与抑郁症状相关,r = 0.31,p = 0.03。消极情绪使酒精选择比基线增加(p < 0.001,ηp2 = 0.280),积极情绪后酒精选择与基线匹配(p = 0.54,ηp2 = 0.008)。消极情绪诱导导致的酒精选择增加与性别、酒精依赖、为应对而饮酒或抑郁症状无关(p值均≥0.37)。并行图片选择测量是酒精相对价值的敏感指标,并为研究危险饮酒者消极情绪诱导的复发机制提供了一个可操作的实验模型。(PsycINFO数据库记录)

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