Changes in Drug-Related Implicit Associations during Substance Use Disorder Treatment: The Role of the Therapeutic Context.

Autor: Gómez-Bujedo J; Department of Clinical and Experimental Psychology, Facultad de Educación, Psicología y Ciencias del Deporte, University of Huelva, Huelva, Spain, EU.; Research Center for Natural Resources, Health and the Environment, University of Huelva, Spain., Lorca-Marín JA; Department of Clinical and Experimental Psychology, Facultad de Educación, Psicología y Ciencias del Deporte, University of Huelva, Huelva, Spain, EU.; Research Center for Natural Resources, Health and the Environment, University of Huelva, Spain., Pérez-Moreno PJ; Department of Clinical and Experimental Psychology, Facultad de Educación, Psicología y Ciencias del Deporte, University of Huelva, Huelva, Spain, EU.; Research Center for Natural Resources, Health and the Environment, University of Huelva, Spain., Díaz Batanero C; Department of Clinical and Experimental Psychology, Facultad de Educación, Psicología y Ciencias del Deporte, University of Huelva, Huelva, Spain, EU.; Research Center for Natural Resources, Health and the Environment, University of Huelva, Spain., Fernández-Calderón F; Department of Clinical and Experimental Psychology, Facultad de Educación, Psicología y Ciencias del Deporte, University of Huelva, Huelva, Spain, EU.; Research Center for Natural Resources, Health and the Environment, University of Huelva, Spain., Moraleda-Barreno E; Department of Clinical and Experimental Psychology, Facultad de Educación, Psicología y Ciencias del Deporte, University of Huelva, Huelva, Spain, EU.; Research Center for Natural Resources, Health and the Environment, University of Huelva, Spain.
Jazyk: angličtina
Zdroj: Substance use & misuse [Subst Use Misuse] 2022; Vol. 57 (2), pp. 185-192. Date of Electronic Publication: 2021 Nov 05.
DOI: 10.1080/10826084.2021.1995755
Abstrakt: Background: Implicit cognition has been linked to relapse in substance use disorder (SUD). Studies on attentional bias have found different outcomes related to the therapeutic context, finding an association with relapse in inpatients but not in outpatients. There are no similar studies that use associations in semantic memory as a measure of implicit cognition.
Objectives: (i) to analyze the relationship between a measure of associations in semantic memory and relapse in inpatients and outpatients; (ii) to compare the evolution of these associations between inpatients and outpatients after 3 months of treatment.
Methods: Eighty nine outpatients and 94 inpatients with SUD for cocaine and alcohol participated in this study. We employed a longitudinal design with a baseline evaluation and follow-up after three months, using the Word Association Task for Drug Use Disorder (WAT-DUD).
Results: The choice of drug-related words predicted relapse in cocaine (odds ratio = 1.97, z  = 2.01, p = .045) and alcohol-cocaine (odds ratio = 2.39, z  = 2.55, p = .011) use. Follow-up at 3 months revealed a reduction in the choice of drug-related words in inpatients ( Z  = 2.031, p = .042).
Conclusions: A greater choice of drug-associated words in the presence of ambiguous images was related to relapse in inpatients but not in outpatients. The inpatients group showed a reduction in the semantic association with drugs during the first three months of treatment.
Databáze: MEDLINE
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