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Combined goal management training and mindfulness meditation improve executive functions and decision-making performance in abstinent polysubstance abusers
Abstract
The clinical relevance of neuropsychological deficits in addicted individuals has fostered interest in treatment strategies aimed to effectively target executive and decision-making dysfunction. One of the best-validated interventions for executive dysfunction is Goal Management Training (GMT) (Robertson et al., 2005), an interactive program aimed at improving participants' organization and ability to achieve goals. Mindfulness-based meditation can complement GMT training in order to improve attentional scanning and "reading" of emotional signals involved in adaptive decision-making. In this pilot study we investigated the efficacy of a 7-week program including GMT+Mindfulness (GMT+MF), as compared to standard treatment alone (STx), for reducing executive and decision-making deficits in an outpatient sample of alcohol and polysubstance abusers. Eighteen participants were enrolled in the GMT+MF group, whereas 16 participants formed the STx group; both groups were matched for relevant demographic and clinical variables, and pre-treatment degree of executive dysfunction. Results showed that the individuals enrolled in GMT+MF significantly improved their performance on neuropsychological measures of working memory (Letter Number Sequencing), response inhibition (Stroop) and decision-making (Iowa Gambling Task) after the treatment; whereas individuals enrolled in STx alone failed to show significant changes. These preliminary results indicate that the GMT+MF intervention may be effective in reducing executive and decision-making deficits in polysubstance abusers, and they support future randomized controlled studies aimed at examining the extent to which these improvements may generalize to every day functioning and may affect the capacity of addicted individuals to achieve and maintain abstinence.
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“For example, Alfonso et al.'s study (22) showed that group therapy based on acceptance and commitment effectively reduced cravings, stress, and anxiety in people with substance use disorder.”
From Effectiveness of Acceptance and Commitment Therapy in Depression and Anxiety in People with Substance Use Disorder (2022) · cites this paper as [22]
In the citing paper
“a small quasi-experimental study of a mindfulness and goal management training intervention for polysubstance use demonstrated significant improvements in executive functioning, including working memory, selective attention/response inhibition and decision-making skills following mindfulness training relative to treatment as usual [35].”
From Mindfulness-based treatment of addiction: current state of the field and envisioning the next wave of research (2018) · cites this paper as [35]
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Metadata
- Authors
- Alfonso, J. P., Caracuel, A., Delgado-Pastor, L. C., & Verdejo-García, A.
- Affiliations
- Universitat de Miguel Hernández d'Elx (ES)
- Universidad de Granada (ES)
- ORCID
- Caracuel, Alfonso
- Venue
- Drug and Alcohol Dependence
- Publisher
- Elsevier BV
- Published
- 2011-08
- Volume
- 117
- Issue
- 1
- Pages
- 78-81
- ISSN
- 0376-8716 (ISSN-L)
- OpenAlex
- W1994935295
- Cited by
- 204
- References
- 27
- Citations by year
- 2026: 4 · 2025: 5 · 2024: 9 · 2023: 13 · 2022: 8 · 2021: 20 · 2020: 14 · 2019: 23 · 2018: 20 · 2017: 18 · 2016: 16 · 2015: 11 · 2014: 16 · 2013: 16 · 2012: 6
- FWCI
- 10.32
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Drug and Alcohol Dependence (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Cognitive Functions and Memory
- Social Sciences › Psychology › Clinical Psychology › Historical and Modern Theater Studies
- Keywords
- goal management training, mindfulness meditation, executive function, decision-making, polysubstance abuse, alcoholism, working memory, response inhibition, Iowa Gambling Task, Stroop task, letter-number sequencing, addiction treatment, abstinence
- MeSH terms
- Adult, Behavior Therapy, Decision Making, Female, Gambling, Humans, Male, Middle Aged, Neuropsychological Tests, Teaching, Temperance, Time Factors, Meditation, Substance-Related Disorders, Executive Function, Standard of Care
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