Evidence map›Paper›PMID 30316302›Full record

SynthesisSystematic reviews2018

The effectiveness of attentional bias modification for substance use disorder symptoms in adults: a systematic review.

Janika Heitmann, Elise C Bennik, Madelon E van Hemel-Ruiter, Peter J de Jong

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Systematic reviews, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 2 pooled it
6.1field-weighted citation impact, top 3% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 2 syntheses or guidelines pooled it, 76 citations in OpenAlex.

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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

4 authors at 2 institutions in 1 country.

Janika HeitmannVerslavingszorg Noord Nederland, Groningen, The Netherlands. j.heitmann@vnn.nl.ORCID 0000-0001-6307-3133
Elise C BennikDepartment of Clinical Psychology and Experimental Psychopathology, University of Groningen, Groningen, The Netherlands.
Madelon E van Hemel-RuiterVerslavingszorg Noord Nederland, Groningen, The Netherlands.
Peter J de JongDepartment of Clinical Psychology and Experimental Psychopathology, University of Groningen, Groningen, The Netherlands.
University of Groningen · NLVerslavingszorg Noord Nederland · NL

Funding

ZonMw 80-84300-98-61035
6 · The paper itself

Abstract

backgroundAttentional bias modification (ABM) interventions have been developed to address addiction by reducing attentional bias for substance-related cues. This study provides a systematic review of the effectiveness of ABM interventions in decreasing symptoms of addictive behaviour, taking baseline levels of attentional bias and changes in attentional bias into account.

methodsWe included randomised and non-randomised studies that investigated the effectiveness of ABM interventions in heavy-using adults and treatment-seeking individuals with symptoms of substance use disorder to manipulate attentional bias and to reduce substance use-related symptoms. We searched for relevant English peer-reviewed articles without any restriction for the year of publication using PsycINFO, PubMed, and ISI Web in August 2016. Study quality was assessed regarding reporting, external validity, internal validity, and power of the study.

resultsEighteen studies were included: nine studies reported on ABM intervention effects in alcohol use, six studies on nicotine use, and three studies on opiate use. The included studies differed with regard to type of ABM intervention (modified dot probe task n = 14; Alcohol Attention Control Training Programme n = 4), outcome measures, amount and length of provided sessions, and context (clinic versus laboratory versus home environment). The study quality mostly ranged from low average to high average (one study scored below the quality cut-off). Ten studies reported significant changes of symptoms of addictive behaviour, whereas eight studies found no effect of ABM interventions on symptoms. However, when restricted to multi-session ABM intervention studies, eight out of ten studies found effects on symptoms of addiction. Surprisingly, these effects on symptoms of addictive behaviour showed no straightforward relationship with baseline attentional bias and its change from baseline to post-test.

conclusionsDespite a number of negative findings and the diversity of studies, multi-session ABM interventions, especially in the case of alcohol and when the Alcohol Attention Control Training Programme was used, appear to have positive effects on symptoms of addictive behaviour. However, more rigorous well-powered future research in clinical samples is needed before firm conclusions regarding the effectiveness of ABM interventions can be drawn. SYSTEMATIC REVIEW REGISTRATION: Registration number PROSPERO: CRD42016046823.

Indexed as

Attentional BiasAdultBehavior, AddictiveCognitive Behavioral TherapyCuesHumansSubstance-Related DisordersAddictionAlcoholAttentional biasAttentional bias modificationCognitive bias modificationNicotineOpiateSubstance use disorderSystematic review

Identifiers

PMID30316302
PMCPMC6186103
OpenAlexW2896557925

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.