Study protocol-Evoked craving in high-dose benzodiazepine users.

abuse addiction benzodiazepine cue reactivity virtual reality

Journal

Frontiers in psychiatry
ISSN: 1664-0640
Titre abrégé: Front Psychiatry
Pays: Switzerland
ID NLM: 101545006

Informations de publication

Date de publication:
2022
Historique:
received: 30 05 2022
accepted: 12 09 2022
entrez: 31 10 2022
pubmed: 1 11 2022
medline: 1 11 2022
Statut: epublish

Résumé

Benzodiazepine (BDZ) abuse, especially concerning high doses of BDZs, is an impairing substance use disorder (SUD) that is often difficult to treat. Craving and cue reactivity (CR) are two important phenomena that have a prominent role in maintaining addiction and triggering relapses in BDZ abuse; nevertheless, they have rarely been addressed in scientific literature. The present study aims to fill these gaps by implementing a highly innovative virtual reality (VR) design to assess the impact of substance-related environmental cues on BDZ craving, as well as their influence on patients' affective states. Therefore, on one hand, this research will contribute to the assessment of VR feasibility in the study of these phenomena, and, on the other, it will help disentangle the role that CR and craving have on mood and attention, which are equally important factors to consider when treating SUDs. We will recruit a healthy control group and a patient group comprising people seeking treatment for BDZ detoxification. The experimental design will consist of the presentation of three VR scenarios, one neutral, one BDZ-related but without BDZ cues, and another with BDZ cues. The craving will be measured through a virtual analog scale (VAS); the Profile of Mood States (POMS) and Alcohol Attention Scale (AAS) questionnaires in a modified version will also be administered. We will additionally control for VR-induced feelings of sickness by administering the Simulator Sickness Questionnaire (SSQ), and the Presence Questionnaire (PQ) will be used to investigate participants' sense of presence in virtual environments. We expect patients to exhibit higher levels of craving, and that the craving will be higher after exposure to a cue-related virtual environment as compared to a neutral scenario.

Identifiants

pubmed: 36311534
doi: 10.3389/fpsyt.2022.956892
pmc: PMC9608779
doi:

Types de publication

Journal Article

Langues

eng

Pagination

956892

Informations de copyright

Copyright © 2022 Zamboni, Toldo, Fusina, Mattiello, Mannari, Campagnari, Schiavone, Congiu, Verlato, Chiamulera and Lugoboni.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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Auteurs

Lorenzo Zamboni (L)

Unit of Addiction Medicine, Department of Internal Medicine, Integrated University Hospital of Verona, Policlinico "G.B. Rossi", Verona, Italy.
Department of Neurosciences, University of Verona, Verona, Italy.

Silvia Toldo (S)

Department of Diagnostics and Public Health, University of Verona, Verona, Italy.

Francesca Fusina (F)

Padova Neuroscience Center, University of Padua, Padua, Italy.
Department of General Psychology, University of Padua, Padua, Italy.

Matteo Mattiello (M)

Unit of Addiction Medicine, Department of Internal Medicine, Integrated University Hospital of Verona, Policlinico "G.B. Rossi", Verona, Italy.
Department of Diagnostics and Public Health, University of Verona, Verona, Italy.

Vanessa Mannari (V)

Department of Diagnostics and Public Health, University of Verona, Verona, Italy.

Simone Campagnari (S)

Unit of Addiction Medicine, Department of Internal Medicine, Integrated University Hospital of Verona, Policlinico "G.B. Rossi", Verona, Italy.

Valentina Schiavone (V)

Department of Diagnostics and Public Health, University of Verona, Verona, Italy.

Alessio Congiu (A)

Unit of Addiction Medicine, Department of Internal Medicine, Integrated University Hospital of Verona, Policlinico "G.B. Rossi", Verona, Italy.

Giuseppe Verlato (G)

Diagnostics and Public Health-Unit of Epidemiology and Medical Statistics, University of Verona, Verona, Italy.

Cristiano Chiamulera (C)

Department of Diagnostics and Public Health, University of Verona, Verona, Italy.

Fabio Lugoboni (F)

Unit of Addiction Medicine, Department of Internal Medicine, Integrated University Hospital of Verona, Policlinico "G.B. Rossi", Verona, Italy.

Classifications MeSH