Ecological Momentary Assessment and Personalized Networks in Cognitive Bias Modification Studies on Addiction: Advances and Challenges

Adding cognitive bias modification (CBM) to treatment as usual for alcohol use disorders has been found to reduce relapse rates. However, CBM has not yielded effects as a stand-alone intervention. One possible reason may be that this is due to CBM effects being underpinned by inferential rather than...

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Main Authors: Alessandra C. Mansueto, Ting Pan, Pieter van Dessel, Reinout W. Wiers
Format: Article
Language:English
Published: SAGE Publishing 2023-06-01
Series:Journal of Experimental Psychopathology
Online Access:https://doi.org/10.1177/20438087231178123
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author Alessandra C. Mansueto
Ting Pan
Pieter van Dessel
Reinout W. Wiers
author_facet Alessandra C. Mansueto
Ting Pan
Pieter van Dessel
Reinout W. Wiers
author_sort Alessandra C. Mansueto
collection DOAJ
description Adding cognitive bias modification (CBM) to treatment as usual for alcohol use disorders has been found to reduce relapse rates. However, CBM has not yielded effects as a stand-alone intervention. One possible reason may be that this is due to CBM effects being underpinned by inferential rather than associative mental mechanisms. This change in perspective has led to a proposed improved version of CBM: Inference-based ABC training. In ABC training, participants learn to relate the antecedents (A) of their addiction behavior to alternative behaviors (B) and to their expected consequences (C) in relation to their long-term goals. Mechanisms triggering and maintaining addiction, such as those targeted during ABC training, can differ between people. Ecological Momentary Assessment (EMA) and derived personalized statistics, including models depicting relationships between variables (i.e., personalized networks), are therefore promising tools to help to optimally personalize this training. In this paper, we (1) explain the theoretical background and first implementations of ABC training; (2) present novel approaches to personalize treatment based on EMA; (3) propose ways forward to integrate improved CBM approaches and EMA to potentially advance addiction treatment; and (4) discuss promises and challenges of these proposed new approaches.
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spelling doaj.art-d0b2c6e51b7a41f1b562e419e257d8c12023-06-09T09:33:28ZengSAGE PublishingJournal of Experimental Psychopathology2043-80872023-06-011410.1177/20438087231178123Ecological Momentary Assessment and Personalized Networks in Cognitive Bias Modification Studies on Addiction: Advances and ChallengesAlessandra C. MansuetoTing PanPieter van DesselReinout W. WiersAdding cognitive bias modification (CBM) to treatment as usual for alcohol use disorders has been found to reduce relapse rates. However, CBM has not yielded effects as a stand-alone intervention. One possible reason may be that this is due to CBM effects being underpinned by inferential rather than associative mental mechanisms. This change in perspective has led to a proposed improved version of CBM: Inference-based ABC training. In ABC training, participants learn to relate the antecedents (A) of their addiction behavior to alternative behaviors (B) and to their expected consequences (C) in relation to their long-term goals. Mechanisms triggering and maintaining addiction, such as those targeted during ABC training, can differ between people. Ecological Momentary Assessment (EMA) and derived personalized statistics, including models depicting relationships between variables (i.e., personalized networks), are therefore promising tools to help to optimally personalize this training. In this paper, we (1) explain the theoretical background and first implementations of ABC training; (2) present novel approaches to personalize treatment based on EMA; (3) propose ways forward to integrate improved CBM approaches and EMA to potentially advance addiction treatment; and (4) discuss promises and challenges of these proposed new approaches.https://doi.org/10.1177/20438087231178123
spellingShingle Alessandra C. Mansueto
Ting Pan
Pieter van Dessel
Reinout W. Wiers
Ecological Momentary Assessment and Personalized Networks in Cognitive Bias Modification Studies on Addiction: Advances and Challenges
Journal of Experimental Psychopathology
title Ecological Momentary Assessment and Personalized Networks in Cognitive Bias Modification Studies on Addiction: Advances and Challenges
title_full Ecological Momentary Assessment and Personalized Networks in Cognitive Bias Modification Studies on Addiction: Advances and Challenges
title_fullStr Ecological Momentary Assessment and Personalized Networks in Cognitive Bias Modification Studies on Addiction: Advances and Challenges
title_full_unstemmed Ecological Momentary Assessment and Personalized Networks in Cognitive Bias Modification Studies on Addiction: Advances and Challenges
title_short Ecological Momentary Assessment and Personalized Networks in Cognitive Bias Modification Studies on Addiction: Advances and Challenges
title_sort ecological momentary assessment and personalized networks in cognitive bias modification studies on addiction advances and challenges
url https://doi.org/10.1177/20438087231178123
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AT pietervandessel ecologicalmomentaryassessmentandpersonalizednetworksincognitivebiasmodificationstudiesonaddictionadvancesandchallenges
AT reinoutwwiers ecologicalmomentaryassessmentandpersonalizednetworksincognitivebiasmodificationstudiesonaddictionadvancesandchallenges