认知偏差修正作为基于网络的干预问题饮酒者：一项随机对照试验与析因设计

IF 4.2 2区心理学 Q1 PSYCHOLOGY, CLINICAL

Behaviour Research and Therapy Pub Date : 2025-03-07 DOI:10.1016/j.brat.2025.104718

Denise S. van Deursen , Lynn Mobach , Elske Salemink , Matthijs Blankers , Reinout W. Wiers

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引用次数: 0

摘要

目的已有研究表明认知偏差矫正（CBM）可以减少与问题饮酒维持相关的认知偏差。然而，目前尚不清楚作为电子卫生干预措施提供的多种信任管理干预措施的单独效果和综合效果。因此，本研究在一项2（注意偏倚修正：干预/安慰剂）× 2（选择性抑制训练：干预/安慰剂）× 2（方法偏倚修正：干预/安慰剂）双盲随机对照试验中调查了基于网络的注意偏倚、选择性抑制和方法偏倚的影响。方法自认有问题的饮酒者被随机分配到8个CBM条件中的一个。所有参与者首先完成了个性化反馈干预，然后在六周内完成了12个CBM课程。在测试前和测试后通过训练和非训练任务评估认知偏差，并在3个月和6个月后测量酒精使用情况。结果共纳入427例自认为饮酒者（年龄51.2岁，年龄8.69岁）。结果显示，酒精的使用随着时间的推移而减少，但饮酒的减少在CBM条件下没有差异。几乎没有证据表明CBM改变了认知偏见。然而，应当指出，一些偏倚措施显示不充分的可靠性。结果表明，在问题饮酒者中，基于网络的CBM并没有随着时间的推移而增加短暂动机干预减少酒精使用的效果。结果可能是由于不成功的偏倚修正。未来的研究需要描述有效性的调节因子，并调查新的和有希望的基于推断的cbm变化。

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Cognitive bias modification as a web-based intervention for problem drinkers: A randomized controlled trial with a factorial design

Objective

Previous studies have shown that Cognitive Bias Modification (CBM) can decrease cognitive biases implicated in the maintenance of problem drinking. However, it is still unclear what the individual and combined effects of multiple CBM interventions are when delivered as an e-health intervention. The current study therefore investigated the effects of web-based modification of attention bias, selective inhibition, and approach bias in a 2 (attentional bias modification: intervention/placebo) x 2 (selective inhibition training: intervention/placebo) x 2 (approach bias modification: intervention/placebo) double-blind, randomized controlled trial in self-identified problem drinkers.

Method

Self-identified problem drinkers were randomly assigned to one of the eight CBM conditions. All participants first completed a personalized feedback intervention before completing 12 CBM sessions over six weeks. Cognitive biases were assessed with trained and untrained tasks at pre- and post-test and alcohol use was additionally measured three and six months later.

Results

427 self-identified problem drinkers (M_age = 51.2 years, SD_age = 8.69) were included. Results showed that alcohol use decreased over time, but the reductions in drinking did not differ between CBM conditions. There was little evidence that CBM changed cognitive biases. It should however be noted that some bias measures showed inadequate reliability.

Conclusions

The results indicate that in problem drinkers, web-based CBM does not add to the effects of a brief motivational intervention to reduce alcohol use over time. Findings may be due to unsuccessful bias modification. Future studies need to delineate moderators of effectiveness and investigate new and promising inference-based CBM-variations.

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来源期刊

Behaviour Research and Therapy PSYCHOLOGY, CLINICAL-

CiteScore

7.50

自引率

7.30%

发文量

148

期刊介绍： The major focus of Behaviour Research and Therapy is an experimental psychopathology approach to understanding emotional and behavioral disorders and their prevention and treatment, using cognitive, behavioral, and psychophysiological (including neural) methods and models. This includes laboratory-based experimental studies with healthy, at risk and subclinical individuals that inform clinical application as well as studies with clinically severe samples. The following types of submissions are encouraged: theoretical reviews of mechanisms that contribute to psychopathology and that offer new treatment targets; tests of novel, mechanistically focused psychological interventions, especially ones that include theory-driven or experimentally-derived predictors, moderators and mediators; and innovations in dissemination and implementation of evidence-based practices into clinical practice in psychology and associated fields, especially those that target underlying mechanisms or focus on novel approaches to treatment delivery. In addition to traditional psychological disorders, the scope of the journal includes behavioural medicine (e.g., chronic pain). The journal will not consider manuscripts dealing primarily with measurement, psychometric analyses, and personality assessment.