Relationships between Attentional Bias and craving in Alcohol Use Disorder: Role of metacognitions. 2021

Damien Delonca, and Raphaël Trouillet, and Régis Alarcon, and Bertrand Nalpas, and Pascal Perney
Laboratory Epsylon (EA4556), University of Paul Valéry Montpellier 3, Montpellier, France.

Researchers have claimed that craving and Attentional Bias (AB) towards alcohol-related cues can be explained by a common incentive-salience mechanism. However, the exact relationship between AB and craving is a matter of debate. The aim of this study was to show that metacognitions moderate the effect of AB on craving. A sample of 38 alcohol abusers undergoing post-withdrawal treating in a hospital setting completed the visual Dot Probe Detection Task (DPDT), while both pre- and post-task measures of craving were recorded. Our results confirmed significant effects of both exposure to pictures of alcohol, and metacognitions, on craving; in particular, the interaction Metacognition * DPDT was significant. Although we initially confirmed a significant main effect of AB on craving, it became non-significant when adjusted for inter-subject variance, and metacognitions. The effect of the interaction AB * Metacognition on craving was not significant. Our findings support the hypothesis that craving and AB share variance, but the relationship appears to be spurious, and caused by confounding factors. We discuss these results with reference to the metacognitive model of addiction.

UI MeSH Term Description Entries
D003463 Cues Signals for an action; that specific portion of a perceptual field or pattern of stimuli to which a subject has learned to respond. Cue
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000067489 Metacognition Awareness and understanding of one's own thought processes. Meta-cognition,Meta-cognitive Awareness,Meta-cognitive Control,Meta-cognitive Monitoring,Meta-emotion,Meta-memory,Metacognitive Awareness,Metacognitive Control,Metacognitive Knowledge,Metacognitive Monitoring,Metaemotion,Metamemory,Awareness, Meta-cognitive,Awareness, Metacognitive,Knowledge, Metacognitive,Meta cognition,Meta cognitive Awareness,Meta cognitive Control,Meta cognitive Monitoring,Meta emotion,Meta memory,Meta-cognitive Awarenesses,Meta-cognitive Controls,Meta-cognitive Monitorings,Meta-memories,Metacognitive Awarenesses,Metacognitive Controls,Metacognitive Knowledges,Metaemotions,Metamemories,Monitoring, Metacognitive
D000070379 Attentional Bias An increased focus or awareness of certain stimuli over others, which influence behavior. Attentional Biases,Biased Attention,Attention, Biased,Bias, Attentional,Biases, Attentional
D000437 Alcoholism A primary, chronic disease with genetic, psychosocial, and environmental factors influencing its development and manifestations. The disease is often progressive and fatal. It is characterized by impaired control over drinking, preoccupation with the drug alcohol, use of alcohol despite adverse consequences, and distortions in thinking, most notably denial. Each of these symptoms may be continuous or periodic. (Morse & Flavin for the Joint Commission of the National Council on Alcoholism and Drug Dependence and the American Society of Addiction Medicine to Study the Definition and Criteria for the Diagnosis of Alcoholism: in JAMA 1992;268:1012-4) Alcohol Abuse,Alcoholic Intoxication, Chronic,Ethanol Abuse,Alcohol Addiction,Alcohol Dependence,Alcohol Use Disorder,Abuse, Alcohol,Abuse, Ethanol,Addiction, Alcohol,Alcohol Use Disorders,Chronic Alcoholic Intoxication,Dependence, Alcohol,Intoxication, Chronic Alcoholic,Use Disorders, Alcohol
D066249 Craving An intense, urgent, or abnormal desire or longing (for food, drugs, alcohol, etc.) Cravings

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