Third-Wave Treatments for Impulsivity in Addictive Disorders: A Narrative Review of the Active Ingredients and Overall Efficacy.

IF 4.6 2区医学 Q1 SUBSTANCE ABUSE Current Addiction Reports Pub Date : 2023-06-01 Epub Date: 2023-04-29 DOI:10.1007/s40429-023-00487-2

David I K Moniz-Lewis, Hannah A Carlon, Hanna Hebden, Felicia R Tuchman, Victoria R Votaw, Elena R Stein, Katie Witkiewitz

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Abstract

Purpose of review: The goal of this review was to (1) synthesize recent studies that have examined impulsive behaviors in third-wave behavioral treatments, including Acceptance and Commitment Therapy, Mindfulness-Based Interventions, and Dialectical Behavior Therapy, and (2) examine the efficacy of these third-wave treatments in modifying impulsivity among individuals with addictive disorders.

Recent findings: Recent studies indicate the potential for third-wave treatments in both treating addictive disorders and targeting the underlying neurocognitive mechanisms of impulsivity. Concerns around the conceptualization of impulsivity as a construct warrant the use of improved measurement of impulsive behaviors in future work.

Summary: Through shared emphases on mindfulness, acceptance, and emotion regulation, third-wave treatments offer great promise in the alleviation of suffering resulting from impulsive and addictive behaviors. Rigorous research with improved methodological designs, larger samples, and sound measurements of specific impulsive behaviors is needed to clarify the utility of third-wave interventions in targeting impulsivity.

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第三波治疗成瘾障碍中的冲动性：有效成分和总体疗效的叙述回顾。

综述目的：本综述的目的是：(1)综合最近在第三波行为治疗中对冲动行为的研究，包括接受与承诺治疗、正念干预和辩证行为治疗；(2)检查这些第三波治疗在改变成瘾性障碍患者冲动行为方面的效果。最近的发现：最近的研究表明，在治疗成瘾障碍和针对冲动性的潜在神经认知机制的第三波治疗的潜力。对冲动性概念化作为一种结构的关注，保证了在未来的工作中使用改进的冲动性行为测量方法。总结：通过对正念、接受和情绪调节的共同强调，第三波治疗在减轻冲动和成瘾行为带来的痛苦方面提供了巨大的希望。需要通过改进的方法设计、更大的样本和对特定冲动行为的可靠测量进行严谨的研究，以阐明针对冲动的第三波干预的效用。

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来源期刊

Current Addiction Reports Psychology-Clinical Psychology

CiteScore

6.60

自引率

4.70%

发文量

期刊介绍： This journal focuses on the prevention, assessment and diagnosis, and treatment of addiction. Designed for physicians and other mental health professionals who need to keep up-to-date with the latest research, Current Addiction Reports offers expert reviews on the most recent and important research in addiction. We accomplish this by appointing leaders in the field to serve as Section Editors in key subject areas and disciplines, such asAlcoholTobaccoStimulants, cannabis, and club drugsBehavioral addictionsGender disparities in addictionComorbid psychiatric disorders and addictionSubstance abuse disorders and HIVSection Editors, in turn, select the most pressing topics as well as experts to evaluate the latest research, report on any controversial discoveries or hypotheses of interest, and ultimately bring readers up-to-date on the topic. Articles represent interdisciplinary endeavors with research from fields such as psychiatry, psychology, pharmacology, epidemiology, and neuroscience.Additionally, an international Editorial Board—representing a range of disciplines within addiction medicine—ensures that the journal content includes current, emerging research and suggests articles of special interest to their country or region.