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Making Sense of Negative Findings from Mobile Attention Bias Modification Interventions for Individuals with Addictive Disorders: Quantitative Feasibility Study.

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العنوان: Making Sense of Negative Findings from Mobile Attention Bias Modification Interventions for Individuals with Addictive Disorders: Quantitative Feasibility Study.
المؤلفون: Zhang M; National Addictions Management Service, Institute of Mental Health, Singapore, Singapore., Ying J; National Addictions Management Service, Institute of Mental Health, Singapore, Singapore., Amron SB; National Addictions Management Service, Institute of Mental Health, Singapore, Singapore., Mahreen Z; National Addictions Management Service, Institute of Mental Health, Singapore, Singapore., Song G; National Addictions Management Service, Institute of Mental Health, Singapore, Singapore., Fung DS; Department of Developmental Psychiatry, Institute of Mental Health, Singapore, Singapore., Smith HE; Family Medicine and Primary Care, Lee Kong Chian School of Medicine, Nanyang Technological University Singapore, Singapore, Singapore.
المصدر: JMIR mHealth and uHealth [JMIR Mhealth Uhealth] 2019 Nov 12; Vol. 7 (11), pp. e16325. Date of Electronic Publication: 2019 Nov 12.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: JMIR Publications Inc Country of Publication: Canada NLM ID: 101624439 Publication Model: Electronic Cited Medium: Internet ISSN: 2291-5222 (Electronic) Linking ISSN: 22915222 NLM ISO Abbreviation: JMIR Mhealth Uhealth Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Toronto: JMIR Publications Inc., [2013]-
مواضيع طبية MeSH: Observer Variation*, Substance-Related Disorders/*psychology, Adult ; Attention/physiology ; Chi-Square Distribution ; Feasibility Studies ; Female ; Humans ; Male ; Middle Aged ; Mobile Applications/statistics & numerical data ; Singapore ; Substance-Related Disorders/complications
مستخلص: Background: Advances in experimental psychology have led to a better understanding of unconscious, automatic processes that result in individuals relapsing into their substance-using habits. While some reviews have demonstrated the effectiveness of bias retraining of these unconscious biases, there have been other reviews that have highlighted that bias retraining is not always effective. Other studies have revealed there was no baseline biases among some participants. An examination of mobile bias retraining interventions has also revealed mixed results, with some reporting effectiveness and others null findings. A recent feasibility and acceptability study, done by the authors, revealed that 53% of participants have had no baseline biases and 21% of those with positive baseline biases did not have a positive change in magnitude following intervention.
Objective: The aim of this paper was to explore potential variables (demographic and clinical) that could account for the negative baseline biases in the prior feasibility and acceptability study, and to discuss some of the factors that could account for the absence of baseline biases. We also explored potential reasons for why there was no reduction in the magnitude of attentional biases among individuals with baseline biases.
Methods: Participants who were in the rehabilitation phase of their treatment were invited to participate. During the study they had to complete a set of baseline questionnaires, and on each day that they were on the ward they had to complete an attention bias assessment and modification task and rate their cravings using a visual analogue scale. Attention bias was deemed to be present if individuals had a positive score.
Results: In our study, 53% (16/30) of individuals did not present with baseline attentional biases, and among those with positive baseline biases a total of 21% (3/14) of participants did not have a reduction in the overall magnitude of attentional biases. Chi-square analyses undertaken to compare the demographic characteristics of participants with and without baseline biases did not reveal any significant findings. However, with respect to clinical characteristics, those who had positive baseline biases had experimented with more substances.
Conclusions: Our study is one of the first to have explored negative findings in attention bias modification interventions for individuals with addictive disorders. We postulate that several factors could account for the absence of baseline biases and there being no changes following bias retraining. Future research ought to take into consideration these factors.
(©Melvyn Wb Zhang, Jiangbo Ying, Syidda B Amron, Zaakira Mahreen, Guo Song, Daniel SS Fung, Helen E Smith. Originally published in JMIR Mhealth and Uhealth (http://mhealth.jmir.org), 12.11.2019.)
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فهرسة مساهمة: Keywords: attention bias; cognitive bias; psychiatry
تواريخ الأحداث: Date Created: 20191113 Date Completed: 20200915 Latest Revision: 20200915
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC6880231
DOI: 10.2196/16325
PMID: 31714248
قاعدة البيانات: MEDLINE
الوصف
تدمد:2291-5222
DOI:10.2196/16325