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Motivational interviewing combined with chess accelerates improvement in executive functions in cocaine dependent patients: a one-month prospective study.

Abstract：

BACKGROUND:In cocaine-dependent individuals, executive function (EF) deficits are associated with poor treatment outcomes. Psychological interventions and pharmacological approaches have produced only modest effect sizes. To date, studies of this topic have been few and limited. The aim of this study was to examine the effects of a new model of intervention, which integrates chess and Motivational Interviewing, Motivational Chess (MC) METHODS: We evaluated 46 cocaine-dependent inpatients (aged 18-45), in two groups-MC (n=26); and active comparison-AC (n=20). Using neuropsychological tests and an impulsivity scale, we assessed the subjects before and after the study period (one month of abstinence monitored by urine toxicology screening). RESULTS:The MC and AC groups did not differ at baseline. In the post-intervention assessment (after one month), both groups showed significant improvements in attention, mental flexibility, inhibitory control, abstraction abilities, and decision-making (p<0.01). In addition, the improvement in working memory was more significant in the MC group than in the AC group (group-by-time interaction, p=01). CONCLUSIONS:One month of abstinence was sufficient to improve various attentional and executive domains in cocaine-dependent subjects. The MC intervention was associated with greater improvements in EFs, especially working memory, suggesting that tailored interventions focusing on complex EFs accelerate the process of cognitive recovery during the initial period of abstinence.

journal_name

Drug Alcohol Depend

journal_title

Drug and alcohol dependence

authors

Gonçalves PD,Ometto M,Bechara A,Malbergier A,Amaral R,Nicastri S,Martins PA,Beraldo L,dos Santos B,Fuentes D,Andrade AG,Busatto GF,Cunha PJ

doi

10.1016/j.drugalcdep.2014.05.006

subject

Has Abstract

pub_date

2014-08-01 00:00:00

pages

79-84

eissn

0376-8716

issn

1879-0046

pii

S0376-8716(14)00875-8

journal_volume

141

pub_type

杂志文章

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