2026-04-14T03:03:31Zhttps://recercat.cat/oai/requestoai:recercat.cat:10256/185862024-12-18T03:22:53Zcom_2072_452955com_2072_2054col_2072_453076
RECERCAT
author
Hernández Serrano, Olga
author
Ghiţă, Alexandra
author
Figueras Puigderrajols, Natàlia
author
Fernández Ruiz, Yolanda
author
Monras, Miquel
author
Ortega, Lluïsa
author
Mondon, Silvia
author
Teixidor, Lidia
author
Gual, Antoni
author
Ugas Ballester, Lidia
author
Fernández, Maribel
author
Montserrat, Roger
author
Porras Garcia, Bruno
author
Ferrer García, Marta
author
Gutiérrez Maldonado, José
2024-06-14T10:20:42Z
2024-06-14T10:20:42Z
2020-09-18
http://hdl.handle.net/10256/18586
Background/Objective: Determining the predictive variables associated with levels of alcohol craving can ease the identification of patients who can benefit from treatments. This study aimed to describe changes (improvement or no change/deterioration) in alcohol craving levels and explore the predictors of these changes from admission to discharge in outpatients with alcohol use disorder (AUD) undergoing treatment-as-usual (TAU), or treatment-as-usual supplemented with virtual reality cue-exposure therapy (TAU + VR-CET). Method: A prospective cohort study was conducted amongst 42 outpatients with AUD (n = 15 TAU + VR-CET and n = 27 TAU) from a clinical setting. Changes in the levels of alcohol craving between admission and discharge were assessed with the Multidimensional Alcohol Craving Scale. Sociodemographic characteristics (age, gender, education, and socioeconomic and civil status), cognitive-affective behavioral patterns (AUD severity, abstinence duration, psychiatric comorbidity, state anxiety, attentional bias, and substance use), and type of treatment (TAU + VR-CET and only TAU) were also evaluated. Results: The TAU + VR-CET group showed greater changes of improvement in the levels of alcohol craving than the TAU group (χ2 = 10.996; p = 0.001). Intragroup changes in alcohol craving from pre to post-treatment were significant in the TAU + VR-CET group (χ2 = 13.818; p = 0.003) but not within the TAU group (χ2 = 2.349; p = 0.503). The odds of an improvement in any of the craving levels between pre- and post-test was 18.18 (1/0.055) times higher in the TAU + VR-CET group with respect to the TAU group. The use of illicit drugs in the month prior to the test increased the odds of having a positive change by 18.18 (1/0.055) with respect to not having consumed. Conclusions: Including VR-CET in TAU programs may provide benefits in the treatment of AUDs mainly among patients with intense alcohol craving and individuals having used illicit substances prior to treatmentThis research was funded by the Spanish Ministry of Health, Social Services and Equality, Delegation of
the Government for the National Plan on Drugs (FEDER/EU/Project 2016I078: ALCO-VR: Virtual reality-based
protocol for the treatment of patients diagnosed with severe alcohol use disorder). The study also received support
from AGAUR, Generalitat de Catalunya, 2017SGR1693
Attribution 4.0 International http://creativecommons.org/licenses/by/4.0/ info:eu-repo/semantics/openAccess
Alcohòlics
Alcoholics
Realitat virtual
Virtual reality
Predictors of Changes in Alcohol Craving Levels during a Virtual Reality Cue Exposure Treatment among Patients with Alcohol Use Disorder
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion peer-reviewed