Cognitive remediation therapy of working memory in addictive disorders: An individualized, tailored, and recovery-oriented approach

Rochat, Lucien; Khazaal, Yasser

doi:10.1080/14737175.2019.1591950

Cited by 11 publications

(8 citation statements)

References 26 publications

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“…However, for most of the interventions reviewed, the training mirrored traditional interventions based on the repetition of exercises that do not resemble daily life activities, which may hinder the transferring and generalisation of the acquired abilities into the natural environment. Thus, digital tools present some distinct characteristics that can serve as a solution to this limitation by allowing the development of exercises and virtual scenarios that involve daily life activities which can potentially increase the generalisation of the outcomes trained (Rochat & Khazaal, 2019; Tuena et al, 2019). For instance, through virtual reality, patients can interact with relevant stimuli in familiar contexts that demand real-world functional behaviours (Lange et al, 2010).…”

Section: Discussionmentioning

confidence: 99%

A systematic review of treatments for alcohol-related cognitive impairment: lessons from the past and gaps for future interventions

et al. 2020

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Alcohol-related cognitive impairment (ARCI) is highly prevalent among patients with alcohol dependence. Although it negatively influences treatment outcome, this condition is underdiagnosed and undertreated. The aim of this systematic review is to investigate the existing evidence regarding both cognitive and pharmacological interventions for ARCI. We systematically reviewed PubMed, Scopus and Science direct databases up to May 2019 and followed the PRISMA guidelines. The quality of the studies was assessed using the Jadad Scale. Twenty-six studies were eligible for inclusion (14 referring to neuropsychological interventions and 12 to pharmacological treatments). Among neuropsychological interventions, computerised treatments, errorless learning and component method showed positive effects on working memory, memory measures and general cognitive function. On the other hand, thiamine, memantine and methylphenidate improved working memory, long-term memory and general cognitive function. Nevertheless, these studies have several limitations, such as small sample size, lack of replication of the results or low specificity of the interventions. Therefore, no gold-standard intervention can yet be recommended for clinical practice, and further research based on promising strategies (e.g. digital interventions, thiamine) is required.

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Section: Discussionmentioning

confidence: 99%

A systematic review of treatments for alcohol-related cognitive impairment: lessons from the past and gaps for future interventions

et al. 2020

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“…To address these issues, new therapeutic avenues have emerged, notably focusing on neurocognitive remediation. 9,10 As cognitive impairments interfere with intervention outcomes and prognosis, [11][12][13][14][15][16][17] preliminary studies have confirmed the benefits of neurocognitive training on treatment outcomes, relapse rate, and quality of life in SAUD. [18][19][20] Neuromodulation techniques have recently arisen as complementary intervention tools, notably to enhance the outcome of cognitive remediation.…”

Section: Introductionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 97%

How Should Transcranial Direct Current Stimulation be Used in Populations With Severe Alcohol Use Disorder? A Clinically Oriented Systematic Review

Bollen¹,

Dormal²,

Maurage³

2021

Clin EEG Neurosci

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Background and rationale. Severe alcohol use disorder (SAUD) is a major public health concern, given its massive individual, interpersonal, and societal consequences. The available prevention and treatment programs have proven limited effectiveness, as relapse rates are still high in this clinical population. Developing effective interventions reducing the appearance and persistence of SAUD thus constitutes an experimental and clinical priority. Among the new therapeutic approaches, there is a growing interest for noninvasive neuromodulation techniques, and particularly for transcranial direct current stimulation (tDCS) as an adjunctive treatment in neuropsychiatric disorders, including SAUD. Methods. We propose a systematic review, based on preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines, evaluating the available evidence on the effectiveness of tDCS to improve clinical interventions in SAUD. Results. We provide an integrative overview of studies applying tDCS in clinical populations with SAUD, together with a standardized methodological quality assessment. We show that the currently available data remain inconsistent. Some data suggested that tDCS can (1) reduce craving, relapse or alcohol-cue reactivity and (2) improve cognitive control and inhibition. However, other studies did not observe any beneficial effect of tDCS in SAUD. Conclusions. Capitalizing on the identified strengths and shortcomings of available results, we present evidence-based clinical guidelines to integrate tDCS in current clinical settings and to combine it with neurocognitive training.

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“…Working memory (WM) impairments, for example, could not only interfere with patient's daily activities (e.g., finding and holding a job) but also impact important clinical variables, such as dropout rates (Rezapour et al, 2016 ). Such impairments can also make it harder for individuals to correctly evaluate high-risk situations, which may then result in greater difficulties preventing relapse or achieving personal goals (Rochat and Khazaal, 2019 ). As such, it is not surprising that neurocognitive impairments have been growingly considered as relevant transdiagnostic targets for SUD treatment (Yücel et al, 2019 ).…”

Section: Introductionmentioning

confidence: 99%

Cognitive Training Effectiveness on Memory, Executive Functioning, and Processing Speed in Individuals With Substance Use Disorders: A Systematic Review

et al. 2021

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Background: Cerebral neuroplasticity is compromised due to substance abuse. There is damage to neuronal areas that are involved in memory and executive functioning. Treatments with worse outcomes are often associated with cognitive deficits that have resulted from substance dependence. However, there is evidence that cognitive training can lead to improvements in cognitive functions and can be useful when treating addictions. This systematic review aims to synthesize evidence on the effectiveness of cognitive training in memory, executive functioning, and processing speed in individuals with substance use disorder (SUD).Methods: The Joanna Briggs Institute's PICO strategy was used to develop this systematic literature review. Four databases were searched (PubMed, the Cochrane Library, Web of Science, and PsycINFO) to identify controlled randomized clinical studies and quasi-experimental studies, in English, Portuguese, and Spanish, from 1985 to 2019. The literature found was examined by two independent reviewers, who assessed the quality of studies that met the inclusion criteria. The Cochrane risk-of-bias tool for the randomized controlled trials and the ROBINS-I tool for non-randomized studies were used to assess the risk of bias. In data extraction, the Cochrane Handbook for Systematic Reviews was considered.Results: From a total of 470 studies, 319 were selected for analysis after the elimination of duplicates. According to the inclusion criteria defined, 26 studies were eligible and evaluated. An evaluation was performed considering the participant characteristics, countries, substance type, study and intervention details, and key findings. Of the 26 selected studies, 14 considered only alcoholics, six included participants with various SUD (alcohol and other substances), three exclusively looked into methamphetamine-consuming users and another three into opioid/methadone users. Moreover, 18 studies found some kind of cognitive improvement, with two of these reporting only marginally significant effects. One study found improvements only in measures similar to the training tasks, and two others had ambiguous results.Conclusions: The included studies revealed the benefits of cognitive training with regard to improving cognitive functions in individuals with SUD. Memory was the most scrutinized cognitive function in this type of intervention, and it is also one of the areas most affected by substance use.Systematic Review Registration: [PROSPERO], identifier [CRD42020161039].

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Cognitive remediation therapy of working memory in addictive disorders: An individualized, tailored, and recovery-oriented approach

Cited by 11 publications

References 26 publications

A systematic review of treatments for alcohol-related cognitive impairment: lessons from the past and gaps for future interventions

A systematic review of treatments for alcohol-related cognitive impairment: lessons from the past and gaps for future interventions

How Should Transcranial Direct Current Stimulation be Used in Populations With Severe Alcohol Use Disorder? A Clinically Oriented Systematic Review

Cognitive Training Effectiveness on Memory, Executive Functioning, and Processing Speed in Individuals With Substance Use Disorders: A Systematic Review

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