Patients with cocaine use disorder exhibit reductions in delay discounting with episodic future thinking cues regardless of incarceration history

延迟贴现 贴现 心理学 上瘾 时间贴现 冲动性 累犯 临床心理学 犯罪史 心理干预 可卡因使用 药物滥用 发展心理学 精神科 财务 经济
作者
Taylor M. Torres,Stuart R. Steinhauer,Steven D. Forman,Sarah Förster
出处
期刊:Addictive Behaviors Reports [Elsevier BV]
卷期号:18: 100518-100518
标识
DOI:10.1016/j.abrep.2023.100518
摘要

Research examining episodic future thinking (EFT; i.e., imagining oneself in future contexts) in community samples has demonstrated reduced discounting of delayed rewards when personalized event cues are included to prompt EFT related to reward latencies. While this EFT effect was recently demonstrated in individuals with substance use disorders, it is not yet known if it manifests similarly in individuals with and without a significant incarceration history-the latter being at elevated risk for negative outcomes including criminal recidivism. Individuals with cocaine use disorder (n = 35) identified personally-relevant future events and participated in a computerized delay discounting task, involving decisions between smaller immediate rewards or larger delayed rewards with and without EFT cues. Individuals with (n = 19) and without (n = 16) a significant history of incarceration were identified using the Addiction Severity Index-Lite. A significant reduction in discounting rates was observed when event cues were included to promote EFT (p = 0.02); however, there was no main effect of incarceration history on discounting behavior, or interaction between episodic future thinking condition and incarceration history. Results suggest personalized cues included to evoke EFT reduce discounting behavior in individuals with cocaine use disorder, regardless of incarceration history. EFT-based interventions may therefore have promise to reduce impulsive decision-making in individuals with cocaine use disorder with and without a significant history of incarceration, potentially supporting improved outcomes with respect to both substance use and future criminality.
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