Effectiveness of Cue-Exposure Therapy on Alcohol Craving in Virtual Environment: Based on habit loop.

Alireza Karimpour Vazifehkhorani, Arina Attaran, Azizeh Karimi Saraskandrud, Haniyeh Faghih, Narges Yeganeh
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Abstract

Background: In the treatment and abstinence of alcoholism, especially in abstinence after treatment, "Craving" has an essential role. Thus, our aim was to examine the effect of cue-exposure therapy on alcohol craving in virtual environment based on the habit loop.

Methods: The present investigation was a case-control experimental study with a pretest-posttest-5 weeks follow-up design. Research population were alcohol-addicted people hospitalized in a psychiatric hospital. We had 62 subjects who had abstained from alcohol consumption. The sampling method was convenience sampling and the sample allocation was randomized and matched. The intervention was VR-CET that was implemented in eight sessions. Penn Alcohol Craving Scale, Alcohol Urge Questionnaire, and Obsessive-Compulsive Drinking Scale were used to collect the data. In order to analyze the data, analysis of covariance (ANCOVA) in SPSS V.23 was performed.

Findings: Our results showed that after implementation of VR-CET program the rate of PACS reduced significantly in posttest stage (p = 0.01) and follow up stage (p= 0.05). Also, the rate of AUQ and OCDS after exposure to VR-CET program declined significantly. The significant level of AUQ and OCDS in posttest and follow up stages were set at p- value < 0.01 and p-value <0.05 respectively.

Conclusion: VR-CET program can reduce alcohol craving by paying attention to various cues and contexts. In fact, it would be more beneficial if the treatment environment resembles a conditioned context and contains as many related cues as possible.

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基于习惯循环的虚拟环境中酒精渴望提示暴露疗法的有效性
背景:在酒精中毒的治疗和戒断中,特别是在治疗后戒断中,“渴望”起着至关重要的作用。因此,我们的目的是研究基于习惯循环的虚拟环境中线索暴露疗法对酒精渴望的影响。方法:本研究采用病例对照实验研究,采用前-后-5周随访设计。研究对象为精神病院住院的酒精成瘾患者。我们有62名受试者戒酒。抽样方法为方便抽样,样本分配为随机匹配。干预是VR-CET,分8个疗程实施。采用Penn酒精渴望量表、酒精冲动问卷和强迫性饮酒量表收集数据。为了对数据进行分析,使用SPSS V.23软件进行协方差分析(ANCOVA)。结果:我们的研究结果显示,实施VR-CET计划后,PACS发生率在测试后阶段(p= 0.01)和随访阶段(p= 0.05)均显著降低。此外,暴露于VR-CET计划后,AUQ和OCDS的发生率显著下降。在测试后和随访阶段,AUQ和OCDS的显著水平分别为p < 0.01和p值。结论:VR-CET程序可以通过注意各种线索和情境来减少酒精渴望。事实上,如果治疗环境类似于条件情境,并包含尽可能多的相关线索,效果会更好。
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