Cited by 170Substance Abuse Treatment and OutcomesHeart Rate Variability and Autonomic ControlNeurotransmitter Receptor Influence on Behavior

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Cue-elicited heart rate variability and attentional bias predict alcohol relapse following treatment

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Garland, Eric L., Franken, Ingmar H. A., Howard, Matthew O.·2012·Psychopharmacology

DOI 10.1007/s00213-011-2618-4PMC PMC3346884

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Abstract

Rationale Identification of malleable neurocognitive predictors of relapse among alcohol-dependent individuals is important for the optimization of health care delivery and clinical services. Objectives Given that alcohol cue-reactivity can predict relapse, we evaluated cue-elicited high-frequency heart rate variability (HFHRV) and alcohol attentional bias (AB) as potential relapse risk indices. Method Alcohol-dependent patients in long-term residential treatment who had participated in mindfulness-oriented therapy or an addiction support group completed a spatial cueing task as a measure of alcohol AB and an affect-modulated alcohol cue-reactivity protocol while HFHRV was assessed. Results Post-treatment HFHRV cue-reactivity and alcohol AB significantly predicted the occurrence and timing of relapse by 6-month follow-up, independent of treatment condition and after controlling for alcohol dependence severity. Alcohol-dependent patients who relapsed exhibited a significantly greater HFHRV reactivity to stress-primed alcohol cues than patients who did not relapse. Conclusions Cue-elicited HFHRV and alcohol AB can presage relapse and may therefore hold promise as prognostic indicators in clinical settings.

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Authors: Garland, E. L., Franken, I. H. A., & Howard, M. O.
Affiliations: Florida State University (US)
Erasmus University Rotterdam (NL)
University of North Carolina at Chapel Hill (US)
Corresponding author: Garland, Eric L.
ORCID: Garland, Eric L.
Franken, Ingmar H. A.
Howard, Matthew O.
Venue: Psychopharmacology
Publisher: Springer Science and Business Media LLC
Published: 2011-12-28
Volume: 222
Issue: 1
Pages: 17-26
ISSN: 0033-3158 (ISSN-L)
1432-2072
DOI: 10.1007/s00213-011-2618-4
PMC: PMC3346884
OpenAlex: W2107603646
Cited by: 170
References: 70
Citations by year: 2026: 7 · 2025: 9 · 2024: 5 · 2023: 8 · 2022: 9 · 2021: 9 · 2020: 18 · 2019: 20 · 2018: 19 · 2017: 10 · 2016: 12 · 2015: 16 · 2014: 9 · 2013: 13 · 2012: 6
FWCI: 6.75
Type: journal article
Language: en
Open access: green
europepmc.org
Licence: www.springer.com/tdm (tdm)
Locations: Psychopharmacology (publishedVersion)
PubMed (publishedVersion)
EUR Research Repository (Erasmus University Rotterdam) (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
EUR Research Repository (Erasmus University Rotterdam) (submittedVersion)
Funders: National Institute on Drug Abuse (R03DA032517)
National Center for Complementary and Integrative Health (T32AT003378)
Topics: Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
Keywords: alcohol relapse, alcoholism, heart rate variability, attentional bias, alcohol cue reactivity, relapse risk prediction, addiction support groups, residential treatment, prognostic factors
MeSH terms: Adult, Alcoholism, Attention, Cues, Female, Follow-Up Studies, Heart Rate, Humans, Male, Recurrence, Self-Help Groups, Severity of Illness Index, Cognitive Behavioral Therapy, Treatment Outcome

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Cue-elicited heart rate variability and attentional bias predict alcohol relapse following treatment

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