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重度饮酒青年成年人中大麻及其他毒品使用的行为经济学分析

A Behavioral Economic Analysis of Marijuana and Other Drug Use Among Heavy Drinking Young Adults.

作者信息

Meshesha Lidia Z, Utzelmann Bettina, Dennhardt Ashley A, Murphy James G

机构信息

The University of Memphis.

St. Jude Children's Research Hospital.

出版信息

Transl Issues Psychol Sci. 2018 Mar;4(1):65-75. doi: 10.1037/tps0000144.

Abstract

OBJECTIVE

Behavioral economic models predict that deficits in substance-free reward and future time orientation are associated with greater drug involvement, but this hypothesis has not been systematically investigated among young adult heavy drinkers. This study evaluated the association between drug use levels (heavy drinking (HD) only, HD + marijuana use, and HD + polysubstance use) and substance-free activity engagement, future orientation, and reward deprivation (comprised of reward experience and environmental suppressors of reward) among heavy drinkers.

METHOD

Participants were 358 college students who reported two or more past-month heavy drinking episodes (5/4 or more drinks in one occasion for a man/woman). The sample was 60% women, 79% Caucasian, and the average age was 18.76 ( = 1.07) years. Participants completed measures of alcohol and drug use, weekly time allocation to various activities, future time orientation, and reward deprivation.

RESULTS

Overall, any drug use was associated with less time spent engaged in academics and exercise, and lower future time orientation compared to HD only. Any drug use was associated with reward deprivation and HD + polysubstance use was associated with lower reward experience and environmental suppressors.

CONCLUSION

Drug use among heavy drinkers is associated with lower academic engagement and exercise, future orientation, and reward deprivation. These results provide support for behavioral economic models of drug abuse and suggest that prevention approaches should attempt to increase future orientation and availability of drug-free reward.

摘要

目的

行为经济学模型预测,无物质奖励和未来时间取向方面的缺陷与更多的药物使用有关,但这一假设尚未在年轻成年重度饮酒者中进行系统研究。本研究评估了重度饮酒者的药物使用水平(仅重度饮酒(HD)、HD + 大麻使用以及HD + 多种物质使用)与无物质活动参与、未来取向和奖励剥夺(由奖励体验和奖励的环境抑制因素组成)之间的关联。

方法

参与者为358名大学生,他们报告在过去一个月中有两次或更多次重度饮酒事件(男性/女性一次饮用5/4杯或更多杯酒)。样本中60%为女性,79%为白种人,平均年龄为18.76(= 1.07)岁。参与者完成了酒精和药物使用、每周分配到各种活动的时间、未来时间取向以及奖励剥夺的测量。

结果

总体而言,与仅重度饮酒相比,任何药物使用都与花在学术和锻炼上的时间减少以及未来时间取向较低有关。任何药物使用都与奖励剥夺有关,而HD + 多种物质使用与较低的奖励体验和环境抑制因素有关。

结论

重度饮酒者中的药物使用与较低的学术参与度、锻炼、未来取向和奖励剥夺有关。这些结果为药物滥用的行为经济学模型提供了支持,并表明预防方法应试图提高未来取向和无药物奖励的可得性。

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