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Erschienen in: Annals of Behavioral Medicine 2/2009

01.04.2009 | Original Article

The Role of Executive Cognitive Functions in Changing Substance Use: What We Know and What We Need to Know

verfasst von: Arthur W. Blume, Ph.D., G. Alan Marlatt, Ph.D.

Erschienen in: Annals of Behavioral Medicine | Ausgabe 2/2009

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Abstract

Background

Executive cognitive functions (ECF) have been linked to skills such as planning, organizing, problem solving, decision-making, initiating and self-regulating behavior, working memory, and motivation; critical activities needed to monitor and change substance use behavior.

Purpose

The purpose of this study is to investigate how ECF may impact important variables associated with changing substance use behavior.

Methods

This study is a critical review of the extant literature about how ECF may influence substance abuse treatment outcomes and behavior change.

Results

A review of the literature found evidence that poorer ECF likely hinders substance use behavior change and is often associated with behavior labeled as denial. However, the relationship between ECF and substance abuse appears to be highly complex.

Conclusions

Traditional methods of substance abuse assessment, interpretation of behavior, and intervention may need to be reconsidered in light of new research about executive cognitive dysfunction. Implications for future research are discussed.
Literatur
1.
Zurück zum Zitat Lezak MD. Neuropsychological assessment. 3rd ed. New York: Oxford Press; 1995. Lezak MD. Neuropsychological assessment. 3rd ed. New York: Oxford Press; 1995.
2.
Zurück zum Zitat Slattery MJ, Garvey MA, Swedo SE. Frontal-subcortical circuits: A functional developmental approach. In: Lichter JL Cummings DG, ed. Frontal-subcortical circuits in psychiatric and neurological disorders. New York: Guilford Press; 2001:314–333. Slattery MJ, Garvey MA, Swedo SE. Frontal-subcortical circuits: A functional developmental approach. In: Lichter JL Cummings DG, ed. Frontal-subcortical circuits in psychiatric and neurological disorders. New York: Guilford Press; 2001:314–333.
3.
Zurück zum Zitat Zelaso PD, Cunningham WA. Executive function: Mechanism underlying emotion regulation. In: Gross JJ, ed. Handbook of emotion regulation. New York: Guilford Press; 2007:135–158. Zelaso PD, Cunningham WA. Executive function: Mechanism underlying emotion regulation. In: Gross JJ, ed. Handbook of emotion regulation. New York: Guilford Press; 2007:135–158.
4.
Zurück zum Zitat Goudriaan AE, Oosterlaan J, de Beurs E, van den Brink W. Neurocognitive functions in pathological gambling: A comparison with alcohol dependence, Tourette syndrome, and normal controls. Addiction. 2006;101:534–547.PubMedCrossRef Goudriaan AE, Oosterlaan J, de Beurs E, van den Brink W. Neurocognitive functions in pathological gambling: A comparison with alcohol dependence, Tourette syndrome, and normal controls. Addiction. 2006;101:534–547.PubMedCrossRef
5.
Zurück zum Zitat Sullivan EV, Rosenbloom MJ, Pfefferbaum A. Pattern of motor and cognitive deficits in detoxified alcoholic men. Alcohol Clin Exp Res.. 2000;24:611–621.PubMedCrossRef Sullivan EV, Rosenbloom MJ, Pfefferbaum A. Pattern of motor and cognitive deficits in detoxified alcoholic men. Alcohol Clin Exp Res.. 2000;24:611–621.PubMedCrossRef
6.
Zurück zum Zitat Oscar-Berman M, Kirkley SM, Gansler DA, Couture A. Comparisons of Korsakoff and non-Korsakoff alcoholics on neuropsychological tests of prefrontal brain functioning. Alcohol Clin Exp Res.. 2004;28:667–675.PubMedCrossRef Oscar-Berman M, Kirkley SM, Gansler DA, Couture A. Comparisons of Korsakoff and non-Korsakoff alcoholics on neuropsychological tests of prefrontal brain functioning. Alcohol Clin Exp Res.. 2004;28:667–675.PubMedCrossRef
7.
Zurück zum Zitat Lyvers M, Yakimoff M. Neuropsychological correlates of opioid dependence and withdrawal. Addict Behav.. 2003;28:605–611.PubMedCrossRef Lyvers M, Yakimoff M. Neuropsychological correlates of opioid dependence and withdrawal. Addict Behav.. 2003;28:605–611.PubMedCrossRef
8.
Zurück zum Zitat Verdejo-García A, Pérez-García M. Profile of executive deficits in cocaine and heroin polysubstance user: Common and differential effects on separate executive components. Psychopharmacol. 2007;190:517–530.CrossRef Verdejo-García A, Pérez-García M. Profile of executive deficits in cocaine and heroin polysubstance user: Common and differential effects on separate executive components. Psychopharmacol. 2007;190:517–530.CrossRef
