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Be more mindful: Targeting addictive responses by integrating mindfulness with cognitive bias modification or cue exposure interventions

Junilla K. Larsen, Gareth J. Hollands, Eric L Garland, Andrea W.M. Evers, Reinout W. H. J. Wiers

Neuroscience & Biobehavioral Reviews September 25, 2023 DOI: 10.1016/j.neubiorev.2023.105408 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Review Peer reviewed
Interventions Cognitive bias modification (CBM) cue-exposure therapy mindfulness interventions
Topics Meditation
Citations 11
Key findings Proposes a conceptual model in which mindfulness strategies are combined with response-focused CBM or cue-exposure interventions. The authors argue that awareness/monitoring may facilitate and decentering may add to response-focused effects that decrease cue-induced craving, and that combined awareness-acceptance strategies may diminish the link between craving and addictive responses.

Abstract

This review provides an overview of the most prominent neurocognitive effects of cognitive bias modification (CBM), cue-exposure therapy and mindfulness interventions for targeting addictive responses. It highlights the key insights that have stemmed from cognitive neuroscience and brain imaging research and combines these with insights from behavioural science in building a conceptual model integrating mindfulness with response-focused CBM or cue-exposure interventions. This furthers our understanding of whether and how mindfulness strategies may i) facilitate or add to the induced response-focused effects decreasing cue-induced craving, and ii) further weaken the link between craving and addictive responses. Specifically, awareness/monitoring may facilitate, and decentering may add to, response-focused effects. Combined awareness acceptance strategies may also diminish the craving-addiction link. The conceptual model presented in this review provides a specific theoretical framework to deepen our understanding of how mindfulness strategies and CBM or cue-exposure interventions can be combined to greatest effect. This is important in both suggesting a roadmap for future research, and for the further development of clinical interventions.

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