Interventions with potential to target executive function deficits in addiction: current state of the literature

Lechner, William V.; Sidhu, Natasha; Kittaneh, Ahmad A; Anand, Amit

doi:10.1016/j.copsyc.2019.01.017

Cited by 19 publications

(12 citation statements)

References 46 publications

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“…Episodic future thinking is to extract the relevant situational information from the original memory of the individual and then project it onto the future. In other words, episodic future thinking aimed to create a future image using the past experiences (Lechner et al, 2019 ). Episodic future thinking can stimulate individuals to make far-sighted choices, such as planning for the future, making long-term decisions, and achieving long-term goals (Atance and O'Neill, 2001 ; D'Argembeau et al, 2012 ).…”

Section: Introductionmentioning

confidence: 99%

Imagining the Future: Future Imagination Training Decreases Delay Discounting Among Internet Addicts and Non-Problematic Users

2021

Front. Psychol.

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To test whether future imagination can reduce the delay discounting rate of the Internet addicts, we recruited 40 Internet addicts (treatment sample) and 39 non-problematic users (control sample). We used a 2 (participant type: individuals with Internet addiction vs. non-problematic users) × 2 (training type: future event imagination training vs. control condition) × 2 (training session: first session vs. final session) mixed-subjects design to test our hypothesis. The participant type and training type were between the subjects and the training session was within the subject. Half of each sample (the Internet addicts and non-problematic users) was randomly assigned to complete five sessions of future imagination training and the other half was assigned to describe some daily events they had observed. We used the Barratt Impulsivity Scale (BIS) and delay discounting task to assess our outcome variable, such as addiction, impulsivity, and delay discounting rate. The results showed that the future imagination training significantly reduced the delay discounting rate (also for impulsivity and addiction) for both the Internet addicts and non-problematic users than the control condition. Besides, the negative effect of future imagination training on the delay discounting rates (for impulsivity and addiction) remained consistent across the five training sessions. These findings suggest that the future imagination training can be a useful approach to reduce the impulsivity among those who are addicted to the Internet.

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Section: Introductionmentioning

confidence: 99%

Imagining the Future: Future Imagination Training Decreases Delay Discounting Among Internet Addicts and Non-Problematic Users

2021

Front. Psychol.

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“…Unlike some existing interventions that train specific cognitive processes through repetitive task practice, e.g., computerised working memory or inhibitory control training 33,34 , GMT + teaches consumers to group multiple skills together and apply them in ecologically relevant situations (for example, noticing drug-cravings, taking a depth breath, and bringing attention back towards short-term or long-term goals).…”

Section: Envision Goalsmentioning

confidence: 99%

Development of Goal Management Training⁺ (GMT⁺) for Methamphetamine Use Disorder Through Collaborative Design: A Process Description

Anderson

Robinson

Potter

et al. 2021

Preprint

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Background Methamphetamine use disorder (MUD) is associated with executive dysfunctions, which are linked with poorer treatment outcomes including earlier drop out and relapse. However, current treatments for MUD do not address executive functions. Goal Management Training (GMT) is an evidence-based cognitive remediation program for executive dysfunction but required modifications to enhance its relevance and application within addiction treatment settings. This study aimed to 1) tailor GMT to the key cognitive deficits and typical treatment duration of MUD; 2) explore consumers (people with MUD) engagement with the revised program; 3) implement a protocol of the program with consumers; and 4) present the manualised standard administration to clinical service providers. Methods We followed the Medical Research Council Complex Interventions Framework and employed an evidence- and person-based intervention development process. We used a four-phased approach and collaborated with neuropsychology experts, design researchers in healthcare, consumers with MUD, and clinical service providers. Each aim was addressed in a separate study phase; including content refinement and review with neuropsychology experts (phase 1), intervention design and collaboration with consumers (phase 2), prototype development and review with consumers (phase 3), and final program modifications and review with clinical stakeholders (phase 4). Results Findings from phase 1 indicated support for targeting four cognitive processes (attention, impulse control, goal setting, and decision-making). Key feedback included the need to help habitualise program strategies and guide consumers in applying them in emotionally salient situations. Findings from phases 2 and 3 indicated consumer support for the program strategies and materials but highlighted the need to further enhance the personal relevance of specific content and journal activities. Findings from phase 4 provided overall clinical support for the revised program but indicated an opportunity to minimise unintended effects. We present the intervention materials for the revised program, Goal Management Training+ (GMT+), in line with TIDieR guidelines. Conclusions GMT+ targets tailored cognitive processes, includes reimagined materials and activities, and is sensitive to the clinical needs of people with MUD. Our intervention development process was important for informing the training components, design and intervention materials, and indicating initial acceptability prior to conducting a clinical trial.

