The effectiveness of cognitive bias modification in reducing substance use in detained juveniles: An RCT
Open accessAbstract
BACKGROUND AND OBJECTIVE: Young offenders show high levels of substance use. Treatment programs within detention settings are less effective. Cognitive bias modification (CBM) is a promising supplement to substance use treatment. This study tests the effectiveness of CBM in young offenders to reduce cannabis and alcohol use, and delinquent recidivism. METHOD: A randomized controlled trial added CBM to treatment as usual (TAU), among 181 youth in juvenile detention centers. In a factorial design, participants were randomly assigned to either active- or sham-training for two varieties of CBM, targeting attentional-bias (AtB) and approach-bias (ApB) for their most used substance. Substance use was measured with the Alcohol and Cannabis Use Disorder Identification Tests. Delinquent recidivism was measured with the International Self-Report Delinquency (ISRD) survey. RESULTS: At pretest, participants showed AtB but no ApB for both substances. For alcohol, a decrease was found in AtB in the active-training group. For cannabis, a decrease was found in AtB for both active- and sham-training groups. Regardless of condition, no effects were found on substance use or ISRD scores at follow-up. LIMITATIONS: The sample is judicial, not clinical, as is the setting. TAU and participant goals are not necessarily substance related. CONCLUSIONS: Young offenders show a significant attentional-bias towards substance cues. CBM changed attentional-biases but not substance use. Combining CBM with a motivational intervention is advised. Follow-up research should better integrate CBM with running treatment programs. New developments regarding CBM task design could be used that link training better to treatment.
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TGT is an effective option compared with conventional substance use treatments for young people in both the short and long term, reducing psychoactive substance use, improving quality of life and maintaining improvements during follow-up.
“The effects of TGT have been compared with other traditional therapies, such as CBT or group therapy, and have shown that TGT is an effective option compared with conventional substance use treatments for young people in both the short and long term, reducing psychoactive substance use, improving quality of life and maintaining improvements during follow-up [1,28,29,30,31,32].”
From Third-Generation Therapies for the Management of Psychoactive Substance Use in Young People: Scoping Review (2024) · cites this paper as [30]
Cites
Faul, F., Erdfelder, E., Lang, A.-G., & Buchner, A. (2007) · Behavior Research Methods · doi:10.3758/bf03193146 · Cited by 65,971 · see citing works
SAUNDERS, J. B., AASLAND, O. G., BABOR, T. F., DE LA FUENTE, J. R., & GRANT, M. (1993) · Addiction · doi:10.1111/j.1360-0443.1993.tb02093.x · Cited by 13,482 · see citing works
High self-control predicts good adjustment, less pathology, better grades, and interpersonal success
Tangney, J. P., Baumeister, R. F., & Boone, A. L. (2004) · Journal of Personality · doi:10.1111/j.0022-3506.2004.00263.x · Cited by 6,557 · see citing works
Cohen, J. (1992) · Current Directions in Psychological Science · doi:10.1111/1467-8721.ep10768783 · Cited by 5,870 · see citing works
The Cognitive Reflection Test as a predictor of performance on heuristics-and-biases tasks
Toplak, M. E., West, R. F., & Stanovich, K. E. (2011) · Memory & Cognition · doi:10.3758/s13421-011-0104-1 · Cited by 1,047 · see citing works
Adamson, S. J., KAY‐LAMBKIN, F. J., Baker, A., Lewin, T. J., Thornton, L. K., Kelly, B. J., & Sellman, J. D. (2010) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2010.02.017 · Cited by 973 · see citing works
Lipsey, M. W. (2009) · Victims & Offenders · doi:10.1080/15564880802612573 · Cited by 962 · see citing works
