Effectiveness of attentional bias modification training as add-on to regular treatment in alcohol and cannabis use disorder: A multicenter randomized control trial.

<h4>Background</h4>Attentional bias for substance-relevant cues has been found to contribute to the persistence of addiction. Attentional bias modification (ABM) interventions might, therefore, increase positive treatment outcome and reduce relapse rates. The current study investigated t...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Janika Heitmann, Madelon E van Hemel-Ruiter, Mark Huisman, Brian D Ostafin, Reinout W Wiers, Colin MacLeod, Laura DeFuentes-Merillas, Martine Fledderus, Wiebren Markus, Peter J de Jong
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/ea5674b5ccc644c5a7d8c7437f34f378
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:ea5674b5ccc644c5a7d8c7437f34f378
record_format	dspace
spelling	oai:doaj.org-article:ea5674b5ccc644c5a7d8c7437f34f3782021-12-02T20:07:19ZEffectiveness of attentional bias modification training as add-on to regular treatment in alcohol and cannabis use disorder: A multicenter randomized control trial.1932-620310.1371/journal.pone.0252494https://doaj.org/article/ea5674b5ccc644c5a7d8c7437f34f3782021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0252494https://doaj.org/toc/1932-6203<h4>Background</h4>Attentional bias for substance-relevant cues has been found to contribute to the persistence of addiction. Attentional bias modification (ABM) interventions might, therefore, increase positive treatment outcome and reduce relapse rates. The current study investigated the effectiveness of a newly developed home-delivered, multi-session, internet-based ABM intervention, the Bouncing Image Training Task (BITT), as an add-on to treatment as usual (TAU).<h4>Methods</h4>Participants (N = 169), diagnosed with alcohol or cannabis use disorder, were randomly assigned to one of two conditions: the experimental ABM group (50%; TAU+ABM); or the control group (50%; split in two subgroups the TAU+placebo group and TAU-only group, 25% each). Participants completed baseline, post-test, and 6 and 12 months follow-up measures of substance use and craving allowing to assess long-term treatment success and relapse rates. In addition, attentional bias (both engagement and disengagement), as well as secondary physical and psychological complaints (depression, anxiety, and stress) were assessed.<h4>Results</h4>No significant differences were found between conditions with regard to substance use, craving, relapse rates, attentional bias, or physical and psychological complaints.<h4>Conclusions</h4>The findings may reflect unsuccessful modification of attentional bias, the BITT not targeting the relevant process (engagement vs. disengagement bias), or may relate to the diverse treatment goals of the current sample (i.e., moderation or abstinence). The current findings provide no support for the efficacy of this ABM approach as an add-on to TAU in alcohol or cannabis use disorder. Future studies need to delineate the role of engagement and disengagement bias in the persistence of addiction, and the role of treatment goal in the effectiveness of ABM interventions.Janika HeitmannMadelon E van Hemel-RuiterMark HuismanBrian D OstafinReinout W WiersColin MacLeodLaura DeFuentes-MerillasMartine FledderusWiebren MarkusPeter J de JongPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 6, p e0252494 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Janika Heitmann Madelon E van Hemel-Ruiter Mark Huisman Brian D Ostafin Reinout W Wiers Colin MacLeod Laura DeFuentes-Merillas Martine Fledderus Wiebren Markus Peter J de Jong Effectiveness of attentional bias modification training as add-on to regular treatment in alcohol and cannabis use disorder: A multicenter randomized control trial.
description	<h4>Background</h4>Attentional bias for substance-relevant cues has been found to contribute to the persistence of addiction. Attentional bias modification (ABM) interventions might, therefore, increase positive treatment outcome and reduce relapse rates. The current study investigated the effectiveness of a newly developed home-delivered, multi-session, internet-based ABM intervention, the Bouncing Image Training Task (BITT), as an add-on to treatment as usual (TAU).