物质成瘾者决策障碍：行为表现、原因探究及其干预
Drug Addicts’ Decision Making Deficits: Behavioral Performance, Underlying Reasons and Interventions
DOI: 10.12677/AP.2014.46110, PDF, HTML, 下载: 2,661  浏览: 10,547 
作者: 刘 洋, 宋洪文, 寇 娟, 邹枝玲：西南大学心理学部，重庆
关键词: 物质滥用；决策障碍；原因探究；干预方法；Drug Addiction； Decision Making Deficits； Underlying Reasons； Intervention Methods
摘要: 物质成瘾在我国已经成为一个严峻的社会问题。在一定程度上成瘾被归结为决策障碍(decision deficits)。具体表现为成瘾者以长期的身体、心理和社会功能损失为代价去寻求即时享乐；不能根据之前决策的结果灵活调整策略等。本文总结了国内外有关成瘾者决策缺陷的研究。主要包括物质成瘾者决策障碍的一般表现，原因探究和相关的干预方法。对于我们深入了解成瘾者决策障碍提供了理论和实践指导。
Abstract: Drug addiction has become an urgent issue in our society. To some extent, the emergency of addic-tion is attributed to an individual’s decision making deficits. Specifically speaking, the drug abusers would prefer to choose the option that brings immediate profit at the expense of long-term lose in terms of physical, psychological and social functions. Besides, they could not learn from their former choice and insisted on the sub-optimal decisions. Through reviewing relative articles, we summa-rized the drug addicts’ decision making performance, the underlying reasons, and then provided some interventions, which could shed light on the research of addiction theoretically and practically.
文章引用：刘洋, 宋洪文, 寇娟, 邹枝玲 (2014). 物质成瘾者决策障碍：行为表现、原因探究及其干预. 心理学进展, 4(6), 849-856. http://dx.doi.org/10.12677/AP.2014.46110

参考文献

[1] 邱迎伟, 江桂华, 苏欢欢, 马晓芬, 李黎明, 田军章, 张雪林(2013). 海洛因成瘾患者眶额叶皮层功能连接异常与决策能力缺失的关系. 南方医科大学学报, 33期, 1117-1121.
[2] 严万森, 李纾, 隋南(2011). 成瘾人群的决策障碍: 研究范式与神经机制. 心理科学进展, 5期, 652-663.
[3] 王烜, 何洁, 张萌(2013). 海洛因成瘾者经过短期到长期的戒除后仍存在决策能力损伤. 第十六届中国心理学学术会议.
[4] Alfonso, J. P., Caracuel, A., Delgado-Pastor, L. C., & Verdejo-García, A. (2011). Combined goal management training and mindfulness meditation improve executive functions and decision-making performance in abstinent polysubstance abusers. Drug and Alcohol Dependence, 117, 78-81.
[5] Anderson, A. L., Reid, M. S., Li, S. H., Holmes, T., Shemanski, L., Slee, A., & Elkashef, A. M. (2009). Modafinil for the treatment of cocaine dependence. Drug and Alcohol Dependence, 104, 133-139.
[6] Bechara, A., Dolan, S., Denburg, N., Hindes, A., Anderson, S. W., & Nathan, P. E. (2001). Decision-making deficits, linked to a dysfunctional ventromedial prefrontal cortex, revealed in alcohol and stimulant abusers. Neuropsychologia, 39, 376- 389.
[7] Bechara, A., & Martin, E. M. (2004). Impaired decision making related to working memory deficits in individuals with substance addictions. Neuropsychology, 18, 152.
[8] Clark, L., Bechara, A., Damasio, H., Aitken, M. R. F., Sahakian, B. J., & Robbins, T. W. (2008). Differential effects of insular and ventromedial prefrontal cortex lesions on risky decision-making. Brain, 131, 1311-1322.
[9] Clark, L., & Robbins, T. W. (2002). Decision-making deficits in drug addiction. Trends in Cognitive Sciences, 6, 361-363.
[10] Dom, G., Sabbe, B. G. C. C., Hulstijn, W., & Van Den Brink, W. (2005). Substance use disorders and the orbitofrontal cortex systematic review of behavioural decision-making and neuroimaging studies. The British Journal of Psychiatry, 187, 209-220.
[11] Ersche, K. D., & Sahakian, B. J. (2007). The neuropsychology of amphetamine and opiate dependence: Implications for treatment. Neuropsychology Review, 17, 317-336.
[12] Fishbein, D. H., Eldreth, D. L., Hyde, C., Matochik, J. A., London, E. D., Contoreggi, C., & Grant, S. (2005). Risky decision making and the anterior cingulate cortex in abstinent drug abusers and nonusers. Cognitive Brain Research, 23, 119-136.
