The theory of preloading: A cognitive-behavioural motivational model.

IF 4 2区 社会学 Q1 SUBSTANCE ABUSE Harm Reduction Journal Pub Date : 2024-12-21 DOI:10.1186/s12954-024-01122-7
Jacob G Sorbello, Grant J Devilly
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Abstract

Preloading of alcohol and/or drugs before an event has been examined in the research literature for the past two decades. Despite the considerable interest and scrutiny on the behaviour, there are limited, if any, attempts to conceptualise a theoretical understanding of why people preload before an event. Here we propose a Theory of Preloading (TOP)-a general cognitive-behavioural motivational model for alcohol and drug preloading. This conceptualisation reviewed and borrowed relevant cognitive, motivational and behavioural constructs from previous models-i.e., the Motivational Model of Alcohol Use, (Cox & Klinger, 2011), PRIME theory (West, 2007); SORCK analysis (Kanfer & Sanslow, 1965)-applied to the target behaviour of preloading with alcohol and/or drugs. The TOP proposed that a central construct of affective management-guided by distal and cognitive factors-contributes to decisional factors for preloading. Consequential reinforcers and punishers create a reinforcement loop that feeds back into distal and immediate environmental factors for preloading, increasing the likelihood of future occurrences of preloading behaviours. Our proposed theoretical formulation concludes with practical and clinical implications, along with future directions for testing the model.

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预负荷理论:一个认知-行为动机模型。
在过去的二十年中,研究文献对事件发生前的酒精和/或药物预负荷进行了研究。尽管人们对这种行为有着相当大的兴趣和仔细的研究,但对人们为什么会在活动前预加载的理论理解的概念化尝试(如果有的话)是有限的。在这里,我们提出了一种预负荷理论(TOP)-酒精和药物预负荷的一般认知行为动机模型。这一概念化回顾并借鉴了之前模型中相关的认知、动机和行为结构。,酒精使用的动机模型(Cox & Klinger, 2011), PRIME理论(West, 2007);SORCK分析(Kanfer & Sanslow, 1965)——适用于预加载酒精和/或药物的目标行为。TOP提出,情感管理的中心结构——由远端因素和认知因素引导——有助于预加载的决策因素。相应的强化和惩罚创造了一个强化循环,反馈到远端和直接的预加载环境因素,增加了未来发生预加载行为的可能性。我们提出的理论公式总结了实际和临床意义,以及未来测试模型的方向。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Harm Reduction Journal
Harm Reduction Journal Medicine-Public Health, Environmental and Occupational Health
CiteScore
5.90
自引率
9.10%
发文量
126
审稿时长
26 weeks
期刊介绍: Harm Reduction Journal is an Open Access, peer-reviewed, online journal whose focus is on the prevalent patterns of psychoactive drug use, the public policies meant to control them, and the search for effective methods of reducing the adverse medical, public health, and social consequences associated with both drugs and drug policies. We define "harm reduction" as "policies and programs which aim to reduce the health, social, and economic costs of legal and illegal psychoactive drug use without necessarily reducing drug consumption". We are especially interested in studies of the evolving patterns of drug use around the world, their implications for the spread of HIV/AIDS and other blood-borne pathogens.
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