9.
Zurück zum Zitat Johnson-Greene D, Adams KM, Gilman S, Junck L. Relationship between neuropsychological and emotional functioning in severe chronic alcoholism. Clin Neuropsychol. 2002;16:300–309.PubMed Johnson-Greene D, Adams KM, Gilman S, Junck L. Relationship between neuropsychological and emotional functioning in severe chronic alcoholism. Clin Neuropsychol. 2002;16:300–309.PubMed
10.
Zurück zum Zitat Verdejo-García A, Pérez-García M, Bechara A. Emotion, decision-making and substance dependence: A somatic-marker model of addiction. Current Neuropharmacol. 2006;4:17–31.CrossRef Verdejo-García A, Pérez-García M, Bechara A. Emotion, decision-making and substance dependence: A somatic-marker model of addiction. Current Neuropharmacol. 2006;4:17–31.CrossRef
11.
Zurück zum Zitat Bechara A, Damasio H. Decision-making and addiction (part I): Impaired activation of somatic states in substance dependent individuals when pondering decisions with negative future consequences. Neuropsychologia. 2002;40:1675–1689.PubMedCrossRef Bechara A, Damasio H. Decision-making and addiction (part I): Impaired activation of somatic states in substance dependent individuals when pondering decisions with negative future consequences. Neuropsychologia. 2002;40:1675–1689.PubMedCrossRef
12.
Zurück zum Zitat Bechara A, Dolan S. Decision-making and addiction (part II): Myopia for the future or hypersensitivity to reward? Neuropsychologia. 2002;40:1690–1705.PubMedCrossRef Bechara A, Dolan S. Decision-making and addiction (part II): Myopia for the future or hypersensitivity to reward? Neuropsychologia. 2002;40:1690–1705.PubMedCrossRef
13.
Zurück zum Zitat Chassin L, DeLucia C. Drinking during adolescence. Alcohol Health Res World. 1996;20:175–180. Chassin L, DeLucia C. Drinking during adolescence. Alcohol Health Res World. 1996;20:175–180.
14.
Zurück zum Zitat Tapert SF, Brown SA, Myers MG, Granholm E. The role of neurocognitive abilities in coping with adolescent relapse to alcohol and drug use. J Stud Alcohol. 1999;60:500–508.PubMed Tapert SF, Brown SA, Myers MG, Granholm E. The role of neurocognitive abilities in coping with adolescent relapse to alcohol and drug use. J Stud Alcohol. 1999;60:500–508.PubMed
15.
Zurück zum Zitat Tapert SF, Granholm E, Leedy NG, Brown SA. Substance use and withdrawal: Neuropsychological functioning over 8 years in youth. J Int Neuropsychol Soc. 2002;8:873–883.PubMedCrossRef Tapert SF, Granholm E, Leedy NG, Brown SA. Substance use and withdrawal: Neuropsychological functioning over 8 years in youth. J Int Neuropsychol Soc. 2002;8:873–883.PubMedCrossRef
16.
Zurück zum Zitat Blume AW, Marlatt GA, Schmaling KB. Executive cognitive function and heavy drinking behavior among college students. Psychol Addict Behav. 2000;14:299–302.PubMedCrossRef Blume AW, Marlatt GA, Schmaling KB. Executive cognitive function and heavy drinking behavior among college students. Psychol Addict Behav. 2000;14:299–302.PubMedCrossRef
17.
Zurück zum Zitat Sher KJ, Martin ED, Wood PK, Rutledge PC. Alcohol use disorders and neuropsychological functioning in the first-year undergraduates. Exp Clin Psychopharmacol.. 1997;5:304–315.PubMedCrossRef Sher KJ, Martin ED, Wood PK, Rutledge PC. Alcohol use disorders and neuropsychological functioning in the first-year undergraduates. Exp Clin Psychopharmacol.. 1997;5:304–315.PubMedCrossRef
18.
Zurück zum Zitat Baer JS, Kivlahan DR, Blume AW, McKnight P, Marlatt GA. Brief intervention for heavy-drinking college students: 4-year follow-up and natural history. Am J Public Health. 2001;91:1310–1316.PubMedCrossRef Baer JS, Kivlahan DR, Blume AW, McKnight P, Marlatt GA. Brief intervention for heavy-drinking college students: 4-year follow-up and natural history. Am J Public Health. 2001;91:1310–1316.PubMedCrossRef
19.
Zurück zum Zitat O’Malley PM. Maturing out of problematic alcohol use. Alcohol Res Health. 2005;28:202–204. O’Malley PM. Maturing out of problematic alcohol use. Alcohol Res Health. 2005;28:202–204.
20.
Zurück zum Zitat Romine CB, Reynolds CR. A model of the development of frontal lobe functioning: Findings from a meta-analysis. Appl. Neuropsychol.. 2005;12:190–201.PubMedCrossRef Romine CB, Reynolds CR. A model of the development of frontal lobe functioning: Findings from a meta-analysis. Appl. Neuropsychol.. 2005;12:190–201.PubMedCrossRef
21.
Zurück zum Zitat Rubia K, Smith AB, Wooley J, et al. Progressive increase of frontostriatal brain activation from childhood to adulthood during event-related tasks of cognitive control. Hum Brain Mapp.. 2006;27:973–993.PubMedCrossRef Rubia K, Smith AB, Wooley J, et al. Progressive increase of frontostriatal brain activation from childhood to adulthood during event-related tasks of cognitive control. Hum Brain Mapp.. 2006;27:973–993.PubMedCrossRef
