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甲基苯丙胺使用障碍戒断患者中习惯化倾向增强与冲动性、强迫性及童年逆境之间的关系。

Relationship between elevated habituation tendencies and impulsivity, compulsivity, and childhood adversity among abstinent patients with methamphetamine use disorders.

作者信息

Chen Jiajing, Wang Dong Mei, Yu Zhixuan, Tian Yang, Qu Mengqian, Jiang Linjun, Jia Lianglun, Fu Fabing, Chen Han, Huang Ren, Zhang Xiang Yang

机构信息

State Key Laboratory of Cognitive Science and Mental Health, Institute of Psychology, Chinese Academy of Sciences, 16 Lincui Road, Chaoyang District, Beijing, 100101, China.

Department of Psychology, University of Chinese Academy of Sciences, Beijing, China.

出版信息

Eur Arch Psychiatry Clin Neurosci. 2025 Jul 11. doi: 10.1007/s00406-025-02053-5.

Abstract

Elevated habituation tendencies have been identified in several subgroups of patients with substance use disorders, however, their intricate relationship with substance use disorders remains unknown. A total of 133 individuals with methamphetamine use disorder (PwMUD) and 131 healthy controls (HC) were initially recruited for this study. After exclusion of outliers, data from 128 PwMUD and 125 HC were included in the analyses. Participants reported their habituation tendencies, drug-use characteristics, impulsivity, compulsivity, and experiences of childhood adversity through self-report scales and structured interviews. The results show that PwMUD had a higher level of automatic habituation tendencies compared to healthy controls. This higher level of automaticity demonstrated a tenuous association with the duration of methamphetamine use and a relatively stronger association with compulsivity, suggesting that the imbalance between the goal-directed and habitual systems in PwMUD may be both a risk factor for and a consequence of methamphetamine use disorder.

摘要

在患有物质使用障碍的几个亚组患者中已发现习惯化倾向升高,然而,它们与物质使用障碍之间的复杂关系仍然未知。本研究最初招募了133名甲基苯丙胺使用障碍患者(PwMUD)和131名健康对照者(HC)。排除异常值后,分析纳入了128名PwMUD和125名HC的数据。参与者通过自我报告量表和结构化访谈报告了他们的习惯化倾向、药物使用特征、冲动性、强迫性以及童年逆境经历。结果表明,与健康对照者相比,PwMUD的自动习惯化倾向水平更高。这种更高水平的自动性与甲基苯丙胺使用时长存在微弱关联,与强迫性的关联相对更强,这表明PwMUD中目标导向系统和习惯系统之间的失衡可能既是甲基苯丙胺使用障碍的一个风险因素,也是其结果。

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