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强化物病理学 II:奖励幅度、奖励延迟和对酒精的需求共同与大学生的酒精相关问题有关。

Reinforcer pathology II: Reward magnitude, reward delay, and demand for alcohol collectively relate to college students' alcohol related problems.

机构信息

University of Kansas.

Cofrin Logan Center for Addiction Research and Treatment.

出版信息

J Exp Anal Behav. 2020 Nov;114(3):354-367. doi: 10.1002/jeab.635. Epub 2020 Nov 12.

DOI:10.1002/jeab.635
PMID:33184869
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8445112/
Abstract

The reinforcer pathologies model of addiction posits that two characteristic patterns of operant behavior characterize addiction. Specifically, individuals suffering from addiction have elevated levels of behavioral economic demand for their substances of abuse and have an elevated tendency to devalue delayed rewards (reflected in high delay discounting rates). Prior research has demonstrated that these behavioral economic markers are significant predictors of many of college students' alcohol-related problems. Delay discounting, however, is a complex behavioral performance likely undergirded by multiple behavioral processes. Emerging analytical approaches have isolated the role of participants' sensitivity to changes in reinforcer magnitude and changes in reinforcer delay. The current study uses these analytic approaches to compare participants' discounting of money versus alcohol, and to build regression models that leverage these new insights to predict a wider range of college students' alcohol related problems. Using these techniques, we were able to 1) demonstrate that individuals differed in their sensitivity to magnitudes of alcohol versus money, but not sensitivity to delays to those commodities and 2) that we could use our behavioral economic measures to predict a range of students' alcohol related problems.

摘要

成瘾的强化病理模型假设,两种特征性的操作性行为模式可表征成瘾。具体而言,患有成瘾症的个体对其滥用物质表现出较高的行为经济需求水平,并且对延迟奖励的评价降低(反映在较高的延迟折扣率上)。先前的研究表明,这些行为经济学标记物是许多大学生与酒精相关问题的重要预测指标。然而,延迟折扣是一种复杂的行为表现,可能由多种行为过程支撑。新兴的分析方法已经分离出参与者对强化物大小变化和强化物延迟变化的敏感性的作用。本研究使用这些分析方法来比较参与者对金钱与酒精的折扣,以及构建利用这些新见解来预测更广泛的大学生与酒精相关问题的回归模型。使用这些技术,我们能够 1)证明个体在对酒精与金钱的大小的敏感性方面存在差异,但对这些商品的延迟敏感性没有差异,以及 2)我们可以使用我们的行为经济学测量来预测一系列学生的与酒精相关的问题。

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本文引用的文献

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A Reinforcer Pathology perspective on relapse.从强化病理的角度看复发。
J Exp Anal Behav. 2020 Jan;113(1):48-56. doi: 10.1002/jeab.564. Epub 2019 Dec 2.
2
Experimental manipulations of behavioral economic demand for addictive commodities: a meta-analysis.实验操纵成瘾商品的行为经济学需求:一项荟萃分析。
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Behavioral economic demand assessments in the addictions.成瘾行为的经济需求评估。
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The synergistic effect of cigarette demand and delay discounting on nicotine dependence among treatment-seeking smokers.寻求治疗的吸烟者中,香烟需求与延迟折扣对尼古丁依赖的协同效应。
Exp Clin Psychopharmacol. 2019 Apr;27(2):146-152. doi: 10.1037/pha0000248. Epub 2018 Dec 20.
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Understanding alcohol motivation using the alcohol purchase task: A methodological systematic review.运用酒精购买任务理解酒精动机:一种方法学的系统综述。
Drug Alcohol Depend. 2018 Oct 1;191:117-140. doi: 10.1016/j.drugalcdep.2018.06.029. Epub 2018 Aug 2.
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Trends in incidence and risk markers of student emergency department visits with alcohol intoxication in a U.S. public university-A longitudinal data linkage study.美国一所公立大学学生因醉酒前往急诊部就诊的发病率和风险标志物趋势——一项纵向数据链接研究。
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