<h4>Methods</h4>Participants (N = 169), diagnosed with alcohol or cannabis use disorder, were randomly assigned to one of two conditions: the experimental ABM group (50%; TAU+ABM); or the control group (50%; split in two subgroups the TAU+placebo group and TAU-only group, 25% each). Participants completed baseline, post-test, and 6 and 12 months follow-up measures of substance use and craving allowing to assess long-term treatment success and relapse rates. In addition, attentional bias (both engagement and disengagement), as well as secondary physical and psychological complaints (depression, anxiety, and stress) were assessed.<h4>Results</h4>No significant differences were found between conditions with regard to substance use, craving, relapse rates, attentional bias, or physical and psychological complaints.<h4>Conclusions</h4>The findings may reflect unsuccessful modification of attentional bias, the BITT not targeting the relevant process (engagement vs. disengagement bias), or may relate to the diverse treatment goals of the current sample (i.e., moderation or abstinence). The current findings provide no support for the efficacy of this ABM approach as an add-on to TAU in alcohol or cannabis use disorder. Future studies need to delineate the role of engagement and disengagement bias in the persistence of addiction, and the role of treatment goal in the effectiveness of ABM interventions.
format	article
author	Janika Heitmann Madelon E van Hemel-Ruiter Mark Huisman Brian D Ostafin Reinout W Wiers Colin MacLeod Laura DeFuentes-Merillas Martine Fledderus Wiebren Markus Peter J de Jong
author_facet	Janika Heitmann Madelon E van Hemel-Ruiter Mark Huisman Brian D Ostafin Reinout W Wiers Colin MacLeod Laura DeFuentes-Merillas Martine Fledderus Wiebren Markus Peter J de Jong
author_sort	Janika Heitmann
title	Effectiveness of attentional bias modification training as add-on to regular treatment in alcohol and cannabis use disorder: A multicenter randomized control trial.
title_short	Effectiveness of attentional bias modification training as add-on to regular treatment in alcohol and cannabis use disorder: A multicenter randomized control trial.
title_full	Effectiveness of attentional bias modification training as add-on to regular treatment in alcohol and cannabis use disorder: A multicenter randomized control trial.
title_fullStr	Effectiveness of attentional bias modification training as add-on to regular treatment in alcohol and cannabis use disorder: A multicenter randomized control trial.
title_full_unstemmed	Effectiveness of attentional bias modification training as add-on to regular treatment in alcohol and cannabis use disorder: A multicenter randomized control trial.
title_sort	effectiveness of attentional bias modification training as add-on to regular treatment in alcohol and cannabis use disorder: a multicenter randomized control trial.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/ea5674b5ccc644c5a7d8c7437f34f378
work_keys_str_mv	AT janikaheitmann effectivenessofattentionalbiasmodificationtrainingasaddontoregulartreatmentinalcoholandcannabisusedisorderamulticenterrandomizedcontroltrial AT madelonevanhemelruiter effectivenessofattentionalbiasmodificationtrainingasaddontoregulartreatmentinalcoholandcannabisusedisorderamulticenterrandomizedcontroltrial AT markhuisman effectivenessofattentionalbiasmodificationtrainingasaddontoregulartreatmentinalcoholandcannabisusedisorderamulticenterrandomizedcontroltrial AT briandostafin effectivenessofattentionalbiasmodificationtrainingasaddontoregulartreatmentinalcoholandcannabisusedisorderamulticenterrandomizedcontroltrial AT reinoutwwiers effectivenessofattentionalbiasmodificationtrainingasaddontoregulartreatmentinalcoholandcannabisusedisorderamulticenterrandomizedcontroltrial AT colinmacleod effectivenessofattentionalbiasmodificationtrainingasaddontoregulartreatmentinalcoholandcannabisusedisorderamulticenterrandomizedcontroltrial AT lauradefuentesmerillas effectivenessofattentionalbiasmodificationtrainingasaddontoregulartreatmentinalcoholandcannabisusedisorderamulticenterrandomizedcontroltrial AT martinefledderus effectivenessofattentionalbiasmodificationtrainingasaddontoregulartreatmentinalcoholandcannabisusedisorderamulticenterrandomizedcontroltrial AT wiebrenmarkus effectivenessofattentionalbiasmodificationtrainingasaddontoregulartreatmentinalcoholandcannabisusedisorderamulticenterrandomizedcontroltrial AT peterjdejong effectivenessofattentionalbiasmodificationtrainingasaddontoregulartreatmentinalcoholandcannabisusedisorderamulticenterrandomizedcontroltrial
_version_	1718375336075329536

Effectiveness of attentional bias modification training as add-on to regular treatment in alcohol and cannabis use disorder: A multicenter randomized control trial.

Ejemplares similares