Cognitive bias modification in alcohol use disorder and problematic drinking: A revised and updated IPD Bayesian meta-analysis

IF 11.2 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical Psychology Review Pub Date : 2026-03-01 Epub Date: 2026-02-01 DOI:10.1016/j.cpr.2026.102709

Ting Pan , Xiaochang Zhao , František Bartoš , Helle Larsen , Victoria Manning , Marilisa Boffo , Reinout W. Wiers

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Abstract

Background

Recent advances in Cognitive Bias Modification (CBM) for problematic drinking, including Alcohol Use Disorder, alongside methodological refinements, warrant an update of the Individual Participant Data (IPD) Bayesian meta-analysis. This study integrates new datasets, focuses on alcohol CBM, and applies a two-stage IPD framework to examine CBM's effects on cognitive bias, alcohol consumption, and relapse.

Methods

A two-stage IPD Bayesian meta-analysis was performed, supplemented by frequentist sensitivity analyses. The first stage estimated study-specific CBM effects, the second stage pooled these to examine within-study moderators (adherence, addiction severity) and between-study moderators (CBM type, control condition, additional therapy, training congruency, and context).

Results

23 studies with 8297 participants were included. CBM showed a small unadjusted effect on bias (d = −0.18, 95% CrI [−0.32, 0.00], BF₁₀ = 10.88) and relapse (log OR = −0.26, 95% CrI [−0.38, −0.14], BF₁₀ = 155.07; number needed to treat = 18.7), but not on alcohol consumption (d = 0.003, 95% CrI [0.00, 0.06], BF₁₀ = 0.08). Effects were attenuated after adjusting for moderators. Moderator analyses revealed that face-to-face CBM context (unadjusted and within-study adjusted) and additional psychological therapy (within-study adjusted) were associated with greater bias reduction, and higher training intensity (unadjusted) was related to better relapse prevention. Frequentist sensitivity analyses largely supported these findings.

Conclusions

CBM reduced alcohol-related biases and relapse risk. Although overall evidence was no longer supported after adjusting for moderators, moderator analyses suggest CBM can be effective under specific conditions (e.g., face-to-face delivery, alongside therapy, higher training intensity). These findings underscore the need for refined, context-sensitive CBM protocols in alcohol interventions.

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酒精使用障碍和问题饮酒的认知偏差修正：一项修订和更新的IPD贝叶斯荟萃分析

背景：在包括酒精使用障碍在内的问题饮酒的认知偏差修正（CBM）方面的最新进展，以及方法学的改进，保证了个体参与者数据（IPD）贝叶斯元分析的更新。本研究整合了新的数据集，重点关注酒精CBM，并应用两阶段IPD框架来检查CBM对认知偏差、酒精消费和复发的影响。方法采用两阶段IPD贝叶斯荟萃分析，并辅以频率敏感性分析。第一阶段估计研究特定的CBM效应，第二阶段汇总这些来检查研究内调节因子（依从性，成瘾严重程度）和研究间调节因子（CBM类型，对照条件，额外治疗，训练一致性和背景）。结果共纳入23项研究，8297名受试者。CBM对偏倚（d = - 0.18, 95% CrI [- 0.32, 0.00], BF₁₀= 10.88）和复发（对数OR = - 0.26, 95% CrI [- 0.38, - 0.14], BF₁₀= 155.07；需要治疗的人数= 18.7）显示出较小的未经调整的影响，但对酒精消耗没有影响（d = 0.003, 95% CrI [0.00, 0.06], BF₁₀= 0.08）。调整调节因子后，效果减弱。调节分析显示，面对面的CBM背景（未调整和研究内调整）和额外的心理治疗（研究内调整）与更大的偏倚减少相关，更高的训练强度（未调整）与更好的复发预防相关。频率敏感性分析在很大程度上支持了这些发现。结论scbm降低了酒精相关偏倚和复发风险。虽然在调整调节因子后，总体证据不再得到支持，但调节因子分析表明，CBM在特定条件下是有效的（例如，面对面交付，治疗，更高的训练强度）。这些发现强调了在酒精干预中需要完善的、情境敏感的CBM方案。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Psychology Review PSYCHOLOGY, CLINICAL-

CiteScore

23.10

自引率

1.60%

发文量

期刊介绍： Clinical Psychology Review serves as a platform for substantial reviews addressing pertinent topics in clinical psychology. Encompassing a spectrum of issues, from psychopathology to behavior therapy, cognition to cognitive therapies, behavioral medicine to community mental health, assessment, and child development, the journal seeks cutting-edge papers that significantly contribute to advancing the science and/or practice of clinical psychology. While maintaining a primary focus on topics directly related to clinical psychology, the journal occasionally features reviews on psychophysiology, learning therapy, experimental psychopathology, and social psychology, provided they demonstrate a clear connection to research or practice in clinical psychology. Integrative literature reviews and summaries of innovative ongoing clinical research programs find a place within its pages. However, reports on individual research studies and theoretical treatises or clinical guides lacking an empirical base are deemed inappropriate for publication.