The phenotype of recovery II: The association between delay discounting, self-reported quality of life, and remission status among individuals in recovery from substance use disorders.

The phenotype of recovery II: The association between delay discounting, self-reported quality of life, and remission status among individuals in recovery from substance use disorders.
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DOI:
10.1037/pha0000389
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发表时间:
2022-02
影响因子:
2.3
通讯作者:
Bickel, Warren K.
Bickel, Warren K.
中科院分区:
医学3区
文献类型:
--
作者:
Athamneh, Liqa N.;Lemos, Roberta Freitas;Basso, Julia C.;Tomlinson, Devin C.;Craft, William H.;Stein, Madison D.;Bickel, Warren K.

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生活质量 (QOL) 和延迟贴现(偏好较小的、即时的奖励)与物质使用状态、严重程度和治疗结果显着相关。延迟贴现与从药物使用中恢复的个体的生活质量之间的关联尚未得到调查。在这项两项研究调查中,我们使用从国际戒烟和康复登记处收集的数据,研究了 SUD 康复者的生活质量、贴现率和缓解状态之间的关联。研究 1 (N=166) 研究了从 SUD 恢复的个体中延迟贴现与生活质量之间的关系。研究 2 (N=282) 旨在通过评估酒精使用障碍 (AUD) 恢复期个体的缓解状态、延迟贴现和生活质量之间的关联来验证和扩展研究 1 的结果。在这两项研究中,即使在控制了年龄、性别、种族、民族、教育程度和自上次使用后的天数后,延迟折扣仍然是身体健康、心理和环境等生活质量领域的重要预测因素。在研究 2 中,使用 Hayes 方法进行的中介分析表明,缓解状态与身体健康、心理和环境的 QOL 领域之间的关联部分是由贴现率调节的。目前的研究扩展了延迟贴现的普遍性,并表明贴现率可以预测从物质使用障碍中恢复的个体的生活质量和缓解状态。这一发现证实了延迟贴现作为成瘾候选行为标志的最新特征,并可能有助于识别需要特殊治疗或独特干预措施来克服成瘾的亚群体。
Quality of life (QOL) and delay discounting (preference for smaller, immediate rewards) are significantly associated with substance use status, severity, and treatment outcomes. Associations between delay discounting and QOL among individuals in recovery from substance use have not been investigated. In this two-study investigation, using data collected from The International Quit & Recovery Registry, we examined the association between QOL, discounting rates, and remission status among individuals in recovery from SUD. Study 1 (N=166) investigated the relationship between delay discounting and QOL among individuals in recovery from SUD. Study 2 (N=282) aimed to validate and extend the results of Study 1 by assessing the association between the remission status, delay discounting, and QOL among individuals in recovery from alcohol use disorder (AUD). In both studies, delay discounting was a significant predictor of QOL domains of physical health, psychological, and environment even after controlling for age, gender, race, ethnicity, education, and days since last use. In Study 2, a mediation analysis using Hayes’ methods revealed that the association between the remission status and QOL domains of physical health, psychological and environment were partially mediated by the discounting rates. The current study expands the generality of delay discounting and indicates that discounting rates predict QOL and remission status among individuals in recovery from substance use disorders. This finding corroborates the recent characterizations of delay discounting as a candidate behavioral marker of addiction and may help identify sub-groups that require special treatment or unique interventions to overcome their addiction.
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