Carpenter Kenneth M, Foltin Richard W, Haney Margaret, Evans Suzette M
New York State Psychiatric Institute, Division on Substance Use Disorders, 1051 Riverside Drive, Box 120, New York, NY 10032, USA.
Columbia University Vagelos College of Physicians and Surgeons, Department of Psychiatry and Columbia University Irving Medical Center, 630 West 168th Street, New York, NY 10032, USA.
Psychol Rec. 2023 Sep;73(3):481-500. doi: 10.1007/s40732-023-00554-0. Epub 2023 Sep 19.
Identifying the processes by which environmental stimuli can come to influence drug use is important for developing more efficacious interventions. This study investigated derived relational responding and the transfer of differential conditioned effects of environmental stimuli paired with "smoked" cocaine in accordance with the relations of symmetry, transitivity, and equivalence using Heart Rate as the measure of conditioning among 12 adults with significant histories of cocaine use. Match-to-sample (MTS) procedures were used to test for emergent relations among two four-member stimulus groupings. One member of a group was then paired with 25-mg of smoked cocaine and one member of the other group was paired with 0-mg of smoked cocaine. 10 participants completed the MTS protocol: 4 participants demonstrated two four-member equivalence classes, 3 participants demonstrated two three-member equivalence classes and 2 participants demonstrated symmetry only. One participant demonstrated no derived relations. Differential respondent elicited changes in HR was demonstrated in the presence of stimuli paired with smoked cocaine among 4 of the 6 participants completing the conditioning phase; all 4 of the participants demonstrated a bi-directional transfer of these functions in accordance with symmetry. Transfer was not reliably demonstrated in accordance with transitive or equivalence relations. The results suggest that drug respondent elicitation in the context of drug use may be a function of both direct conditioning and relational processes. These findings have implications for studying and understanding the processes by which stimuli in the natural ecology can set the occasion for cocaine use and developing cocaine use disorder.
确定环境刺激影响药物使用的过程对于开发更有效的干预措施至关重要。本研究调查了12名有大量可卡因使用史的成年人中,根据对称、传递和等价关系,环境刺激与“吸食”可卡因配对后的派生关系反应以及差异条件作用的转移,以心率作为条件作用的测量指标。采用匹配样本(MTS)程序测试两个四元刺激分组之间的新出现关系。然后将一组中的一个成员与25毫克吸食可卡因配对,另一组中的一个成员与0毫克吸食可卡因配对。10名参与者完成了MTS方案:4名参与者表现出两个四元等价类,3名参与者表现出两个三元等价类,2名参与者仅表现出对称性。一名参与者未表现出派生关系。在完成条件作用阶段的6名参与者中,有4名在与吸食可卡因配对的刺激存在时表现出差异反应引起的心率变化;所有4名参与者均根据对称性表现出这些功能的双向转移。根据传递或等价关系,转移未得到可靠证明。结果表明,在药物使用背景下的药物反应引发可能是直接条件作用和关系过程的共同作用。这些发现对于研究和理解自然生态中的刺激因素引发可卡因使用及发展可卡因使用障碍的过程具有启示意义。