22.
Zurück zum Zitat Eshel N, Nelson EE, Blair RJ, Pine DS, Ernst M. Neural substrates of choice selection in adults and adolescents: Development of the ventrolateral prefrontal and anterior cingulate cortices. Neuropsychologia. 2007;45:1270–1279.PubMedCrossRef Eshel N, Nelson EE, Blair RJ, Pine DS, Ernst M. Neural substrates of choice selection in adults and adolescents: Development of the ventrolateral prefrontal and anterior cingulate cortices. Neuropsychologia. 2007;45:1270–1279.PubMedCrossRef
23.
Zurück zum Zitat Ward H, Shum D, McKinlay L, Baker-Tweney S, Wallace G. Development of prospective memory: Tasks based on the prefrontal-lobe model. Child Neuropsychol. 2005;11:527–549.PubMedCrossRef Ward H, Shum D, McKinlay L, Baker-Tweney S, Wallace G. Development of prospective memory: Tasks based on the prefrontal-lobe model. Child Neuropsychol. 2005;11:527–549.PubMedCrossRef
24.
Zurück zum Zitat Schonfeld AM, Paley B, Frankel F, O’Connor MJ. Executive functioning predicts social skills following prenatal alcohol exposure. Child Neuropsychol. 2006;12:439–452.PubMedCrossRef Schonfeld AM, Paley B, Frankel F, O’Connor MJ. Executive functioning predicts social skills following prenatal alcohol exposure. Child Neuropsychol. 2006;12:439–452.PubMedCrossRef
25.
Zurück zum Zitat Connor PD, Sampson PD, Bookstein FL, Barr HM, Streissguth AP. Direct and indirect effects of prenatal alcohol damage on executive function. Dev Neuropsychol. 2001;18:331–354.CrossRef Connor PD, Sampson PD, Bookstein FL, Barr HM, Streissguth AP. Direct and indirect effects of prenatal alcohol damage on executive function. Dev Neuropsychol. 2001;18:331–354.CrossRef
26.
Zurück zum Zitat Nigg JT, Wong MM, Martel MM, et al. Poor response inhibition as a predictor of problem drinking and illicit drug use in adolescents at risk for alcoholism and other substance use disorders. J. Am Acad Child Adolesc Psychiatry. 2006;45:468–475.PubMedCrossRef Nigg JT, Wong MM, Martel MM, et al. Poor response inhibition as a predictor of problem drinking and illicit drug use in adolescents at risk for alcoholism and other substance use disorders. J. Am Acad Child Adolesc Psychiatry. 2006;45:468–475.PubMedCrossRef
27.
Zurück zum Zitat Baumeister RF, Heatherton TF, Tice DM. Losing control: How and why people fail at self-regulation. San Diego: Academic Press; 1994. Baumeister RF, Heatherton TF, Tice DM. Losing control: How and why people fail at self-regulation. San Diego: Academic Press; 1994.
28.
Zurück zum Zitat Weissenborn R, Duka T. Acute alcohol effects on cognitive function in social drinkers: Their relationship to drinking habits. Psychopharmacol. 2003;190:306–312. Weissenborn R, Duka T. Acute alcohol effects on cognitive function in social drinkers: Their relationship to drinking habits. Psychopharmacol. 2003;190:306–312.
29.
Zurück zum Zitat Giancola PR, Zeichner A, Yarnell JE. Relation between executive cognitive functioning and the adverse consequences of alcohol use in social drinkers. Alcohol Clin Exp Res.. 1996;20:1094–1098.PubMedCrossRef Giancola PR, Zeichner A, Yarnell JE. Relation between executive cognitive functioning and the adverse consequences of alcohol use in social drinkers. Alcohol Clin Exp Res.. 1996;20:1094–1098.PubMedCrossRef
30.
Zurück zum Zitat Deckel AW, Hesselbrock V, Bauer L. Relationship between alcohol-related expectancies and anterior brain functioning in young men at risk for developing alcoholism. Alcohol: Clin Exp Res. 1995;19:476–481.CrossRef Deckel AW, Hesselbrock V, Bauer L. Relationship between alcohol-related expectancies and anterior brain functioning in young men at risk for developing alcoholism. Alcohol: Clin Exp Res. 1995;19:476–481.CrossRef
31.
Zurück zum Zitat Noël X, van der Linden M, d’Acremont M, et al. Cognitive biases toward alcohol-related words and executive deficits in polysubstance abusers with alcoholism. Addiction. 2005;100:1302–1309.PubMedCrossRef Noël X, van der Linden M, d’Acremont M, et al. Cognitive biases toward alcohol-related words and executive deficits in polysubstance abusers with alcoholism. Addiction. 2005;100:1302–1309.PubMedCrossRef
32.
Zurück zum Zitat Hester R, Garavan H. Executive dysfunction in cocaine addiction: Evidence for discordant frontal, cingulated, and cerebellar activity. J Neurosci.. 2004;24:11017–11022.PubMedCrossRef Hester R, Garavan H. Executive dysfunction in cocaine addiction: Evidence for discordant frontal, cingulated, and cerebellar activity. J Neurosci.. 2004;24:11017–11022.PubMedCrossRef
