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药物和负性情绪线索诱导的注意偏向在甲基苯丙胺使用障碍个体中的分离。

Dissociation of drug and negative emotional cue induced attentional bias in individuals with methamphetamine-use disorder.

机构信息

School of Psychology, Shanghai University of Sport, Shanghai, China.

School of Psychology, South China Normal University, Guangzhou, China.

出版信息

Am J Addict. 2024 May;33(3):305-312. doi: 10.1111/ajad.13500. Epub 2023 Nov 4.

DOI:10.1111/ajad.13500
PMID:37924232
Abstract

BACKGROUND AND OBJECTIVES

Although both drugs and negative emotions can trigger drug craving or relapse in individuals with methamphetamine-use disorder (MUD), it remains unclear whether individuals with MUD have attentional biases toward both drug and negative emotional cues and whether this bias involves attention orientation or difficulty in attention disengagement. This study aimed to measure different components of attentional bias toward drug-related and negative emotional cues in individuals with MUD.

METHODS

Two dot-probe tasks were used to investigate attentional bias toward drug (drug task) and negative emotional cues (emotion task) in individuals with MUD. Forty-three males with MUD (average age of 43.44 ± 11.91 years, average drug-use duration of 11.35 ± 8.39 years) participated in the study voluntarily.

RESULTS

There was a significant interaction between the task type and location (p = .01). Specifically, for drug cues, participants showed significant difficulty in attention disengagement toward drug cues (p = .01); however, no attention orientation (p = .46). For negative emotional cues, neither significant attention orientation (p = .07) nor significant difficulty in attention disengagement (p = .50) was found.

CONCLUSIONS AND SCIENTIFIC SIGNIFICANCE

Attentional bias in individuals with MUD was highly selective for drug cues; thus, difficulty in attention disengagement from drug cues can be considered a potential mediating mechanism for attentional bias modification interventions for individuals with MUD. This study served to generate hypotheses or suggest future experiments on interventions for individuals with MUD.

摘要

背景和目的

尽管药物和负面情绪都可能引发患有甲基苯丙胺使用障碍(MUD)的个体的药物渴求或复发,但目前尚不清楚 MUD 个体是否对药物和负面情绪线索存在注意偏向,以及这种偏向是否涉及注意力定向或注意力脱离困难。本研究旨在测量 MUD 个体对与药物相关和负面情绪线索的不同注意偏向成分。

方法

使用两个点探测任务来研究 MUD 个体对药物(药物任务)和负面情绪线索(情绪任务)的注意偏向。43 名男性 MUD 患者(平均年龄为 43.44±11.91 岁,平均药物使用时间为 11.35±8.39 年)自愿参加了这项研究。

结果

任务类型和位置之间存在显著的交互作用(p=.01)。具体而言,对于药物线索,参与者在注意脱离药物线索时表现出明显的困难(p=.01);然而,对于药物线索,并没有出现注意定向(p=.46)。对于负面情绪线索,既没有显著的注意定向(p=.07),也没有显著的注意脱离困难(p=.50)。

结论和科学意义

MUD 个体的注意偏向对药物线索具有高度选择性;因此,从药物线索中注意脱离困难可以被认为是针对 MUD 个体进行注意偏向修正干预的潜在中介机制。本研究为针对 MUD 个体的干预措施提出了假设或建议未来的实验。

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