A comparative study of drug-related attentional bias: evidence from Iran

The Addiction-Stroop test has been widely used to investigate the attentional correlates of alcohol and drug abuse; however, the majority of the studies have been conducted with European and American participants. The present study tested whether Iranian drug abusers show higher attentional bias for drug-related stimuli. Participants included drug abusers (N = 53; 100% male), with a clinical history of opium and heroin abuse, who were in a Methadone Maintenance Therapy program. Only nonabusers (N = 71; 71, 54% male) with a history of having never abused of drugs or alcohol participated in the study as controls. All participants completed a computerized Persian version of classic and addiction Stroop tests. The results of a multivariate analysis of covariance (MANCOVA) showed that drug abusers had a higher attentional bias for drug-related stimuli than nonabusers, after the effects of age and education had been controlled. The results of repeating the MANCOVA (a) limited to men only, and (b) to men and women in the nonabuser sample showed that the observed difference in the drug-related attentional bias of drug-abusers and nonabusers was not an artifact of gender imbalance. Our findings support the idea that drug-related attentional bias is culture-free.