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慢性吸烟、戒烟和尼古丁替代期间的血浆尼古丁、血浆β-内啡肽和情绪状态

Plasma nicotine, plasma beta-endorphin and mood states during periods of chronic smoking, abstinence and nicotine replacement.

作者信息

Wewers M E, Tejwani G A, Anderson J

机构信息

Department of Adult Health and Illness Nursing, College of Nursing, Ohio State University, Columbus 43210.

出版信息

Psychopharmacology (Berl). 1994 Sep;116(1):98-102. doi: 10.1007/BF02244878.

Abstract

Nicotine is known to release neuroendocrine substances which may subsequently reinforce smoking behavior by improving mood states. The purpose of this study was to examine changes in plasma beta-endorphin and mood states during periods of chronic smoking, abstinence from smoking, and abstinence while chewing nicotine gum. A modified A-B-A-C design was used. Normal male volunteers were randomly assigned to an experimental or control group. Over a 12-day protocol, experimental subjects smoked ad libitum for 2 days, were abstinent for 4 days, resumed smoking for 2 days, and then chewed nicotine gum for the final 4 days. Control subjects smoked ad libitum throughout the entire protocol. Results indicated that changes in plasma beta-endorphin levels were not related to changes in the four smoking conditions. Plasma nicotine and mood states were related, such that dysphoric moods increased during abstinence from smoking in comparison to the control group. To investigate further the relationships between nicotine, beta-endorphin and reinforcement for smoking, it may be necessary to characterize endogenous opioid peptide release in the central nervous system during smoking.

摘要

已知尼古丁会释放神经内分泌物质,这些物质随后可能通过改善情绪状态来强化吸烟行为。本研究的目的是检测长期吸烟、戒烟以及使用尼古丁口香糖戒烟期间血浆β-内啡肽和情绪状态的变化。采用了改良的A - B - A - C设计。正常男性志愿者被随机分为实验组或对照组。在一个为期12天的实验方案中,实验对象自由吸烟2天,戒烟4天,再恢复吸烟2天,然后在最后4天咀嚼尼古丁口香糖。对照对象在整个实验方案中自由吸烟。结果表明,血浆β-内啡肽水平的变化与四种吸烟状态的变化无关。血浆尼古丁与情绪状态相关,与对照组相比,戒烟期间烦躁情绪增加。为了进一步研究尼古丁、β-内啡肽与吸烟强化之间的关系,可能有必要描述吸烟过程中中枢神经系统内源性阿片肽的释放情况。

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