中国临床心理学杂志

药物依赖者复吸研究模型的回顾与展望

作者：张锋¹ 邓云菁² 杨宏³ 沈模卫⁴

单位：1. 宁波大学心理系浙江宁波 351211
2. 云南师范大学心理系云南昆明 650092
3. 云南省司法厅
4. 浙江大学心理与行为科学系

分类号：R395.1

出版年,卷(期):页码：2006,14(4):368-370

摘要：

基于现有主要研究文献,将有关药物成瘾和复吸行为的研究概括为社会-环境、动机-自我概念、认知加工和神经-心理四种基本模型。综合相关研究证据,可以认为导致复吸行为的因素相当复杂,难以利用任何一种模型对依赖者的复吸行为进行有效预测。笔者基于对现有理论模型的总结,提出未来开展整合性研究的基本设想。

Based on the existing literatures,four basic models for drug addiction and relapse behavior researches were generalized,namely,the motive and self-concept model,the social-environment model,the cognitive processing model,and the neuropsychological model.Analyzing the research evidence in the area,the authors considered that relapse behavior was caused by a great many diverse factors,consequently,any of these models failed to make strong predication for relapse behavior.After reviewing the addiction models,the possibilities of future integrative research in the area were discussed.

基金项目：

全国教育科学“十五”规划国家级项目资助(项目号:BBA030015)

作者简介：

参考文献：

[1] Pallab K,Maulik MD,Tripathi BM,et al.Coping behaviors and relapse precipitants in opioid dependence:A study from North India.Journal of Substance Abuse Treatment,2002,22(3):135-140
[2] Brown SA,Tapert SF,Tate SR,et al.The role of alcohol in adolescent relapse and outcome.Journal of Psychoactive Drugs,2000,32(1):107-115
[3] Tucker JA,Vuchinich RE,Gladsjo JA.Environmental influences on relapse in substance use disorders.The International Journal of the Addictions,1991,25(7-8):1017-1050
[4] Miller WR,Westerberg VS,Harris RJ,et al.What predicts relapse? Prospective testing of antecedent models.Addiction,1996,91(Suppl.):155-172
[5] 周萍,何良艳.吸毒者的社会支持及心身健康水平的相关分析.中国临床心理学杂志,2002,20(4):314-315
[6] Walton MA,Blow FC,Binghama CR,et al.Individual and social/environmental predictors of alcohol and drug use 2years following substance abuse treatment.Addictive Behaviors,2003,28(4):627-642
[7] Monti PM,Rohsenow DJ,Michalec E,et al.Brief coping skills treatment for cocaine abuse:Substance use outcome at three months.Addiction,1997,92(12):1717-1728
[8] Niaura R,Shadel WG,Britt DM,et al.Response to social stress,urge to smoke,and smoking cessation.Addictive Behaviors,2002,27(2):241-250
[9] Avants KS,Margolin A,Mckee S.A Path Analysis of Cognitive,Affective,and Behavioral Predictors of Treatment Response in a Methadone Maintenance Program.Journal of Substance Abuse,2000,11(3):215-230
[10] Ball S,Bachrach K,DeCarlo J,et al.Characteristics,beliefs,and practices of community clinicians trained to provide manual-guided therapy for substance abusers.Journal of Substance Abuse Treatment,2002,23(4):309-318
[11] Robbins SJ,Ehrman RN.Designing studies of drug condi tioning in humans.Psychopharmacology,1992,106(2):143-153
[12] Ehrman RN,Robbins SJ,Bromwell MA,et al.Comparing attentional bias to smoking cues in current smokers,former smokers,and non-smokers using a dot-probe task.Drug and Alcohol Dependence,2002,67(2):185-191
[13] Franken IHA.Drug craving and addiction:integrating psychological and neuropsycho-pharmacological approaches.Progress in Neuro-Psychopharmacology & Biological Psychiatry,2003,27(4):563-579
[14] Dawe S,Powell JH,Richards D,et al.Does postwithdrawal cue exposure improve outcome in opiate addiction? A controlled trial.Addiction,1993,88:1233-1245
[15] Havermans RC,Jansen ATM.Increasing the efficacy of cue exposure treatment in preventing relapse of addictive behavior.Addictive Behaviors,2003,28(5):989-994
[16] Niaura RS,Abrams DB,Shadel WG,et al.Cue exposure treatment for smoking relapse prevention:A controlled clinical trial.Addiction,1999,94(5):685-695
[17] Hammersley R.Cue exposure and learning theory.Addictive Behaviors,1992,17(3):297-300
[18] Everitt BJ,Wolf ME.Psychomotor stimulant addiction:A neural systems perspective.The Journal of Neuroscience,2002,22(9):3312-3320
[19] Wagner FA,Anthony JC.From first drug use to drug dependence:Developmental periods of risk for dependence upon marijuana,cocaine,and alcohol.Neuropsychopharmacology,2002,26(4):479-488
[20] Schroeder BE,Binzak JM,Kelley AE.A common profile of prefrontal cortical activation following exposure to nicotineor chocolate-associated contextual cues.Neuroscience,2001,105(3):535-545
[21] Robinson TE,Berridge KC.Addiction.Annual Review of Psychology,2003,54(1):25-53
[22] 朱海燕,沈模卫,张锋,等.药物成瘾过程的心理-神经理论模型.心理科学,2004,27(3):549-554
[23] Ellwart T,Rinck M,Becker ES.Selective memory and memory deficits in depressed inpatients.Depression and Anxiety,2003,17(4):197-206
[24] Rinck M,Becker ES,Kellermann J,et al.Selective attention in anxiety:distraction and enhancement in visual search.Depression and Anxiety,2003,18(1):18-28
[25] 殷素梅,张锋,沈模卫,等.海洛因依赖性人格概念的建构及其与心理健康的关系.中国药物依赖性杂志,2005,14(2):112-116

服务与反馈：

【文章下载】【加入收藏】