Shenoy Anupa A, Praharaj Samir Kumar, Rai Shweta, Nayak Kirtana R, Sasidharan Arun, Suryavanshi Chinmay Ajit
Department of Psychiatry, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Department of Clinical Psychology, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Indian J Psychiatry. 2024 Feb;66(2):135-141. doi: 10.4103/indianjpsychiatry.indianjpsychiatry_233_23. Epub 2024 Feb 12.
The availability of appropriate alcohol-related stimuli is a crucial concern for the evaluation and treatment of patients with alcohol dependence syndrome. The study aimed to standardize alcohol-related images with cultural relevance to the Indian setting.
We produced an extensive database of 203 pictures, the Indian Alcohol Photo Stimuli (IAPS), portraying different categories and types of alcoholic beverages, after removing the confounding effects of low-level stimulus parameters (e.g. brightness and blurriness). Thirty patients with alcohol dependence syndrome, currently abstinent, rated each image on visual analog scale (VAS) ranging from 0 (no craving) to 10 (extreme), to determine how typical the stimuli served as craving-relevant stimuli.
The mean VAS scores across beverages (ordered from highest to lowest) were whiskey >rum >beer >wine >vodka. Repeated-measures analysis of variance (ANOVA) showed a significant difference in mean VAS scores across beverages (F = 2.93, df = 2.9/86.3, = 0.039, Greenhouse-Geisser corrected); the effect size for the difference was small (η = 0.092). A post hoc Bonferroni shows significantly higher VAS scores with whiskey compared with vodka ( = 0.029), whereas the scores were similar across other beverages. A two-way repeated-measures ANOVA for interaction between type of alcoholic beverages and activity was not significant (F = 2.67, df = 2.6/76.6, = 0.061, Greenhouse-Geisser corrected).
We created a standardized alcohol-related image database for studying cue-reactivity paradigms in individuals with alcohol use disorder (AUD). Further research is needed to validate the impact of image features on cue reactivity.
对于酒精依赖综合征患者的评估和治疗而言，能否获得合适的与酒精相关的刺激因素是一个至关重要的问题。本研究旨在使与酒精相关的图像标准化，使其与印度的文化背景相关。
我们制作了一个包含203张图片的广泛数据库，即印度酒精图片刺激库（IAPS），描绘了不同类别和类型的酒精饮料，去除了低水平刺激参数（如亮度和模糊度）的混杂影响。30名目前已戒酒的酒精依赖综合征患者，使用视觉模拟量表（VAS）对每张图片进行评分，评分范围为0（无渴望）至10（极度渴望），以确定这些刺激因素作为与渴望相关的刺激因素的典型程度。
各类饮料的平均VAS评分（从高到低排序）为威士忌>朗姆酒>啤酒>葡萄酒>伏特加。重复测量方差分析（ANOVA）显示，各类饮料的平均VAS评分存在显著差异（F = 2.93，自由度 = 2.9/86.3，P = 0.039，采用Greenhouse-Geisser校正）；差异的效应量较小（η = 0.092）。事后Bonferroni检验显示，与伏特加相比，威士忌的VAS评分显著更高（P = 0.029），而其他饮料的评分相似。酒精饮料类型与活动之间相互作用的双向重复测量方差分析不显著（F = 2.67，自由度 = 2.6/76.6，P = 0.061，采用Greenhouse-Geisser校正）。
我们创建了一个标准化的与酒精相关的图像数据库，用于研究酒精使用障碍（AUD）个体的线索反应范式。需要进一步研究来验证图像特征对线索反应性的影响。
