Alcohol attentional bias as a predictor of alcohol abusers’ treatment outcome
Abstract
Alcohol abusers' and non-abusers' attentional distraction for alcohol-related, concern-related, and neutral stimuli was assessed with the emotional Stroop paradigm. Alcohol abusers (n=14) were tested on admission to inpatient treatment and immediately before discharge, 4 weeks later; non-abusers (n=16) were also tested twice, with a 4-week intervening interval. Alcohol abusers were assessed for alcohol use 3 months after discharge. Unlike control participants and alcohol abusers whose treatment was successful, alcohol abusers whose treatment was unsuccessful (who relapsed or did not maintain post-discharge outpatient contact) had a significant increase in attentional distraction for alcohol stimuli during the 4 weeks of inpatient treatment. Compared to control participants and alcohol abusers who completed the 4 weeks of treatment, those who did not complete treatment (n=9) were highly distracted by concern-related stimuli at treatment admission. The results have implications for understanding the cognitive and motivational processes underlying successful treatment for alcohol abuse.
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Greater attentional bias to drug-related cues can predict rates of relapse after treatment for numerous drugs, including for nicotine and alcohol.
“In fact, greater attentional bias to drug-related cues is not only greater in individuals suffering from substance use, but can actually predict rates of relapse after treatment for numerous drugs, including for nicotine (Jane Powell, Dawkins, West, Powell, & Pickering, 2010; Waters et al., 2003) and alcohol (W. M. Cox, Hogan, Kristian, & Race, 2002; W. M. Cox, Pothos, & Hosier, 2007), suggesting”
From Cued for Risk: Evidence for an Incentive Sensitization Framework to Explain the Interplay between Stress and Anxiety, Substance Abuse, and Reward Uncertainty in Disordered Gambling Behavior (2019) · cites this paper as W. M. Cox, Hogan, Kristian, & Race, 2002
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- Authors
- Cox, W. M., Hogan, L. M., Kristian, M. R., & Race, J. H.
- Affiliations
- Bangor University (GB)
- Corresponding author
- Cox, W.Miles
- Venue
- Drug and Alcohol Dependence
- Publisher
- Elsevier BV
- Published
- 2002-12
- Volume
- 68
- Issue
- 3
- Pages
- 237-243
- ISSN
- 0376-8716 (ISSN-L)
- OpenAlex
- W1974662806
- Cited by
- 340
- References
- 20
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 4 · 2023: 7 · 2022: 10 · 2021: 14 · 2020: 13 · 2019: 17 · 2018: 14 · 2017: 10 · 2016: 21 · 2015: 13 · 2014: 28 · 2013: 26 · 2012: 22
- FWCI
- 5.31
- 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 › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
- Keywords
- alcohol abuse, treatment outcomes, inpatient alcohol treatment, attentional distraction, alcohol-related stimuli, relapse, treatment completion
- MeSH terms
- Adult, Alcoholism, Attention, Female, Follow-Up Studies, Hospitalization, Humans, Male, Prospective Studies, Psychiatric Status Rating Scales, Surveys and Questionnaires, Reaction Time
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