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首页> 外文期刊>Drug and alcohol dependence >Combined Goal Management Training and Mindfulness meditation improve executive functions and decision-making performance in abstinent polysubstance abusers.
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Combined Goal Management Training and Mindfulness meditation improve executive functions and decision-making performance in abstinent polysubstance abusers.

机译：目标管理培训和正念冥想相结合，可以改善禁欲的多物质滥用者的执行职能和决策制定绩效。

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The clinical relevance of neuropsychological deficits in addicted individuals has fostered interest in treatment strategies aimed to effectively target executive and decision-making dysfunction. One of the best-validated interventions for executive dysfunction is Goal Management Training (GMT) (Robertson et al., 2005), an interactive program aimed at improving participants' organization and ability to achieve goals. Mindfulness-based meditation can complement GMT training in order to improve attentional scanning and "reading" of emotional signals involved in adaptive decision-making. In this pilot study we investigated the efficacy of a 7-week program including GMT+Mindfulness (GMT+MF), as compared to standard treatment alone (STx), for reducing executive and decision-making deficits in an outpatient sample of alcohol and polysubstance abusers. Eighteen participants were enrolled in the GMT+MF group, whereas 16 participants formed the STx group; both groups were matched for relevant demographic and clinical variables, and pre-treatment degree of executive dysfunction. Results showed that the individuals enrolled in GMT+MF significantly improved their performance on neuropsychological measures of working memory (Letter Number Sequencing), response inhibition (Stroop) and decision-making (Iowa Gambling Task) after the treatment; whereas individuals enrolled in STx alone failed to show significant changes. These preliminary results indicate that the GMT+MF intervention may be effective in reducing executive and decision-making deficits in polysubstance abusers, and they support future randomized controlled studies aimed at examining the extent to which these improvements may generalize to every day functioning and may affect the capacity of addicted individuals to achieve and maintain abstinence.
机译：对成瘾者的神经心理学缺陷的临床相关性引起了人们对旨在有效地针对执行和决策功能障碍的治疗策略的兴趣。执行管理障碍最有效的干预措施之一是目标管理培训（GMT）（Robertson et al。，2005），这是一项旨在改善参与者的组织能力和实现目标的能力的互动计划。基于正念的冥想可以补充GMT训练，以改善注意力扫描和“阅读”涉及自适应决策的情绪信号。在这项先导研究中，我们调查了包括GMT +正念（GMT + MF）在内的为期7周的计划与仅标准治疗（STx）相比在减少门诊酒精和多物质样本中执行和决策方面的缺陷的功效。滥用者。 GMT + MF组招募了18名参与者，而STx组则招募了16名参与者。两组均符合相关的人口统计学和临床​​变量，以及执行功能障碍的治疗前程度。结果显示，参加GMT + MF的个体在治疗后的工作记忆（字母顺序），反应抑制（Stroop）和决策（爱荷华州赌博任务）的神经心理学测量上显着改善了他们的表现;而仅参加STx的个人并没有显示出明显的变化。这些初步结果表明，GMT + MF干预措施可以有效减少多元药物滥用者的行政和决策缺陷，并且它们支持未来的随机对照研究，旨在研究这些改善在多大程度上可以推广到日常工作中并可能影响上瘾的人实现和维持节食的能力。

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