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Delay discounting and the use of mindful attention versus distraction in the treatment of drug addiction: a conceptual review.

Melinda L Ashe, Michelle G Newman, Stephen J Wilson

Journal of the experimental analysis of behavior December 25, 2014 DOI: 10.1002/jeab.122 (opens in new tab)

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AI-extracted from the abstract
Characteristics Conceptual review Peer reviewed
Topics Meditation Addiction
Keywords Humans Substance-related disorders Attention Craving Delay discounting Drug addiction Distraction
Key findings The authors propose that mindfulness-based and distraction-based approaches to addiction treatment, which respectively involve nonjudgmentally attending to versus shifting attention away from cravings, may interact with delay discounting in ways that have important implications for treatment effectiveness. They argue that delay discounting could serve both as a marker of treatment effectiveness and as a target for novel interventions, though these connections remain largely unexplored.

Abstract

In recent decades, researchers have integrated measurements of delay discounting, how the subjective valuation of a reward changes as a function of time, into their study of addiction. Research has begun to explore the idea that delay discounting may serve as both a marker for the effectiveness of existing treatments for addiction and a potential target for novel intervention strategies. As this work is in its infancy, many potentially significant connections between the construct of delay discounting and the treatment of addiction have yet to be explored. Here, we present a conceptual review highlighting novel points of intersection between delay discounting and two approaches to treating addiction that have become increasingly popular in recent years: those that focus on the development of mindfulness skills and those that emphasize the use of distraction techniques. Viewing these two techniques through the lens of delay discounting is particularly intriguing because of the very different way that they address the experience of drug cravings in the present moment (nonjudgmentally attending to vs. shifting attention away from subjective cravings, respectively). We propose that these opposing strategies for dealing with cravings may interact with delay discounting in ways that have important implications for treatment effectiveness.

Comparable studies

Other narrative reviews on addiction, most cited first.

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