胡卜 と 棒 は コカイン 中毒 の 人 の 行動 を 変え ない
Karen D Ersche1, Claire M Gillan2, P Simon Jones3
1Departments of Psychiatry, Psychology, and Clinical Neurosciences and the Behavioural and Clinical Neuroscience Institute, University of Cambridge, Cambridge, UK. ke220@cam.ac.uk.
まとめ
コカイン依存症の治療は 難しいものです 訓練により 目標に導かれた行動が改善され 結果に対する感受性が低下し 心理的介入は 罰ではなく 習慣の置き換えに 焦点を当てるべきだと示唆しています
科学分野:
- 神経科学
- 心理学
- 依存症 医学
背景:
- コカイン依存症は公衆衛生上の大きな問題であり,薬剤による治療は限られている.
- 現在の介入は主に 精神的社会的なアプローチを使って 依存症の適応障害を 修正しています
研究 の 目的:
- コカイン中毒者の 行動障害を調査する
- 行動反応と結果感受性に対する長期トレーニングの影響を検証する.
主な方法:
- コカイン中毒患者の目標指向行動障害の評価
- 長期トレーニングが報酬と回避行動に与える影響を評価した.
- 行動反応率と行動の結果に対する感受性を測定した.
主要な成果:
- 長期間のトレーニングは 報酬を受けた時の目標指向の反応率を高めました
- 報酬を受けたトレーニングは 行動の結果に対する 感受性の低下につながりました
- 過剰なトレーニングは患者のパフォーマンスを 大きく変化させなかった.
結論:
- コカイン依存症に対する処罰的な治療法は効果的ではないようです.
- 介入は,目標に導かれた行動の強化を優先すべきです.
- 薬物探求の習慣を 望ましい行動に置き換える戦略を 開発することが重要です
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