Acute and extended exposure to episodic future thinking in a treatment seeking addiction sample: A pilot study

Patel, Herry; Amlung, Michael

doi:10.1016/j.jsat.2020.108046

Cited by 41 publications

(43 citation statements)

References 33 publications

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“…Regarding DD rates, these findings confirm and extend previous research in substance users (Bulley and Gullo 2017;Chiou and Wu 2017;Forster et al 2021;Mellis et al 2019;Patel and Amlung 2020;Snider et al 2016;Sofis et al 2020;Stein et al 2016Stein et al , 2018. Of note is that the short cues generated in EFT were not presented in the DD task.…”

Section: Discussionsupporting

confidence: 88%

“…EFT has shown effects on substance use, such as reduction of tobacco use (Chiou and Wu 2017;Stein et al 2016), and reduction of alcohol use (Voss et al 2021). Additionally, in substance users, EFT has been shown to reduce DD rates (Athamneh et al 2021;Bulley and Gullo 2017;Chiou and Wu 2017;Forster et al 2021;Mellis et al 2019;Patel and Amlung 2020;Snider et al 2016;Sofis et al 2020;Stein et al 2016Stein et al , 2018 and drug demand indices (Athamneh et al 2021;Bulley and Gullo 2017;Patel and Amlung 2020;Snider et al 2016Snider et al , 2018Voss et al 2021).…”

Section: Introductionmentioning

confidence: 99%

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Effects of episodic future thinking on reinforcement pathology during smoking cessation treatment among individuals with substance use disorders

et al. 2022

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Rationale Reinforcer pathology (RP) is a theoretical model based on two processes: delay discounting (DD) and drug demand. Given that RP has been shown to have a predictive value on smoking behaviors, several studies have explored which interventions can reduce RP. Consistent with the RP framework, episodic future thinking (EFT) has shown effects on treatment outcomes and RP processes. The vast majority of studies that assess the effects of EFT on RP consist of experimental studies, and no previous research has tested these effects in a clinical sample of smokers. Objectives The primary aim of this study was to assess the effects of EFT on RP throughout the course of a smoking cessation intervention in smokers with substance use disorders (SUDs). Methods Participants were randomized to cognitive behavior therapy (CBT) + EFT (n = 39) or CBT + EFT + contingency management (n = 33). Cotinine, frequency of EFT practices, cigarette purchase task (CPT), and DD were evaluated in treatment sessions. Mixed-effects model repeated measures analysis was used to explore DD and CPT in-treatment changes as a function of EFT practices and cotinine levels. Results Greater practice of the EFT component significantly reduced cigarette demand (p < .020) as well as DD (p = .003). Additionally, a greater reduction in cotinine levels coupled with greater EFT practice led to a greater decrease in cigarette demand (p < .014). Conclusions EFT reduced the two facets of RP in treatment-seeking smokers with SUDs.

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Section: Discussionsupporting

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Effects of episodic future thinking on reinforcement pathology during smoking cessation treatment among individuals with substance use disorders

et al. 2022

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“…As noted in the introduction, various DTC and imagery focused interventions have been shown to reduce drinking outcomes [ 18 , 19 , 21 ], eating behaviour, and demand for tobacco and alcohol [ 27 , 30 – 32 , 39 , 40 , 51 ]. One proposed therapeutic mechanism is that these interventions attenuate sensitivity to negative affect induced changes in alcohol motivation.…”

Section: Discussionmentioning

confidence: 99%

“…ese positive imagery-based interventions have been shown to decrease negative affect and raise positive affect [23][24][25][26]. ese interventions also reduce delay discounting [27][28][29][30][31], food consumption [32][33][34][35][36][37][38], and tobacco and alcohol demand [27,30,[39][40][41]. One interpretation of these effects is that imagining positive future activities reduces sensitivity to negative affect motivated consummatory behaviour, but this mechanism has not been tested directly.…”

Section: Introductionmentioning

confidence: 99%

Brief Negative Affect Focused Functional Imagery Training Abolishes Stress-Induced Alcohol Choice in Hazardous Student Drinkers

Bakou

Shuai

Hogarth

2021

Journal of Addiction

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Introduction. Imagery-based stress management therapies are effective at reducing alcohol use. To explore the therapeutic mechanism, the current study tested whether brief functional imagery training linked to personal negative affect drinking triggers would attenuate sensitivity to noise stress-induced alcohol seeking behaviour in a laboratory model. Methods. Participants were UK-based hazardous student drinkers (N = 61, 80.3% women, aged 18–25) who reported drinking to cope with negative affect. Participants in the active intervention group (n = 31) were briefly trained to respond to personal negative drinking triggers by retrieving an adaptive strategy to mitigate negative affect, whereas participants in the control group (n = 30) received risk information about binge drinking at university. The relative value of alcohol was then measured by preference to view alcohol versus food pictures in two-alternative choice trials, before (baseline) and during noise stress induction. Results. There was a significant two-way interaction p < .04 where the control group increased their alcohol picture choice from baseline to the noise stress test p < .001 , whereas the active intervention group did not p = .33 , and the control group chose alcohol more frequently than the active group in the stress test p = .03 , but not at baseline p = .16 . Conclusions. These findings indicate that imagery-based mood management can protect against the increase in the relative value of alcohol motivated by acute stress in hazardous negative affect drinkers, suggesting this mechanism could underpin the therapeutic effect of mood management on drinking outcomes.

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“…EFT involves imagining future events through guided instruction and aims to promote a longer-term mindset 29 . EFT has shown efficacy at improving preference for larger delayed rewards over smaller immediate rewards in substance-using populations 30,31 . The language was updated to target a younger adult population (previously aimed at older adults) and is more aligned with therapeutic and conversational dialogue, rather than educational training language.…”

Section: Preliminary Work On Re-developmentmentioning

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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Acute and extended exposure to episodic future thinking in a treatment seeking addiction sample: A pilot study

Cited by 41 publications

References 33 publications

Effects of episodic future thinking on reinforcement pathology during smoking cessation treatment among individuals with substance use disorders

Effects of episodic future thinking on reinforcement pathology during smoking cessation treatment among individuals with substance use disorders

Brief Negative Affect Focused Functional Imagery Training Abolishes Stress-Induced Alcohol Choice in Hazardous Student Drinkers

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

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Acute and extended exposure to episodic future thinking in a treatment seeking addiction sample: A pilot study

Cited by 41 publications

References 33 publications

Effects of episodic future thinking on reinforcement pathology during smoking cessation treatment among individuals with substance use disorders

Effects of episodic future thinking on reinforcement pathology during smoking cessation treatment among individuals with substance use disorders

Brief Negative Affect Focused Functional Imagery Training Abolishes Stress-Induced Alcohol Choice in Hazardous Student Drinkers

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

Contact Info

Product

Resources

About

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