Affiliation:
1. Medizinische Hochschule Brandenburg Theodor Fontane Neuruppin Germany
2. Salus Clinic Lindow Lindow Germany
3. Behavioural Science Institute Radboud University Nijmegen The Netherlands
4. Addiction Development and Psychopathology (ADAPT) Lab, Department of Psychology, Centre for Urban Mental Health University of Amsterdam Amsterdam The Netherlands
5. Consumption and Healthy Lifestyles, Department of Social Sciences Wageningen University and Research Wageningen The Netherlands
Abstract
AbstractBackgroundAlcohol‐dependent individuals tend to selectively approach alcohol cues in the environment, demonstrating an alcohol approach bias. Because approach bias modification (ApBM) training can reduce the approach bias and decrease relapse rates in alcohol‐dependent patients when added to abstinence‐focused treatment, it has become a part of regular treatment. Moreover, in selective inhibition (SI) training, responses to one category of stimuli (i.e., alcohol stimuli) are selectively inhibited in an adapted Go/No‐Go task. SI‐Training has been found to effectively devalue the inhibited category and to reduce consumption of alcohol among social drinkers. This study investigated whether SI‐Training can further improve the effects of treatment as usual that includes ApBM, and if so, whether the effect is mediated by a devaluation of the inhibited alcohol stimuli.MethodsAbstinent alcohol‐dependent inpatients (N=434) were randomly assigned to receive 6 sessions of either active (n = 214, 32% female) or sham (n = 220, 38% female) SI‐Training, in addition to standard treatment that includes active ApBM. Ratings were used to assess changes in the evaluation of alcohol stimuli after the training. Relapse rates were assessed 3 and 12 months after treatment discharge.ResultsAlcohol stimuli were rated negatively before and after the training, and the training did not influence these ratings. Evaluation of nonalcoholic drinks became more positive after active SI‐Training. Both ApBM and SI‐Training showed the expected training effects on reaction times. Contrary to expectations, SI‐Training conditions did not yield different abstinence rates 3 or 12 months after treatment.ConclusionsWe found no evidence supporting the hypothesis that SI‐Training amplifies the relapse‐preventing effect of ApBM. Moreover, alcohol stimuli were rated negatively before and after treatment and were not influenced by SI‐Training.
Cited by
4 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献