Cognitive control training for urgency: A pilot randomized controlled trial in an acute clinical sample.

Cognition Emotions Humans Impulsive Behavior Pilot Projects
Cognitive training Inhibition Urgency Working memory

Journal

Behaviour research and therapy
ISSN: 1873-622X
Titre abrégé: Behav Res Ther
Pays: England
ID NLM: 0372477

Informations de publication

Date de publication:
11 2021
Historique:
received: 21 05 2021
revised: 09 08 2021
accepted: 13 09 2021
pubmed: 26 9 2021
medline: 8 1 2022
entrez: 25 9 2021
Statut: ppublish

Résumé

Urgency - rash action in the context of strong emotion - is a facet of impulsivity closely related to many psychological disorders. Deficits in working memory and response inhibition are potential mechanisms underlying urgency, and a previous study showed that cognitive training targeting these domains is efficacious in reducing urgency. However, the feasibility and efficacy of this intervention has not yet been tested in a clinical sample or naturalistic treatment setting. To fill this gap, we conducted a pilot study of cognitive training for individuals reporting high levels of urgency in a partial hospitalization program. We evaluated this intervention in an open trial (n = 20), followed by a randomized controlled trial (n = 46) comparing cognitive training plus treatment as usual to treatment as usual. Results supported the feasibility and acceptability of cognitive training. Participants in the training group showed significant improvement on cognitive tasks, but groups did not differ in urgency. In pooled analyses combining the open trial and RCT, there was a significant reduction in distress intolerance in the training group only. Results indicate the potential benefit of cognitive training for distress intolerance, but do not support the use of cognitive training for urgency in acute clinical settings. The study conducted in the RCT phase of this manuscript is registered on ClinicalTrials.gov (NCT: NCT03527550). The full trial protocol is available on ClinicalTrials.gov.

Identifiants

DOI: 10.1016/j.brat.2021.103968 PMID: 34562728 PMC: PMC8555999
pubmed: 34562728
pii: S0005-7967(21)00167-4
doi: 10.1016/j.brat.2021.103968
pmc: PMC8555999
mid: NIHMS1742949
pii:
doi:

Banques de données

ClinicalTrials.gov
['NCT03527550']

Types de publication

Journal Article Randomized Controlled Trial Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

103968

Subventions

Organisme : NIMH NIH HHS
ID : F32 MH115530
Pays : United States

Informations de copyright

Copyright © 2021 Elsevier Ltd. All rights reserved.

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Auteurs

Andrew D Peckham (AD)

McLean Hospital, 115 Mill Street, Belmont, MA, 02478, USA; Harvard Medical School, 25 Shattuck Street, Boston, MA, 02115, USA. Electronic address: adpeckham@mclean.harvard.edu.

Jenna P Sandler (JP)

McLean Hospital, 115 Mill Street, Belmont, MA, 02478, USA; Brandeis University, 415 South Street, Waltham, MA, 02453, USA. Electronic address: jpsandler@brandeis.edu.

Devin Dattolico (D)

McLean Hospital, 115 Mill Street, Belmont, MA, 02478, USA. Electronic address: ddattolico@partners.org.

R Kathryn McHugh (RK)

McLean Hospital, 115 Mill Street, Belmont, MA, 02478, USA; Harvard Medical School, 25 Shattuck Street, Boston, MA, 02115, USA. Electronic address: kmchugh@mclean.harvard.edu.

Daniel S Johnson (DS)

McLean Hospital, 115 Mill Street, Belmont, MA, 02478, USA. Electronic address: johnson.dan@husky.neu.edu.

Thröstur Björgvinsson (T)

McLean Hospital, 115 Mill Street, Belmont, MA, 02478, USA; Harvard Medical School, 25 Shattuck Street, Boston, MA, 02115, USA. Electronic address: tbjorgvinsson@mclean.harvard.edu.

Diego A Pizzagalli (DA)

McLean Hospital, 115 Mill Street, Belmont, MA, 02478, USA; Harvard Medical School, 25 Shattuck Street, Boston, MA, 02115, USA. Electronic address: dap@mclean.harvard.edu.

Courtney Beard (C)

McLean Hospital, 115 Mill Street, Belmont, MA, 02478, USA; Harvard Medical School, 25 Shattuck Street, Boston, MA, 02115, USA. Electronic address: cbeard@mclean.harvard.edu.

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Classifications MeSH

questionsmedicales.fr › Phénomènes psychologiques › Processus mentaux › Cognition › Cognitive control training for urgency: A...
questionsmedicales.fr › Comportement et mécanismes comportementaux › Émotions › Cognitive control training for urgency: A...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Cognitive control training for urgency: A...
questionsmedicales.fr › Comportement et mécanismes comportementaux › Comportement › Comportement impulsif › Cognitive control training for urgency: A...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Projets pilotes › Cognitive control training for urgency: A...