Imagining the Future to Reshape the Past: A Path to Combine Cue Extinction and Memory Reconsolidation With Episodic Foresight for Addiction Treatment

Rafei, Parnian; Rezapour, Tara; Bickel, Warren K.; Ekhtiari, Hamed

doi:10.3389/fpsyt.2021.692645

Cited by 12 publications

(7 citation statements)

References 83 publications

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Section: Discussionmentioning

confidence: 99%

“…Examples of suitable avenues include the combination of bias modification and feedback techniques in, for example, gamified versions of cognitive bias modification[67], bias modification and strategy learning techniques (e.g. cue-related episodic future thinking)[68] or feedback and strategy learning in combinations of contingency management and goal management[69].Regarding delivery, the experts supported the role of cognitive training and remediation as an adjunct (rather than a stand-alone) treatment, which could be integrated in both abstinence-orientated and harm reduction programmes. The latter is particularly relevant, given increased appraisal of the value of substance use reduction as a therapeutic goal[70].…”

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confidence: 99%

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Cognitive training and remediation interventions for substance use disorders: a Delphi consensus study

et al. 2022

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Aims: Substance use disorders (SUD) are associated with cognitive deficits that are not always addressed in current treatments, and this hampers recovery. Cognitive training and remediation interventions are well suited to fill the gap for managing cognitive deficits in SUD. We aimed to reach consensus on recommendations for developing and applying these interventions. Design, Setting and Participants: We used a Delphi approach with two sequential phases: survey development and iterative surveying of experts. This was an on-line study. During survey development, we engaged a group of 15 experts from a working group of the International Society of Addiction Medicine (Steering Committee). During

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Cognitive training and remediation interventions for substance use disorders: a Delphi consensus study

et al. 2022

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“…However, an advantage of most of the techniques identified (e.g., guided practice, progressive difficulty and challenge, feedback, bias modification, goal setting) is that they have potential to be transversally applied within several intervention approaches or combinations of approaches. Examples of suitable avenues include the combination of bias modification and feedback techniques in e.g., gamified versions of cognitive bias modification [65], bias modification and strategy learning techniques (e.g., cue-related episodic future thinking) [66] or feedback and strategy learning in combinations of contingency management and goal management [67].…”

Section: Discussionmentioning

confidence: 99%

Cognitive training and remediation interventions for substance use disorders: A Delphi consensus study

Verdejo-García

Rezapour

Giddens

et al. 2022

Preprint

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Background and Aims: Substance use disorders (SUD) are associated with cognitive deficits that are not always addressed in current treatments, and this hampers recovery. Cognitive training and remediation interventions are well suited to fill the gap for managing cognitive deficits in SUD. We aimed to reach consensus on recommendations for developing and applying these interventions. Design: Delphi approach with two sequential phases: survey development and iterative surveying of experts. Setting: Online study. Participants: During survey development, we engaged a group of 15 experts from a working group of the International Society of Addiction Medicine (Steering Committee). During the surveying process, we engaged a larger pool of experts (n=53) identified via recommendations from the Steering Committee and a systematic review. Measurements: Survey with 67 items covering four key areas of intervention development, i.e., targets, intervention approaches, active ingredients, and modes of delivery. Findings: Across two iterative rounds (98% retention rate), the experts reached a consensus on 50 items including: (i) implicit biases, positive affect, arousal, executive functions, and social processing as key targets of interventions; (ii) cognitive bias modification, contingency management, emotion regulation training, and cognitive remediation as preferred approaches; (iii) practice, feedback, difficulty-titration, bias-modification, goal setting, strategy learning, and meta-awareness as active ingredients; and (iv) both addiction treatment workforce and specialized neuropsychologists facilitating delivery, together with novel digital-based delivery modalities. Conclusions: Expert recommendations on cognitive training and remediation for SUD highlight the relevance of targeting implicit biases, reward, emotion regulation, and higher- order cognitive skills via well-validated intervention approaches qualified with mechanistic techniques and flexible delivery options.

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“…That is, a stronger connection to one's future self may foster greater patience. Further, considering one's future self may reduce delinquent behaviour (van Gelder et al, 2015) and substance use (Wang et al, 2019), especially when individuals predict what emotions might be encountered as a result of their behaviours (see Rafei et al, 2021). Together, these studies show the power and perils of emotional imagination in real-world contexts (also see recent work by Brevers et al, 2021;with comment from Williams & Benoit, 2021).…”

Section: Simulations Inform Emotionsmentioning

confidence: 95%

Simulating the best and worst of times: The powers and perils of emotional simulation

Wardell¹,

Grilli

Palombo

2021

Preprint

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We are remarkably capable of simulating events that we have never experienced. These simulated events often paint an emotional picture to behold, such as the best and worst possible outcomes that we might face. This review synthesizes dispersed literature exploring the role of emotion in simulation. Drawing from work that suggests that simulations can influence our preferences, decision making, and prosociality, we argue for a critical role of emotion in informing the consequences of simulation. We further unpack burgeoning evidence suggesting that the effects of emotional simulation transcend the laboratory. We propose avenues by which emotional simulation can be harnessed for both personal and collective good in applied contexts. We conclude by offering important future directions.

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Imagining the Future to Reshape the Past: A Path to Combine Cue Extinction and Memory Reconsolidation With Episodic Foresight for Addiction Treatment

Cited by 12 publications

References 83 publications

Cognitive training and remediation interventions for substance use disorders: a Delphi consensus study

Cognitive training and remediation interventions for substance use disorders: a Delphi consensus study

Cognitive training and remediation interventions for substance use disorders: A Delphi consensus study

Simulating the best and worst of times: The powers and perils of emotional simulation

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