Relationship Between Attention Bias and the Prognosis of Male Patients with Alcohol Dependence

Qin Yang, Bohui Mo, Liang-shuang Yin, L. Pang, Jiangbo Li
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Abstract

Background: long term drinking in alcohol dependent patients seriously affects their physical and mental health. Abstinence treatment is very important, but there is no appropriate prediction method for the effect of abstinence in the past. Objective: In this study, we investigated word-cue attentional bias among male patients with alcohol dependence and its correlation with relapse after abstinence. Methods: Fifty male patients with alcohol dependence (ADs) and 50 male health controls (HCs) completed the Chinese version of the emotional Stroop task to assess attentional bias. The participants were evaluated at the beginning of the task using the Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS). Results: The reaction times of ADs for neutral, negative, and alcohol-related words were significantly higher than those of HCs. The error index of ADs for neutral and negative words is worse than that of HCs. The period of maintained abstinence among ADs was positively correlated with the reaction time to negative words and the error index for negative and alcohol-related words. Linear regression showed the error index of alcohol-related words to be an import factor in terms of relapse. Conclusion: The number of errors in alcohol-related attentional bias cue words may be a predictor of the effect of abstinence.
男性酒精依赖患者注意偏倚与预后的关系
背景:长期饮酒严重影响酒精依赖患者的身心健康。戒断治疗非常重要,但以往对戒断效果并没有适当的预测方法。目的:本研究探讨男性酒精依赖患者的词线索注意偏倚及其与戒酒后复吸的关系。方法:50例男性酒精依赖患者(ADs)和50例男性健康对照者(hc)分别完成中文版情绪Stroop任务评估注意偏倚。在任务开始时,使用焦虑自评量表(SAS)和抑郁自评量表(SDS)对参与者进行评估。结果:ad对中性词、阴性词和酒精相关词的反应时间明显高于hc。ad对中性和否定词的错误指数较hc差。ad患者维持戒断的时间与消极词汇的反应时间、消极词汇和酒精相关词汇的错误指数呈正相关。线性回归显示,酒精相关词汇的误差指数是复发的重要因素。结论:酒精相关注意偏倚提示词的错误数可能是戒酒效果的一个预测因子。
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