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“…Relative to many other approaches, WMT is intensive, typically requiring 19-25 days of training and as such, retention is often poor (164). While WMT has been shown to lead to improvements in neartransfer effects (i.e., improved performance on similar WM tasks), there is limited evidence supporting far-transfer effects of WMT on other measures of EF and importantly, on substancerelated outcomes (165). Reduced alcohol consumption 1 month after training was reported following WMT in heavy drinkers (163), but most studies have failed to demonstrate or even measure changes in substance use (165).…”

Section: Working Memory Training (Wmt)mentioning

confidence: 99%

“…While WMT has been shown to lead to improvements in neartransfer effects (i.e., improved performance on similar WM tasks), there is limited evidence supporting far-transfer effects of WMT on other measures of EF and importantly, on substancerelated outcomes (165). Reduced alcohol consumption 1 month after training was reported following WMT in heavy drinkers (163), but most studies have failed to demonstrate or even measure changes in substance use (165). For example, nontreatment seekers with alcohol use disorder who were trained with Cogmed showed improved verbal memory but no clinically significant reductions in alcohol consumption or problem severity (166).…”

Section: Working Memory Training (Wmt)mentioning

confidence: 99%

A Roadmap for Integrating Neuroscience Into Addiction Treatment: A Consensus of the Neuroscience Interest Group of the International Society of Addiction Medicine

et al. 2019

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Although there is general consensus that altered brain structure and function underpins addictive disorders, clinicians working in addiction treatment rarely incorporate neuroscienceinformed approaches into their practice. We recently launched the Neuroscience Interest Group within the International Society of Addiction Medicine (ISAM-NIG) to promote initiatives to bridge this gap. This article summarizes the ISAM-NIG key priorities and strategies to achieve implementation of addiction neuroscience knowledge and tools for the assessment and treatment of substance use disorders. We cover two assessment areas: cognitive assessment and neuroimaging, and two interventional areas: cognitive training/remediation and neuromodulation, where we identify key challenges and proposed solutions. We reason

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Interventions with potential to target executive function deficits in addiction: current state of the literature

Cited by 19 publications

References 46 publications

Imagining the Future: Future Imagination Training Decreases Delay Discounting Among Internet Addicts and Non-Problematic Users

Imagining the Future: Future Imagination Training Decreases Delay Discounting Among Internet Addicts and Non-Problematic Users

Development of Goal Management Training⁺ (GMT⁺) for Methamphetamine Use Disorder Through Collaborative Design: A Process Description

A Roadmap for Integrating Neuroscience Into Addiction Treatment: A Consensus of the Neuroscience Interest Group of the International Society of Addiction Medicine

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Interventions with potential to target executive function deficits in addiction: current state of the literature

Cited by 19 publications

References 46 publications

Imagining the Future: Future Imagination Training Decreases Delay Discounting Among Internet Addicts and Non-Problematic Users

Imagining the Future: Future Imagination Training Decreases Delay Discounting Among Internet Addicts and Non-Problematic Users

Development of Goal Management Training+ (GMT+) for Methamphetamine Use Disorder Through Collaborative Design: A Process Description

A Roadmap for Integrating Neuroscience Into Addiction Treatment: A Consensus of the Neuroscience Interest Group of the International Society of Addiction Medicine

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Development of Goal Management Training⁺ (GMT⁺) for Methamphetamine Use Disorder Through Collaborative Design: A Process Description