2026-04-14T05:16:03Zhttps://recercat.cat/oai/request

oai:recercat.cat:2445/1743032025-12-04T22:32:45Zcom_2072_1057col_2072_478917col_2072_478931

00925njm 22002777a 4500 dc Hernández Serrano, Olga author Ghiţă, Alexandra author Figueras-Puigderrajols, Natàlia author Ruiz, Jolanda F. (Fernandez Ruiz) author Monras Arnau, Miquel author Ortega, Lluisa author Mondon, Silvia author Teixidor López, Lídia author Gual, Antoni author Ugas, Lidia author Fernández, Maribel author Montserrat, Roger author Porras-García, Bruno author Ferrer, Marta (Ferrer García) author Gutiérrez Maldonado, José author 2021-02-25T12:23:53Z 2021-02-25T12:23:53Z 2020-09-18 2021-02-25T12:23:53Z 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-a ective 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 ( 2 = 10.996; p = 0.001). Intragroup changes in alcohol craving from pre to post-treatment were significant in the TAU + VR-CET group ( 2 = 13.818; p = 0.003) but not within the TAU group ( 2 = 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 treatment. Alcoholisme Tractament de l'alcoholisme Síndrome d'abstinència Realitat virtual Teràpia d'exposició Alcoholism Alcoholism treatment Drug withdrawal symptoms Virtual reality Exposure therapy Predictors of Changes in alcohol craving levels during a virtual reality cue exposure treatment among patients with alcohol use disorder