33.
Zurück zum Zitat Goldman MS. Cognitive impairment in chronic alcoholics: Some cause for optimism. Am Psychol.. 1983;38:1045–1054.PubMedCrossRef Goldman MS. Cognitive impairment in chronic alcoholics: Some cause for optimism. Am Psychol.. 1983;38:1045–1054.PubMedCrossRef
34.
Zurück zum Zitat Zinn S, Swein R, Swartzwelder HS. Executive functioning early in abstinence from alcohol. Alcohol: Clin Exp Res. 2004;28:1338–1346.CrossRef Zinn S, Swein R, Swartzwelder HS. Executive functioning early in abstinence from alcohol. Alcohol: Clin Exp Res. 2004;28:1338–1346.CrossRef
35.
Zurück zum Zitat Bates ME, Voelbel GT, Buckman JF, Labouvie EW, Barry D. Short-term neuropsychological recovery in clients with substance use disorders. Alcohol Clin Exp Res.. 2005;29:367–377.PubMedCrossRef Bates ME, Voelbel GT, Buckman JF, Labouvie EW, Barry D. Short-term neuropsychological recovery in clients with substance use disorders. Alcohol Clin Exp Res.. 2005;29:367–377.PubMedCrossRef
36.
Zurück zum Zitat Munro CA, Saxton J, Butters MA. The neuropsychological consequences of abstinence among older alcoholics: A cross-sectional study. Alcohol Clin Exp Res.. 2000;24:1510–1516.PubMedCrossRef Munro CA, Saxton J, Butters MA. The neuropsychological consequences of abstinence among older alcoholics: A cross-sectional study. Alcohol Clin Exp Res.. 2000;24:1510–1516.PubMedCrossRef
37.
Zurück zum Zitat Fals-Stewart W. Ability of counselors to detect cognitive impairment among substance-abusing patients: An examination of diagnostic efficiency. Exp Clin Pharmacol. 1997;5:39–50. Fals-Stewart W. Ability of counselors to detect cognitive impairment among substance-abusing patients: An examination of diagnostic efficiency. Exp Clin Pharmacol. 1997;5:39–50.
38.
Zurück zum Zitat Nowinski J, Baker S, Carroll K. Twelve step facilitation therapy manual. In: Mattson ME, ed. Project MATCH monograph series, volume 3. Rockville, MD: National Institute on Alcohol Abuse and Alcoholism; 1995. Nowinski J, Baker S, Carroll K. Twelve step facilitation therapy manual. In: Mattson ME, ed. Project MATCH monograph series, volume 3. Rockville, MD: National Institute on Alcohol Abuse and Alcoholism; 1995.
39.
Zurück zum Zitat Bates ME, Barry D, Labouvie EW, et al. Risk factors and neuropsychological recovery in clients with alcohol use disorders who were exposed to different treatments. J Consult Clin Psychol.. 2004;72:1073–1080.PubMedCrossRef Bates ME, Barry D, Labouvie EW, et al. Risk factors and neuropsychological recovery in clients with alcohol use disorders who were exposed to different treatments. J Consult Clin Psychol.. 2004;72:1073–1080.PubMedCrossRef
40.
Zurück zum Zitat Mischel W. Toward an integrative model for CBT: Encompassing behavior, cognition, affect, and process. Behav Ther. 2004;35:185–203.CrossRef Mischel W. Toward an integrative model for CBT: Encompassing behavior, cognition, affect, and process. Behav Ther. 2004;35:185–203.CrossRef
41.
Zurück zum Zitat Verdejo-García A, López-Torrecillas F, Orozco-Giménez C, Pérez-García M. Clinical implications and methodological challenges in the study of the neuropsychological correlates of cannabis, stimulant, and opioid abuse. Neuropsychol Rev.. 2004;14:1–41.PubMedCrossRef Verdejo-García A, López-Torrecillas F, Orozco-Giménez C, Pérez-García M. Clinical implications and methodological challenges in the study of the neuropsychological correlates of cannabis, stimulant, and opioid abuse. Neuropsychol Rev.. 2004;14:1–41.PubMedCrossRef
42.
Zurück zum Zitat Witkiewitz K, van der Maas HLJ, Hufford MR, Marlatt GA. Nonnormality and divergence in posttreatment alcohol use: Reexamining the Project MATCH data ‘another way’. J Abnorm Psychol.. 2005;116:378–394.CrossRef Witkiewitz K, van der Maas HLJ, Hufford MR, Marlatt GA. Nonnormality and divergence in posttreatment alcohol use: Reexamining the Project MATCH data ‘another way’. J Abnorm Psychol.. 2005;116:378–394.CrossRef
43.
Zurück zum Zitat Irvin JE, Bowers CA, Dunn ME, Wang MC. Efficacy of relapse prevention: A meta-analytic review. J Consult Clin Psychol.. 1999;67:563–570.PubMedCrossRef Irvin JE, Bowers CA, Dunn ME, Wang MC. Efficacy of relapse prevention: A meta-analytic review. J Consult Clin Psychol.. 1999;67:563–570.PubMedCrossRef
44.
Zurück zum Zitat McCrady BS. Alcohol use disorders and the Division 12 task force of the American Psychological Association. Psychol Addict Behav. 2000;14:267–276.PubMedCrossRef McCrady BS. Alcohol use disorders and the Division 12 task force of the American Psychological Association. Psychol Addict Behav. 2000;14:267–276.PubMedCrossRef
