Verdejo-Garcia, Antonio; Rezapour, Tara; Giddens, Emily; Khojasteh Zonoozi, Arash; Rafei, Parnian; Berry, Jamie; Caracuel, Alfonso; Copersino, Marc L; Field, Matt; Garland, Eric L; Lorenzetti, Valentina; Malloy-Diniz, Leandro; Manning, Victoria; Marceau, Ely M; Pennington, David L; Strickland, Justin C; Wiers, Reinout; Fairhead, Rahia; Anderson, Alexandra; Bell, Morris; ... (2023). Cognitive training and remediation interventions for substance use disorders: A Delphi consensus study. Addiction, 118(5), pp. 935-951. Wiley-Blackwell 10.1111/add.16109
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Addiction_-_2022_-_Verdejo_Garcia_-_Cognitive_training_and_remediation_interventions_for_substance_use_disorders_a_Delphi.pdf - Published Version Available under License Creative Commons: Attribution-Noncommercial (CC-BY-NC). Download (2MB) | Preview |
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Addiction_-_2022_-_Verdejo_Garcia_-_Cognitive_training_and_remediation_interventions_for_substance_use_disorders_A_Delphi.pdf - Accepted Version Available under License Creative Commons: Attribution-Noncommercial (CC-BY-NC). Download (1MB) | Preview |
BACKGROUND AND AIMS
Substance use disorders (SUD) are associated with cognitive deficits that are not always addressed in current treatments, and this hampers recovery. Cognitive training and remediation interventions are well suited to fill the gap for managing cognitive deficits in SUD. We aimed to reach consensus on recommendations for developing and applying these interventions.
DESIGN
Delphi approach with two sequential phases: survey development and iterative surveying of experts.
SETTING
Online study.
PARTICIPANTS
During survey development, we engaged a group of 15 experts from a working group of the International Society of Addiction Medicine (Steering Committee). During the surveying process, we engaged a larger pool of experts (n=54) identified via recommendations from the Steering Committee and a systematic review.
MEASUREMENTS
Survey with 67 items covering four key areas of intervention development: targets, intervention approaches, active ingredients, and modes of delivery.
FINDINGS
Across two iterative rounds (98% retention rate), the experts reached a consensus on 50 items including: (i) implicit biases, positive affect, arousal, executive functions, and social processing as key targets of interventions; (ii) cognitive bias modification, contingency management, emotion regulation training, and cognitive remediation as preferred approaches; (iii) practice, feedback, difficulty-titration, bias-modification, goal setting, strategy learning, and meta-awareness as active ingredients; and (iv) both addiction treatment workforce and specialized neuropsychologists facilitating delivery, together with novel digital-based delivery modalities.
CONCLUSIONS
Expert recommendations on cognitive training and remediation for substance use disorders highlight the relevance of targeting implicit biases, reward, emotion regulation, and higher-order cognitive skills via well-validated intervention approaches qualified with mechanistic techniques and flexible delivery options.
Item Type: |
Journal Article (Original Article) |
|---|---|
Division/Institute: |
04 Faculty of Medicine > University Psychiatric Services > University Hospital of Psychiatry and Psychotherapy > Translational Research Center 07 Faculty of Human Sciences > Institute of Psychology > Clinical Psychology and Psychotherapy |
UniBE Contributor: |
Stein, Maria |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
0965-2140 |
Publisher: |
Wiley-Blackwell |
Language: |
English |
Submitter: |
Pubmed Import |
Date Deposited: |
13 Dec 2022 14:46 |
Last Modified: |
04 Apr 2023 00:13 |
Publisher DOI: |
10.1111/add.16109 |
PubMed ID: |
36508168 |
BORIS DOI: |
10.48350/175759 |
URI: |
https://boris.unibe.ch/id/eprint/175759 |
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