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甲基苯丙胺依赖者的冲动抑制能力在不同戒断阶段存在差异。

Impulse Inhibition Ability With Methamphetamine Dependents Varies at Different Abstinence Stages.

作者信息

Liu Weijun, Tian Yu, Yan Xinyu, Yang Jiemin

机构信息

Institute of Brain and Psychological Sciences, Sichuan Normal University, Chengdu, China.

Faculty of Psychology, Southwest University, Chongqing, China.

出版信息

Front Psychiatry. 2021 Feb 19;12:626535. doi: 10.3389/fpsyt.2021.626535. eCollection 2021.

Abstract

The purpose of this study is to evaluate whether the impulse inhibition ability with methamphetamine dependents would vary at different abstinence stages. Sixty-three methamphetamine dependents, including 31 short-term (< 10 months) and 32 long-term (≥ 10 months) abstinence participants, were recruited for this study. In addition, 33 men were recruited as the healthy control (HC) group. All participants performed a two-choice oddball task, which is well-established to assess impulse inhibition. Accuracy for deviant trials and deviant-standard reaction time (RT) delay were computed as indexes of impulse inhibition. The accuracy for deviant trials was significantly decreased in short-term abstinence subjects (90.61%) compared to HC subjects (95.42%, < 0.01), which was coupled with a shorter RT delay reflecting greater impulsivity in the short-term group vs. the HC group (47 vs. 73 ms, < 0.01). However, impulse inhibition was improved in the long-term group, shown by the increased accuracy for deviant trials in the long-term group compared to the short-term group (94.28 vs. 90.61%, < 0.05) and the similar accuracy for the long-term and HC groups ( > 0.05). Further regression analyses confirmed that the abstinence duration positively predicted impulse inhibition of methamphetamine dependents, both in accuracy and RT for deviant stimulus (β = 0.294, = 0.019; β = 0.337, = 0.007). These results suggest that long-term abstinence is more effective in improving impulse inhibition with methamphetamine dependents.

摘要

本研究的目的是评估甲基苯丙胺依赖者的冲动抑制能力在不同戒断阶段是否会有所不同。本研究招募了63名甲基苯丙胺依赖者,其中包括31名短期(<10个月)戒断参与者和32名长期(≥10个月)戒断参与者。此外,招募了33名男性作为健康对照组(HC)。所有参与者都进行了二选一的oddball任务,该任务是评估冲动抑制的成熟方法。将偏差试验的准确率和偏差-标准反应时(RT)延迟作为冲动抑制的指标进行计算。与HC组(95.42%,<0.01)相比,短期戒断者的偏差试验准确率显著降低(90.61%),这与较短的RT延迟相关,反映出短期组比HC组更冲动(47对73毫秒,<0.01)。然而,长期组的冲动抑制有所改善,表现为长期组偏差试验的准确率高于短期组(94.28对90.61%,<0.05),且长期组与HC组的准确率相似(>0.05)。进一步的回归分析证实,戒断持续时间对甲基苯丙胺依赖者的冲动抑制在准确率和偏差刺激的RT方面均有正向预测作用(β = 0.294, = 0.019;β = 0.337, = 0.007)。这些结果表明,长期戒断在改善甲基苯丙胺依赖者的冲动抑制方面更有效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3231/7933565/7d4652d778cf/fpsyt-12-626535-g0001.jpg

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