Evidence map›Paper›PMID 23218805›Full record

Trial reportDevelopmental cognitive neuroscience2013

Approach bias modification in alcohol dependence: do clinical effects replicate and for whom does it work best?

Carolin Eberl, Reinout W Wiers, Steffen Pawelczack, Mike Rinck, Eni S Becker, Johannes Lindenmeyer

4 registry-linked trialsAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Developmental cognitive neuroscience, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 159 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
159citing papers in PubMed, 6 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02634476 nacompletednot on this mapstarted 2014, after this paper: background citation

Can Cognitive-bias Modification Training During Inpatient Alcohol Detoxification Reduce Relapse Rates Post-discharge?

TypeinterventionalSponsorTurning PointRan2014 to 2016Enrolled83ConditionsAlcohol DependenceArmsAlcohol approach/avoidance task, Sham approach/avoidance task
NCT04054336 naunknown statusnot on this mapstarted 2017, after this paper: background citation

Mechanisms Underlying the Approach and Avoidance Task (AAT) in Alcoholic Inpatients

TypeinterventionalSponsorUniversitätsklinikum Hamburg-EppendorfRan2017 to 2020Enrolled90ConditionsAlcohol DependenceArmsInhibit AAT, classical AAT, Control Group
NCT04190810 naunknown statusnot on this mapstarted 2019, after this paper: background citation

Mechanisms Underlying the Approach and Avoidance Task (AAT) in Smoking Cessation

TypeinterventionalSponsorUniversitätsklinikum Hamburg-EppendorfRan2019 to 2020Enrolled75ConditionsSmoking CessationArmsInhibition, Classical AAT, Control
NCT05120856 nacompletednot on this mapstarted 2022, after this paper: background citation

AAT-App Trial: A Clinical Trial of a "Brain-training" Smartphone App to Help Reduce Alcohol Use in People Accessing Outpatient Alcohol Treatment

TypeinterventionalSponsorTurning PointRan2022 to 2024Enrolled82ConditionsAlcohol Use Disorder (AUD)ArmsAAT-App, Minimal AAT-App
3 · Its place in the literature

Who cites it

159 citing papers in PubMed, 6 syntheses or guidelines pooled it.

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  12. Approach Bias and Tobacco Craving as Mechanisms of the Effect of Approach Bias Retraining on Smoking Cessation.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025
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99 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Carolin EberlSalus Clinic, Lindow, Germany. carolin.eberl@googlemail.com
Reinout W Wiers
Steffen Pawelczack
Mike Rinck
Eni S Becker
Johannes Lindenmeyer

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlcoholism is a progressive neurocognitive developmental disorder. Recent evidence shows that computerized training interventions (Cognitive Bias Modification, CBM) can reverse some of these maladaptively changed neurocognitive processes. A first clinical study of a CBM, called alcohol-avoidance training, found that trained alcoholic patients showed less relapse at one-year follow-up than control patients. The present study tested the replication of this result, and questions about mediation and moderation.

methods509 alcohol-dependent patients received treatment as usual (primarily Cognitive Behavior Therapy) inpatient treatment. Before and after treatment, the implicit approach bias was measured with the Alcohol Approach-Avoidance Task. Half of the patients were randomly assigned to CBM, the other half received treatment as usual only. Background variables, psychopathology and executive control were tested as possible moderating variables of CBM. One year after treatment, follow-up data about relapse were collected.

resultsThe group receiving CBM developed alcohol-avoidance behavior and reported significantly lower relapse rates at one-year follow-up. Change in alcohol-approach bias mediated this effect. Moderation analyses demonstrated that older patients and patients with a strong approach-bias at pretest profited most from CBM.

conclusionsCBM is a promising treatment add-on in alcohol addiction and may counter some of the maladaptive neurocognitive effects of long-term alcoholism.

Indexed as

AdultAgedAlcohol DrinkingAlcoholismBehavior, AddictiveCognitive Behavioral TherapyCuesExecutive FunctionFemaleFollow-Up StudiesHumansMaleMiddle AgedReproducibility of ResultsSecondary PreventionSurveys and Questionnaires

Identifiers

PMID23218805
PMCPMC6987692

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.