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酗酒者的“失控”。

'Loss of control' in alcoholics.

作者信息

Ludwig A M, Bendfeldt F, Wikler A, Cain R B

出版信息

Arch Gen Psychiatry. 1978 Mar;35(3):370-3. doi: 10.1001/archpsyc.1978.01770270120012.

DOI:10.1001/archpsyc.1978.01770270120012
PMID:727890
Abstract

This study evaluates the ability of alcoholics to regulate their blood alcohol levels (BAL) within a designated range by relying primarily on interoceptive cues. Forty male alcoholics and 20 control subjects were exposed to an initial training session in which they received sufficient ethanol to maintain them within a designated BAL range over a 2 1/2-hour period. They were then exposed to two experimental sessions, one providing "overfeedback" and one "underfeedback." During each session, subjects had ten drinking decisions to make with respect to regulation of their BAL. The results indicated that alcoholics displayed greater "loss-of-control" than control subjects. This finding supported the hypothesis that alcoholics may possess a neurophysiologic feedback dysfunction that contributes to their relative inability to regulate ethanol intake.

摘要

本研究评估酗酒者主要依靠内感受性线索将血液酒精浓度(BAL)调节至指定范围内的能力。40名男性酗酒者和20名对照受试者接受了初始训练,在训练中他们摄入了足够的乙醇,使其在2个半小时内维持在指定的BAL范围内。然后他们接受了两个实验环节,一个提供“过度反馈”,另一个提供“反馈不足”。在每个环节中,受试者就其BAL的调节要做出10次饮酒决定。结果表明,酗酒者比对照受试者表现出更大的“失控”。这一发现支持了以下假设:酗酒者可能存在神经生理反馈功能障碍,这导致他们相对无法调节乙醇摄入量。

相似文献

1
'Loss of control' in alcoholics.酗酒者的“失控”。
Arch Gen Psychiatry. 1978 Mar;35(3):370-3. doi: 10.1001/archpsyc.1978.01770270120012.
2
Deficits in the regulation of ethanol intake by alcoholics.酗酒者在乙醇摄入量调节方面存在缺陷。
Dis Nerv Syst. 1977 Jun;38(6):405-8.
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Blood alcohol level discrimination by alcoholics: the role of internal and external cues.酗酒者对血液酒精水平的辨别:内部和外部线索的作用。
J Consult Clin Psychol. 1978 Oct;46(5):953-60. doi: 10.1037//0022-006x.46.5.953.
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Blood alcohol level discrimination. The effects of family history of alcoholism, drinking pattern, and tolerance.血液酒精水平辨别。酗酒家族史、饮酒模式和耐受性的影响。
Arch Gen Psychiatry. 1980 May;37(5):571-6. doi: 10.1001/archpsyc.1980.01780180085010.
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Does participation in an alcohol administration study increase risk for excessive drinking?参与酒精给药研究是否会增加过度饮酒的风险?
Alcohol. 2005 Nov;37(3):135-41. doi: 10.1016/j.alcohol.2006.02.002.
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Modeling influences on alcoholics' rates of alcohol consumption.模拟对酗酒者酒精消费率的影响。
J Appl Behav Anal. 1980 Summer;13(2):355-65. doi: 10.1901/jaba.1980.13-355.
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Repeated light-dark phase shifts modulate voluntary ethanol intake in male and female high alcohol-drinking (HAD1) rats.反复进行明暗周期转换可调节雄性和雌性高饮酒量(HAD1)大鼠的自愿乙醇摄入量。
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Correlation between dopamine D(2) receptors in the ventral striatum and central processing of alcohol cues and craving.腹侧纹状体中多巴胺D(2)受体与酒精线索的中枢加工及渴望之间的相关性。
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Reactivity to alcohol cues in alcoholics and non-alcoholics: implications for a stimulus control analysis of drinking.酗酒者和非酗酒者对酒精线索的反应:对饮酒刺激控制分析的启示。
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Cue-induced activation of the striatum and medial prefrontal cortex is associated with subsequent relapse in abstinent alcoholics.线索诱导的纹状体和内侧前额叶皮质激活与戒酒者随后的复发有关。
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