McCusker C G, Brown K
School of Psychology, Queen's University of Belfast, UK.
Alcohol Alcohol. 1995 May;30(3):319-27.
A controlled trial was conducted of cue-exposure with dependent drinkers in treatment. All subjects were engaged in an insight-oriented therapy programme, and responses to an alcohol-associated, compared with a neutral, stimulus were assessed at the beginning and end of treatment. Compared with a control group, which did not receive intervening cue-exposure sessions, subjects who received such interventions manifested reductions in heart rate, salivation and arousal responses to the alcohol-associated, compared with the neutral, stimulus. They did not, however, show similar reductions in subjective estimates of craving and anxiety. These results and the desynchrony in reductions in cue-reactivity across response domains are discussed in terms of their implications for cue-exposure in treatment and recent theorectical conceptualizations of the relationship between autonomic reactivity, craving and drinking behaviour.
对治疗中的依赖饮酒者进行了一次线索暴露对照试验。所有受试者都参与了一个以洞察为导向的治疗项目，并且在治疗开始和结束时评估了他们对与酒精相关的刺激（与中性刺激相比）的反应。与未接受干预性线索暴露疗程的对照组相比，接受此类干预的受试者对与酒精相关的刺激（与中性刺激相比）的心率、唾液分泌和唤醒反应有所降低。然而，他们在渴望和焦虑的主观评估方面并没有出现类似程度的降低。本文根据这些结果以及跨反应领域线索反应性降低的不同步性，讨论了它们对治疗中的线索暴露以及自主反应性、渴望和饮酒行为之间关系的近期理论概念化的影响。