Wiers, R. W., Eberl, C., Rinck, M., Becker, E. S., & Lindenmeyer, J. (2011) · Psychological Science · doi:10.1177/0956797611400615 · Cited by 912 · see citing works
Self-citationWiers, R. W., Gladwin, T. E., Hofmann, W., Salemink, E., & Ridderinkhof, K. R. (2013) · Clinical Psychological Science · doi:10.1177/2167702612466547 · Cited by 486 · see citing works
Handbook of Implicit Cognition and Addiction
Wiers, R., & Stacy, A. (2006) · doi:10.4135/9781412976237 · Cited by 474 · see citing works
Attentional Bias for Threatening Facial Expressions in Anxiety: Manipulation of Stimulus Duration
Bradley, B. P., Mogg, K., Falla, S. J., & Hamilton, L. R. (1998) · Cognition & Emotion · doi:10.1080/026999398379411 · Cited by 455 · see citing works
Eberl, C., Wiers, R. W. H. J., Pawelczack, S., Rinck, M., Becker, E. S., & Lindenmeyer, J. (2012) · Developmental Cognitive Neuroscience · doi:10.1016/j.dcn.2012.11.002 · Cited by 421 · see citing works
Relatively strong automatic appetitive action‐tendencies in male carriers of the OPRM1 G‐allele
Wiers, R. W., Rinck, M., Dictus, M., & Van Den Wildenberg, E. (2009) · Genes, Brain and Behavior · doi:10.1111/j.1601-183x.2008.00454.x · Cited by 377 · see citing works
Self-citationClinical effectiveness of attentional bias modification training in abstinent alcoholic patients
Schoenmakers, T. M., de Bruin, M., Lux, I. F. M., Goertz, A. G., Van Kerkhof, D. H. A. T., & Wiers, R. W. (2010) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2009.11.022 · Cited by 373 · see citing works
Self-citationAdolescent Alcohol Use: Risks and Consequences
Marshall, E. J. (2014) · Alcohol and Alcoholism · doi:10.1093/alcalc/agt180 · Cited by 346 · see citing works
Implicit cognition and substance use: a meta-analysis
Rooke, S. E., Hine, D. W., & Thorsteinsson, E. B. (2008) · Addictive Behaviors · doi:10.1016/j.addbeh.2008.06.009 · Cited by 278 · see citing works
The EQUIP Program: Teaching youth to think and act responsibly through a peer helping approach
Gibbs, J. C., Potter, G. B., & Goldstein, A. P. (1998) · PsycEXTRA Dataset · doi:10.1037/e552692012-085 · Cited by 265 · see citing works
The clinical relevance of attentional bias in substance use disorders
Field, M., Marhe, R., & Franken, I. H. A. (2013) · CNS Spectrums · doi:10.1017/s1092852913000321 · Cited by 191 · see citing works
Enzmann, D., Marshall, I. H., Killias, M., et al. (2010) · European Journal of Criminology · doi:10.1177/1477370809358018 · Cited by 175 · see citing works
Psychiatric Disorders in a Representative Sample of Incarcerated Boys in The Netherlands
Vreugdenhil, C., DORELEIJERS, T. A. H., Vermeiren, R. R. J. M., Wouters, L. F., & van den Brink, W. (2004) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-200401000-00019 · Cited by 153 · see citing works
Alcohol Cognitive Bias Modification training for problem drinkers over the web
Wiers, R. W., Houben, K., Fadardi, J. S., van Beek, P., Rhemtulla, M., & Cox, W. M. (2015) · Addictive Behaviors · doi:10.1016/j.addbeh.2014.08.010 · Cited by 148 · see citing works
Self-citationBoffo, M., Zerhouni, O., Gronau, Q. F., van Beek, R. J. J., Nikolaou, K., Marsman, M., & Wiers, R. W. (2019) · Neuropsychology Review · doi:10.1007/s11065-018-9386-4 · Cited by 146 · see citing works
Self-citationWorking memory and intelligence
Colom, R., Flores-Mendoza, C. E., & Rebollo, I. (2003) · Personality and Individual Differences · doi:10.1016/s0191-8869(02)00023-5 · Cited by 138 · see citing works
Peeters, M., Wiers, R. W., Monshouwer, K., van de Schoot, R., Janssen, T., & Vollebergh, W. A. M. (2012) · Addiction · doi:10.1111/j.1360-0443.2012.03948.x · Cited by 136 · see citing works
Health consequences of illegal drug use
Chen, C.-Y., & Lin, K.-M. (2009) · Current Opinion in Psychiatry · doi:10.1097/yco.0b013e32832a2349 · Cited by 136 · see citing works
Manning, V., Staiger, P. K., Hall, K., Garfield, J. B. B., Flaks, G., Leung, D., Hughes, L. K., Lum, J. A. G., Lubman, D. I., & Verdejo‐Garcia, A. (2016) · Alcoholism: Clinical and Experimental Research · doi:10.1111/acer.13163 · Cited by 123 · see citing works
