Internet-based attentional bias modification training as add-on to regular treatment in alcohol and cannabis dependent outpatients

Autor: Brian D. Ostafin, Laura DeFuentes-Merillas, Wiebren Markus, Reinout W. Wiers, Janika Heitmann, Madelon E. van Hemel-Ruiter, Martine Fledderus, Peter J. de Jong, Colin MacLeod, Karin M. Vermeulen
Přispěvatelé: Clinical Psychology and Experimental Psychopathology, Value, Affordability and Sustainability (VALUE), Ontwikkelingspsychologie (Psychologie, FMG)
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Male
DISORDER
Marijuana Abuse
SUBSTANCE
medicine.medical_treatment
Psychological intervention
Craving
Attentional bias
law.invention
Attentional Bias
Study Protocol
0302 clinical medicine
Randomized controlled trial
Behavior Therapy
law
lcsh:Psychiatry
ADOLESCENTS
Ambulatory Care
Secondary Prevention
030212 general & internal medicine
Netherlands
media_common
biology
Combined Modality Therapy
Alcoholism
Psychiatry and Mental health
Female
CIGARETTE SMOKERS
Cues
HEAVY
medicine.symptom
Psychology
ADDICTIVE BEHAVIORS
Clinical psychology
Adult
Attentional bias modification
medicine.medical_specialty
lcsh:RC435-571
media_common.quotation_subject
Addiction
EXPERIMENTAL MANIPULATION
03 medical and health sciences
Intervention (counseling)
medicine
Humans
PROBLEM DRINKERS
Psychiatry
Internet
Cognitive Behavioral Therapy
EXPLICIT
biology.organism_classification
Therapy
Computer-Assisted

Cognitive therapy
COGNITION
eHealth
Cannabis
030217 neurology & neurosurgery
Zdroj: BMC Psychiatry, 17(193):193. BMC
BMC Psychiatry, 17:193. BioMed Central
BMC Psychiatry
BMC Psychiatry, Vol 17, Iss 1, Pp 1-13 (2017)
ISSN: 1471-244X
DOI: 10.1186/s12888-017-1359-2
Popis: Background The automatic tendency to attend to and focus on substance-related cues in the environment (attentional bias), has been found to contribute to the persistence of addiction. Attentional bias modification (ABM) interventions might, therefore, contribute to treatment outcome and the reduction of relapse rates. Based on some promising research findings, we designed a study to test the clinical relevance of ABM as an add-on component of regular intervention for alcohol and cannabis patients. Design/Methods The current protocol describes a study which will investigate the effectiveness and cost-effectiveness of a newly developed home-delivered, multi-session, internet-based ABM (iABM) intervention as an add-on to treatment as usual (TAU). TAU consists of cognitive behavioural therapy-based treatment according to the Dutch guidelines for the treatment of addiction. Participants (N = 213) will be outpatients from specialized addiction care institutions diagnosed with alcohol or cannabis dependency who will be randomly assigned to one of three conditions: TAU + iABM; TAU + placebo condition; TAU-only. Primary outcome measures are substance use, craving, and rates of relapse. Changes in attentional bias will be measured to investigate whether changes in primary outcome measures can be attributed to the modification of attentional bias. Indices of cost-effectiveness and secondary physical and psychological complaints (depression, anxiety, and stress) are assessed as secondary outcome measures. Discussion This randomized control trial will be the first to investigate whether a home-delivered, multi-session iABM intervention is (cost-) effective in reducing relapse rates in alcohol and cannabis dependency as an add-on to TAU, compared with an active and a waiting list control group. If proven effective, this ABM intervention could be easily implemented as a home-delivered component of current TAU. Trial registration Netherlands Trial Register, NTR5497 , registered on 18th September 2015.
Databáze: OpenAIRE