Alcohol-related interpretation bias in alcohol-dependent patients.

Alcohol-related interpretation bias in alcohol-dependent patients.
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酒精依赖患者的酒精相关解释偏差。

DOI:
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发表时间:
2014
期刊:
Alcoholism: Clinical and Experimental Research
影响因子:
--
通讯作者:
E. Becker
E. Becker
中科院分区:
--
文献类型:
--
作者:
M. Woud;S. Pawelczak;M. Rinck;J. Lindenmeyer;P. Souren;R. Wiers;E. Becker

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背景 成瘾行为的模型假设,内隐酒精相关的记忆协会和偏见的解释过程有助于发展和维持酒精误用和滥用。本研究探讨酒精依赖患者(AP)是否表现出酒精相关的解释偏差。其次,研究了有害饮酒水平与口译偏差之间的关系。 方法 样本包括125名临床诊断的AP和69名临床诊断的对照患者(CP),他们患有情绪障碍或焦虑障碍。参与者完成了一本小册子,其中包含12个开放式模糊场景。7个场景与酒精有关,5个场景与情绪有关,即与恐慌或抑郁有关。参与者被要求阅读每个场景并生成一个延续。此外,还进行了酒精使用障碍识别测试(AUDIT)和贝克抑郁量表。 结果 Logistic多变量多水平分析显示,AP在所有3种情景类型中产生酒精相关持续的概率均高于CP。此外,与酒精相关的解释偏差与有害饮酒水平呈正相关(即,AUDIT评分)。 结论 这些研究结果首次表明,AP显示出与酒精相关的解释偏见,这推广到其他模糊的情绪相关的背景下,因此推进了我们对内隐偏见的酒精相关记忆协会和解释过程的作用的理解。
BACKGROUND Models of addictive behaviors postulate that implicit alcohol-related memory associations and biased interpretation processes contribute to the development and maintenance of alcohol misuse and abuse. The present study examined whether alcohol-dependent patients (AP) show an alcohol-related interpretation bias. Second, the relationship between the interpretation bias and levels of harmful drinking was investigated. METHODS The sample included 125 clinically diagnosed AP and 69 clinically diagnosed control patients (CP) who had either a mood or an anxiety disorder. Participants completed a booklet containing 12 open-ended ambiguous scenarios. Seven scenarios were alcohol-relevant, and 5 were emotionally relevant, that is, panic- or depression-relevant. Participants were asked to read each scenario and to generate a continuation. In addition, the Alcohol Use Disorder Identification Test (AUDIT) and Beck Depression Inventory were administered. RESULTS Logistic multivariate multilevel analyses revealed that AP' probability of generating an alcohol-related continuation on all 3 scenario types was higher than that of CP. Moreover, alcohol-related interpretation biases were positively associated with levels of harmful drinking (i.e., AUDIT scores). CONCLUSIONS These findings are the first to show that AP show an alcohol-related interpretation bias, which generalizes to other ambiguous emotionally relevant contexts, and therefore advance our understanding of the role of implicit biased alcohol-related memory associations and interpretation processes.
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