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短期尼古丁戒断对年轻、经验丰富、专吸电子烟者延迟折扣的影响:一项初步研究。

Effects of short-term nicotine deprivation on delay discounting among young, experienced, exclusive ENDS users: An initial study.

机构信息

Department of Psychology, Clemson University.

Louis A. Faillace, MD, Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at Houston.

出版信息

Exp Clin Psychopharmacol. 2023 Jun;31(3):724-732. doi: 10.1037/pha0000612. Epub 2022 Nov 10.

Abstract

Delay discounting describes how rapidly delayed rewards lose value as a function of delay and serves as one measure of impulsive decision-making. Nicotine deprivation among combustible cigarette smokers can increase delay discounting. We aimed to explore changes in discounting following nicotine deprivation among electronic nicotine delivery systems (ENDS) users. Thirty young adults (aged 18-24 years) that exclusively used ENDS participated in two laboratory sessions: one with vaping as usual and another after 16 hr of nicotine deprivation (biochemically assessed). At each session, participants completed a craving measure and three hypothetical delay discounting tasks presenting choices between small, immediate rewards and large, delayed ones (money-money; e-liquid-e-liquid; e-liquid-money). Craving for ENDS significantly increased during short-term nicotine deprivation relative to normal vaping. Delay discounting rates in the e-liquid now versus money later task increased (indicating a shift in preference for smaller, immediate rewards) following short-term nicotine deprivation relative to vaping as usual, but no changes were observed in the other two discounting tasks. Short-term nicotine deprivation increased the preference for smaller amounts of e-liquid delivered immediately over larger, monetary awards available after a delay in this first study of its kind. As similar preference shifts for drug now versus money later have been shown to be indicative of increased desire to use drug as well as relapse risk, the findings support the utility of the current model as a platform to explore interventions that can mitigate these preference shifts. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

摘要

延迟折扣描述了随着时间的延迟,延迟奖励的价值迅速下降的情况,它是衡量冲动决策的一种方法。可燃香烟吸烟者的尼古丁剥夺会增加延迟折扣。我们旨在探索电子尼古丁输送系统(ENDS)使用者在经历尼古丁剥夺后折扣率的变化。30 名年龄在 18-24 岁之间的年轻人(仅使用 ENDS)参加了两个实验室会议:一个是正常吸烟,另一个是在 16 小时的尼古丁剥夺(生物化学评估)后。在每个会议上,参与者完成了一个渴望量表和三个假设的延迟折扣任务,在这些任务中,他们可以在小的、即时的奖励和大的、延迟的奖励之间做出选择(金钱-金钱;电子烟液-电子烟液;电子烟液-金钱)。与正常吸烟相比,在短期尼古丁剥夺期间,对 ENDS 的渴望明显增加。与正常吸烟相比,在经历短期尼古丁剥夺后,电子烟液现在与金钱以后任务中的折扣率增加(表明对更小、更即时的奖励的偏好发生了转变),但在其他两个折扣任务中没有观察到变化。在这项同类研究中的第一项研究中,短期尼古丁剥夺增加了对立即提供的较小剂量电子烟液的偏好,而不是对延迟后获得的更大货币奖励的偏好。由于对现在的药物与以后的金钱的类似偏好转变表明对药物的使用欲望增加以及复发风险增加,因此这些发现支持了当前模型作为探索可以减轻这些偏好转变的干预措施的平台的效用。(PsycInfo 数据库记录(c)2023 APA,保留所有权利)。

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