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奖赏相关注意捕获调节恐惧驱动动机与重度饮酒之间的关系。

Reward-Related Attentional Capture Moderates the Association between Fear-Driven Motives and Heavy Drinking.

机构信息

Turner Institute for Brain and Mental Health and School of Psychological Sciences, Monash University, Clayton, Victoria, Australia.

School of Psychology, UNSW, Kensington, New South Wales, Australia.

出版信息

Eur Addict Res. 2021;27(5):351-361. doi: 10.1159/000513470. Epub 2021 Mar 11.

Abstract

BACKGROUND

To date, there has been little investigation on how motivational and cognitive mechanisms interact to influence problematic drinking behaviours. Towards this aim, the current study examined whether reward-related attentional capture is associated with reward, fear (relief), and habit drinking motives, and further, whether it interacts with these motives in relation to problematic drinking patterns.

METHODS

Ninety participants (mean age = 34.8 years, SD = 9.1, 54% male) who reported having consumed alcohol in the past month completed an online visual search task that measured reward-related attentional capture as well as the Habit Reward Fear Scale, a measure of drinking motives. Participants also completed measures of psychological distress, impulsivity, compulsive drinking, and consumption items of Alcohol Use Disorders Identification Test. Regression analyses examined the associations between motives for alcohol consumption and reward-related attentional capture, as well as the associations between reward-related attentional capture, motives, and their interaction, with alcohol consumption and problems.

RESULTS

Greater reward-related attentional capture was associated with greater reward motives. Further, reward-related attentional capture also interacted with fear motives in relation to alcohol consumption. Follow-up analyses showed that this interaction was driven by greater fear motives being associated with heavier drinking among those with lower reward-related attentional capture (i.e., "goal-trackers").

CONCLUSION

These findings have implications for understanding how cognition may interact with motives in association with problematic drinking. Specifically, the findings highlight different potential pathways to problematic drinking according to an individual's cognitive-motivational profile and may inform tailored interventions to target profile-specific mechanisms. Finally, these findings offer support for contemporary models of addiction that view excessive goal-directed behaviour under negative affect as a critical contributor to addictive behaviours.

摘要

背景

迄今为止,关于动机和认知机制如何相互作用影响问题性饮酒行为的研究甚少。为此,本研究考察了与奖赏相关的注意力捕获是否与奖赏、恐惧(缓解)和习惯饮酒动机有关,以及它是否与这些动机相互作用,进而与问题性饮酒模式有关。

方法

90 名参与者(平均年龄=34.8 岁,标准差=9.1,54%为男性)在过去一个月内饮酒,他们完成了一项在线视觉搜索任务,该任务测量了与奖赏相关的注意力捕获以及习惯奖赏恐惧量表,这是一种衡量饮酒动机的工具。参与者还完成了心理困扰、冲动、强迫性饮酒和酒精使用障碍识别测试的饮酒量项目的测量。回归分析考察了饮酒动机与与奖赏相关的注意力捕获之间的关联,以及与奖赏相关的注意力捕获、动机及其相互作用与饮酒和问题之间的关联。

结果

与奖赏相关的注意力捕获越大,奖赏动机越大。此外,与奖赏相关的注意力捕获还与恐惧动机相互作用,与饮酒有关。进一步的分析表明,这种相互作用是由恐惧动机更大与奖赏相关的注意力捕获较低的人(即“目标追踪者”)饮酒量更大有关。

结论

这些发现对理解认知如何与动机相互作用与问题性饮酒有关具有启示意义。具体来说,这些发现根据个体的认知-动机特征,强调了不同的潜在问题性饮酒途径,可能为有针对性的干预措施提供信息,以针对特定的特征机制。最后,这些发现为当代成瘾模型提供了支持,该模型认为在消极情绪下过度的目标导向行为是成瘾行为的一个关键因素。

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