Time for a paradigm shift: The adolescent brain in addiction treatment

Seghete, Kristen L. Mackiewicz; Filbey, Francesca M.; Hudson, Karen A.; Hyun, Benedict; Ewing, Sarah W. Feldstein

doi:10.1016/j.nicl.2022.102960

Cited by 4 publications

(8 citation statements)

References 75 publications

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“…Previous research has looked at the neural mechanisms of motivational interviewing in the context of alcohol and substance use (see Mackiewicz Seghete et al (2022), Grodin et al (2019) or Feldstein Ewing et al (2016) for examples). Here, we investigated by using univariate and multivariate brain-behavior analyses an aspect that has yet to be reported: food preferences, which were measured by an incentive-compatible value-based decision-making task.…”

Section: Discussionmentioning

confidence: 99%

How motivational interviewing shifts food choices and craving-related brain responses to healthier options

Rodrigues,

Khalid,

Frileux

et al. 2023

Preprint

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Changing one's habits is challenging. Motivational interviewing (MI) has been proposed as a communication-based approach to overcome this challenge. Here, we tested how change and sustain talk suggestions, elicited by MI, influenced value-based dietary decision-making and responses of a recently developed neurobiological craving signature (NCS) in healthy female adults. We found that following change talk, compared to sustain talk, participants' food choices and activity in the ventromedial prefrontal cortex were more driven by the healthiness and less by the tastiness of food. These findings were paralleled by lower NCS responses to tasty food after change compared to sustain talk. Further, following change talk, participants' body mass indices moderated the NCS decoding of healthy and tasty food choices. These results show that MI can shift value-based decision-making and reduce craving-related brain marker responses to highly palatable food items. The findings contribute to a better understanding of behavioral change toward healthier eating.

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Section: Discussionmentioning

confidence: 99%

How motivational interviewing shifts food choices and craving-related brain responses to healthier options

Rodrigues,

Khalid,

Frileux

et al. 2023

Preprint

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“…The goal of the parent RCT was to begin to pave the way for new translational (integrated brain: behavioral) studies in the field of adolescent addiction ( Mackiewicz-Seghete et al, 2022 ). Building upon prior work, which had largely used single-treatment arm within-subjects designs ( Feldstein Ewing et al, 2013 , 2016b ), adolescents were randomized to one of two empirically supported behavioral treatments for addiction, MI ( Jensen et al, 2011 ) and BAM ( Crane et al, 2017 ).…”

Section: Methodsmentioning

confidence: 99%

“…Participants across both conditions discussed factors relevant to problem drinking and received two individual 60-min sessions of one-on-one treatment contact; no treatment as usual (TAU) condition was administered. The MI and BAM interventions were selected due to the preliminary translational (integrated brain: behavioral) literature available for each modality-a topic central to the parent study questions ( Mackiewicz-Seghete et al, 2022 ).…”

Section: Methodsmentioning

confidence: 99%

“…Intervention manuals are available upon request to the senior author. Further details on the interventions, therapist training, and intervention fidelity are available in Mackiewicz-Seghete et al (2022) .…”

Section: Methodsmentioning

confidence: 99%

“…Common factors, including elements of the therapeutic relationship, are often posited to be at least partially responsible for the frequently observed lack of between-condition differences in efficacy across therapeutic modalities ( Messer and Wampold, 2002 ). Our team’s prior clinical HIV/STI prevention intervention studies with youth have found fewer between-condition outcomes than expected, despite carefully and successfully ensuring distinction between modalities via use of separate therapists across conditions, separate supervision throughout the course of the study, and validated fidelity metrics that supported our capacity to deliver distinct content and clinical approaches in these interventions ( Feldstein Ewing et al, 2013 , 2014 , 2015 , 2016b , 2022 ; Mackiewicz-Seghete et al, 2022 ; Dash et al, 2023 ). As such, our observation of minimal differences between intervention conditions likely does not reflect intervention contamination and/or therapist overlap; rather, we posit that these outcomes reflect the presence and salience of common relational factors such as youth: provider relationship factors, and their impact across all modalities of HIV/STI prevention intervention programming ( Miller and Moyers, 2015 ).…”

Section: Introductionmentioning

confidence: 99%

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Adolescent: provider connectedness and STI risk reduction following a brief alcohol intervention: findings from a randomized controlled trial

et al. 2023

Self Cite

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ObjectiveGiven the frequent co-occurrence between alcohol use and sexual behavior among adolescents, alcohol interventions may play a role in helping prevent sexually transmitted infections (STIs) in this age group. Psychotherapy “common factors” are one potential active ingredient in intervention efficacy. Thus, the purpose of this study was to evaluate the influence of a critical common factor, adolescent: provider connectedness, on STI risk reduction at 3 months post-intervention.MethodsCommunity-based youth (N = 168) were randomized to two 60-min individual sessions of either motivational interviewing (MI) or brief adolescent mindfulness (BAM). Logistic regressions predicted post-intervention positive STI from adolescent: provider connectedness, intervention condition, and their interaction. Path analytic models tested post-intervention hazardous drinking as a mediator of the association between adolescent: provider connectedness and reduction in STI risk at 3-month follow-up.ResultsStronger adolescent: provider connectedness reduced risk of STI at 3 months post-intervention, with no differences by treatment condition. A mediational relationship between adolescent: provider connectedness and STI risk via hazardous drinking was not observed.ConclusionPsychotherapeutic common factors, including adolescent: provider connectedness, may be important in mitigating adolescent health risk in behavioral interventions, above and beyond intervention condition and beyond the target behavior of the intervention.

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Examining the influence of adolescent:provider alliance on youth hazardous drinking: Findings from a randomized controlled trial

Dash

Chung

Yang

et al. 2023

Addictive Behaviors

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Time for a paradigm shift: The adolescent brain in addiction treatment

Cited by 4 publications

References 75 publications

How motivational interviewing shifts food choices and craving-related brain responses to healthier options

How motivational interviewing shifts food choices and craving-related brain responses to healthier options

Adolescent: provider connectedness and STI risk reduction following a brief alcohol intervention: findings from a randomized controlled trial

Examining the influence of adolescent:provider alliance on youth hazardous drinking: Findings from a randomized controlled trial

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