Identifying Substitute Activities for Alcohol Consumption: A Preliminary Analysis.
Identifying Substitute Activities for Alcohol Consumption: A Preliminary Analysis.
复制标题
确定酒精消费的替代活动：初步分析。
DOI：
10.1080/16066359.2022.2135704
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发表时间：
2023
影响因子：
2.9
通讯作者：
Amlung,Michael
中科院分区：
文献类型：
--
作者：
Weinsztok,SarahC;Reed,DerekD;Amlung,Michael
患有酒精使用障碍的个体可能会过度重视酒精强化而不是其他类型的奖励，并且可能会寻求支持酒精消费的环境，尽管会产生负面后果。因此，研究增加无物质活动参与的方法可能对治疗酒精使用障碍有用。过去的研究主要集中在与酒精有关的活动和不含酒精的活动的偏好和频率上。然而，到目前为止，还没有研究检查这些活动与饮酒的不相容，这是在治疗酒精使用障碍期间预防可能的不良后果和确保活动不与饮酒互补的重要步骤。本研究是一项初步分析，比较了一项改进的活动强化调查，并纳入了一个适合性问题，以确定普通调查活动与饮酒的不相容。从亚马逊土耳其机器人中招募的参与者（N= 146）进行了一项既定的活动强化调查，询问了有关活动与饮酒不相容的问题，并测量了与酒精相关的问题。我们发现，活动调查可能会确定没有酒精的愉快活动，但其中一些活动仍然与酒精兼容。对于许多被调查的活动，认为这些活动适合酒精的参与者也报告了更高的酒精严重程度，体育活动、学校或工作以及宗教活动的影响大小差异最大。这项研究的结果是一项重要的初步分析，可以确定活动如何发挥替代作用，并可能对减少危害的干预措施和公共政策产生影响。
Individuals with alcohol use disorder may excessively value alcohol reinforcement over other types of rewards and may seek out environments supportive of alcohol consumption despite negative consequences. Therefore, examining ways to increase engagement in substance-free activities may be useful in treating alcohol use disorder. Past research has focused on preference and frequency of engagement in alcohol-related versus alcohol-free activities. However, no study to-date has examine the incompatibility of such activities with alcohol consumption, an important step in preventing possible adverse consequences during treatment for alcohol use disorder and for ensuring that activities do not function in a complementary fashion with alcohol consumption. The present study was a preliminary analysis comparing a modified activity reinforcement survey with the inclusion of a suitability question to determine the incompatibility of common survey activities with alcohol consumption. Participants recruited from Amazon’s Mechanical Turk (N= 146) were administered an established activity reinforcement survey, questions regarding the incompatibility of the activities with alcohol consumption, and measures of alcohol-related problems. We found that activity surveys may identify activities that are enjoyable without alcohol, but that some of these activities were still compatible with alcohol. For many of the activities examined, participants who rated those activities as suitable with alcohol also reported higher alcohol severity, with the largest effect size differences for physical activity, school or work, and religious activities. The results of this study are an important preliminary analysis for determining how activities may function as substitutes, and may hold implications for harm reduction interventions and public policy.