Predictors of Changes in alcohol craving levels during a virtual reality cue exposure treatment among patients with alcohol use disorder

Background/Objective: Determining the predictive variables associated with levels of alcohol craving can ease the identification of patients who can benefit from treatments. This study aimed to describe changes (improvement or no change/deterioration) in alcohol craving levels and explore the predic...

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Autores: Hernández Serrano, Olga, Ghiţă, Alexandra, Figueras-Puigderrajols, Natàlia, Ruiz, Jolanda F. (Fernandez Ruiz), Monras Arnau, Miquel, Ortega, Lluisa, Mondon, Silvia, Teixidor López, Lídia, Gual, Antoni, Ugas, Lidia, Fernández, Maribel, Montserrat, Roger, Porras-García, Bruno, Ferrer, Marta (Ferrer García), Gutiérrez Maldonado, José
Tipo de documento: artigo
Estado:Versão publicada
Data de publicação:2020
País:España
Recursos:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositório:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:2445/174303
Acesso em linha:https://hdl.handle.net/2445/174303
Access Level:Acceso aberto
Palavra-chave:Alcoholisme
Tractament de l'alcoholisme
Síndrome d'abstinència
Realitat virtual
Teràpia d'exposició
Alcoholism
Alcoholism treatment
Drug withdrawal symptoms
Virtual reality
Exposure therapy
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spelling Predictors of Changes in alcohol craving levels during a virtual reality cue exposure treatment among patients with alcohol use disorderHernández Serrano, OlgaGhiţă, AlexandraFigueras-Puigderrajols, NatàliaRuiz, Jolanda F. (Fernandez Ruiz)Monras Arnau, MiquelOrtega, LluisaMondon, SilviaTeixidor López, LídiaGual, AntoniUgas, LidiaFernández, MaribelMontserrat, RogerPorras-García, BrunoFerrer, Marta (Ferrer García)Gutiérrez Maldonado, JoséAlcoholismeTractament de l'alcoholismeSíndrome d'abstinènciaRealitat virtualTeràpia d'exposicióAlcoholismAlcoholism treatmentDrug withdrawal symptomsVirtual realityExposure therapyBackground/Objective: Determining the predictive variables associated with levels of alcohol craving can ease the identification of patients who can benefit from treatments. This study aimed to describe changes (improvement or no change/deterioration) in alcohol craving levels and explore the predictors of these changes from admission to discharge in outpatients with alcohol use disorder (AUD) undergoing treatment-as-usual (TAU), or treatment-as-usual supplemented with virtual reality cue-exposure therapy (TAU + VR-CET). Method: A prospective cohort study was conducted amongst 42 outpatients with AUD (n = 15 TAU + VR-CET and n = 27 TAU) from a clinical setting. Changes in the levels of alcohol craving between admission and discharge were assessed with the Multidimensional Alcohol Craving Scale. Sociodemographic characteristics (age, gender, education, and socioeconomic and civil status), cognitive-a ective behavioral patterns (AUD severity, abstinence duration, psychiatric comorbidity, state anxiety, attentional bias, and substance use), and type of treatment (TAU + VR-CET and only TAU) were also evaluated. Results: The TAU + VR-CET group showed greater changes of improvement in the levels of alcohol craving than the TAU group ( 2 = 10.996; p = 0.001). Intragroup changes in alcohol craving from pre to post-treatment were significant in the TAU + VR-CET group ( 2 = 13.818; p = 0.003) but not within the TAU group ( 2 = 2.349; p = 0.503). The odds of an improvement in any of the craving levels between pre- and post-test was 18.18 (1/0.055) times higher in the TAU + VR-CET group with respect to the TAU group. The use of illicit drugs in the month prior to the test increased the odds of having a positive change by 18.18 (1/0.055) with respect to not having consumed. Conclusions: Including VR-CET in TAU programs may provide benefits in the treatment of AUDs mainly among patients with intense alcohol craving and individuals having used illicit substances prior to treatment.MDPI2021202120202021info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion19 p.application/pdfhttps://hdl.handle.net/2445/174303Articles publicats en revistes (Psicologia Clínica i Psicobiologia)reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésReproducció del document publicat a: https://doi.org/10.3390/jcm9093018Journal of Clinical Medicine, 2020, vol. 9, num. 9, p. 3018https://doi.org/10.3390/jcm9093018cc-by (c) Hernández Serrano, Olga et al., 2020http://creativecommons.org/licenses/by/3.0/esinfo:eu-repo/semantics/openAccessoai:recercat.cat:2445/1743032026-05-29T05:05:01Z
dc.title.none.fl_str_mv Predictors of Changes in alcohol craving levels during a virtual reality cue exposure treatment among patients with alcohol use disorder
title Predictors of Changes in alcohol craving levels during a virtual reality cue exposure treatment among patients with alcohol use disorder
spellingShingle Predictors of Changes in alcohol craving levels during a virtual reality cue exposure treatment among patients with alcohol use disorder
Hernández Serrano, Olga
Alcoholisme
Tractament de l'alcoholisme
Síndrome d'abstinència
Realitat virtual
Teràpia d'exposició
Alcoholism
Alcoholism treatment
