scholarly journals Commentary on Buckfield et al . (2020): The alcohol or drug cue exposure treatment paradox?

Addiction ◽  
2020 ◽  
Author(s):  
Angelina Isabella Mellentin
2011 ◽  
Vol 69 (11) ◽  
pp. 1060-1066 ◽  
Author(s):  
Sabine Vollstädt-Klein ◽  
Sabine Loeber ◽  
Martina Kirsch ◽  
Patrick Bach ◽  
Anne Richter ◽  
...  

2015 ◽  
Vol 156 ◽  
pp. e176 ◽  
Author(s):  
Irene Pericot-Valverde ◽  
Olaya Garcia-Rodriguez ◽  
Carla López-Núñez ◽  
Sara Weidberg ◽  
Roberto Secades-Villa

2011 ◽  
Vol 26 (S2) ◽  
pp. 91-91
Author(s):  
I. Pericot-Valverde ◽  
O. García-Rodríguez ◽  
K.P. Cabas-Hoyos ◽  
M. Ferrer-García ◽  
J. Gutiérrez-Maldonado

IntroductionTobacco craving is an intense desire to smoke. Cue-induced craving is considered the main responsible for relapse after smoking cessation. Cue Exposure Treatment (CET) consists of controlled and repeated exposure to stimuli associated with substance use in order to reduce craving associated.ObjectiveTo analyze the pattern of craving response of smokers exposed to Virtual Reality environments.MethodsForty-six smokers were exposed randomly to complex virtual scenes of 6 minutes long duration with smoking related cues that reproduce typical situations where people use to smokes. Craving was assessed before each exposure and 6 times during navigation with a visual analogic scale. For this secondary analysis the evolution of craving response were explored for the environments that produced the most and the least craving responses.ResultsIn the environment that produced the highest craving level, the pattern of response remains similar after the second assessment during the exposure, that is, after two minutes. For the environment that trigger the lowest levels, the responses gradually increased during the exposure and the highest level appeared in the last craving assessment, after 6 minutes.ConclusionsThis study has several implications. In the first place, virtual reality environments are able to elicit craving. In the second, we found that differents patterns of craving response exist in response to VR environments. Furthermore, the results obtained in the present study may be useful for cessation programs that include CET, in which is it necessary to know the pattern of desire during the exposure.


2006 ◽  
Vol 44 (10) ◽  
pp. 1441-1449 ◽  
Author(s):  
Roy Thewissen ◽  
Steffie J.B.D. Snijders ◽  
Remco C. Havermans ◽  
Marcel van den Hout ◽  
Anita Jansen

Addiction ◽  
1999 ◽  
Vol 94 (5) ◽  
pp. 685-695 ◽  
Author(s):  
Raymond Niaura ◽  
David B. Abrams ◽  
William G. Shadel ◽  
Damaris J. Rohsenow ◽  
Peter M. Monti ◽  
...  

2009 ◽  
Vol 9 (1) ◽  
Author(s):  
Olaya García-Rodríguez ◽  
Irene Pericot-Valverde ◽  
José Gutiérrez Maldonado ◽  
Marta Ferrer García

El tabaquismo es uno de los mayores problemas de salud pública enla actualidad. Los tratamientos multicomponentes, que incorporan tres fases de intervención (preparación, abandono y mantenimiento), son considerados como el tratamiento de elección para el abordaje esta adicción.No obstante, las altas tasas de recaídas tras las intervenciones hacen que sea necesario incorporar estrategias más eficaces dentro de este tipo de programas para prevenir la vuelta al consumo. Para muchos autores, el craving es la causa de la mayoría de las recaídas. Las técnicas de exposición a pistas o señales consisten en la exposición controlada y repetida a estímulos o entornos asociados al uso de la sustancia, con el objetivo de reducir las respuestas de craving en estas situaciones. La Realidad Virtual ha mostrado su eficacia en el abordaje de diferentes trastornos como método de exposición. Es este artículo, se propone el uso de técnicas de exposición a través de entornos virtuales para la mejora del tratamiento del tabaquismo.  Abstract Smoking is currently one of the biggest problems of public health.Multicomponent treatments, which incorporate three intervention stages (preparation, quitting, and maintenance), are considered the treatment of choice for this problem. However, the high rates of relapse after the intervention make it necessary to incorporate more effective relapse prevention strategies within this kind of programs. For many authors, craving is the cause of most cases of resuming consumption. Cue Exposure Treatment, CET, consist of controlled and repeated exposure to stimuli associated with substance use, in order to reduce craving associated with these situations. On the other hand, recent studies have shown that exposure through virtual settings seems to be a more efficient strategy to present cues than exposure using other procedures. In this paper, cue exposure treatment through virtual reality enviroments are proposed inorder to improve smoking cessation treatments.


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