Cited by 123Substance Abuse Treatment and OutcomesAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesBehavioral Health and Interventions

Cognitive Bias Modification Training During Inpatient Alcohol Detoxification Reduces Early Relapse: A Randomized Controlled Trial

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Manning, Victoria, Staiger, Petra K., Hall, Kate, Garfield, Joshua B.B., Flaks, Gabriella, Leung, Daniel, Hughes, Laura K., Lum, Jarrad A. G. +2 more·2016·Alcoholism: Clinical and Experimental Research

Abstract

Background Relapse is common in alcohol-dependent individuals and can be triggered by alcohol-related cues in the environment. It has been suggested that these individuals develop cognitive biases, in which cues automatically capture attention and elicit an approach action tendency that promotes alcohol seeking. The study aim was to examine whether cognitive bias modification (CBM) training targeting approach bias could be delivered during residential alcohol detoxification and improve treatment outcomes. Methods Using a 2-group parallel-block (ratio 1:1) randomized controlled trial with allocation concealed to the outcome assessor, 83 alcohol-dependent inpatients received either 4 sessions of CBM training where participants were implicitly trained to make avoidance movements in response to pictures of alcoholic beverages and approach movements in response to pictures of nonalcoholic beverages, or 4 sessions of sham training (controls) delivered over 4 consecutive days during the 7-day detoxification program. The primary outcome measure was continuous abstinence at 2 weeks postdischarge. Secondary outcomes included time to relapse, frequency and quantity of alcohol consumption, and craving. Outcomes were assessed in a telephonic follow-up interview. Results Seventy-one (85%) participants were successfully followed up, of whom 61 completed all 4 training sessions. With an intention-to-treat approach, there was a trend for higher abstinence rates in the CBM group relative to co…

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Authors
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.
Affiliations
  • Eastern Health (AU)
  • Deakin University (AU)
  • Turning Point Eastern Health Fitzroy Victoria Australia
Corresponding author
Manning, Victoria
Venue
Alcoholism: Clinical and Experimental Research
Publisher
Wiley
Published
2016-08-04
Volume
40
Issue
9
Pages
2011-2019
ISSN
  • 0145-6008 (ISSN-L)
  • 1530-0277
OpenAlex
W2494992247
Cited by
123
References
36
Citations by year
2026: 9 · 2025: 4 · 2024: 10 · 2023: 13 · 2022: 13 · 2021: 17 · 2020: 14 · 2019: 20 · 2018: 13 · 2017: 6 · 2016: 4
FWCI
13.44
Type
journal article
Language
en
Open access
Locations
  • Alcoholism Clinical and Experimental Research (publishedVersion)
  • PubMed (publishedVersion)
  • Figshare (submittedVersion, cc-by)
Funders
Deakin University
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 › Psychology › Applied Psychology › Behavioral Health and Interventions
Keywords
cognitive bias modification, approach bias, alcohol relapse, alcoholism, alcohol detoxification, inpatient care, alcohol craving, abstinence, alcohol cues, adjunctive therapy
MeSH terms
Adult, Alcoholism, Cognition, Cues, Female, Follow-Up Studies, Humans, Inpatients, Male, Middle Aged, Photic Stimulation, Prejudice, Psychomotor Performance, Recurrence, Cognitive Behavioral Therapy, Substance Abuse Treatment Centers

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