Roll J M, Higgins S T, Steingard S, McGinley M
Department of Psychiatry, University of Vermont, Burlington 05401, USA.
Exp Clin Psychopharmacol. 1998 May;6(2):157-61. doi: 10.1037//1064-1297.6.2.157.
The feasibility of using monetary reinforcement to promote abstinence from substance use in adult individuals with schizophrenia was addressed. Cigarette smoking was studied as an exemplar of drug use in 11 individuals with schizophrenia by use of a within-subject experimental design. The study duration was 3 weeks, with weeks 1 and 3 serving as baseline conditions and week 2 serving as the intervention condition; in the latter, patients could earn money by abstaining from cigarette smoking. Abstinence was significantly greater during the intervention condition than during the baseline conditions. These results illustrate the potential sensitivity of drug use in this population to reinforcement contingencies, suggesting that contingency-management interventions are a feasible option for treating the substance abuse of individuals with schizophrenia.
研究了使用金钱强化措施来促进成年精神分裂症患者戒除物质使用的可行性。通过采用受试者内实验设计，对11名精神分裂症患者的吸烟情况作为药物使用的一个范例进行了研究。研究持续时间为3周，第1周和第3周作为基线条件，第2周作为干预条件；在干预条件下，患者可以通过戒烟来赚钱。干预条件下的戒烟率显著高于基线条件下的戒烟率。这些结果表明该人群的药物使用对强化意外情况具有潜在敏感性，这表明应急管理干预措施是治疗精神分裂症患者物质滥用的一种可行选择。
