A systematic review of attention biases in opioid, cannabis, stimulant use disorders

Background: Opiates, cannabis, and amphetamines are highly abused, and use of these substances are prevalent disorders. Psychological interventions are crucial given that they help individuals maintain abstinence following a lapse or relapse into substance use. Advances in experimental psychology ha...

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Main Authors: Fung, Daniel S. S., Zhang, Melvyn, Ying, Jiangbo, Wing, Tracey, Song, Guo, Smith, Helen
Other Authors: Lee Kong Chian School of Medicine (LKCMedicine)
Format: Article
Language:English
Published: 2018
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Online Access:https://hdl.handle.net/10356/85021
http://hdl.handle.net/10220/45124
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Institution: Nanyang Technological University
Language: English
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spelling sg-ntu-dr.10356-850212020-11-01T05:15:20Z A systematic review of attention biases in opioid, cannabis, stimulant use disorders Fung, Daniel S. S. Zhang, Melvyn Ying, Jiangbo Wing, Tracey Song, Guo Smith, Helen Lee Kong Chian School of Medicine (LKCMedicine) Attention Bias Cognitive Bias Background: Opiates, cannabis, and amphetamines are highly abused, and use of these substances are prevalent disorders. Psychological interventions are crucial given that they help individuals maintain abstinence following a lapse or relapse into substance use. Advances in experimental psychology have suggested that automatic attention biases might be responsible for relapse. Prior reviews have provided evidence for the presence of these biases in addictive disorders and the effectiveness of bias modification. However, the prior studies are limited, as they failed to include trials involving participants with these prevalent addictive disorders or have failed to adopt a systematic approach in evidence synthesis. Objectives: The primary aim of this current systematic review is to synthesise the current evidence for attention biases amongst opioid use, cannabis use, and stimulant use disorders. The secondary aim is to determine the efficacy of attention bias modification interventions and other addictions related outcomes. Methods: A search was conducted from November 2017 to January 2018 on PubMed, MEDLINE, Embase, PsycINFO, Science Direct, Cochrane Central, and Scopus. The selection process of the articles was in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. A qualitative synthesis was undertaken. Risk of bias was assessed using the Cochrane Risk of Bias tool. Results: Six randomised trials were identified. The evidence synthesized from these trials have provided strong evidence that attentional biases are present in opioid and stimulant use disorders. Evidence synthesis for other secondary outcome measures could not be performed given the heterogeneity in the measures reported and the limited number of trials. The risk of bias assessment for the included trials revealed a high risk of selection and attrition bias. Conclusions: This review demonstrates the potential need for interventions targeting attention biases in opiate and cocaine use disorders. MOH (Min. of Health, S’pore) NMRC (Natl Medical Research Council, S’pore) Published version 2018-07-19T02:34:07Z 2019-12-06T15:55:42Z 2018-07-19T02:34:07Z 2019-12-06T15:55:42Z 2018 Journal Article Zhang, M., Ying, J., Wing, T., Song, G., Fung, D. S. S., & Smith, H. (2018). A systematic review of attention biases in opioid, cannabis, stimulant use disorders. International Journal of Environmental Research and Public Health, 15(6), 1138-. 1661-7827 https://hdl.handle.net/10356/85021 http://hdl.handle.net/10220/45124 10.3390/ijerph15061138 en International Journal of Environmental Research and Public Health © 2018 by The Author(s). Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). 12 p. application/pdf
institution Nanyang Technological University
building NTU Library
continent Asia
country Singapore
Singapore
content_provider NTU Library
collection DR-NTU
language English
topic Attention Bias
Cognitive Bias
spellingShingle Attention Bias
Cognitive Bias
Fung, Daniel S. S.
Zhang, Melvyn
Ying, Jiangbo
Wing, Tracey
Song, Guo
Smith, Helen
A systematic review of attention biases in opioid, cannabis, stimulant use disorders
description Background: Opiates, cannabis, and amphetamines are highly abused, and use of these substances are prevalent disorders. Psychological interventions are crucial given that they help individuals maintain abstinence following a lapse or relapse into substance use. Advances in experimental psychology have suggested that automatic attention biases might be responsible for relapse. Prior reviews have provided evidence for the presence of these biases in addictive disorders and the effectiveness of bias modification. However, the prior studies are limited, as they failed to include trials involving participants with these prevalent addictive disorders or have failed to adopt a systematic approach in evidence synthesis. Objectives: The primary aim of this current systematic review is to synthesise the current evidence for attention biases amongst opioid use, cannabis use, and stimulant use disorders. The secondary aim is to determine the efficacy of attention bias modification interventions and other addictions related outcomes. Methods: A search was conducted from November 2017 to January 2018 on PubMed, MEDLINE, Embase, PsycINFO, Science Direct, Cochrane Central, and Scopus. The selection process of the articles was in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. A qualitative synthesis was undertaken. Risk of bias was assessed using the Cochrane Risk of Bias tool. Results: Six randomised trials were identified. The evidence synthesized from these trials have provided strong evidence that attentional biases are present in opioid and stimulant use disorders. Evidence synthesis for other secondary outcome measures could not be performed given the heterogeneity in the measures reported and the limited number of trials. The risk of bias assessment for the included trials revealed a high risk of selection and attrition bias. Conclusions: This review demonstrates the potential need for interventions targeting attention biases in opiate and cocaine use disorders.
author2 Lee Kong Chian School of Medicine (LKCMedicine)
author_facet Lee Kong Chian School of Medicine (LKCMedicine)
Fung, Daniel S. S.
Zhang, Melvyn
Ying, Jiangbo
Wing, Tracey
Song, Guo
Smith, Helen
format Article
author Fung, Daniel S. S.
Zhang, Melvyn
Ying, Jiangbo
Wing, Tracey
Song, Guo
Smith, Helen
author_sort Fung, Daniel S. S.
title A systematic review of attention biases in opioid, cannabis, stimulant use disorders
title_short A systematic review of attention biases in opioid, cannabis, stimulant use disorders
title_full A systematic review of attention biases in opioid, cannabis, stimulant use disorders
title_fullStr A systematic review of attention biases in opioid, cannabis, stimulant use disorders
title_full_unstemmed A systematic review of attention biases in opioid, cannabis, stimulant use disorders
title_sort systematic review of attention biases in opioid, cannabis, stimulant use disorders
publishDate 2018
url https://hdl.handle.net/10356/85021
http://hdl.handle.net/10220/45124
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