Emotional Response to affective stimuli in subjects addicted to opiates engaged in controlled use as part of the P.E.P.S.A.
DOI:
https://doi.org/10.20882/adicciones.286Keywords:
emotion, P.E.P.S.A., drug-dependent, I.A.P.S., I.C.E.R.E.Abstract
The main objective of this study was to analyze emotional response to a set of everyday emotional visual stimuli unrelated to drug use. Two groups of prescribed opiate drug abusers (heroin+methadone vs. methadone-only groups) currently participating in the Andalusian Experimental Prescribed Drug Program (“Programa Experimental de Prescripción de eStupefacientes de Andalucía, PEPSA) were studied, and comparisons made between them, within them for different phases, and between them and a normative group of nonusers. For this purpose we used the I.C.E.R.E., an instrument based on the I.A.P.S. (International Affective Picture System) and on Peter Lang’s S.A.M. (Self-Assessment Manikin). The results showed patterns of emotional response in the opiate users, compared to the non-users, characterized by a lower rating of the everyday natural stimuli of a pleasant nature and a greater sensitivity to the stimuli of a neutral and negative nature. These patterns were quite stable even in different clinical situations and stages of development of the P.E.P.S.A.References
Aguilar, F., Pérez, M. y Sánchez, M. B. (2003). Evaluación emocional en drogodependencias. Sevilla: Junta de Andalucía. Consejería de Asuntos Sociales. Comisionadopara las Drogodependencias.
Aguilar, F., Verdejo, A., Peralta, M. I., Sánchez, M. B., y Pérez, M. (2005). Experience of emotions in substance abuser exponed to images containing neutral, positive and negative affective stimuli. Drug and Alcohol Dependence, 30, 89-101.
Bechara, A. (2003). Risky business: Emotion, decisionmaking
and addiction. Journal of Gambling Studies, 19, 23-51.
Bechara, A. y Damasio, H. (2002). Decision-making and
addiction (part I): Impaired activation of somatic states in substance dependent individuals when pondering decisions with negative future consequences. Neuropsychologia, 40, 1675-1689.
Bechara, A., Dolan, S., Denburg, N., Hindes, A., Anderson,S.W. y Nathan, P.E. (2001). Decision-making deficits, linked to a dysfunctional ventromedial prefrontal cortex, revealed in alcohol and stimulant abusers. Neuropsychologia, 39, 376-389.
Bechara, A., Dolan, S. y Hindes, A. (2002). Decisiónmaking
and addiction (part II): Miopia for the future or hypersensitivity to reward?. Neuropsychologia, 40, 1690-1705.
Bie, B. (2005). cAMP-mediated mechanisms for pain sensitization during opioid withdrawal. Journal of Neuroscience: The Official Journal Of The Society For Neuroscience, 25, 3824-3832.
Damasio A. R.,(1996). The somatic marker hypothesis and the possible functions of the prefrontal cortex. Philosophical Transactions of the Royal Society of London. Series B, Biological Sciences, 351, 1413-1420.
Equipo P.E.P.S.A. (2004). Programa experimental de prescripción de estupefacientes en Andalucía (PEPSA). Adicciones, 16, 22-24.
Ersche, K. D., Roiser, J. P., Clark, L., London, M., Robbins, T. W. y Sahakian, B. J. (2005). Punishment induces risky decision-making in methadone-maintained opiatevusers but not in heroin users or healthy volunteers. Neuropsychopharmacology, 30, 2115-2124
Gerra, G., Baldaro, B., Zaimovic, A., Moi, G., Bussandri, M.,
Raggi, M. A. et al (2003). Neuroendocrine responses to experimentally-induced emotions among abstinent opioid-dependent subjects. Drug and Alcohol Dependence, 71, 25-35.
Goldstein R. Z. y Volkow N. D. (2002). Drug addiction and
its underlying neurobiological basis: Neuroimaging evidence for the involvement of the frontal cortex. American Journal of Psychiatry, 159, 1642-1652.
Hodes, R. L., Cook, F. W. y Lang, P. J. (1985). Individual
differences in autonomic response: Conditioned association or conditioned fear? Psychophysiology, 22, 545-560.
Kalivas, P. W. y Volkow, N. D. (2005). The neural basis of
addiction: a pathology of motivation and choice. American Journal of Psychiatry, 162, 1403-1413.
Lang, P. J. (1980). Behavioral treatment and bio-behavioral
assessment: Computer applications. En J. B. Sidowski, J. H. Johnson y T. A. Willians (Eds.), Technology in Mental Healt Care Delivery System (pp. 119-137). Norwood, N.J.: Ablex.
Lang, P. J., Öhman, A. y Vaitl, D. (1988). The International
Affective Picture System (Photografic slides). Gainesville, FL: University of Florida, Center for Research in Phychophisiology.
Marques-Teixeira, J. E. y Barbosa, M. F. S. (2005). Emotional
states and informational brain processing in drug addicts free of drugs: An ERPs study. International Journal of Psychiatry in Clinical Practice, 9, 213-220.
Moltó, J., Montañés, S., Poy, R., Segarra, P., Pastor, M. C., Tormo, M. P. et al. (1999). Un nuevo método para el estudio experimental de las emociones: El International Affective Picture System (I.A.P.S.), adaptación española. Revista de Psicología General y Aplicada, 52, 55-87.
Vila, J., Sánchez, M., Ramírez, I., Fernández, M. C., Cobos,
P., Rodríguez, S., et al. (2001). El Sistema Internacional de Imágenes Afectivas (IAPS): Adaptación española. Segunda parte. Revista de Psicología General y Aplicada, 54, 635-657.
