Cognitive Remediation as an Adjunct Treatment for Substance Use Disorders: A Systematic Review

被引:0
作者
Talia Nardo
Jennifer Batchelor
Jamie Berry
Heather Francis
Deyyan Jafar
Thomas Borchard
机构
[1] Macquarie University,
[2] Advanced Neuropsychological Treatment Services,undefined
来源
Neuropsychology Review | 2022年 / 32卷
关键词
Cognitive remediation; Cognitive training; Substance use disorder; Rehabilitation; Addiction; Neuropsychology;
D O I
暂无
中图分类号
学科分类号
摘要
Substance use disorders are associated with diverse neuropsychological impairments, with deficits in memory and executive functioning commonly observed. Cognitive remediation has been shown to be effective in other populations with cognitive impairments in these domains, including those with psychiatric disorders and acquired brain injuries, and it has been hypothesised to be similarly effective for those in treatment for substance use disorders. We aimed to systematically review the evidence for cognitive remediation interventions administered as an adjunct treatment to substance use rehabilitation. Studies were included if participants were receiving substance use treatment, if improving cognitive functioning was the main focus of the intervention and if they used an experimental design with a control condition receiving treatment-as-usual or an active control intervention. Two independent reviewers agreed on the final selection of 32 studies, encompassing cognitive remediation for working memory, memory, executive functioning and general cognition. Significant differences between intervention and control groups for cognitive test results and treatment outcomes were extracted and compared across treatment approaches. The review found considerable heterogeneity across studies, including in the types of interventions, the nature of participants and the outcome measures used. Further, a lack of quality studies with sufficient power meant that limited conclusions could be drawn, highlighting a need for further replication and research. However, findings indicate that cognitive remediation remains a promising potential avenue for improving cognition and treatment outcomes for those in treatment for substance use disorders. Protocol submitted prospectively to PROSPERO 30.09.2019, CRD42020150978.
引用
收藏
页码:161 / 191
页数:30
相关论文
共 466 条
[1]  
Alfonso JP(2011)Combined goal management training and mindfulness meditation improve executive functions and decision-making performance in abstinent polysubstance abusers Drug and Alcohol Dependence 117 78-81
[2]  
Caracuel A(2012)Neuropsychological consequences of chronic opioid use: A quantitative review and meta-analysis Neuroscience and Biobehavioral Reviews 36 2056-2068
[3]  
Delgado-Pastor LC(2002)Neurocognitive impairment associated with alcohol use disorders: Implications for treatment Experimental and Clinical Psychopharmacology 10 193-212
[4]  
Verdejo-García A(2013)A role for cognitive rehabilitation in increasing the effectiveness of treatment for alcohol use disorders Neuropsychology Review 23 27-47
[5]  
Baldacchino A(2004)Impaired decision making related to working memory deficits in individuals with substance addictions Neuropsychology 18 152-162
[6]  
Balfour DJK(2017)A randomized controlled trial of cognitive remediation and work therapy in the early phase of substance use disorder recovery for older veterans: Neurocognitive and substance use outcomes Psychiatric Rehabilitation Journal 40 94-102
[7]  
Passetti F(2016)Cognitive training and work therapy for the treatment of verbal learning and memory deficits in veterans with alcohol use disorders Journal of Dual Diagnosis 12 83-89
[8]  
Humphris G(2004)A cross-national comparison of risk and protective factors for adolescent substance use: The United States and Australia Journal of Adolescent Health 35 3-16
[9]  
Matthews K(2014)Computerized working-memory training as a candidate adjunctive treatment for addiction Alcohol Research: Current Reviews 36 123-126
[10]  
Bates ME(2011)Remember the future: Working memory training decreases delay discounting among stimulant addicts Biological Psychiatry 69 260-265