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

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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., Lubman, Dan I., Verdejo‐Garcia, Antonio·2016·Alcoholism: Clinical and Experimental Research

DOI 10.1111/acer.13163

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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
ORCID: Manning, Victoria
Staiger, Petra K.
Hall, Kate
Garfield, Joshua B.B.
Hughes, Laura K.
Lum, Jarrad A. G.
Lubman, Dan I.
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
DOI: 10.1111/acer.13163
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
Licence: cc-by
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
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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Cognitive Bias Modification Training During Inpatient Alcohol Detoxification Reduces Early Relapse: A Randomized Controlled Trial

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