ISSN 1671-3710
CN 11-4766/R
主办:中国科学院心理研究所
出版:科学出版社

心理科学进展 ›› 2016, Vol. 24 ›› Issue (2): 159-172.doi: 10.3724/SP.J.1042.2016.00159

• 研究构想 •    下一篇

冲动性对不同成瘾行为发展的调控及其神经机制

严万森1,2;张冉冉1;刘苏姣1   

  1. (1贵州医科大学医学人文学院; 2贵州省健康发展研究中心, 贵阳 550004)
  • 收稿日期:2015-08-20 出版日期:2016-02-15 发布日期:2016-02-15
  • 通讯作者: 严万森, Email: yanwansen@163.com
  • 基金资助:

    国家自然科学基金(31560284)、教育部人文社会科学研究青年基金项目(14YJC190022)、贵州省科学技术基金项目(黔科合J字[2014]2022号)、贵州省高校优秀科技创新人才支持计划(黔教合KY字[2015]485)、贵州省教育厅高等学校人文社会科学项目(JD2013083)、贵阳医学院博士基金项目(YJ2014-6)部分资助。

The neural mechanisms of impulsivity implicated in drug addiction and non-drug addiction

YAN Wansen1,2; ZHANG Ranran1; LIU Sujiao1   

  1. (1 College of Medical humanities, Guizhou Medical University; 2 Guizhou Health Development Research Center, Guiyang 550004, China)
  • Received:2015-08-20 Online:2016-02-15 Published:2016-02-15
  • Contact: YAN Wansen, Email: yanwansen@163.com

摘要:

近年来越来越多的研究证据提示, 个体冲动性在成瘾疾患发生发展机制中具有关键作用, 可能成为成瘾行为的潜在易感标记以及早期识别和干预的重要靶点, 但冲动性对不同成瘾行为变化发展的调控机制尚不明确。项目拟综合跨成瘾谱系比较、纵向追踪设计、冲动行为干预等研究途径, 采用人格测量、神经认知、神经影像等技术, 首先比较尼古丁依赖者与网络游戏成瘾者的冲动性结构及其在前额叶–纹状体环路的结构功能改变; 然后采用混合分组设计筛选出具有高低冲动性的非成瘾青少年进行连续追踪研究, 考察冲动性对尼古丁依赖与网络游戏成瘾的预测效力; 并采用认知行为训练, 对吸烟成瘾者与网络游戏成瘾者进行冲动干预, 考察行为干预对冲动性水平及前额叶–纹状体环路功能的改变, 以及对不同成瘾行为发展的抑制后效。旨在探索冲动性作为成瘾的潜在易感标记及干预靶点的效力。

关键词: 成瘾疾患, 冲动性, 抑制控制, 尼古丁依赖, 网络游戏成瘾

Abstract:

Mounting evidence has demonstrated that impulsivity could be a potential biomarker that plays a crucial role in the development of addictive behaviors, thus impulsivity is considered a possible treatment target for early intervention of addiction. Nevertheless, it remains unclear how the mechanisms underlying the trajectories of impulsivity are involved in drug addiction and non-drug addiction. This project aims to identify the neural mechanisms of impulsivity in both nicotine dependence and internet gaming disorder by combining a direct comparison of drug and non-drug addictive behaviors with longitudinal studies and a cognitive-behavioral intervention study, using neurocognitive tasks and neuroimaging techniques. Firstly, nicotine-dependent individuals and internet gaming addicts would be tested on a series of behavioral tasks of impulsivity as well as in fronto-striatal brain systems using both structured and functional magnetic resonance imaging (fMRI) with a 3T Philips Trio MRI. Then we will move on to investigate the predictive role of impulsivity for nicotine dependence and internet gaming disorder through a 2 to 3 year follow-up study with a large sample of non-addicted adolescents consisting of two groups with either high- or low- levels of impulsivity. Thirdly, a study of 6 to 12 month cognitive behavioral intervention would be conducted on nicotine-dependent individuals and internet gaming addicts to explore the possible effects of reducing impulsivity level on the exacerbation of addictive behaviors. And this study will also evaluate the effects of continuous behavioral training on brain functions in fronto-striatal brain systems through fMRI tests. Totally, these studies should be helpful for shedding light on the possible efficacy of impulsivity as a potential biomarker and treatment target for addictive disorders.

Key words: addiction, impulsivity, inhibitory control, nicotine dependence, internet gaming disorder