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用于评估药物滥用倾向的行为经济学购买任务的验证。

Validation of a behavioral economic purchase task for assessing drug abuse liability.

机构信息

Peter Boris Centre for Addictions Research, McMaster University/St. Joseph's Healthcare Hamilton, Hamilton, Canada.

Department of Preventive Medicine, University of Southern California Keck School of Medicine, Los Angeles, CA, USA.

出版信息

Addict Biol. 2019 Mar;24(2):303-314. doi: 10.1111/adb.12592. Epub 2018 Jan 5.

Abstract

Behavioral economic purchase tasks quantify drug demand (i.e. reinforcing value of a drug) and have been used extensively to assess the value of various drugs among current users. However, purchase tasks have been rarely used with unfamiliar drugs to address a compound's abuse liability, and the current study sought to validate the paradigm in this capacity. Using a double-blind placebo-controlled within-subjects drug challenge design, the study evaluated differential drug demand on an experimental drug purchase task for a 20 mg dose of oral D-amphetamine (versus placebo), a prototypic psychostimulant, in 98 stimulant-naïve participants. Compared with placebo, amphetamine significantly increased intensity, breakpoint and O , and significantly decreased elasticity. Mechanistic analyses revealed that O and breakpoint mediated the relationship between subjective drug effects and 'willingness to take again', a putative indicator of liability via motivation for future drug-seeking behavior. These findings validate the purchase task paradigm for quantifying the reinforcing value and, in turn, abuse liability of unfamiliar compounds, providing a foundation for a variety of future applications.

摘要

行为经济购买任务定量药物需求(即药物的强化价值),并已广泛用于评估当前使用者中各种药物的价值。然而,购买任务很少用于评估不熟悉的药物的滥用倾向,本研究旨在验证该范式在这方面的适用性。使用双盲安慰剂对照的within-subjects 药物挑战设计,本研究评估了 98 名兴奋剂-naïve 参与者在口服 D-苯丙胺(与安慰剂相比)的 20mg 剂量的实验性药物购买任务中,一种典型的精神兴奋剂的药物需求差异。与安慰剂相比,苯丙胺显著增加了强度、断点和 O,显著降低了弹性。机制分析表明,O 和断点中介了药物作用的主观效果与“再次服用的意愿”之间的关系,这是一种通过未来药物寻求行为的动机来表示易感性的潜在指标。这些发现验证了购买任务范式,可用于定量评估不熟悉化合物的强化价值,进而评估其滥用倾向,为各种未来的应用提供了基础。

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