Cargando…
Comparing LORETA Z Score Neurofeedback and Cognitive Rehabilitation Regarding Their Effectiveness in Reducing Craving in Opioid Addicts
INTRODUCTION: Previous studies have shown that conventional neurofeedback and cognitive modification treatments have numerous psychological benefits for patients with substance use disorders. However, the effectiveness of LORETA (Low-Resolution Brain Electromagnetic Tomography) Z Score Neurofeedback...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Iranian Neuroscience Society
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9790100/ https://www.ncbi.nlm.nih.gov/pubmed/36589016 http://dx.doi.org/10.32598/bcn.2021.1946.1 |
_version_ | 1784859098681966592 |
---|---|
author | Faridi, Alireza Taremian, Farhad Thatcher, Robert W Dadashi, Mohsen Moloodi, Reza |
author_facet | Faridi, Alireza Taremian, Farhad Thatcher, Robert W Dadashi, Mohsen Moloodi, Reza |
author_sort | Faridi, Alireza |
collection | PubMed |
description | INTRODUCTION: Previous studies have shown that conventional neurofeedback and cognitive modification treatments have numerous psychological benefits for patients with substance use disorders. However, the effectiveness of LORETA (Low-Resolution Brain Electromagnetic Tomography) Z Score Neurofeedback (LZNFB) and cognitive rehabilitation therapy in reducing opioid craving has not been investigated. Thus, the present study aimed to compare the effectiveness of LZNFB and cognitive rehabilitation therapy with Methadone Maintenance Treatment (MMT) in reducing craving in patients with opioid use disorder. METHODS: Thirty patients with opioid use disorder undergoing MMT were randomly assigned into three groups: LZNFB with MMT, cognitive rehabilitation with MMT (as experimental groups), and MMT alone control group. The LZNFB and cognitive rehabilitation groups received 20 and 15 sessions of treatment, respectively. The three groups were assessed using several questionnaires and dot-probe task at pretest, posttest, and one-month follow-up. RESULTS: The results showed that both experimental groups accomplished a significantly greater reduction in opioid craving than MMT alone group at posttest and follow-up (P<0.05). The LZNFB plus MMT group showed a greater decrease in opioid craving than the cognitive rehabilitation plus MMT group. In addition, the cognitive rehabilitation plus MMT group experienced greater improvement in attentional bias towards craving cues than the LZNFB with MMT group at posttest and follow-up. Finally, the LZNFB plus MMT group and cognitive rehabilitation plus MMT group got higher scores on the recovery assessment scale than MMT alone group at posttest and follow-up. According to study results, LZNFB training is more effective than cognitive rehabilitation in decreasing cravings and improving the quality of life in addiction to opioids. CONCLUSION: The current study’s findings provided preliminary support for the effectiveness of LZNFB and cognitive rehabilitation in reducing opioid craving, improving attentional bias towards craving cues, and the quality of life among Iranian opioid use patients. HIGHLIGHTS: LZNFB training showed higher decrease in opioid craving than the Cognitive rehabilitation in opioid addicts. Cognitive rehabilitation group experienced greater improvement on attentional bias towards craving cues than LZNFB. LZNFB and Cognitive rehabilitation with MMT group got higher scores on the recovery assessment scale than MMT alone group. LZNFB training is more effective than Cognitive Rehabilitation in decreasing of craving in addiction. opioids. PLAIN LANGUAGE SUMMARY: Addiction is a chronic relapsing disease that makes many problems for human society. Routine medical treatments are not completely effective and they have relapse. New forms of non-medical treatments such as neurofeedback and cognitive rehabilitation are effective and safe without impressive side effects . This article shows the efficacy of above mentioned interventions for decrease craving and control of this problem. |
format | Online Article Text |
id | pubmed-9790100 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Iranian Neuroscience Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-97901002022-12-29 Comparing LORETA Z Score Neurofeedback and Cognitive Rehabilitation Regarding Their Effectiveness in Reducing Craving in Opioid Addicts Faridi, Alireza Taremian, Farhad Thatcher, Robert W Dadashi, Mohsen Moloodi, Reza Basic Clin Neurosci Research Paper INTRODUCTION: Previous studies have shown that conventional neurofeedback and cognitive modification treatments have numerous psychological benefits for patients with substance use disorders. However, the effectiveness of LORETA (Low-Resolution Brain Electromagnetic Tomography) Z Score Neurofeedback (LZNFB) and cognitive rehabilitation therapy in reducing opioid craving has not been investigated. Thus, the present study