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饮酒后广义冲动性与主观兴奋和镇静反应之间的关系。

Relationships between generalized impulsivity and subjective stimulant and sedative responses following alcohol administration.

机构信息

Department of Health Education and Behavior, University of Florida.

Department of Psychiatry and Behavioral Neuroscience, University of Chicago.

出版信息

Psychol Addict Behav. 2019 Nov;33(7):616-625. doi: 10.1037/adb0000512. Epub 2019 Sep 9.

Abstract

Impulsivity and subjective response (SR) to alcohol (i.e., individual differences in sensitivity to pharmacologic alcohol effects) are both empirically supported risk factors for alcohol use disorder; however, these constructs have been infrequently studied as related risk factors. The present investigation examined a self-report measure of impulsivity (i.e., the Barratt Impulsiveness Scale, Version 11) in relation to acute alcohol effects (i.e., stimulant and sedative SR). Participants came from 2 cohorts of the Chicago Social Drinking Project. Heavy and light drinkers from Cohort 1 (n = 156) and heavy social drinkers from Cohort 2 (n = 104) were examined using identical laboratory protocols following oral alcohol administration using a within-subject, double-blind, placebo-controlled laboratory study design. Self-reported impulsivity and, for comparison purposes, sensation seeking were measured at baseline, and SR was measured once prior to and 4 times following alcohol administration. More impulsive light, but not heavy, drinkers reported heightened stimulant SR following alcohol administration. High impulsive, light drinkers reported stimulant SR at a magnitude similar to that for heavy drinkers, whereas low impulsive, light drinkers reported limited stimulant SR. The interaction between impulsivity and sensation seeking did not statistically predict stimulant SR, and overall, impulsivity was a stronger predictor than was sensation seeking. However, impulsivity was not statistically predictive of dampened sedative SR among light or heavy drinkers. These findings partially replicate and extend the recent literature linking self-reported impulsivity to heightened stimulant SR from alcohol. Future directions include longitudinal studies and research relating multiple facets of impulsivity to SR. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

摘要

冲动性和对酒精的主观反应(即对药物酒精作用的敏感性个体差异)都是酒精使用障碍的经验支持的风险因素;然而,这些结构很少作为相关风险因素进行研究。本研究考察了冲动性的一种自我报告测量(即巴瑞特冲动量表,第 11 版)与急性酒精效应(即兴奋剂和镇静剂主观反应)的关系。参与者来自芝加哥社交饮酒项目的 2 个队列。第 1 队列的重度和轻度饮酒者(n = 156)和第 2 队列的重度社交饮酒者(n = 104)在使用口服酒精后使用相同的实验室方案进行了相同的实验室研究设计,采用了个体内、双盲、安慰剂对照的实验室研究设计。在基线时测量了自我报告的冲动性和,为了比较目的,测量了感觉寻求,在酒精给药前和给药后 4 次测量了主观反应。更冲动的轻度饮酒者报告在酒精给药后出现了更高的兴奋剂主观反应。高冲动的轻度饮酒者报告的兴奋剂主观反应与重度饮酒者相似,而低冲动的轻度饮酒者报告的兴奋剂主观反应有限。冲动性和感觉寻求之间的相互作用在统计学上不能预测兴奋剂主观反应,总体而言,冲动性比感觉寻求更能预测兴奋剂主观反应。然而,冲动性在统计学上不能预测轻度或重度饮酒者的镇静剂主观反应减弱。这些发现部分复制和扩展了最近将自我报告的冲动性与酒精引起的兴奋剂主观反应增强联系起来的文献。未来的方向包括纵向研究和将冲动性的多个方面与主观反应联系起来的研究。(PsycINFO 数据库记录(c)2019 APA,保留所有权利)。

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