酒依赖与酒文化

作为一种精神障碍,越来越多的与饮酒有关的问题在我国引起了专业人员的重视。酒依赖不仅对个体的心理和躯体健康有害,还会引起一系列的社会问题。对酒这种精神活性物质作了多维度的评价,描述了形形色色的酒文化现象,探讨了我国酒文化在饮酒及饮酒相关问题发生中的作用。     

酒精对前注意加工的影响：失匹配负波的证据

前注意是指在注意之前对事物进行该不该注意分析的心理过程, 它对人适应不断变化的环境具有很重要的作用。近年来一些研究者用失匹配负波(Mismatch Negtivity, MMN)作为前注意加工的ERP指标探讨了酒精对人前注意加工的影响, 结果发现：1)急性摄入超过0.3g/kg的酒精, 人的MMN波幅会显著减小, 波峰潜伏期显著延长; 2)长期慢性摄入酒精, 人的MMN不仅表现为波幅减小和波峰潜伏期延迟, 而且在戒断酒精之后, MMN又会逐渐恢复正常; 3)有酒精成瘾家族史的子代的MMN没发现异常。这些研究结果说明酒精的急性和慢性摄入会损害人的前注意加工, 但尚未发现这种损害会影响到下一代的证据。     

Offspring Effects of Prenatal Alcohol Exposure from Birth to 25 Years: The Seattle Prospective Longitudinal Study

Before alcohol was generally known to cause birth defects, NIAAA in 1974 began funding a population-based Seattle study on alcohol use and pregnancy outcome. Women receiving prenatal care by mid-pregnancy were recruited (N = 1,529) and interviewed at home. Approximately 500 offspring exposed to a range of alcohol levels were examined on 11 occasions between day 1 and 25 years. Neuropsychological and neurobehavioral performance measures are correlated with prenatal alcohol dose, without substantial confounding by socio-demographic or rearing conditions, smoking, nutrition, or other drugs. Deficits in attention, arithmetic skill, spatial-visual memory, and IQ, as well as increased alcohol problems and psychiatric disorders are among offspring outcomes correlated at several ages with maternal drinking during and before pregnancy recognition. Findings are not confined to women who believed they had alcohol problems. Not all exposed offspring appear affected.     

流动人口的饮酒行为及其影响因素分析

选择从农村流入到北京打工的18-30岁的年轻流动人口共2201人参加问卷调查,要求被试自我报告他们的饮酒行为、流动时间、流动城市数量以及抑郁和满意度状况,并根据他们所从事的13种职业的性质将之归类为“低危”和“高危”两类,以考察环境和个体因素与流动人口饮酒行为的关系。结果表明:(1)在过去1个月中,27%的流动人口曾醉过酒,男性流动人口的醉酒率是女性的2倍(35%vs.16%)。但流动人口的饮酒行为不存在显著的年龄、教育水平和婚姻状况的差异;(2)相关分析表明,高危职业流动人口的饮酒行为显著地高于低危职业的流动人口。同时,与没有醉过酒的流动人口相比,曾醉酒者的抑郁情绪更多,生活和工作满意度更低;(3)Amos结果表明,环境和个体因素相互作用影响流动人口的饮酒行为。流动性通过满意度以及抑郁情绪间接地影响流动人口的饮酒行为,职业性质对饮酒行为产生直接的影响,同时,职业性质又通过生活满意度和抑郁情绪间接地作用于流动人口的饮酒行为。     

小鼠新颖寻求特质对酒精的运动激活效应的影响

新颖寻求(或感觉寻求)特质与许多成瘾药物的易感性密切相关。例如, 高、低新颖寻求动物对可卡因、苯丙胺和吗啡等成瘾药物的奖赏、运动激活、强化效应的反应存在差异。长期饮用酒精也容易成瘾, 但尚未发现关于新颖寻求特质影响酒精成瘾的报道。本实验采用药物成瘾研究中常用的自发活动模型, 考察了高、低新颖寻求动物在酒精急性处理、慢性处理和激发过程中的行为表现。实验过程中首先采用两种新颖寻求模型, 即新颖环境中自发活动模型和新颖客体偏爱模型, 将昆明小鼠分别区分为高、低自发活动组和高、低新颖客体偏爱组, 连续10天给予酒精(2g/kg/d, i.p.)或等量盐水处理, 戒断2天后所有小鼠接受酒精(2g/kg)激发。实验结果表明, 新颖环境低自发活动小鼠比新颖环境高自发活动小鼠对酒精急性、慢性处理导致的运动激活效应更敏感; 在酒精激发期前者的自发活动水平也高于后者。本实验结果说明新颖环境中自发活动特质影响动物对酒精导致的运动激活效应的反应。     

Effects of cocaine and alcohol, alone and in combination, on human learning and performance.

