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Approach With Caution: A Pilot Randomised Controlled Trial of Approach Bias Modification for People Undergoing
Victoria Manning1,2, Danielle Whelan1,2, Hugh Piercy1,2
1Monash Addiction Research Centre, Eastern Health Clinical School, Monash University, Melbourne, Australia.
Approach bias modification (ApBM) shows potential for treating methamphetamine use disorder (MUD), but requires further research due to safety concerns. This cognitive training intervention may help improve abstinence rates in individuals with MUD.
Area of Science:
- Addiction research
- Cognitive behavioral therapy
- Clinical psychology
Background:
- Methamphetamine use disorder (MUD) has low long-term abstinence rates after residential rehabilitation.
- Approach bias modification (ApBM) is a cognitive training intervention effective for alcohol use disorder but understudied for MUD.
Purpose of the Study:
- To investigate the safety and acceptability of ApBM for MUD.
- To explore the preliminary efficacy of ApBM in reducing methamphetamine use, craving, and dependence severity.
Main Methods:
- A randomized controlled trial involving 24 MUD patients in residential treatment.
- Participants received 6 sessions of either ApBM or sham-control training.
- Outcomes including methamphetamine use, craving, and dependence were assessed at 1 and 3 months post-discharge.
Main Results:
- Some participants experienced adverse psychological reactions, leading to withdrawals in both groups.
- Completed training was generally rated as acceptable by participants in both ApBM and control groups.
- Preliminary data favored ApBM for abstinence rates at 1 and 3 months, but differences were not statistically significant due to small sample size. No significant differences were found in craving or MUD severity.
Conclusions:
- ApBM may warrant further investigation for MUD treatment.
- Caution is advised due to observed safety concerns during the intervention.
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