Drug withdrawal symptoms
Virtual reality
Exposure therapy
title_short Predictors of Changes in alcohol craving levels during a virtual reality cue exposure treatment among patients with alcohol use disorder
title_full Predictors of Changes in alcohol craving levels during a virtual reality cue exposure treatment among patients with alcohol use disorder
title_fullStr Predictors of Changes in alcohol craving levels during a virtual reality cue exposure treatment among patients with alcohol use disorder
title_full_unstemmed Predictors of Changes in alcohol craving levels during a virtual reality cue exposure treatment among patients with alcohol use disorder
title_sort Predictors of Changes in alcohol craving levels during a virtual reality cue exposure treatment among patients with alcohol use disorder
dc.creator.none.fl_str_mv Hernández Serrano, Olga
Ghiţă, Alexandra
Figueras-Puigderrajols, Natàlia
Ruiz, Jolanda F. (Fernandez Ruiz)
Monras Arnau, Miquel
Ortega, Lluisa
Mondon, Silvia
Teixidor López, Lídia
Gual, Antoni
Ugas, Lidia
Fernández, Maribel
Montserrat, Roger
Porras-García, Bruno
Ferrer, Marta (Ferrer García)
Gutiérrez Maldonado, José
author Hernández Serrano, Olga
author_facet Hernández Serrano, Olga
Ghiţă, Alexandra
Figueras-Puigderrajols, Natàlia
Ruiz, Jolanda F. (Fernandez Ruiz)
Monras Arnau, Miquel
Ortega, Lluisa
Mondon, Silvia
Teixidor López, Lídia
Gual, Antoni
Ugas, Lidia
Fernández, Maribel
Montserrat, Roger
Porras-García, Bruno
Ferrer, Marta (Ferrer García)
Gutiérrez Maldonado, José
author_role author
author2 Ghiţă, Alexandra
Figueras-Puigderrajols, Natàlia
Ruiz, Jolanda F. (Fernandez Ruiz)
Monras Arnau, Miquel
Ortega, Lluisa
Mondon, Silvia
Teixidor López, Lídia
Gual, Antoni
Ugas, Lidia
Fernández, Maribel
Montserrat, Roger
Porras-García, Bruno
Ferrer, Marta (Ferrer García)
Gutiérrez Maldonado, José
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Alcoholisme
Tractament de l'alcoholisme
Síndrome d'abstinència
Realitat virtual
Teràpia d'exposició
Alcoholism
Alcoholism treatment
Drug withdrawal symptoms
Virtual reality
Exposure therapy
topic Alcoholisme
Tractament de l'alcoholisme
Síndrome d'abstinència
Realitat virtual
Teràpia d'exposició
Alcoholism
Alcoholism treatment
Drug withdrawal symptoms
Virtual reality
Exposure therapy
description Background/Objective: Determining the predictive variables associated with levels of alcohol craving can ease the identification of patients who can benefit from treatments. This study aimed to describe changes (improvement or no change/deterioration) in alcohol craving levels and explore the predictors of these changes from admission to discharge in outpatients with alcohol use disorder (AUD) undergoing treatment-as-usual (TAU), or treatment-as-usual supplemented with virtual reality cue-exposure therapy (TAU + VR-CET). Method: A prospective cohort study was conducted amongst 42 outpatients with AUD (n = 15 TAU + VR-CET and n = 27 TAU) from a clinical setting. Changes in the levels of alcohol craving between admission and discharge were assessed with the Multidimensional Alcohol Craving Scale. Sociodemographic characteristics (age, gender, education, and socioeconomic and civil status), cognitive-a ective behavioral patterns (AUD severity, abstinence duration, psychiatric comorbidity, state anxiety, attentional bias, and substance use), and type of treatment (TAU + VR-CET and only TAU) were also evaluated. Results: The TAU + VR-CET group showed greater changes of improvement in the levels of alcohol craving than the TAU group ( 2 = 10.996; p = 0.001). Intragroup changes in alcohol craving from pre to post-treatment were significant in the TAU + VR-CET group ( 2 = 13.818; p = 0.003) but not within the TAU group ( 2 = 2.349; p = 0.503). The odds of an improvement in any of the craving levels between pre- and post-test was 18.18 (1/0.055) times higher in the TAU + VR-CET group with respect to the TAU group. The use of illicit drugs in the month prior to the test increased the odds of having a positive change by 18.18 (1/0.055) with respect to not having consumed. Conclusions: Including VR-CET in TAU programs may provide benefits in the treatment of AUDs mainly among patients with intense alcohol craving and individuals having used illicit substances prior to treatment.
publishDate 2020
dc.date.none.fl_str_mv 2020
2021
2021
2021
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/174303
url https://hdl.handle.net/2445/174303
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.3390/jcm9093018
Journal of Clinical Medicine, 2020, vol. 9, num. 9, p. 3018
https://doi.org/10.3390/jcm9093018
dc.rights.none.fl_str_mv cc-by (c) Hernández Serrano, Olga et al., 2020
http://creativecommons.org/licenses/by/3.0/es
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc-by (c) Hernández Serrano, Olga et al., 2020
http://creativecommons.org/licenses/by/3.0/es
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 19 p.
application/pdf
dc.publisher.none.fl_str_mv MDPI
publisher.none.fl_str_mv MDPI
dc.source.none.fl_str_mv Articles publicats en revistes (Psicologia Clínica i Psicobiologia)
reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,811543

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