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吸烟、有害饮酒以及成本与收益贴现中的个体差异。

Smoking, hazardous drinking and individual differences in cost and gain discounting.

作者信息

Halkjelsvik Torleif

机构信息

Norwegian Institute of Public Health, Oslo, Norway.

出版信息

Nordisk Alkohol Nark. 2021 Dec;38(6):605-614. doi: 10.1177/1455072520985971. Epub 2021 Feb 25.

Abstract

AIMS

Past research has linked substance use to individual differences in discounting of future rewards. Since behaviours such as smoking and excessive drinking appear to involve a devaluation of future negative consequences, discounting of may also be relevant in the understanding of such behaviour. The primary aims were to investigate the association between cost discounting and the behaviours smoking and hazardous drinking.

METHODS

In four studies, individuals recruited from the crowdsourcing marketplace Amazon Mechanical Turk responded to measures of discounting. Results were combined by meta-analysis of the standardised mean differences () between self-reported smokers and non-smokers, and between participants with AUDIT scores of 10+ (hazardous drinking) and those with scores below 10.

RESULTS

In comparison with non-smokers, smokers' relative valuations of future gains were lower, = -0.32, 95% CI [-0.47, -0.18]. There was no association between smoking and cost discounting, = -0.02, 95% CI [-0.17, 0.13]. Participants with AUDIT scores of 10+ valued future gains somewhat lower than participants with scores below 10, = -0.17, 95% CI [-0.35, 0.01]. There was no association between hazardous drinking and cost discounting, = -0.02, 95% CI [-0.21, 0.16]. According to Bayes Factors (BF), the data supported an association between gain discounting and smoking (BF > 100). It was insensitive in the analysis of gain discounting and hazardous drinking (BF = 0.6), but it strongly supported null-effects in both analyses of cost discounting (BFs = 0.1).

CONCLUSION

The results suggest that the robust link between gain discounting and smoking status does not reflect a devaluation of future outcomes among smokers.

摘要

目的

过去的研究已将物质使用与未来奖励折扣的个体差异联系起来。由于吸烟和过度饮酒等行为似乎涉及对未来负面后果的贬值,因此未来负面后果的折扣在理解此类行为中可能也具有相关性。主要目的是研究成本折扣与吸烟和有害饮酒行为之间的关联。

方法

在四项研究中,从众包市场亚马逊土耳其机器人招募的个体对折扣测量进行了回应。通过对自我报告的吸烟者与非吸烟者之间以及酒精使用障碍识别测试(AUDIT)分数为10分及以上(有害饮酒)的参与者与分数低于10分的参与者之间的标准化平均差异进行荟萃分析,将结果合并。

结果

与非吸烟者相比,吸烟者对未来收益的相对估值较低,g = -0.32,95%置信区间[-0.47, -0.18]。吸烟与成本折扣之间没有关联,g = -0.02,95%置信区间[-0.17, 0.13]。AUDIT分数为10分及以上的参与者对未来收益的估值略低于分数低于10分的参与者,g = -0.17,95%置信区间[-0.35, 0.01]。有害饮酒与成本折扣之间没有关联,g = -0.02,95%置信区间[-0.21, 0.16]。根据贝叶斯因子(BF),数据支持收益折扣与吸烟之间的关联(BF > 100)。在收益折扣与有害饮酒的分析中不敏感(BF = 0.6),但在成本折扣的两项分析中都强烈支持零效应(BFs = 0.1)。

结论

结果表明,收益折扣与吸烟状况之间的紧密联系并不反映吸烟者对未来结果的贬值。

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本文引用的文献

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Delay discounting: Pigeon, rat, human--does it matter?延迟折扣:鸽子、老鼠、人类——这有关系吗?
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Delayed reward discounting and addictive behavior: a meta-analysis.延迟奖励折扣与成瘾行为:一项元分析。
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