Cognitive training and remediation interventions for substance use disorders: a Delphi consensus study.
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 consen...
| Publicado en: | Addiction Vol. 118; no. 5; pp. 935 - 952 |
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| Autores principales: | , , , , , , , , , , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
May2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=162841687&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 162841687 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09652140 AIO jtl: Addiction issn: 09652140 maglogo: Y pubinfo: dt: May2023 vid: 118 iid: 5 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 162841687 161025200 162841687 162841687 10.1111/add.16109 162841687 ppf: 935 ppct: 17 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Cognitive training and remediation interventions for substance use disorders: a Delphi consensus study. aug: au: 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 affil: School of Psychological Sciences and Turner Institute for Brain and Mental Health, Monash University, Clayton VIC,, Australia sug: subj: Cognitive Therapy Methods Cognitive Remediation Methods Substance Use Disorders Human Funding Source Delphi Technique Consensus Surveys Neurosciences Emotions Executive Function ab: 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, Setting and Participants: We used a Delphi approach with two sequential phases: survey development and iterative surveying of experts. This was an on‐line study. 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 work‐force 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. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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