Gudjonsson, G. H., Sigurðsson, J. F., Sigfúsdóttir, I. D., & Young, S. (2011) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.2011.02489.x · Cited by 118 · see citing works
Wiers, R. W., Boffo, M., & Field, M. (2018) · Journal of Studies on Alcohol and Drugs · doi:10.15288/jsad.2018.79.333 · Cited by 115 · see citing works
Self-citationImpulsivity in Juvenile Delinquency: Differences Among Early-Onset, Late-Onset, and Non-Offenders
Carroll, A., Hemingway, F., Bower, J., ASHMAN, A. F., Houghton, S. J., & Durkin, K. (2006) · Journal of Youth and Adolescence · doi:10.1007/s10964-006-9053-6 · Cited by 110 · see citing works
Manning, V., Garfield, J. B. B., Staiger, P. K., Lubman, D. I., Lum, J. A. G., Reynolds, J., Hall, K., Bonomo, Y. A., Lloyd‐Jones, M., Wiers, R. W. H. J., et al. (2020) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2020.3446 · Cited by 109 · see citing works
‘It's No Time or High Time’: Young Offenders' Experiences of Time and Drug Use in Prison
Cope, N. (2003) · The Howard Journal of Criminal Justice · doi:10.1111/1468-2311.t01-1-00273 · Cited by 99 · see citing works
Dessel, P. V., Hughes, S., & Houwer, J. D. (2018) · Personality and Social Psychology Review · doi:10.1177/1088868318795730 · Cited by 98 · see citing works
Substance Use and Delinquent Behavior Among Serious Adolescent Offenders
Mulvey, E. P., Schubert, C. A., & Chassin, L. (2010) · PsycEXTRA Dataset · doi:10.1037/e506942011-001 · Cited by 94 · see citing works
French, M. T., Popovici, I., & Tapsell, L. (2008) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2007.12.008 · Cited by 85 · see citing works
Field, M., Caren, R., Fernie, G., & Houwer, J. D. (2011) · Psychology of Addictive Behaviors · doi:10.1037/a0023285 · Cited by 80 · see citing works
Instruction-Based Approach-Avoidance Effects
Dessel, P. V., Houwer, J. D., Gast, A., & Smith, C. T. (2014) · Experimental Psychology (formerly Zeitschrift für Experimentelle Psychologie) · doi:10.1027/1618-3169/a000282 · Cited by 75 · see citing works
The reliability and validity of the self-ordered pointing task
ROSS, T., HANOUSKOVA, E., Giarla, K., CALHOUN, E., & Tucker, M. (2007) · Archives of Clinical Neuropsychology · doi:10.1016/j.acn.2007.01.023 · Cited by 75 · see citing works
Adolescent Substance Use and Aggression
Doran, N., Luczak, S. E., Bekman, N. M., Koutsenok, I., & Brown, S. A. (2012) · Criminal Justice and Behavior · doi:10.1177/0093854812437022 · Cited by 66 · see citing works
Lindgren, K. P., Wiers, R. W. H. J., Teachman, B. A., Gasser, M. L., Westgate, E. C., Cousijn, J., Enkema, M. C., & Neighbors, C. (2015) · PLoS ONE · doi:10.1371/journal.pone.0134642 · Cited by 65 · see citing works
Wiers, R. W. H. J., Dessel, P. V., & Köpetz, C. (2020) · Current Directions in Psychological Science · doi:10.1177/0963721420949500 · Cited by 65 · see citing works
Substance use treatment outcomes in a sample of male serious juvenile offenders
Chassin, L., Knight, G. P., Chanes, D. V., Losoya, S. H., & Naranjo, D. M. (2008) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2008.06.001 · Cited by 56 · see citing works
Kinner, S. A., Degenhardt, L. J., Coffey, C., Sawyer, S. M., Hearps, S. J. C., & Patton, G. C. (2013) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2013.10.003 · Cited by 51 · see citing works
van Hemel-Ruiter, M. E., Wiers, R. W. H. J., Brook, F. G., & de Jong, P. J. (2015) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2015.12.005 · Cited by 51 · see citing works
When ignorance is bliss: explicit instruction and the efficacy of CBM-A for anxiety
Grafton, B., Mackintosh, B., Vujic, T., & MacLeod, C. (2014) · Cognitive Therapy and Research · doi:10.1007/s10608-013-9579-3 · Cited by 46 · see citing works
Some Common Misperceptions About P Values
Palesch, Y. Y. (2014) · Stroke · doi:10.1161/strokeaha.114.006138 · Cited by 43 · see citing works
Implicit Cognition and Dissocative Experiences as Predictors of Adolescent Substance Use
