酒精使用障碍和问题饮酒中的认知偏差修改:修订和更新的IPD贝叶斯元分析
Ting Pan1, Xiaochang Zhao2, František Bartoš3
1Department of Psychology, University of Amsterdam, Amsterdam, the Netherlands; Addiction Development and Psychopathology (ADAPT) Laboratory, Amsterdam, the Netherlands.
Clinical psychology review
|February 7, 2026
概括
认知偏差修改 (CBM) 在减少与酒精有关的偏差和复发风险方面显示出有前途. 然而,它对问题饮酒的有效性取决于特定的输送方法和治疗背景.
科学领域:
- 心理学 心理学 心理学
- 神经科学是一个神经科学.
- 成 药物 药物 药物 药物
背景情况:
- 问题饮酒和酒精使用障碍 (AUD) 是重大的公共卫生问题.
- 认知偏差修改 (CBM) 干预旨在改变导致成的认知过程.
- 之前的元分析强调了需要更新的研究,包括最近的进展和个人参与者数据 (IPD).
研究的目的:
- 进行一个更新的个人参与者数据 (IPD) 贝叶斯对认知偏差修改 (CBM) 问题饮酒的贝叶斯元分析.
- 检查酒精CBM对认知偏差,酒精消费和复发率的影响.
- 调查影响CBM有效性的调节者.
主要方法:
- 采用两阶段的IPD贝叶斯元分析,整合了23项研究 (8297名参与者) 的数据.
- 为了验证发现,进行了frequentist灵敏度分析.
- 分析了诸如CBM类型,交付背景,坚持,成严重程度和额外疗法等调节因素.
主要成果:
- CBM在减少认知偏差方面表现出很小的影响 (d = -0.18) 和在减少复发风险方面显著影响 (log OR = -0.26).
- 没有观察到对酒精消费的显著影响 (d = 0.003).
- 效果受到一些因素的调节,包括面对面的交付,额外的心理治疗和更高的训练强度,在调节器调整后,最初的效果会减弱.
结论:
- CBM可以有效地减少与酒精有关的认知偏见和复发风险.
- 认知管理的有效性取决于环境,面对面的交付,并发治疗和更高的训练强度显示出更大的承诺.
- 为优化对问题饮酒的干预措施,建议采用精致的,特定于环境的CBM协议.
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