Cognitive control training for urgency: A pilot randomized controlled trial in an acute clinical sample.
Cognitive control training for urgency: A pilot randomized controlled trial in an acute clinical sample.
复制标题
DOI：
10.1016/j.brat.2021.103968
复制
发表时间：
2021-11
影响因子：
4.1
通讯作者：
Beard C
中科院分区：
文献类型：
--
作者：
Peckham AD;Sandler JP;Dattolico D;McHugh RK;Johnson DS;Björgvinsson T;Pizzagalli DA;Beard C
紧迫感--强烈情绪背景下的鲁莽行为--是冲动的一个方面，与许多心理障碍密切相关。工作记忆缺陷和反应抑制是导致紧迫感的潜在机制，先前的一项研究表明，针对这些领域的认知训练在降低紧迫感方面是有效的。然而，这种干预的可行性和有效性还没有在临床样本或自然治疗环境中进行测试。为了填补这一空白，我们对部分住院计划中报告高度紧急情况的个人进行了一项认知培训的试点研究。我们在一项开放试验(n=20)中评估了这一干预措施，随后进行了一项随机对照试验(n=46)，将认知训练加常规治疗与常规治疗进行比较。结果支持认知训练的可行性和可接受性。训练组的参与者在认知任务上表现出显著的改善，但两组在紧迫感上没有差异。在结合开放试验和随机对照试验的汇集分析中，只有训练组的痛苦不耐受显著减少。结果表明，认知训练对痛苦不耐受有潜在的益处，但不支持在急性临床环境中使用紧急认知训练。
Urgency – rash action in the context of strong emotion – is a facet of impulsivity closely related to many psychological disorders. Deficits in working memory and response inhibition are potential mechanisms underlying urgency, and a previous study showed that cognitive training targeting these domains is efficacious in reducing urgency. However, the feasibility and efficacy of this intervention has not yet been tested in a clinical sample or naturalistic treatment setting. To fill this gap, we conducted a pilot study of cognitive training for individuals reporting high levels of urgency in a partial hospitalization program. We evaluated this intervention in an open trial (n = 20), followed by a randomized controlled trial (n = 46) comparing cognitive training plus treatment as usual to treatment as usual. Results supported the feasibility and acceptability of cognitive training. Participants in the training group showed significant improvement on cognitive tasks, but groups did not differ in urgency. In pooled analyses combining the open trial and RCT, there was a significant reduction in distress intolerance in the training group only. Results indicate the potential benefit of cognitive training for distress intolerance, but do not support the use of cognitive training for urgency in acute clinical settings.
登录
查看更多内容
影响因子：
5.9
作者：
Hoorelbeke, Kristof;Koster, Ernst H. W.
通讯作者：
Koster, Ernst H. W.
影响因子：
6.9
作者：
Hsu KJ;Shumake J;Caffey K;Risom S;Labrada J;Smits JAJ;Schnyer DM;Beevers CG
通讯作者：
Beevers CG
影响因子：
3.7
作者：
Allen, Kenneth J. D.;Hooley, Jill M.
通讯作者：
Hooley, Jill M.
影响因子：
4.1
作者：
Johnson, Sheri L.;Zisser, Mackenzie Rae;Fernandez, Ephrem
通讯作者：
Fernandez, Ephrem
影响因子：
10.3
作者：
Bomyea, Jessica;Stein, Murray B.;Lang, Ariel J.
通讯作者：
Lang, Ariel J.