It's the thought that counts: Craving metacognitions and their role in abstinence from methamphetamine use

Abstract Craving is frequently reported as a trigger for relapse by those trying to remain abstinent from psychoactive substances. Metacognitive beliefs about managing craving may play an important role in determining further cognition and behavior. They are, therefore, important to measure in treat...

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Bibliographic Details
Published in:Journal of substance abuse treatment 2010-04, Vol.38 (3), p.245-250
Main Authors: Lee, Nicole K., Ph.D, Pohlman, Sonja, B.A.(Hons), Baker, Amanda, Ph.D, Ferris, Jason, M.Biostats, Kay-Lambkin, Frances, Ph.D
Format: Article
Language:English
Subjects:
Abstinence
Amphetamine
Amphetamine-Related Disorders - psychology
Amphetamine-Related Disorders - rehabilitation
Awareness
Biological and medical sciences
Cognition
Cognitive Therapy
Counseling
Craving
Desintoxication. Drug withdrawal
Drug use
Follow-Up Studies
Humans
Internal-External Control
Judgment
Medical sciences
Metacognition
Methamphetamine
Methamphetamine - adverse effects
Miscellaneous
Motivation
New South Wales
Patient Dropouts - psychology
Psychiatry
Psychology. Psychoanalysis. Psychiatry
Psychometrics. Diagnostic aid systems
Psychopathology. Psychiatry
Public health. Hygiene
Public health. Hygiene-occupational medicine
Queensland
Randomized controlled trial
Substance abuse treatment
Substance Withdrawal Syndrome - psychology
Substance Withdrawal Syndrome - rehabilitation
Surveys and Questionnaires
Techniques and methods
Temperance - psychology
Treatments
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Summary:Abstract Craving is frequently reported as a trigger for relapse by those trying to remain abstinent from psychoactive substances. Metacognitive beliefs about managing craving may play an important role in determining further cognition and behavior. They are, therefore, important to measure in treatment and may serve as target cognitions to be modified in support of behavioral change. As part of the assessment battery of a randomized controlled trial among 214 methamphetamine users, we included the Craving Beliefs Questionnaire (CBQ), a measure designed to assess an individual's perception of the potential negative impact of craving, at baseline. Changes in abstinence rates were significantly related to CBQ score, suggesting that craving beliefs are associated with changes in methamphetamine use. Further validation of the CBQ is warranted. Future clinical research among methamphetamine users could focus on directly manipulating craving beliefs through cognitive therapy to affect abstinence.
ISSN:0740-5472
1873-6483
DOI:10.1016/j.jsat.2009.12.006