The acute effects of cocaine hydrochloride (4 to 96 mg/70 kg) and alcohol (0 to 1.0 g/kg), administered alone and in combination, were assessed in two experiments with human volunteers responding under a multiple schedule of repeated acquisition and performance of response chains. Subjects were intermittent users of cocaine and regular drinkers who were not cocaine or alcohol dependent. Alcohol was mixed with orange juice and ingested in six drinks within 30 min; cocaine was administered intranasally 45 min after completion of drinking. In each component of the multiple schedule, subjects completed response sequences using three keys of a numeric keypad. In the acquisition component, a new sequence was learned each session. In the performance component, the response sequence always remained the same. Results were consistent in both experiments, despite variations in the order in which the drugs were tested alone and in combination. Alcohol administered alone increased overall percentage of errors and decreased rates of responding in the acquisition component, whereas responding in the performance component generally was unaffected. Cocaine administered alone decreased rates of responding but did not affect accuracy of responding in the acquisition component, and enhanced accuracy of responding without affecting rates of responding in the performance component. The combined doses of cocaine and alcohol attenuated the effects observed with alcohol and cocaine alone. These results suggest that, under the conditions investigated in this study, (a) alcohol produces greater behavioral disruption than cocaine or cocaine-alcohol combinations, (b) cocaine and alcohol each attenuate effects of the other, and (c) such attenuation is most pronounced for cocaine attenuating the disruptive effects of alcohol.     

Sober adolescence–Predictor of psychosocial maladjustment in young adulthood?

We have explored how age at first intoxication with alcohol relates to mental health, social integration and adjustment to the adult role. The data stem from a longitudinal representative study of 2000 Norwegians. The sample was assessed at ages 19–22, 21–24 and 25–28. Among females, only early intoxication was related to young adult symptoms of poor mental health. A U-shaped association between intoxication debut and psychological problems was revealed among males, implying that both early and late beginners had more such problems than those who had followed the mainstream. These associations persisted without change over time. However, males who remained abstainers in adulthood were psychologically healthy, but they showed indications of a delayed entry into the adult role. Male late beginners were also somewhat reluctant to adopt adult role-behaviors. Thus, getting drunk for the first time in mid-adolescence seems to be an ingredient in the normal developmental process in young males.     

Alcohol use and stress in women: The role of prior vs. anticipated stressors

The present study investigated stress-related drinking in women. Alcohol consumption in response to stress and in anticipation of a stressor was examined to evaluate women's use of alcohol to cope with stress. Subjects were assigned to one of four conditions in a 2 × 2 factorial design in which order of alcohol consumption and stress task as well as stress level was manipulated. Findings indicate that subjects did not consume alcohol to cope with the effects of either a prior stressor or an upcoming stressor. These results suggest the need for further refinement of notions concerning women's use of alcohol to cope with stress.     

Effects of ethanol on reinforced variations and repetitions by rats under a multiple schedule.

Response sequences emitted by five Long-Evans rats were reinforced under a two-component multiple schedule. In the REPEAT component, food pellets were contingent upon completion of a left-left-right-right (LLRR) sequence on two levers. In the VARY component, pellets were contingent upon variable sequences (i.e., a sequence was reinforced only if it differed from each of the previous five sequences). The rats learned to emit LLRR sequences in the REPEAT component and variable sequences in VARY. Intraperitoneal injections of ethanol (1.25, 1.75, and 2.25 g/kg) significantly increased sequence variability in REPEAT, thereby lowering reinforcement probability, but had little effect on sequence variability in the VARY component. These results extend previous findings that alcohol impairs the performance of reinforced repetitions but not of reinforced variations in response sequences.