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将欲望思维视为酒精使用障碍和尼古丁依赖的潜在机制。

Desire thinking as an underlying mechanism in alcohol use disorder and nicotine dependence.

机构信息

Behavioral Sciences Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Centre for Addictive Behaviours Research, School of Applied Sciences, London South Bank University, London, UK.

出版信息

Clin Psychol Psychother. 2022 Nov;29(6):1886-1896. doi: 10.1002/cpp.2757. Epub 2022 Jun 8.

DOI:10.1002/cpp.2757
PMID:35649288
Abstract

Desire thinking is an emerging construct in the addictive behaviours literature. No research, to date, has investigated its contribution to problematic alcohol use and nicotine dependence in patient samples when accounting for established predictors of addictive behaviours. The present study sought to clarify, in patient samples, the relative contribution of desire thinking in the associations between negative affect, impulsivity and thought suppression on the one hand and craving, problematic alcohol use and nicotine dependence on the other. To achieve this goal, two groups of individuals with alcohol use disorder (AUD) (n = 370; age range = 15-67 years) and nicotine dependence (n = 365; age range = 17-75 years) were selected, and measures of negative affect, impulsivity, thought suppression, craving, desire thinking, problematic alcohol use and nicotine dependence were completed by both groups. Results showed that in both groups, negative affect and thought suppression indirectly affected alcohol and nicotine craving, problematic alcohol use and nicotine dependence through the mediating role of desire thinking. The present study shows the independent role of desire thinking in predicting problematic alcohol use and nicotine dependence in patient samples, indicating its potential relevance for treatment.

摘要

欲望思维是成瘾行为文献中一个新兴的概念。迄今为止,没有研究调查过当考虑到成瘾行为的既定预测因素时,它对患者样本中问题性饮酒和尼古丁依赖的贡献。本研究旨在澄清,在患者样本中,欲望思维在负性情绪、冲动性和思维抑制与渴望、问题性饮酒和尼古丁依赖之间的关联中的相对贡献。为了实现这一目标,选择了两组酒精使用障碍(AUD)患者(n=370;年龄范围 15-67 岁)和尼古丁依赖患者(n=365;年龄范围 17-75 岁),并由两组完成了负性情绪、冲动性、思维抑制、渴望、欲望思维、问题性饮酒和尼古丁依赖的测量。结果表明,在两组中,负性情绪和思维抑制通过欲望思维的中介作用,间接影响酒精和尼古丁的渴望、问题性饮酒和尼古丁依赖。本研究表明,欲望思维在预测患者样本中问题性饮酒和尼古丁依赖方面具有独立作用,表明其对治疗具有潜在的相关性。

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