Occasional Reinforced Extinction as a Method for Relapse Prevention: A Critical Systematic Review and Future Directions

IF 2.8 3区 心理学 Q2 PSYCHOLOGY, CLINICAL
María J. Quintero, Francisco J. López, Miguel A. Vadillo, Joaquín Morís
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引用次数: 0

Abstract

Introduction

Extinction is more vulnerable than the original acquisition memory, as relapse phenomena have systematically shown in the literature with different species and procedures. One strategy potentially useful to mitigate relapse is occasional reinforced extinction (ORE). In contrast to a standard extinction procedure, this strategy consists of the inclusion of a gradual and sparse number of conditioned stimulus–unconditioned stimulus pairings within the extinction phase. Here, we provide a comprehensive review of the available literature on ORE.

Method

We conducted a literature search using three databases (Web of Science, Scopus, and PsycInfo) in July 2022, with an additional citation search. We collected data on different variables of interest, like the relapse phenomena being studied, the outcome measures, or the specific effects obtained.

Results

A total of 350 studies were identified from the main database search, including 10 in the review. Five additional studies from the citation search were also included. The final sample consisted of 15 empirical reports. The observed procedural variability makes it difficult to evaluate the effectiveness of ORE to reduce different forms of relapse as the strategy has not consistently shown a general advantage over standard extinction.

Conclusion

The current evidence assessing the effectiveness of ORE does not appear to be consistent, although there are plenty theoretical studies recommending and discussing the potential effectiveness of such technique. Moreover, the lack of conclusive laboratory evidence calls into question how general the potential benefits of its use in clinical settings would be.

Abstract Image

偶尔强化灭绝作为一种预防复发的方法:批判性系统回顾与未来方向
导言:消退比原始习得记忆更加脆弱,这一点在不同物种和程序的文献中有系统地表明。偶尔强化绝迹(ORE)是一种可能有助于减少复发的策略。与标准的消退程序不同,这种策略是在消退阶段逐渐加入数量稀少的条件刺激-非条件刺激配对。我们在 2022 年 7 月使用三个数据库(Web of Science、Scopus 和 PsycInfo)进行了文献检索,并进行了额外的引文检索。我们收集了不同相关变量的数据,如所研究的复发现象、结果测量或获得的具体效果。此外,还包括引文检索中的另外 5 项研究。最终样本包括 15 份实证报告。结论尽管有大量理论研究推荐和讨论 ORE 的潜在有效性,但目前评估 ORE 有效性的证据似乎并不一致。此外,由于缺乏确凿的实验室证据,人们不禁要问,在临床环境中使用这种方法的潜在益处有多大。
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来源期刊
Cognitive Therapy and Research
Cognitive Therapy and Research PSYCHOLOGY, CLINICAL-
CiteScore
5.30
自引率
0.00%
发文量
52
期刊介绍: Cognitive Therapy and Research (COTR) focuses on the investigation of cognitive processes in human adaptation and adjustment and cognitive behavioral therapy (CBT). It is an interdisciplinary journal welcoming submissions from diverse areas of psychology, including cognitive, clinical, developmental, experimental, personality, social, learning, affective neuroscience, emotion research, therapy mechanism, and pharmacotherapy.
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