Social Pressure-Induced Craving in Patients with Alcohol Dependence: Application of Virtual Reality to Coping Skill Training
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Objective: This study was conducted to assess the interaction between alcohol cues and social pressure in the induction of alcohol craving. Methods: Fourteen male patients with alcohol dependence and 14 age-matched social drinkers completed a virtual reality coping skill training program composed of four blocks according to the presence of alcohol cues (×2) and social pressure (×2). Before and after each block, the craving levels were measured using a visual analogue scale. Results: Patients with alcohol dependence reported extremely high levels of craving immediately upon exposure to a virtual environment with alcohol cues, regardless of social pressure. In contrast, the craving levels of social drinkers were influenced by social pressure from virtual avatars. Conclusion: Our findings imply that an alcohol cue-laden environment should interfere with the ability to use coping skills against social pressure in real-life situations.
Abstract
Objective: This study was conducted to assess the interaction between alcohol cues and social pressure in the induction of alcohol craving. Methods: Fourteen male patients with alcohol dependence and 14 age-matched social drinkers completed a virtual reality coping skill training program composed of four blocks according to the presence of alcohol cues (×2) and social pressure (×2). Before and after each block, the craving levels were measured using a visual analogue scale. Results: Patients with alcohol dependence reported extremely high levels of craving immediately upon exposure to a virtual environment with alcohol cues, regardless of social pressure. In contrast, the craving levels of social drinkers were influenced by social pressure from virtual avatars. Conclusion: Our findings imply that an alcohol cue-laden environment should interfere with the ability to use coping skills against social pressure in real-life situations.
참고문헌 (23)
- Marlatt GA, "Taxonomy of high-risk situations for alcohol relapse: evolution and development of a cognitive-behavioral model", Addiction, 91, pp.S37~S49 (1996)
- Zywiak WH, "Relapse-onset factors in Project MATCH: the Relapse Questionnaire", J Subst Abuse Treat, 31, pp.341~345 (2006)
- Larimer ME, "Relapse prevention. An overview of Marlatt’s cognitive-behavioral model", Alcohol Res Health, 23, pp.151~160 (1999)
- Monti PM, "Coping and social skills training. In: Handbook of Alcoholism treatment Approaches: Effective Alternaitves" (1995), Allyn and Bacon
- Abrams DB, "Social learning theory. In: Psychological Theories of Drinking and Alcoholism" (1987), Guilford Press
- Monti PM, "Rohsenow DJ. Coping-skills training and cue-exposure therapy in the treatment of alcoholism", Alcohol Res Health, 23, pp.107~115 (1999)
- Niaura R, "Does ‘unlearning’ ever really occur: comment on Conklin & Tiffany", Addiction, 97, pp.357~ (2002)
- Cho S, "Development and verification of an alcohol craving-induction tool using virtual reality: craving characteristics in social pressure situation", Cyberpsychol Behav, 11, pp.302~309 (2008)
- Bordnick PS, "Assessing reactivity to virtual reality alcohol based cues", Addict Behav, 33, pp.743~756 (2008)
- Ku J, "Pilot study for assessing the behaviors of patients with schizophrenia towards a virtual avatar", Cyberpsychol Behav, 9, pp.531~539 (2006)
- First MB, "Structured clinical interview for DSM-IV axis I disorders" (1996), New York State Psychiatric Institute Biometric Research
- Gunther LM, "Conducting exposure treatment in multiple contexts can prevent relapse", Behav Res Ther, 36, pp.75~91 (1998)
- Chelonis JJ, "Schachtman TR. Attenuation of renewal effect by extinction in multiple contexts", Learn Motiv, 30, pp.1~14 (1999)
- Kuntze MF, "Immersive virtual environments in cue exposure", Cyberpsychol Behav, 4, pp.497~501 (2001)
- Lee JH, "Cue-exposure therapy to decrease alcohol craving in virtual environment", Cyberpsychol Behav, 10, pp.617~623 (2007)
- Sayette MA, "The measurement of drug craving", Addiction, 95(2), pp.S189~S210 (2000)
- Payne TJ, "Reactivity to alcohol-relevant beverage and imaginal cues in alcoholics", Addict Behav, 17, pp.209~217 (1992)
- Streeter CC, "Videotaped cue for urge to drink alcohol", Alcohol Clin Exp Res, 26, pp.627~634 (2002)
- Fox HC, "Stress-induced and alcohol cue-induced craving in recently abstinent alcohol-dependent individuals", Alcohol Clin Exp Res, 31, pp.395~403 (2007)
- Conklin CA, "Applying extinction research and theory to cue-exposure addiction treatments", Addiction, 97, pp.155~167 (2002)
- Kivlahan DR, "The Alcohol Dependence Scale: a validation study among inpatient alcoholics", J Stud Alcohol, 50, pp.170~175 (1989)
- Anton RF, "The Obsessive Compulsive Drinking Scale: a self-rated instrument for the quantification of thoughts about alcohol and drinking behavior", Alcohol Clin Exp Res, 19, pp.92~99 (1995)
- DiClemente CC, "The Alcohol Abstinence Self-Efficacy scale", J Stud Alcohol, 55, pp.141~148 (1994)