Differential urge and salivary responsivity to alcohol cues in alcohol-dependent patients: a comparison of traditional and stringent classification approaches.

Differential urge and salivary responsivity to alcohol cues in alcohol-dependent patients: a comparison of traditional and stringent classification approaches.
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酒精依赖患者的不同冲动和唾液对酒精线索的反应:传统和严格分类方法的比较。

DOI:
10.1037//1064-1297.7.4.464
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发表时间:
1999
期刊:
Experimental and clinical psychopharmacology.
影响因子:
--
通讯作者:
Dansky,BS
Dansky,BS
中科院分区:
--
文献类型:
--
作者:
Coffey,SF;Saladin,ME;Libet,JM;Drobes,DJ;Dansky,BS

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在不同的试验中,70名酒精依赖者分别获得了酒精和水的提示,同时测量了唾液反应和自我报告的酒精冲动。研究人员使用两种不同的分类方法将参与者分为对冲动和唾液有反应或无反应。通过传统的分类方法,冲动反应组和唾液反应组对酒精提示的愉悦度评分都高于无反应组,但在酒精依赖或戒断方面没有差异。通过更严格的分类方法,有唾液分泌反应的人比没有唾液分泌反应的人报告说,他们离最后一次喝酒的时间更短,对酒精线索的反应满意度也更高。与冲动无反应组相比,严格分类的冲动反应者对酒精提示的愉悦度评分更高,精神上的痛苦也更多。严格分类的应答组没有报告更多的酒精依赖或戒断症状。自我报告的酒精渴望与生理测量的唾液分泌有一定的一致性。讨论了理论和治疗意义。(PsycInfo数据库记录(c) 2023 APA,版权所有)
Seventy alcohol-dependent individuals were presented with alcohol and water cues on separate trials while salivary responding and self-reported urge for alcohol were measured. Researchers used 2 distinct classification approaches to classify participants as either responders or nonresponders on urge and salivation. Through a traditional classification approach, both urge and salivary responder groups reported higher pleasantness ratings in response to the alcohol cues than nonresponders, yet did not differ on measures of alcohol dependence or withdrawal. Through a more stringent classification approach, salivation responders reported fewer days since their last drink of alcohol and higher pleasantness ratings in response to the alcohol cues than the salivation nonresponder group. The stringently classified urge responders reported higher pleasantness ratings in response to the alcohol cues and more psychiatric distress than the urge nonresponder group. The stringently classified responder groups did not report more alcohol dependence or withdrawal symptoms. There was modest agreement between self-reported urge for alcohol and the physiological measure of salivation. Theoretical and treatment implications are discussed.(PsycInfo Database Record (c) 2023 APA, all rights reserved)
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