Cognitive Bias Modification Training During Inpatient Alcohol Detoxification Reduces Early Relapse: A Randomized Controlled Trial
Open accessAbstract
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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Several randomized controlled trials provide evidence supporting the efficacy of ApBM when delivered to clinical samples in conjunction with standard treatments.
“several randomized controlled trials (RCT) have provided evidence in support of the efficacy of ApBM when delivered to clinical samples in conjunction with standard treatments (Wiers et al., 2011; Eberl et al., 2013; Manning et al., 2016; Rinck et al., 2018, for reviews see: Kakoschke et al., 2017, Wiers et al., 2018, Batschelet et al., 2020).”
From Acceptability and Co-Development of an Online Cognitive Bias Modification Intervention for Emerging Adults With Hazardous Alcohol Use and Social Anxiety: A Mixed Methods Study (2020) · cites this paper as Manning et al., 2016
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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
- ORCID
- 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
- green
- figshare.com
- 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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