我们真的需要两次治疗吗?使用结构化访谈作为创伤线索反应范例。

IF 2.4 3区 医学 Q2 PSYCHIATRY
Sarah DeGrace, Pablo Romero-Sanchiz, Igor Yakovenko, Sean P. Barrett, Philip Tibbo, Tessa Cosman, Pars Atasoy, Sherry H. Stewart
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引用次数: 0

摘要

目的:线索反应范式(CRP)源于经典条件反射理论,植根于动机机制,用于成瘾研究,测量参与者在接触药物相关线索(如吸毒工具)时做出药物相关反应(如渴求)的倾向。CRP 也适用于创伤后应激障碍与成瘾并发症的研究,可以对创伤线索的情感反应和药物相关反应进行研究。然而,使用传统的 CRPs 进行研究非常耗时,而且由于重复测试,自然减员率很高。因此,我们试图测试单次半结构化创伤访谈是否可以作为 CRP,激发理论上的线索暴露对渴求和情感测量的影响:方法:50 名有心理创伤史的经常吸食大麻者按照既定的访谈协议详细描述了他们一生中最严重的心理创伤经历和中性经历。线性混合模型检验了线索类型(创伤与中性)对情感和渴求反应的影响:结果:正如假设的那样,与中性访谈相比,创伤访谈引起的大麻渴求(以及饮酒者对酒精的渴求)明显更高,而创伤后应激障碍症状更严重者的负面情绪也更高:结果表明,一种成熟的半结构式访谈可以有效地用作创伤和成瘾研究中的 CRP。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Do we really need two sessions?: The use of a structured interview as a trauma cue reactivity paradigm

Do we really need two sessions?: The use of a structured interview as a trauma cue reactivity paradigm

Objectives

Derived from classical conditioning theory and rooted in motivational mechanisms, cue reactivity paradigms (CRPs) are used in addictions research to measure participants' propensities for substance-relevant responses (e.g., craving) during exposure to substance-relevant cues (e.g., drug paraphernalia). CRPs are also useful in PTSD-addiction comorbidity research, allowing the study of affective and substance-relevant responses to trauma cues. However, studies using traditional CRPs are time-consuming with high attrition rates due to repeat testing. Thus, we sought to test whether a single session semi-structured trauma interview could serve as a CRP in terms of eliciting theorized cue exposure effects on craving and affect measures.

Method

Fifty regular cannabis users with trauma histories provided detailed descriptions of their most traumatic lifetime experience, and a neutral experience, according to an established interview protocol. Linear mixed models examined the effect of cue type (trauma vs. neutral) on affective and craving responses.

Results

As hypothesized, the trauma interview elicited significantly greater cannabis craving (and alcohol craving among the drinkers), and, greater negative affect among those with more severe PTSD symptoms, compared to the neutral interview.

Conclusion

Results suggest an established semi-structured interview may function effectively as a CRP for use in trauma and addictions research.

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来源期刊
CiteScore
5.20
自引率
6.50%
发文量
48
审稿时长
>12 weeks
期刊介绍: The International Journal of Methods in Psychiatric Research (MPR) publishes high-standard original research of a technical, methodological, experimental and clinical nature, contributing to the theory, methodology, practice and evaluation of mental and behavioural disorders. The journal targets in particular detailed methodological and design papers from major national and international multicentre studies. There is a close working relationship with the US National Institute of Mental Health, the World Health Organisation (WHO) Diagnostic Instruments Committees, as well as several other European and international organisations. MPR aims to publish rapidly articles of highest methodological quality in such areas as epidemiology, biostatistics, generics, psychopharmacology, psychology and the neurosciences. Articles informing about innovative and critical methodological, statistical and clinical issues, including nosology, can be submitted as regular papers and brief reports. Reviews are only occasionally accepted. MPR seeks to monitor, discuss, influence and improve the standards of mental health and behavioral neuroscience research by providing a platform for rapid publication of outstanding contributions. As a quarterly journal MPR is a major source of information and ideas and is an important medium for students, clinicians and researchers in psychiatry, clinical psychology, epidemiology and the allied disciplines in the mental health field.
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