A meta-analytic investigation of the relationship between attentional bias and subjective craving in substance abuse.
A meta-analytic investigation of the relationship between attentional bias and subjective craving in substance abuse.
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DOI：
10.1037/a0015843
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发表时间：
2009-07
影响因子：
22.4
通讯作者：
Franken, Ingmar H. A.
中科院分区：
文献类型：
--
作者：
Field, Matt;Munafo, Marcus R.;Franken, Ingmar H. A.
成瘾的理论模型表明，对物质相关线索的注意偏差应该与自我报告的渴望有关。作者通过对68个独立的数据集进行荟萃分析来评估这种联系的强度，从这些数据集得出主观渴望和注意偏差指数之间的相关系数。此外，还进行了分层分析，以确定任何可能缓和渴望和注意偏差之间联系的变量。初步的荟萃分析表明，注意偏向和渴求之间存在显著的关联，尽管相关性很弱(r=0.19)。分层分析显示，对非法药物和咖啡因的渴望比对酒精和烟草的渴望更大，对注意力的直接测量(眼动测量和事件相关电位测量)比对注意力偏向的间接行为测量更大，当渴望强度高时比低强度时更大(均PS<；0.05)。在接受治疗的患者和没有寻求治疗的个人之间，相关性的大小没有区别。这些结果表明，注意偏差和渴望是相关的现象，尽管这种关系通常是温和的，似乎受到各种因素的调节。文中还讨论了理论意义。
Theoretical models of addiction suggest that attentional bias for substance-related cues should be associated with self-reported craving. The authors evaluated the strength of the association by performing a meta-analysis on 68 independent data sets from which correlation coefficients between subjective craving and attentional bias indices were derived. Additional stratified analyses were conducted to identify any variables that might moderate the association between craving and attentional bias. The primary meta-analysis indicated a significant, albeit weak (r = .19), association between attentional bias and craving. Stratified analyses revealed that the association was larger for illicit drug and caffeine craving than for alcohol and tobacco craving, larger for direct measures of attention (eye movement measures and event-related potential measures) than for indirect behavioral measures of attentional bias, and larger when craving strength was high than when it was low (all ps < .05). The size of the correlation did not differ among patients in treatment and individuals who were not seeking treatment. These results suggest that attentional bias and craving are related phenomena, although the relationship is generally modest and appears to be moderated by various factors. Theoretical implications are discussed.
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