Cognitive Remediation for Impulsivity in Addictive Disorders: Review of Current Evidence and Future Directions

Abstract

Abstract Purpose of Review Impulsivity is a core feature underpinning addictive disorders linked to difficulties achieving and sustaining treatment goals. Cognitive remediation is a promising adjunct intervention approach to improve impulse control in addictive disorders, although evidence is still preliminary. This review summarizes available evidence and discusses opportunities to enhance the development and delivery of future interventions. Recent Findings We identified six studies that delivered cognitive remediation and assessed state impulsivity in substance use disorders. There was substantial heterogeneity in the intervention ingredients and delivery approaches. We identified key opportunities to enhance future cognitive remediation studies, including (1) co-designing interventions, (2) incorporating specific impulsivity training strategies, (3) increasing opportunities to practice skills, (4) supporting skill transfer to everyday settings, and (5) demonstrating clinician compassion. Summary Researchers should work alongside frontline clinicians and clients with addictive disorders to enhance the potential benefit of cognitive remediation interventions prior to high-quality trials.