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冲动性和对奖励的敏感性在海洛因成瘾者戒毒治疗中断中的作用

The Role of Impulsivity and Sensitivity to Reward in Dropout of Addiction Treatment in Heroin Addicts.

作者信息

Bakhshipour-Rudsari Abbas, Karimpour-Vazifehkhorani Alireza

机构信息

Department of Clinical Psychology, School of Psychology and Educational Sciences, University of Tabriz, Tabriz, Iran.

出版信息

Addict Health. 2021 Jan;13(1):45-51. doi: 10.22122/ahj.v13i1.290.

Abstract

BACKGROUND

Impulsivity and sensitivity to reward situate at the marrow of pathology of substance use disorders (SUDs). This study examined the role of impulsivity and sensitivity to reward in dropout of addiction treatment in heroin addicts.

METHODS

The participants of this study were 216 heroin addicts. The participants were assigned to three different groups including abstinent group (n = 104), relapsed group (n = 45), and dropped out of treatment group (n = 67). The participants completed the semi-structured interview, Carver and White Behavioral Inhibition System/Behavioral Activation System (BIS/BAS) questionnaires, and the Delay Discounting Task (DDT).

FINDINGS

The delay discounting (DD) and reward-seeking rates were high in relapse and dropout groups compared to the abstinence group and this difference was significant in P < 0.01 level.

CONCLUSION

People with substance abuse disorders have impulsive behaviors and often prefer immediate reward related to substance use than long-term and greater rewards.

摘要

背景

冲动性和对奖励的敏感性是物质使用障碍(SUDs)病理的核心。本研究探讨了冲动性和对奖励的敏感性在海洛因成瘾者戒毒治疗退出中的作用。

方法

本研究的参与者为216名海洛因成瘾者。参与者被分为三个不同的组,包括戒断组(n = 104)、复吸组(n = 45)和退出治疗组(n = 67)。参与者完成了半结构化访谈、卡弗和怀特行为抑制系统/行为激活系统(BIS/BAS)问卷以及延迟折扣任务(DDT)。

结果

与戒断组相比,复吸组和退出治疗组的延迟折扣(DD)和寻求奖励率较高,且这种差异在P < 0.01水平上具有显著性。

结论

物质滥用障碍患者存在冲动行为,并且通常更喜欢与物质使用相关的即时奖励,而非长期的更大奖励。

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