饮酒障碍中的习惯,奖励和恐惧相关的动机:为期一年的前性研究
Marcelo Piquet-Pessôa1, Joane de Oliveira2, Ana Paula Ribeiro3
1Obsessive, Compulsive, and Anxiety Spectrum Research Program, Institute of Psychiatry of the Federal University of Rio de Janeiro (UFRJ), Brazil; Espaço Village Rehabilitation Center, Rio de Janeiro, Brazil.
这项研究发现,恐惧和奖励动机,而不是习惯性使用,预测了一年后更好的酒精使用障碍 (AUD) 症状改善. 这些发现可能会为新的AUD治疗方法提供信息.
科学领域:
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
- 成研究 研究成研究
背景情况:
- 习惯性饮酒与酒精依赖的严重程度有关.
- 以前的研究表明,习惯性使用可能与酒精使用障碍 (AUD) 的较差结果相关.
研究的目的:
- 为了调查AUD患者更大的习惯性饮酒是否会在一年后预测更糟糕的结果.
- 探索不同动机驱动 (习惯,奖励,恐惧) 与AUD中的治疗结果之间的关系.
主要方法:
- 在基线时评估了50名DSM-IV AUD的住院患者,并在一年后跟踪30名患者.
- 使用习惯,奖励和恐惧量表 (HRFS) 进行动机驱动.
- 使用酒精依赖度表 (ADS) 测量临床结果,并对抑郁,焦虑和压力进行控制 (DASS-21).
主要成果:
- 在随访时观察到HRFS得分的显著降低.
- 在基线时更大的奖励和恐惧动机预测了一年后ADS得分下降更大.
- 习惯性驱动没有预测更糟糕的长期结果; 药物治疗没有预测动机变化.
结论:
- 恐惧和奖励动机,而不是习惯性使用,预测AUD症状的更大改善.
- 研究结果表明,针对恐惧和奖励途径可能会增强AUD治疗.
- 结果有助于理解成模式和开发新的AUD干预措施.
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