[13] Grant, S., Contoreggi, C., & London, E. D. (2000). Drug abusers show impaired performance in a laboratory test of decision making. Neuropsychologia, 38, 1180-1187.
[14] Gottdiener, W. H., Murawski, P., & Kucharski, L. T. (2008). Using the delay discounting task to test for failures in ego control in substance abusers. Psychoanalytic Psychology, 25, 533-549.
[15] Kirby, K. N., & Petry, N. M. (2004). Heroin and cocaine abusers have higher discount rates for delayed rewards than alcoholics or non-drug-using controls. Addiction, 99, 461-471.
[16] Koob, G. F., & Le Moal, M. (2005). Plasticity of reward neurocircuitry and the “dark side” of drug addiction. Nature Neuroscience, 8, 1442-1444.
[17] Lemenager, T., Richter, A., Reinhard, I., Gelbke, J., Beckmann, B., Heinrich, M., & Hermann, D. (2011). Impaired decision making in opiate addiction correlates with anxiety and self-directedness but not substance use parameters. Journal of Addiction Medicine, 5, 203-213.
[18] Leshner, A. I. (1997). Addiction is a brain disease, and it matters. Science, 278, 45-47.
[19] Li, X., Zhang, F., Zhou, Y., Zhang, M., Wang, X., & Shen, M. (2013). Decision-making deficits are still present in heroin abusers after short-to long-term abstinence. Drug and Alcohol Dependence, 130, 61-67.
[20] Madden, G. J., Bickel, W. K., & Jacobs, E. A. (1999). Discounting of delayed rewards in opioid-dependent outpatients: Exponential or hyperbolic discounting functions? Experimental and Clinical Psychopharmacology, 7, 284-293.
[21] Mazur, J. E., & Vaughan, W. (1987). Molar optimization versus delayed reinforcement as explanations of choice between fixed-ratio and progressive-ratio schedules. Journal of the Experimental Analysis of Behavior, 48, 251-261.
[22] Mischel, W., Shoda, Y., & Rodriguez, M. I. (1989). Delay of gratification in children. Science, 244, 933-938.
[23] Paulus, M. P., Feinstein, J. S., Simmons, A., & Stein, M. B. (2004). Anterior cingulate activation in high trait anxious subjects is related to altered error processing during decision making. Biological Psychiatry, 55, 1179-1187.
[24] Patterson, J. C., Holland, J., & Middleton, R. (2006). Neuropsychological performance, impulsivity, and comorbid psychiatric illness in patients with pathological gambling undergoing treatment at the CORE Inpatient Treatment Center. Southern Medical Journal, 99, 36-43.
[25] Robbins, T. W., Ersche, K. D., & Everitt, B. J. (2008). Drug addiction and the memory systems of the brain. Annals of the New York Academy of Sciences, 1141, 1-21.
[26] Saal, D., Dong, Y., Bonci, A., & Malenka, R. C. (2003). Drugs of abuse and stress trigger a common synaptic adaptation in dopamine neurons. Neuron, 37, 577-582.
[27] Schoenbaum, G., Roesch, M. R., & Stalnaker, T. A. (2006). Orbitofrontal cortex, decision-making and drug addiction. Trends in Neurosciences, 29, 116-124.
[28] Tanabe, J., Thompson, L., Claus, E., Dalwani, M., Hutchison, K., & Banich, M. T. (2007). Prefrontal cortex activity is reduced in gambling and nongambling substance users during decision-making. Human Brain Mapping, 28, 1276-1286.
[29] Vassileva, J., Petkova, P., Georgiev, S., Martin, E. M., Tersiyski, R., Raycheva, M., & Marinov, P. (2007). Impaired decision-making in psychopathic heroin addicts. Drug and Alcohol Dependence, 86, 287-289.
[30] Volkow, N. D., Fowler, J. S., & Wang, G. J. (2003). The addicted human brain: Insights from imaging studies. The Journal of Clinical Investigation, 111, 1444-1451.
[31] Volkow, N. D., Fowler, J. S., & Wang, G. J. (2004). The addicted human brain viewed in the light of imaging studies: Brain circuits and treatment strategies. Neuropharmacology, 47, 3-13.
[32] Xiao, L., Bechara, A., Gong, Q., Huang, X., Li, X., Xue, G., & Johnson, C. A. (2013). Abnormal affective decision making revealed in adolescent binge drinkers using a functional magnetic resonance imaging study. Psychology of Addictive Behaviors, 27, 443-454.
[33] Yücel, M., Yücel, M., & Lubman, D. I. (2007). Neurocognitive and neuroimaging evidence of behavioural dysregulation in human drug addiction: Implications for diagnosis, treatment and prevention. Drug and Alcohol Review, 26, 33-39.