戒酒期间酒精使用障碍患者注意偏差的变化:纵向研究

IF 3.7 2区 医学 Q1 PSYCHOLOGY, CLINICAL
Berta Escudero , Francisco Arias Horcajadas , Laura Orio
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引用次数: 0

摘要

背景:酒精使用障碍(AUD)与对酒精相关线索(如图像、气味)的注意偏差有关,这些线索具有刺激性,会促进持续消费:方法:我们研究了 AUD 患者在两个戒酒时期(t = 0(基线,戒酒 1-3 个月)和 t = 1(随访,戒酒 6 个月))的一般注意偏差和酒精注意偏差的纵向演变情况,以及它们与酒精相关变量的关系。通过经典和酒精Stroop测试(中性和酒精条件)评估了戒酒AUD患者和对照组的一般注意偏差和酒精特异性注意偏差:t = 0时,AUD组表现出一般注意偏差和酒精特异性注意偏差,一般偏差的影响更大。t = 1时,AUD组的酒精特异性注意偏差明显减少,并达到对照组水平(干扰指数水平从1-3个月增加到6个月)。然而,一般注意偏差有改善的趋势,但在戒酒过程中没有显著变化(线性混合模型,控制年龄、体重指数、性别和教育程度):AUD患者的一般注意偏向和酒精注意偏向在戒酒过程中表现出不同的轨迹,对酒精的注意偏向在整个戒酒过程中明显改善,而一般注意偏向则保持不变。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Changes of attentional bias in patients with alcohol use disorder during abstinence: A longitudinal study

Background

Alcohol Use Disorder (AUD) is linked to an attentional bias towards alcohol-related cues (e.g. images, smells), which acquire incentive properties and promote continued consumption.

Method

We investigated how the general and alcohol attentional bias evolved longitudinally in AUD patients along two periods of abstinence: t = 0 (baseline, 1–3 months of abstinence) and t = 1 (follow-up; 6 months of abstinence), as well as their relationship with alcohol-related variables. General and alcohol-specific attentional bias were evaluated by the Classic and the Alcohol Stroop tests (neutral and alcohol conditions) in abstinent AUD patients and controls.

Results

At t = 0, the AUD group exhibited both general and alcohol-specific attentional biases, with greater effect in the general bias. At t = 1, alcohol-specific attentional bias decreased specifically in the AUD group and reached control levels (with interference index levels increasing from 1-3 months to 6 months). However, general attentional bias showed a trend toward improvement but it did not significantly change through abstinence process (linear mixed models, controlling for age, BMI, sex and education).

Conclusions

In AUD patients, general and alcohol attentional biases exhibit different trajectories during abstinence, with the attentional bias toward alcohol improving significantly throughout this process whereas general attentional bias is maintained.

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来源期刊
Addictive behaviors
Addictive behaviors 医学-药物滥用
CiteScore
8.40
自引率
4.50%
发文量
283
审稿时长
46 days
期刊介绍: Addictive Behaviors is an international peer-reviewed journal publishing high quality human research on addictive behaviors and disorders since 1975. The journal accepts submissions of full-length papers and short communications on substance-related addictions such as the abuse of alcohol, drugs and nicotine, and behavioral addictions involving gambling and technology. We primarily publish behavioral and psychosocial research but our articles span the fields of psychology, sociology, psychiatry, epidemiology, social policy, medicine, pharmacology and neuroscience. While theoretical orientations are diverse, the emphasis of the journal is primarily empirical. That is, sound experimental design combined with valid, reliable assessment and evaluation procedures are a requisite for acceptance. However, innovative and empirically oriented case studies that might encourage new lines of inquiry are accepted as well. Studies that clearly contribute to current knowledge of etiology, prevention, social policy or treatment are given priority. Scholarly commentaries on topical issues, systematic reviews, and mini reviews are encouraged. We especially welcome multimedia papers that incorporate video or audio components to better display methodology or findings. Studies can also be submitted to Addictive Behaviors? companion title, the open access journal Addictive Behaviors Reports, which has a particular interest in ''non-traditional'', innovative and empirically-oriented research such as negative/null data papers, replication studies, case reports on novel treatments, and cross-cultural research.
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