Estudio de validación de la Escala Multidimensional de Craving de Alcohol

Serecigni, José Guardia; García, Lidia Segura; Cirac, Begoña Gonzalvo; Trujols, Joan; Pociello, Antonio Tejero; González, Ana Suárez; Gil, Agustí Martí

doi:10.1157/13064414

Cited by 8 publications

(9 citation statements)

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“…Alcohol craving was explored by means of an ad-hoc modified version of the Multidimensional Alcohol Craving Scale (MACS), to explore alcohol cravings immediately after VR exposure. MACS [ 59 ] is a self-report scale aiming to determine the “intensity of alcohol craving experienced by the participant in his/her previous week”. This scale included two sub-scales, “desire to drink” and “behavioral disinhibition”.…”

Section: Methodsmentioning

confidence: 99%

Predictors of Changes in Alcohol Craving Levels during a Virtual Reality Cue Exposure Treatment among Patients with Alcohol Use Disorder

Hernández-Serrano

Ghiţă

Figueras-Puigderrajols

et al. 2020

JCM

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Background/Objective: Determining the predictive variables associated with levels of alcohol craving can ease the identification of patients who can benefit from treatments. This study aimed to describe changes (improvement or no change/deterioration) in alcohol craving levels and explore the predictors of these changes from admission to discharge in outpatients with alcohol use disorder (AUD) undergoing treatment-as-usual (TAU), or treatment-as-usual supplemented with virtual reality cue-exposure therapy (TAU + VR-CET). Method: A prospective cohort study was conducted amongst 42 outpatients with AUD (n = 15 TAU + VR-CET and n = 27 TAU) from a clinical setting. Changes in the levels of alcohol craving between admission and discharge were assessed with the Multidimensional Alcohol Craving Scale. Sociodemographic characteristics (age, gender, education, and socioeconomic and civil status), cognitive-affective behavioral patterns (AUD severity, abstinence duration, psychiatric comorbidity, state anxiety, attentional bias, and substance use), and type of treatment (TAU + VR-CET and only TAU) were also evaluated. Results: The TAU + VR-CET group showed greater changes of improvement in the levels of alcohol craving than the TAU group (χ2 = 10.996; p = 0.001). Intragroup changes in alcohol craving from pre to post-treatment were significant in the TAU + VR-CET group (χ2 = 13.818; p = 0.003) but not within the TAU group (χ2 = 2.349; p = 0.503). The odds of an improvement in any of the craving levels between pre- and post-test was 18.18 (1/0.055) times higher in the TAU + VR-CET group with respect to the TAU group. The use of illicit drugs in the month prior to the test increased the odds of having a positive change by 18.18 (1/0.055) with respect to not having consumed. Conclusions: Including VR-CET in TAU programs may provide benefits in the treatment of AUDs mainly among patients with intense alcohol craving and individuals having used illicit substances prior to treatment.

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Section: Methodsmentioning

confidence: 99%

Predictors of Changes in Alcohol Craving Levels during a Virtual Reality Cue Exposure Treatment among Patients with Alcohol Use Disorder

Hernández-Serrano

Ghiţă

Figueras-Puigderrajols

et al. 2020

JCM

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“…The self-report in the initial assessment session indicated a severe AUD problem according to the AUDIT ( Saunders et al, 1993 ), suggesting that the patient was experiencing a hazardous pattern of alcohol misuse ( Donovan et al, 2006 ). The MACS total score indicated a “moderate alcohol craving” throughout daily life activities, particularly in the previous week before the assessment ( Guardia Serecigni et al, 2004 ). The total MACS-VR score was translated into an “intense craving for alcohol” immediately after the assessment part of the “ALCO-VR” software, as a result of cue-induced alcohol craving ( Ghiţă et al, 2019b ).…”

Section: Discussionmentioning

confidence: 99%

“…Craving was explored with the Multidimensional Alcohol Craving Scale (MACS; Guardia Serecigni et al, 2004 ). The MACS is a Spanish scale assessing the intensity of alcohol craving experienced by the individual throughout the previous week.…”

Section: Case Descriptionmentioning

confidence: 99%

“…The MACS is a Spanish scale assessing the intensity of alcohol craving experienced by the individual throughout the previous week. The scale presents robust validity and reliability properties ( Guardia Serecigni et al, 2004 ). Each item scores ranged from 1 (“Strongly disagree”) to 5 (“Strongly agree”).…”

Section: Case Descriptionmentioning

confidence: 99%

“…A positive outcome would be represented by lower scores in attention bias and state and trait anxiety at post-VR-CET assessment session, whereas a negative outcome would be indicated by the opposite patterns ( Julian, 2011 ; Sánchez-López et al, 2015 ). To determine significant changes regarding alcohol craving as assessed by the MACS and MACS-VR, the total scores were interpreted as: “non-existent” craving [(≤12) which is also the cut-off score], “mild” (13–22), “moderate” (23–40), and “intense” (>40; Guardia Serecigni et al, 2004 ).…”

Section: Case Descriptionmentioning

confidence: 99%

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Attentional Bias, Alcohol Craving, and Anxiety Implications of the Virtual Reality Cue-Exposure Therapy in Severe Alcohol Use Disorder: A Case Report

et al. 2021

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Aims: Attentional bias (AB), alcohol craving, and anxiety have important implications in the development and maintenance of alcohol use disorder (AUD). The current study aims to test the effectiveness of a Virtual Reality Cue-Exposure Therapy (VR-CET) to reduce levels of alcohol craving and anxiety and prompt changes in AB toward alcohol content.Method: A 49-year-old male participated in this study, diagnosed with severe AUD, who also used tobacco and illicit substances on an occasional basis and who made several failed attempts to cease substance misuse. The protocol consisted of six VR-CET booster sessions and two assessment sessions (pre- and post-VR-CET) over the course of 5 weeks. The VR-CET program consisted of booster therapy sessions based on virtual reality (VR) exposure to preferred alcohol-related cues and contexts. The initial and final assessment sessions were focused on exploring AB, alcohol craving, and anxiety using paper-and-pencil instruments and the eye-tracking (ET) and VR technologies at different time points.Results: Pre and post assessment sessions indicated falls on the scores of all instruments assessing alcohol craving, anxiety, and AB.Conclusions: This case report, part of a larger project, demonstrates the effectiveness of the VR-CET booster sessions in AUD. In the post-treatment measurements, a variety of instruments showed a change in the AB pattern and an improvement in craving and anxiety responses. As a result of the systematic desensitization, virtual exposure gradually reduced the responses to significant alcohol-related cues and contexts. The implications for AB, anxiety and craving are discussed.

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Bringing Mindfulness-Based Relapse Prevention for Substance Use Disorders into Individual Therapy with Spanish Population: a Feasibility and Effectiveness Study

et al. 2022

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Estudio de validación de la Escala Multidimensional de Craving de Alcohol

Cited by 8 publications

References 0 publications

Predictors of Changes in Alcohol Craving Levels during a Virtual Reality Cue Exposure Treatment among Patients with Alcohol Use Disorder

Predictors of Changes in Alcohol Craving Levels during a Virtual Reality Cue Exposure Treatment among Patients with Alcohol Use Disorder

Attentional Bias, Alcohol Craving, and Anxiety Implications of the Virtual Reality Cue-Exposure Therapy in Severe Alcohol Use Disorder: A Case Report

Bringing Mindfulness-Based Relapse Prevention for Substance Use Disorders into Individual Therapy with Spanish Population: a Feasibility and Effectiveness Study

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