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Adapting behavioural interventions to compensate for cognitive dysfunction in persons with opioid use disorder
Colleen B Mistler1, Roman Shrestha1, John Gunstad2
1Allied Health Sciences, University of Connecticut, Storrs, Connecticut, USA.
General Psychiatry
|September 10, 2021
Summary
Patients with opioid use disorder (OUD) often have cognitive challenges impacting treatment. This review identifies cognitive profiles and suggests strategies to improve behavioral interventions for OUD patients.
Area of Science:
- Neuroscience
- Psychiatry
- Addiction Medicine
Background:
- Opioid use disorder (OUD) treatment commonly involves biobehavioral interventions, including medication and psychoeducation/behavioral therapies.
- Cognitive deficits in patients with OUD can hinder the effectiveness of these behavioral interventions.
- Limited research exists on specific accommodation strategies for cognitive dysfunction in OUD treatment.
Purpose of the Study:
- To characterize common cognitive dysfunction profiles in OUD patients.
- To review current intervention approaches for OUD.
- To identify and propose accommodation strategies to optimize treatment outcomes for OUD patients with cognitive challenges.
Main Methods:
- Literature review to identify cognitive profiles in OUD.
- Analysis of cognitive demands posed by OUD interventions.
- Adaptation of accommodation strategies from populations with similar cognitive profiles.
Main Results:
- OUD patients frequently exhibit cognitive deficits in executive function, attention, memory, and information processing.
- Behavioral interventions for OUD place significant cognitive demands on patients, requiring learning, understanding, and memory.
- A comprehensive set of potential accommodation strategies was compiled, drawing from related research.
Conclusions:
- Cognitive dysfunction is a significant factor affecting OUD treatment efficacy.
- Tailored accommodation strategies are crucial for supporting patients with cognitive challenges in OUD interventions.
- Further research is needed to develop and validate specific interventions and accommodations for OUD patients.
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