{"title":"住院酒精依赖患者的创伤经历和酒精自我效能降低:注意和自主神经介质","authors":"E. Garland, Samantha M. Brown, M. Howard","doi":"10.5455/BCP.20150502072931","DOIUrl":null,"url":null,"abstract":"ABS TRACT: Traumatic experiences and reduced alcohol self-efficacy in alcohol dependent inpatients: attentional and autonomic mediators Objective: Self-medication with alcohol has been documented among individuals exposed to chronic trauma who may be unable to resist urges to drink in high-risk situations. Persistent alcohol use can result in attentional bias (AB) toward alcohol cues and psychophysiological reactivity such as changes in cue-elicited heart rate variability (HRV). The present study tested the hypothesis that individual differences in alcohol AB and HRV mediate the association between lifetime exposure to traumatic events and alcohol-related selfefficacy among a sample of alcohol dependent adults in inpatient treatment. Method: This paper details a secondary data analysis from a sample of alcohol dependent adults (N = 58) who completed standardized psychosocial instruments, an affect-modulated cue reactivity protocol, and a spatial cueing task. Results: Path analyses indicated statistically significant direct effects of levels of lifetime trauma exposure on Low Frequency/High Frequency-HRV cue-reactivity, alcohol AB, and alcohol self-efficacy. A statistically significant indirect effect was found from lifetime trauma exposure to alcohol-related self-efficacy through alcohol AB. Conclusions: Results suggest that alcohol AB partially mediates the relationship between greater lifetime trauma exposure and reduced alcohol self-efficacy. Hence, alcohol dependent individuals with more extensive trauma histories may benefit from therapies aimed at increasing self-awareness and self-regulation of attentional and autonomic reactivity to prevent risk of relapse.","PeriodicalId":17852,"journal":{"name":"Klinik Psikofarmakoloji Bulteni-bulletin of Clinical Psychopharmacology","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":"{\"title\":\"Traumatic Experiences and Reduced Alcohol Self-efficacy in Alcohol Dependent Inpatients: Attentional and Autonomic Mediators\",\"authors\":\"E. Garland, Samantha M. Brown, M. Howard\",\"doi\":\"10.5455/BCP.20150502072931\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"ABS TRACT: Traumatic experiences and reduced alcohol self-efficacy in alcohol dependent inpatients: attentional and autonomic mediators Objective: Self-medication with alcohol has been documented among individuals exposed to chronic trauma who may be unable to resist urges to drink in high-risk situations. Persistent alcohol use can result in attentional bias (AB) toward alcohol cues and psychophysiological reactivity such as changes in cue-elicited heart rate variability (HRV). The present study tested the hypothesis that individual differences in alcohol AB and HRV mediate the association between lifetime exposure to traumatic events and alcohol-related selfefficacy among a sample of alcohol dependent adults in inpatient treatment. Method: This paper details a secondary data analysis from a sample of alcohol dependent adults (N = 58) who completed standardized psychosocial instruments, an affect-modulated cue reactivity protocol, and a spatial cueing task. Results: Path analyses indicated statistically significant direct effects of levels of lifetime trauma exposure on Low Frequency/High Frequency-HRV cue-reactivity, alcohol AB, and alcohol self-efficacy. A statistically significant indirect effect was found from lifetime trauma exposure to alcohol-related self-efficacy through alcohol AB. Conclusions: Results suggest that alcohol AB partially mediates the relationship between greater lifetime trauma exposure and reduced alcohol self-efficacy. Hence, alcohol dependent individuals with more extensive trauma histories may benefit from therapies aimed at increasing self-awareness and self-regulation of attentional and autonomic reactivity to prevent risk of relapse.\",\"PeriodicalId\":17852,\"journal\":{\"name\":\"Klinik Psikofarmakoloji Bulteni-bulletin of Clinical Psychopharmacology\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2015-12-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"1\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Klinik Psikofarmakoloji Bulteni-bulletin of Clinical Psychopharmacology\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.5455/BCP.20150502072931\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Klinik Psikofarmakoloji Bulteni-bulletin of Clinical Psychopharmacology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5455/BCP.20150502072931","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q","JCRName":"Medicine","Score":null,"Total":0}
Traumatic Experiences and Reduced Alcohol Self-efficacy in Alcohol Dependent Inpatients: Attentional and Autonomic Mediators
ABS TRACT: Traumatic experiences and reduced alcohol self-efficacy in alcohol dependent inpatients: attentional and autonomic mediators Objective: Self-medication with alcohol has been documented among individuals exposed to chronic trauma who may be unable to resist urges to drink in high-risk situations. Persistent alcohol use can result in attentional bias (AB) toward alcohol cues and psychophysiological reactivity such as changes in cue-elicited heart rate variability (HRV). The present study tested the hypothesis that individual differences in alcohol AB and HRV mediate the association between lifetime exposure to traumatic events and alcohol-related selfefficacy among a sample of alcohol dependent adults in inpatient treatment. Method: This paper details a secondary data analysis from a sample of alcohol dependent adults (N = 58) who completed standardized psychosocial instruments, an affect-modulated cue reactivity protocol, and a spatial cueing task. Results: Path analyses indicated statistically significant direct effects of levels of lifetime trauma exposure on Low Frequency/High Frequency-HRV cue-reactivity, alcohol AB, and alcohol self-efficacy. A statistically significant indirect effect was found from lifetime trauma exposure to alcohol-related self-efficacy through alcohol AB. Conclusions: Results suggest that alcohol AB partially mediates the relationship between greater lifetime trauma exposure and reduced alcohol self-efficacy. Hence, alcohol dependent individuals with more extensive trauma histories may benefit from therapies aimed at increasing self-awareness and self-regulation of attentional and autonomic reactivity to prevent risk of relapse.