45.
Zurück zum Zitat Marlatt GA, Witkiewitz K. Relapse prevention for alcohol and drug problems. In: Marlatt GA, Donovan DM, eds. Relapse prevention maintenance strategies in the treatment of addictive behaviors. 2nd ed. New York: Guilford Press; 2005:1–44. Marlatt GA, Witkiewitz K. Relapse prevention for alcohol and drug problems. In: Marlatt GA, Donovan DM, eds. Relapse prevention maintenance strategies in the treatment of addictive behaviors. 2nd ed. New York: Guilford Press; 2005:1–44.
46.
Zurück zum Zitat Murphy TJ, Pagano RR, Marlatt GA. Lifestyle modification with heavy alcohol drinkers: Effects of aerobic exercise and meditation. Addict Behav.. 1986;11:175–186.PubMedCrossRef Murphy TJ, Pagano RR, Marlatt GA. Lifestyle modification with heavy alcohol drinkers: Effects of aerobic exercise and meditation. Addict Behav.. 1986;11:175–186.PubMedCrossRef
47.
Zurück zum Zitat Bowen S, Witkiewitz K, Dillworth TM, et al. Mindfulness meditation and substance use in an incarcerated population. Psychol Addict Behav. 2006;20:343–347.PubMedCrossRef Bowen S, Witkiewitz K, Dillworth TM, et al. Mindfulness meditation and substance use in an incarcerated population. Psychol Addict Behav. 2006;20:343–347.PubMedCrossRef
48.
Zurück zum Zitat Marlatt GA. Lifestyle modification. In: Marlatt GA, Gordon JR, eds. Relapse prevention: Maintenance strategies in the treatment of addictive behaviors. New York: Guilford Press; 1985:280–348. Marlatt GA. Lifestyle modification. In: Marlatt GA, Gordon JR, eds. Relapse prevention: Maintenance strategies in the treatment of addictive behaviors. New York: Guilford Press; 1985:280–348.
49.
Zurück zum Zitat Witkiewitz K, Marlatt GA, Walker D. Mindfulness-based relapse prevention for alcohol and substance use disorders. J Cogn Psychother. 2005;19:211–228.CrossRef Witkiewitz K, Marlatt GA, Walker D. Mindfulness-based relapse prevention for alcohol and substance use disorders. J Cogn Psychother. 2005;19:211–228.CrossRef
50.
Zurück zum Zitat Cahn BR, Polich J. Meditation states and traits: EEG, ERP, and neuroimaging studies. Psychol Bull.. 2006;132:180–211.PubMedCrossRef Cahn BR, Polich J. Meditation states and traits: EEG, ERP, and neuroimaging studies. Psychol Bull.. 2006;132:180–211.PubMedCrossRef
51.
Zurück zum Zitat Lazar SW, Kerr CE, Wasserman RH, et al. Meditation experience is associated with increased cortical thickness. Neuroreport Rapid Comm Neurosci Res. 2005;16:1893–1897. Lazar SW, Kerr CE, Wasserman RH, et al. Meditation experience is associated with increased cortical thickness. Neuroreport Rapid Comm Neurosci Res. 2005;16:1893–1897.
52.
Zurück zum Zitat Rychtarik RG, Connors GJ, Whitney RB, McGillicuddy RB, Fitterling JM, Wirtz PW. Treatment settings for persons with alcoholism: Evidence for matching clients to inpatient versus outpatient care. J Consult Clin Psychol.. 2000;68:277–289.PubMedCrossRef Rychtarik RG, Connors GJ, Whitney RB, McGillicuddy RB, Fitterling JM, Wirtz PW. Treatment settings for persons with alcoholism: Evidence for matching clients to inpatient versus outpatient care. J Consult Clin Psychol.. 2000;68:277–289.PubMedCrossRef
53.
Zurück zum Zitat Kadden RM, Cooney NL, Getter H, Litt MD. Matching alcoholics to coping skills or interactional therapies: Posttreatment results. J Consult Clin Psychol.. 1989;61:698–704. Kadden RM, Cooney NL, Getter H, Litt MD. Matching alcoholics to coping skills or interactional therapies: Posttreatment results. J Consult Clin Psychol.. 1989;61:698–704.
54.
Zurück zum Zitat Donovan DM, Kivlahan DR, Kadden RM, Hill D. Psychological dysfunction: Cognitive impairment as a client-treatment matching hypothesis. In: Longabaugh R, Wirtz PW, Mattson ME, Myers JK, eds. Project MATCH hypotheses: Results and causal chain analyses. Project MATCH monograph series 8. Bethesda: National Institute on Alcohol Abuse and Alcoholism; 2001:62–81. Donovan DM, Kivlahan DR, Kadden RM, Hill D. Psychological dysfunction: Cognitive impairment as a client-treatment matching hypothesis. In: Longabaugh R, Wirtz PW, Mattson ME, Myers JK, eds. Project MATCH hypotheses: Results and causal chain analyses. Project MATCH monograph series 8. Bethesda: National Institute on Alcohol Abuse and Alcoholism; 2001:62–81.
55.
Zurück zum Zitat Roehrich L, Goldman MS. Experience-dependent neuropsychological recovery and the treatment of alcoholism. J Consult Clin Psychol.. 1993;61:812–821.PubMedCrossRef Roehrich L, Goldman MS. Experience-dependent neuropsychological recovery and the treatment of alcoholism. J Consult Clin Psychol.. 1993;61:812–821.PubMedCrossRef
