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Abstract
(en) Alcohol dependence is the most common mental disorder. It has major psychological, physiological, economic and social repercussions. However, the efficacy of management of this disorder remains limited, with a relapse rate of 75% during the first six months post-treatment. New psychological interventions must therefore be developed and validated to reduce this relapse rate. Interventions based on reduction of attentional biases, initially designed to treat anxiety disorder, could help to reduce the relapse rate in alcohol-dependent subjects, as these subjects present attentional biases in rela- tion to alcohol-related stimuli that are correlated with the intensity of craving episodes. In view of the role of craving in relapse, exploratory studies have tested the value of therapeu- tic interventions designed to reduce attentional bias. These preliminary studies showed an effect of attentional retraining on the relapse rate. Clinical application of these interventions, as a complement to conventional management, could improve the efficacy of treatment. This article describes the methods of evaluation and modification of attentional biases and presents a critical review of studies that used this technique in alcohol-dependent subjects.
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Deleuze, J., Heeren, A., Billieux, J., de Timary, P., Philippot, P., & Maurage, P. (2013). Implication des biais d’attention sélective dans l’alcoolo-dépendance : une revue conceptuelle et empirique. Alcoologie et Addictologie, 35(2), 127-135. (Original work published 2013)