Bradizza C M, Stasiewicz P R, Maisto S A
Center for Alcohol and Addiction Studies, Brown University, Providence, RI 02912.
J Behav Ther Exp Psychiatry. 1994 Mar;25(1):15-22. doi: 10.1016/0005-7916(94)90058-2.
Cue exposure treatments of alcohol and substance abuse disorders are based on a classical conditioning model of drug use and relapse. Recently, social learning theory has been utilized to explain the relationship of cognitive constructs (i.e., self-efficacy, outcome expectations) to measures of cue reactivity. However, social learning theory has not provided clear and testable mechanisms by which cognitions influence behavior. This paper proposes a mechanism, based on principles of classical conditioning, whereby cognitions may influence reactivity to alcohol and drug cues. This view of cognitions within a conditioning framework has several important implications for cue exposure research and treatment.
酒精和药物滥用障碍的线索暴露疗法基于药物使用和复发的经典条件作用模型。最近，社会学习理论已被用于解释认知结构（即自我效能感、结果期望）与线索反应性测量之间的关系。然而，社会学习理论尚未提供认知影响行为的清晰且可检验的机制。本文提出一种基于经典条件作用原理的机制，据此认知可能会影响对酒精和药物线索的反应性。在条件作用框架内的这种认知观点对线索暴露研究和治疗具有若干重要意义。