56.
Zurück zum Zitat Fals-Stewart W, Lucente S. The effect of cognitive rehabilitation on neuropsychological status of patients in drug abuse treatment who display neurocognitive impairment. Rehabil Psychol. 1994;39:75–94.CrossRef Fals-Stewart W, Lucente S. The effect of cognitive rehabilitation on neuropsychological status of patients in drug abuse treatment who display neurocognitive impairment. Rehabil Psychol. 1994;39:75–94.CrossRef
57.
Zurück zum Zitat Bates ME, Bowden SC, Barry D. Neurocognitive impairment associated with alcohol use disorders: Implications for treatment. Exp Clin Pharmacol. 2002;10:193–212. Bates ME, Bowden SC, Barry D. Neurocognitive impairment associated with alcohol use disorders: Implications for treatment. Exp Clin Pharmacol. 2002;10:193–212.
58.
Zurück zum Zitat Blume AW, Schmaling KB, Marlatt GA. Memory, executive cognitive function, and readiness to change drinking behavior. Addict Behav.. 2005;30:301–314.PubMedCrossRef Blume AW, Schmaling KB, Marlatt GA. Memory, executive cognitive function, and readiness to change drinking behavior. Addict Behav.. 2005;30:301–314.PubMedCrossRef
59.
Zurück zum Zitat Blume AW, Schmaling KB, Marlatt GA. Predictors of change in binge drinking over a three month period. Addict Behav.. 2003;28:1007–1012.PubMedCrossRef Blume AW, Schmaling KB, Marlatt GA. Predictors of change in binge drinking over a three month period. Addict Behav.. 2003;28:1007–1012.PubMedCrossRef
60.
Zurück zum Zitat Carey KB. Alcohol-related expectancies predict quantity and frequency of heavy drinking among college students. Psychol Addict Behav. 1995;9:236–241.CrossRef Carey KB. Alcohol-related expectancies predict quantity and frequency of heavy drinking among college students. Psychol Addict Behav. 1995;9:236–241.CrossRef
61.
Zurück zum Zitat Annis HM, Davis CS. Assessment of expectancies. In: Donovan DM, Marlatt GA, eds. Assessment of addictive behaviors. New York: Guilford Press; 1988:84–111. Annis HM, Davis CS. Assessment of expectancies. In: Donovan DM, Marlatt GA, eds. Assessment of addictive behaviors. New York: Guilford Press; 1988:84–111.
62.
Zurück zum Zitat Jones BT, Corbin W, Fromme K. A review of expectancy theory and alcohol consumption. Addiction. 2001;96:57–72.PubMedCrossRef Jones BT, Corbin W, Fromme K. A review of expectancy theory and alcohol consumption. Addiction. 2001;96:57–72.PubMedCrossRef
63.
Zurück zum Zitat Jones BT, McMahon J. Negative alcohol expectancy predicts post-treatment abstinence survivorship: The whether, when and why of relapse to first drink. Addiction. 1994;89:1653–1665.PubMedCrossRef Jones BT, McMahon J. Negative alcohol expectancy predicts post-treatment abstinence survivorship: The whether, when and why of relapse to first drink. Addiction. 1994;89:1653–1665.PubMedCrossRef
64.
Zurück zum Zitat Marlatt GA. Cognitive factors in the relapse process. In: Marlatt GA, Gordon JR, eds. Relapse prevention: Maintenance strategies in the treatment of addictive behaviors. New York: Guilford Press; 1985:128–200. Marlatt GA. Cognitive factors in the relapse process. In: Marlatt GA, Gordon JR, eds. Relapse prevention: Maintenance strategies in the treatment of addictive behaviors. New York: Guilford Press; 1985:128–200.
65.
Zurück zum Zitat Sher KJ, Wood MD, Wood PK, Raskin G. Alcohol outcome expectancies and alcohol use: A latent variable cross-lagged panel study. J Abnorm Psychol.. 1996;105:561–574.PubMedCrossRef Sher KJ, Wood MD, Wood PK, Raskin G. Alcohol outcome expectancies and alcohol use: A latent variable cross-lagged panel study. J Abnorm Psychol.. 1996;105:561–574.PubMedCrossRef
66.
Zurück zum Zitat Goldman MS. Risk for substance abuse: Memory as a common etiological pathway. Psychol Sci. 1999;10:196–198.CrossRef Goldman MS. Risk for substance abuse: Memory as a common etiological pathway. Psychol Sci. 1999;10:196–198.CrossRef
67.
Zurück zum Zitat Townshend JM, Duka T. Attentional bias associated with alcohol cues: Differences between heavy and occasional social drinkers. Psychopharmacology. 2001;157:67–74.PubMedCrossRef Townshend JM, Duka T. Attentional bias associated with alcohol cues: Differences between heavy and occasional social drinkers. Psychopharmacology. 2001;157:67–74.PubMedCrossRef
68.
Zurück zum Zitat DiClemente CC, Bellino LE, Neavins TM. Motivation for change and alcoholism treatment. Alcohol Res Health. 1999;23:86–92.PubMed DiClemente CC, Bellino LE, Neavins TM. Motivation for change and alcoholism treatment. Alcohol Res Health. 1999;23:86–92.PubMed