aimed to compare the effectiveness of LZNFB and cognitive rehabilitation therapy with Methadone Maintenance Treatment (MMT) in reducing craving in patients with opioid use disorder. METHODS: Thirty patients with opioid use disorder undergoing MMT were randomly assigned into three groups: LZNFB with MMT, cognitive rehabilitation with MMT (as experimental groups), and MMT alone control group. The LZNFB and cognitive rehabilitation groups received 20 and 15 sessions of treatment, respectively. The three groups were assessed using several questionnaires and dot-probe task at pretest, posttest, and one-month follow-up. RESULTS: The results showed that both experimental groups accomplished a significantly greater reduction in opioid craving than MMT alone group at posttest and follow-up (P<0.05). The LZNFB plus MMT group showed a greater decrease in opioid craving than the cognitive rehabilitation plus MMT group. In addition, the cognitive rehabilitation plus MMT group experienced greater improvement in attentional bias towards craving cues than the LZNFB with MMT group at posttest and follow-up. Finally, the LZNFB plus MMT group and cognitive rehabilitation plus MMT group got higher scores on the recovery assessment scale than MMT alone group at posttest and follow-up. According to study results, LZNFB training is more effective than cognitive rehabilitation in decreasing cravings and improving the quality of life in addiction to opioids. CONCLUSION: The current study’s findings provided preliminary support for the effectiveness of LZNFB and cognitive rehabilitation in reducing opioid craving, improving attentional bias towards craving cues, and the quality of life among Iranian opioid use patients. HIGHLIGHTS: LZNFB training showed higher decrease in opioid craving than the Cognitive rehabilitation in opioid addicts. Cognitive rehabilitation group experienced greater improvement on attentional bias towards craving cues than LZNFB. LZNFB and Cognitive rehabilitation with MMT group got higher scores on the recovery assessment scale than MMT alone group. LZNFB training is more effective than Cognitive Rehabilitation in decreasing of craving in addiction. opioids. PLAIN LANGUAGE SUMMARY: Addiction is a chronic relapsing disease that makes many problems for human society. Routine medical treatments are not completely effective and they have relapse. New forms of non-medical treatments such as neurofeedback and cognitive rehabilitation are effective and safe without impressive side effects . This article shows the efficacy of above mentioned interventions for decrease craving and control of this problem. Iranian Neuroscience Society 2022 2022-01-01 /pmc/articles/PMC9790100/ /pubmed/36589016 http://dx.doi.org/10.32598/bcn.2021.1946.1 Text en Copyright© 2022 Iranian Neuroscience Society https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) |
spellingShingle | Research Paper Faridi, Alireza Taremian, Farhad Thatcher, Robert W Dadashi, Mohsen Moloodi, Reza Comparing LORETA Z Score Neurofeedback and Cognitive Rehabilitation Regarding Their Effectiveness in Reducing Craving in Opioid Addicts |
title | Comparing LORETA Z Score Neurofeedback and Cognitive Rehabilitation Regarding Their Effectiveness in Reducing Craving in Opioid Addicts |
title_full | Comparing LORETA Z Score Neurofeedback and Cognitive Rehabilitation Regarding Their Effectiveness in Reducing Craving in Opioid Addicts |
title_fullStr | Comparing LORETA Z Score Neurofeedback and Cognitive Rehabilitation Regarding Their Effectiveness in Reducing Craving in Opioid Addicts |
title_full_unstemmed | Comparing LORETA Z Score Neurofeedback and Cognitive Rehabilitation Regarding Their Effectiveness in Reducing Craving in Opioid Addicts |
title_short | Comparing LORETA Z Score Neurofeedback and Cognitive Rehabilitation Regarding Their Effectiveness in Reducing Craving in Opioid Addicts |
title_sort | comparing loreta z score neurofeedback and cognitive rehabilitation regarding their effectiveness in reducing craving in opioid addicts |
topic | Research Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9790100/ https://www.ncbi.nlm.nih.gov/pubmed/36589016 http://dx.doi.org/10.32598/bcn.2021.1946.1 |
work_keys_str_mv | AT faridialireza comparingloretazscoreneurofeedbackandcognitiverehabilitationregardingtheireffectivenessinreducingcravinginopioidaddicts AT taremianfarhad comparingloretazscoreneurofeedbackandcognitiverehabilitationregardingtheireffectivenessinreducingcravinginopioidaddicts AT thatcherrobertw comparingloretazscoreneurofeedbackandcognitiverehabilitationregardingtheireffectivenessinreducingcravinginopioidaddicts AT dadashimohsen comparingloretazscoreneurofeedbackandcognitiverehabilitationregardingtheireffectivenessinreducingcravinginopioidaddicts AT moloodireza comparingloretazscoreneurofeedbackandcognitiverehabilitationregardingtheireffectivenessinreducingcravinginopioidaddicts |