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Cognitive training: A new avenue in gambling disorder management?
Neuroscience & Biobehavioral Reviews ( IF 7.5 ) Pub Date : 2018-10-22 , DOI: 10.1016/j.neubiorev.2018.10.011
Amandine Luquiens 1 , Ruben Miranda 1 , Amine Benyamina 1 , Arnaud Carré 2 , Henri-Jean Aubin 1
Affiliation  

INTRODUCTION Cognitive deficits are being robustly documented in gambling disorder. Cognitive training has been increasingly investigated as a treatment of substance use disorders. Four training components have been listed to date: cognitive bias, response inhibition, working memory, and goal-directed. This review aimed at the identification of use and efficacy findings in cognitive training in gambling disorder. METHODS We conducted a systematic search to identify use and efficacy data of cognitive training in gambling disorder. No use or efficacy data was available. DISCUSSION AND PERSPECTIVES Studies assessing cognitive training in gambling disorder are being conducted and first results should be upcoming. Methodological challenges have been identified. Several candidate target cognitive functions of training programs are being investigated, relying on the most documented impairments in gambling disorder, inhibition, reward sensitivity and decision making. Gambling-specific or neutral environments are to be distinguished clearly and do not rely on similar assumptions, i.e. general vulnerability or vulnerability expressed only in the specific context of gambling. Proper control groups with placebo conditions should be implemented. Assessment of efficacy should include clinical and neuropsychological assessments to give information of underlying mechanisms of action.

中文翻译:

认知训练:赌博疾病管理的新途径?

简介认知障碍在赌博障碍中得到了有力的证明。认知训练已被越来越多地研究为药物滥用症的治疗方法。迄今为止,已经列出了四个训练成分:认知偏见,反应抑制,工作记忆和目标导向。这项审查的目的是识别赌博疾病的认知训练中的使用和功效发现。方法我们进行了系统的搜索,以识别赌博疾病中认知训练的用途和功效数据。没有使用或功效数据。讨论与观点正在进行有关评估赌博疾病认知训练的研究,并且即将有初步结果。已经确定了方法上的挑战。正在研究培训计划的几种候选目标认知功能,依靠最有据可查的赌博障碍,抑制,奖励敏感性和决策障碍。特定于赌博的环境或中立的环境必须清楚地区分,并且不应基于类似的假设,即一般脆弱性或仅在特定赌博环境中表达的脆弱性。应实施具有安慰剂条件的适当对照组。疗效评估应包括临床和神经心理学评估,以提供潜在的作用机制信息。应实施具有安慰剂条件的适当对照组。疗效评估应包括临床和神经心理学评估,以提供潜在的作用机制信息。应实施具有安慰剂条件的适当对照组。疗效评估应包括临床和神经心理学评估,以提供潜在的作用机制信息。
更新日期:2018-10-22
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