The effects of ethanol intoxication on phobic anxiety.
The effects of ethanol intoxication on phobic anxiety.
复制标题
乙醇中毒对恐惧焦虑的影响。
DOI：
10.1016/0005-7967(84)90122-0
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发表时间：
1984
影响因子：
4.1
通讯作者：
G. Curtis
中科院分区：
文献类型：
--
作者：
B. Thyer;G. Curtis
酒精滥用的行为概念通常包括饮酒行为是一种负强化操作的假设，乙醇中毒被视为缓解环境和内部的厌恶状态。这一假设尚未被先前的研究证实或反驳，这些研究采用了轻微的压力源和有限的评估方法。在目前的实验中，22名患有严重恐惧症的患者在两种连续的情况下接近他们的恐惧动物——第一种是清醒的，第二种是喝了安慰剂或令人陶醉的乙醇。严重焦虑诱导的评估行为，生理和病人的自我报告的恐惧。与安慰剂组相比，醉酒的患者并没有减少焦虑、心动过速或逃避。这些结果具有临床意义，并提示需要重新考虑酒精滥用的紧张缓解理论。
Behavioral conceptions of alcohol abuse often include the hypothesis that drinking behavior is a negatively reinforced operant, with ethanol intoxication viewed as alleviating aversive environmental and internal states. This hypothesis has not been confirmed or refuted by previous studies which employed mild stressors and limited assessment methodology. In the present experiment, 22 patients with severe phobias approached their phobic animal under two consecutive conditions—first while sober and second after drinking either a placebo or an intoxicating dose of ethanol. The severe anxiety induced was assessed behaviorally, physiologically and by the patient's self-report of fear. The intoxicated patients did not experience decreased anxiety, tachycardia or avoidance, compared to the placebo group. These results have clinical implications and suggest the need to reconsider tension-reduction theories of alcohol abuse.