Attentional biases in clinical populations with alcohol use disorders: is co-morbidity ignored?
Attentional biases in clinical populations with alcohol use disorders: is co-morbidity ignored?
Objective: to identify how psychiatric co-morbidity was identified and assessed, in studies of attentional bias in clinical samples of patients with alcohol use disorders (AUDs).
Design: systematic review methodology was used to identify studies and abstract data on alcohol-related attentional biases and measurement of psychiatric co-morbidity.
Results: seventeen papers were identified that met the criteria for inclusion. All but one study were in patients meeting criteria for alcohol dependence. In 10 of the 17 studies, either no mention or minimal statements were made pertaining to possible co-morbid conditions (including other substance use): five excluded patients with psychiatric diagnoses,(variously defined), and two excluded patients on 'psychotropic medication’. Slow response latencies to all word types were found in studies where co-morbid conditions were not considered.
Conclusions: despite the high prevalence of psychiatric pathology in patients with AUDs (particularly depression), and the acknowledged impact that this has on aetiology, presentation and outcome, psychiatric co-morbidity has not been consistently measured or described in experimental studies on alcohol-related attentional biases in clinical samples. In order to have an accurate appreciation of the role of attentional biases in patients with AUDs, there needs to be a consistent approach to measuring the co-occurrence of other psychopathology.Further research is needed to assess the impact of co-morbidities on attentional biases in AUDs, to enable the development of more targeted psychological and pharmacological treatments
alcohol, attentional bias, co-morbidity, systematic review
515-524
Sinclair, Julia M.A.
be3e54d5-c6da-4950-b0ba-3cb8cdcab13c
Nausheen, Bina
947da4a2-c233-45b1-b7b7-eca98a19137d
Garner, Matthew J.
3221c5b3-b951-4fec-b456-ec449e4ce072
Baldwin, David S.
1beaa192-0ef1-4914-897a-3a49fc2ed15e
November 2010
Sinclair, Julia M.A.
be3e54d5-c6da-4950-b0ba-3cb8cdcab13c
Nausheen, Bina
947da4a2-c233-45b1-b7b7-eca98a19137d
Garner, Matthew J.
3221c5b3-b951-4fec-b456-ec449e4ce072
Baldwin, David S.
1beaa192-0ef1-4914-897a-3a49fc2ed15e
Sinclair, Julia M.A., Nausheen, Bina, Garner, Matthew J. and Baldwin, David S.
(2010)
Attentional biases in clinical populations with alcohol use disorders: is co-morbidity ignored?
Human Psychopharmacology: Clinical and Experimental, 25 (7-8), .
(doi:10.1002/hup.1153).
(PMID:2132286)
Abstract
Objective: to identify how psychiatric co-morbidity was identified and assessed, in studies of attentional bias in clinical samples of patients with alcohol use disorders (AUDs).
Design: systematic review methodology was used to identify studies and abstract data on alcohol-related attentional biases and measurement of psychiatric co-morbidity.
Results: seventeen papers were identified that met the criteria for inclusion. All but one study were in patients meeting criteria for alcohol dependence. In 10 of the 17 studies, either no mention or minimal statements were made pertaining to possible co-morbid conditions (including other substance use): five excluded patients with psychiatric diagnoses,(variously defined), and two excluded patients on 'psychotropic medication’. Slow response latencies to all word types were found in studies where co-morbid conditions were not considered.
Conclusions: despite the high prevalence of psychiatric pathology in patients with AUDs (particularly depression), and the acknowledged impact that this has on aetiology, presentation and outcome, psychiatric co-morbidity has not been consistently measured or described in experimental studies on alcohol-related attentional biases in clinical samples. In order to have an accurate appreciation of the role of attentional biases in patients with AUDs, there needs to be a consistent approach to measuring the co-occurrence of other psychopathology.Further research is needed to assess the impact of co-morbidities on attentional biases in AUDs, to enable the development of more targeted psychological and pharmacological treatments
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Published date: November 2010
Keywords:
alcohol, attentional bias, co-morbidity, systematic review
Organisations:
Faculty of Medicine, Clinical Neurosciences, Psychology
Identifiers
Local EPrints ID: 175437
URI: http://eprints.soton.ac.uk/id/eprint/175437
ISSN: 0885-6222
PURE UUID: a65d5f4f-25d1-4025-9cb5-2d028432c993
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Date deposited: 23 Feb 2011 14:58
Last modified: 14 Mar 2024 02:46
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Author:
Bina Nausheen
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