McCusker C G, Gettings B
Department of Clinical Psychology, School of Psychology, Queen's University of Belfast, Northern Ireland.
Br J Clin Psychol. 1997 Nov;36(4):543-54. doi: 10.1111/j.2044-8260.1997.tb01259.x.
The hypotheses that automatic, non-volitional, attentional and memory biases for addiction-related constructs exist is tested with compulsive gamblers.
An independent groups design was employed. Processing of gambling, compared to neutral and drug-related information was examined in 15 gamblers recruited from new members of Gamblers Anonymous. Comparisons were made with the performance of their spouses (N = 15) to help distinguish addiction mechanisms from more non-specific emotional experiences with gambling, and an independent control group (N = 15), recruited from the staff and students of a university department.
A modified Stroop procedure was first employed. Automative cognitive interference was assessed relatively, by comparing colour-naming times on the gambling, drug and neutral Stroops. A subsequent word-stem completion task of implicit memory was then used to assess selective and automatic priming of the gambling constructs in memory.
Only the gamblers showed selective and automatic interference for gambling-related constructs on the Stroop task. Spouses behaved like the control group on this task. An implicit memory bias for gambling-related words was statistically detected only in the gamblers compared to the control group, although the trend was similar in the comparison with spouses. Further evidence for the specificity of these effects was obtained in subgroup comparisons involving fruit-machine with racing gamblers.
Results are generally consistent with an automaticity in the cognitive biases gamblers show for gambling-related information. Implications for cognitive understanding and treatments are highlighted.
对强迫性赌徒是否存在与成瘾相关结构的自动、非自愿、注意力和记忆偏差这一假设进行检验。
采用独立组设计。从匿名戒酒互助社新成员中招募了15名赌徒,研究他们对赌博信息的处理,并与中性信息和与毒品相关信息的处理进行比较。将他们的配偶(N = 15)的表现作为对照,以帮助区分成瘾机制与更非特异性的赌博情感体验,另外还设置了一个独立对照组(N = 15),由某大学系的教职员工和学生组成。
首先采用改良的斯特鲁普程序。通过比较在赌博、毒品和中性斯特鲁普任务上的颜色命名时间,相对地评估自动认知干扰。随后使用一个内隐记忆的词干补全任务来评估记忆中赌博结构的选择性和自动启动效应。
只有赌徒在斯特鲁普任务中对与赌博相关的结构表现出选择性和自动干扰。配偶在这项任务中的表现与对照组相似。与对照组相比,仅在赌徒中检测到与赌博相关词汇的内隐记忆偏差具有统计学意义,尽管与配偶比较时也有类似趋势。在涉及吃角子老虎机赌徒和赛马赌徒的亚组比较中,进一步获得了这些效应特异性的证据。
结果总体上与赌徒对与赌博相关信息表现出的认知偏差的自动性一致。强调了对认知理解和治疗的意义。