69.
Zurück zum Zitat Prochaska JO, DiClemente CC, Norcross JC. In search of how people change: Applications to addictive behaviors. Am Psychol.. 1992;47:1102–1114.PubMedCrossRef Prochaska JO, DiClemente CC, Norcross JC. In search of how people change: Applications to addictive behaviors. Am Psychol.. 1992;47:1102–1114.PubMedCrossRef
70.
Zurück zum Zitat Blume AW, Davis JM, Schmaling KB. Neurocognitive dysfunction in dually diagnosed patients: A potential roadblock to behavior change. J Psychoactive Drugs. 1999;31:111–115.PubMed Blume AW, Davis JM, Schmaling KB. Neurocognitive dysfunction in dually diagnosed patients: A potential roadblock to behavior change. J Psychoactive Drugs. 1999;31:111–115.PubMed
71.
Zurück zum Zitat Blancard KA. A moderational model of alcohol treatment outcome: The relationship between motivation and cognitive deficits. Unpublished doctoral dissertation. Rutgers: The State University of New Jersey; 1999. Blancard KA. A moderational model of alcohol treatment outcome: The relationship between motivation and cognitive deficits. Unpublished doctoral dissertation. Rutgers: The State University of New Jersey; 1999.
72.
Zurück zum Zitat Miller WR, Rollnick S. Motivational interviewing. 2nd ed. New York: Guilford Press; 2002. Miller WR, Rollnick S. Motivational interviewing. 2nd ed. New York: Guilford Press; 2002.
73.
Zurück zum Zitat Rinn W, Desai N, Rosenblatt H, Gastfriend DR. Addiction denial and cognitive dysfunction: A preliminary investigation. J Neuropsychiatry Clin Neurosci. 2002;14:52–57.PubMed Rinn W, Desai N, Rosenblatt H, Gastfriend DR. Addiction denial and cognitive dysfunction: A preliminary investigation. J Neuropsychiatry Clin Neurosci. 2002;14:52–57.PubMed
74.
Zurück zum Zitat DiClemente CC, Carroll KM, Millar WR, Connors GJ, Donovan DM. A look inside treatment: Therapist effects, the therapeutic alliance, and the process of intentional behavior change. In: Babor TF, Del Boca FK, eds. Treatment matching in alcoholism. International research monographs in the addictions. New York: Cambridge University Press; 2003:166–183. DiClemente CC, Carroll KM, Millar WR, Connors GJ, Donovan DM. A look inside treatment: Therapist effects, the therapeutic alliance, and the process of intentional behavior change. In: Babor TF, Del Boca FK, eds. Treatment matching in alcoholism. International research monographs in the addictions. New York: Cambridge University Press; 2003:166–183.
75.
Zurück zum Zitat Ilgen MA, Tiet Q, Finney JW, Moos RH. Self-efficacy, therapeutic alliance, and alcohol-use disorder treatment outcomes. J Stud Alcohol. 2006;67:465–472.PubMed Ilgen MA, Tiet Q, Finney JW, Moos RH. Self-efficacy, therapeutic alliance, and alcohol-use disorder treatment outcomes. J Stud Alcohol. 2006;67:465–472.PubMed
76.
Zurück zum Zitat Morgenstern J, Bates ME. Effects of executive cognitive function impairment on change processes and substance use outcomes in 12-step treatment. J Stud Alcohol. 1999;60:846–855.PubMed Morgenstern J, Bates ME. Effects of executive cognitive function impairment on change processes and substance use outcomes in 12-step treatment. J Stud Alcohol. 1999;60:846–855.PubMed
77.
Zurück zum Zitat Bates ME, Pawlak AP, Tonigan JS, Buckman JF. Cognitive impairment influences drinking outcome by altering therapeutic mechanism of change. Psychol Addict Behav. 2006;20:241–253.PubMedCrossRef Bates ME, Pawlak AP, Tonigan JS, Buckman JF. Cognitive impairment influences drinking outcome by altering therapeutic mechanism of change. Psychol Addict Behav. 2006;20:241–253.PubMedCrossRef
78.
Zurück zum Zitat Chaney EF, O’Leary MR, Marlatt GA. Skills training with alcoholics. J Clin Consulting Psychol. 1978;46:1092–1104.CrossRef Chaney EF, O’Leary MR, Marlatt GA. Skills training with alcoholics. J Clin Consulting Psychol. 1978;46:1092–1104.CrossRef
79.
Zurück zum Zitat Kadden R, Carroll K, Donovan D, et al. Cognitive-behavioral coping skills therapy manual. In: Mattson ME, ed. Project MATCH monograph series, volume 3. Rockville, MD: National Institute on Alcohol Abuse and Alcoholism; 1999. Kadden R, Carroll K, Donovan D, et al. Cognitive-behavioral coping skills therapy manual. In: Mattson ME, ed. Project MATCH monograph series, volume 3. Rockville, MD: National Institute on Alcohol Abuse and Alcoholism; 1999.
80.
Zurück zum Zitat Fama R, Pfefferbaum A, Sullivan EV. Perceptual learning in detoxified alcoholic men: Contributions from explicit memory, executive function, and age. Alcohol Clin Exp Res.. 2004;28:1657–1665.PubMedCrossRef Fama R, Pfefferbaum A, Sullivan EV. Perceptual learning in detoxified alcoholic men: Contributions from explicit memory, executive function, and age. Alcohol Clin Exp Res.. 2004;28:1657–1665.PubMedCrossRef
