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苯丙胺和地西泮强化作用及主观效应的个体差异。

Individual differences in the reinforcing and subjective effects of amphetamine and diazepam.

作者信息

de Wit H, Uhlenhuth E H, Johanson C E

出版信息

Drug Alcohol Depend. 1986 Feb;16(4):341-60. doi: 10.1016/0376-8716(86)90068-2.

Abstract

This study explored the relation between the reinforcing properties of different drugs and their subjective effects. Preference for a drug (amphetamine or diazepam) over placebo was measured in a choice procedure, and mood changes after drug administration were monitored by self-report questionnaires. Individual differences in behavioral drug preferences were then examined for their relationships to subjective drug responses as well as other subject variables. In Part I, the subjective effects of amphetamine were compared in those subjects who consistently preferred (i.e. chose) amphetamine over placebo, and those who preferred placebo over amphetamine. The two subject groups showed markedly different subjective responses to the stimulant drug: the choosers reported increased positive mood and euphoria, whereas the non-choosers reported only increased anxiety and depression. In Part II, the subjective effects of diazepam in consistent choosers of diazepam were compared to the subjective effects in consistent non-choosers of the drug. The non-choosers showed appreciable subjective effects, which were predominantly sedative in quality. In contrast to the results with amphetamine, the choosers showed negligible subjective drug effects. These results underline the importance of considering more than one response measure when attempting to characterize the reinforcing effects of drugs.

摘要

本研究探讨了不同药物的强化特性与其主观效应之间的关系。在一个选择程序中测量对药物(苯丙胺或地西泮)相对于安慰剂的偏好,并通过自我报告问卷监测给药后的情绪变化。然后检查行为药物偏好的个体差异与主观药物反应以及其他受试者变量之间的关系。在第一部分中,比较了那些始终选择(即选择)苯丙胺而非安慰剂的受试者与那些选择安慰剂而非苯丙胺的受试者对苯丙胺的主观效应。这两组受试者对兴奋剂药物表现出明显不同的主观反应:选择者报告积极情绪和欣快感增加,而非选择者仅报告焦虑和抑郁增加。在第二部分中,将地西泮的持续选择者对地西泮的主观效应与该药物的持续非选择者的主观效应进行了比较。非选择者表现出明显的主观效应,其性质主要为镇静作用。与苯丙胺的结果相反,选择者表现出可忽略不计的主观药物效应。这些结果强调了在试图表征药物的强化作用时考虑多种反应测量方法的重要性。

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