Ames, S. L., Sussman, S., Dent, C. W., & Stacy, A. W. (2005) · The American Journal of Drug and Alcohol Abuse · doi:10.1081/ada-47908 · Cited by 43 · see citing works
Psychopathology and offense types in detained male juveniles
Plattner, B., Giger, J., Bachmann, F., Brühwiler, K., Steiner, H., Steinhausen, H., Bessler, C., & Aebi, M. (2012) · Psychiatry Research · doi:10.1016/j.psychres.2012.02.006 · Cited by 41 · see citing works
Young, S., Misch, P., Collins, P., & Gudjonsson, G. H. (2011) · Journal of Forensic Psychiatry and Psychology · doi:10.1080/14789949.2010.495991 · Cited by 40 · see citing works
Salemink, E., Rinck, M., Becker, E. S., Wiers, R. W. H. J., & Lindenmeyer, J. (2021) · Psychology of Addictive Behaviors · doi:10.1037/adb0000642 · Cited by 35 · see citing works
Substance use and the prediction of young offender recidivism
Putnin̦š, A. L. (2003) · Drug and Alcohol Review · doi:10.1080/09595230310001613912 · Cited by 33 · see citing works
Manning, V., Garfield, J. B. B., Reynolds, J., Staiger, P. K., Piercy, H., Bonomo, Y., Lloyd‐Jones, M., Jacka, D., Wiers, R. W., Verdejo‐Garcia, A., et al. (2022) · Addiction · doi:10.1111/add.15989 · Cited by 33 · see citing works
Arseneault, L., Moffitt, T. E., Caspi, A., & Taylor, A. (2002) · Criminal Behaviour and Mental Health · doi:10.1002/cbm.493 · Cited by 30 · see citing works
Dessel, P. V., Houwer, J. D., Gast, A., et al. (2020) · Journal of Personality and Social Psychology · doi:10.1037/pspa0000189 · Cited by 25 · see citing works
Pulling for pleasure? Erotic approach-bias associated with porn use, not problems
Kahveci, S., Bockstaele, B. V., Jens Blechert, A., & Wiers, R. W. H. J. (2020) · Learning and Motivation · doi:10.1016/j.lmot.2020.101656 · Cited by 22 · see citing works
Willem, L., Vasey, M. W., Beckers, T., Claes, L., & Bijttebier, P. (2013) · Personality and Individual Differences · doi:10.1016/j.paid.2013.01.015 · Cited by 16 · see citing works
Ogunwale, A., Ogunlesi, A. O., & Akinhanmi, A. O. (2012) · International Journal of Forensic Mental Health · doi:10.1080/14999013.2012.688090 · Cited by 8 · see citing works
Correctional Treatment Programmes for Young Offenders in Europe: A Survey of Routine Practice
Koehler, J., Hamilton, L., & Lösel, F. A. (2013) · European Journal on Criminal Policy and Research · doi:10.1007/s10610-013-9206-6 · Cited by 7 · see citing works
Where is the bias?: Measuring and retraining cognitive biases in problem drinkers
van Deursen, D. S. (2019) · UvA-DARE (University of Amsterdam) · Cited by 2 · see citing works
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Sequeda, G., Acosta-López, J. E., Diaz-Camargo, E., Torres-Santos, E.-A., López-Ramírez, V., & Rivera-Porras, D. (2024) · Behavioral Sciences · doi:10.3390/bs14121192 · Cited by 7 · see citing works
- Authors
- van der Baan, H. S., Collot D'Escury-Koenigs, D. A. L., & Wiers, D. R. W.
- Venue
- Journal of Behavior Therapy and Experimental Psychiatry
- Publisher
- Elsevier BV
- Published
- 2024-03
- Volume
- 82
- Pages
- 101916
- ISSN
- 0005-7916 (ISSN-L)
- OpenAlex
- W4387373568
- Cited by
- 3
- References
- 58
- Citations by year
- 2026: 1 · 2024: 2
- FWCI
- 0.60
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Journal of Behavior Therapy and Experimental Psychiatry (publishedVersion, cc-by)
- PubMed (publishedVersion)
- UvA-DARE (University of Amsterdam) (submittedVersion, cc-by)
- Utrecht University Repository (Utrecht University) (submittedVersion, other-oa)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Sociology and Political Science › Crime Patterns and Interventions
- Keywords
- cognitive bias modification, substance use, juvenile offenders, juvenile detention, attentional bias, approach bias, cannabis use, alcohol consumption, motivational interventions, addiction treatment
- MeSH terms
- Adolescent, Ethanol, Cognition, Cues, Humans, Cognitive Behavioral Therapy, Bias, Substance-Related Disorders
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