81.
Zurück zum Zitat Fishbein DH, Hyde C, Eldreth D, et al. Neurocognitive skills moderate urban male adolescents’ response to preventive intervention materials. Drug Alcohol Depend. 2006;82:47–60.PubMedCrossRef Fishbein DH, Hyde C, Eldreth D, et al. Neurocognitive skills moderate urban male adolescents’ response to preventive intervention materials. Drug Alcohol Depend. 2006;82:47–60.PubMedCrossRef
82.
Zurück zum Zitat Wechsler D. Wechsler memory scale-revised. San Antonio, TX: Psychological Corporation; 1987. Wechsler D. Wechsler memory scale-revised. San Antonio, TX: Psychological Corporation; 1987.
83.
Zurück zum Zitat Berg EA. A simple objective test for measuring flexibility in thinking. J Gen Psychol.. 1948;39:15–22.PubMed Berg EA. A simple objective test for measuring flexibility in thinking. J Gen Psychol.. 1948;39:15–22.PubMed
84.
Zurück zum Zitat Heaton RK, Chelune GJ, Talley JL, Kay GG, Curtiss G. Wisconsin card sorting test manual: Expanded and revised. Odessa, FL: Psychological Assessment Resources; 1993. Heaton RK, Chelune GJ, Talley JL, Kay GG, Curtiss G. Wisconsin card sorting test manual: Expanded and revised. Odessa, FL: Psychological Assessment Resources; 1993.
85.
Zurück zum Zitat Ruff RM. Ruff figural fluency test: Professional manual. Odessa, FL: Psychological Assessment Resources; 1996. Ruff RM. Ruff figural fluency test: Professional manual. Odessa, FL: Psychological Assessment Resources; 1996.
86.
Zurück zum Zitat Peters HN. Circular pencil maze performance in chronic schizophrenics. J Clin Psychol.. 1956;12:170–173.PubMedCrossRef Peters HN. Circular pencil maze performance in chronic schizophrenics. J Clin Psychol.. 1956;12:170–173.PubMedCrossRef
87.
Zurück zum Zitat Peters HN, Jenkins RL. Improvement of chronic schizophrenic patients with guided problem-solving motivated by hunger. Psychiatr q.Suppl.. 1954;28:84–101.PubMed Peters HN, Jenkins RL. Improvement of chronic schizophrenic patients with guided problem-solving motivated by hunger. Psychiatr q.Suppl.. 1954;28:84–101.PubMed
88.
Zurück zum Zitat Brown SA, Goldman MS, Christiansen BA. Do alcohol expectancies mediate drinking patterns of adults? J Clin Consulting Psychol. 1985;53:512–519.CrossRef Brown SA, Goldman MS, Christiansen BA. Do alcohol expectancies mediate drinking patterns of adults? J Clin Consulting Psychol. 1985;53:512–519.CrossRef
89.
Zurück zum Zitat Rollnick S, Heather N, Gold R, Hall W. Development of a short ‘readiness to change’ questionnaire for use in brief, opportunistic interventions among excessive drinkers. Br J Addict Alchohol Other Drugs. 1992;87:743–754. Rollnick S, Heather N, Gold R, Hall W. Development of a short ‘readiness to change’ questionnaire for use in brief, opportunistic interventions among excessive drinkers. Br J Addict Alchohol Other Drugs. 1992;87:743–754.
90.
Zurück zum Zitat Heather N, Rollnick S, Bell A. Predictive validity of the readiness to change questionnaire. Addiction. 1993;88:1667–1677.PubMedCrossRef Heather N, Rollnick S, Bell A. Predictive validity of the readiness to change questionnaire. Addiction. 1993;88:1667–1677.PubMedCrossRef
91.
Zurück zum Zitat Linehan MM, Comtois KA, Murray AM, et al. Two-year randomized controlled trial and follow-up of Dialectical Behavior Therapy vs. therapy by experts for suicidal behaviors and Borderline Personality Disorder. Archives of General Psychiatry. 2006;63:757–766.PubMedCrossRef Linehan MM, Comtois KA, Murray AM, et al. Two-year randomized controlled trial and follow-up of Dialectical Behavior Therapy vs. therapy by experts for suicidal behaviors and Borderline Personality Disorder. Archives of General Psychiatry. 2006;63:757–766.PubMedCrossRef
92.
Zurück zum Zitat Linehan MM. Skills training manual for treating Borderline Personality Disorder. New York: Guilford Press; 1993. Linehan MM. Skills training manual for treating Borderline Personality Disorder. New York: Guilford Press; 1993.
Metadaten
Titel
The Role of Executive Cognitive Functions in Changing Substance Use: What We Know and What We Need to Know
verfasst von
Arthur W. Blume, Ph.D.
G. Alan Marlatt, Ph.D.
Publikationsdatum
01.04.2009
Verlag
Springer-Verlag
Erschienen in
Annals of Behavioral Medicine / Ausgabe 2/2009
Print ISSN: 0883-6612
Elektronische ISSN: 1532-4796
DOI
https://doi.org/10.1007/s12160-009-9093-8

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