Cognitive Enhancement to Improve Substance Abuse Outcomes in Persons With Co-Occurring Disorders

  title={Cognitive Enhancement to Improve Substance Abuse Outcomes in Persons With Co-Occurring Disorders},
  author={Susan R McGurk},
  journal={Journal of Dual Diagnosis},
  pages={72 - 73}
  • S. McGurk
  • Published 2 January 2016
  • Psychology, Medicine
  • Journal of Dual Diagnosis
Cognitive remediation has relevance to the treatment of alcohol and drug use disorders in people with co-occurring mental health conditions for several reasons. First, there is abundant evidence that alcohol use impairs cognitive functioning, both acutely and over the long term. It is also well established that drug use has prominent acute effects on worsening cognitive functioning in persons with a drug use disorder, although its longer-term impact is less clear. Second, impaired cognitive… 
Addiction, cognitive decline and therapy: seeking ways to escape a vicious cycle
This review compares the cognitive profile that is frequently observed with chronic SUD with the skills that are required to initiate and sustain behavioral change during rehabilitation and proposes that the use of cognitive enhancing agents as adjuncts to behavioral therapy should help to overcome some of the cognitive barriers imposed by the disorder itself, and hence reduce the chance of relapse.
Ten years of implementation: Assertive Community Treatment and Integrated Dual Disorder Treatment in a statewide system
The prevalence and seriousness of co-occurring mental health and substance use disorders are significant public health issues facing our communities. Individuals with co-occurring disorders have
Trauma, Technology, and Routine Outcome Measures
This issue of the Journal highlights four issues: trauma, technology, routine outcome measurement, and cognitive remediation, which addresses co-occurring posttraumatic symptoms and substance use.


Patterns of Substance Use During Cognitive Enhancement Therapy: An 18-Month Randomized Feasibility Study
Cognitive remediation may be effective for improving some substance use problems in schizophrenia, and visual learning and problem-solving deficits may be particularly important targets of such interventions, given their association with reduced alcohol and cannabis use.
Cognitive Function as a Transdiagnostic Treatment Target in Stimulant Use Disorders
Cognitive enhancement to improve treatment outcomes is a novel and promising strategy, but its clinical value for the treatment of stimulant use disorder, with or without other psychiatric comorbidities, remains to be determined in future studies.
Comorbidity of mental disorders with alcohol and other drug abuse. Results from the Epidemiologic Catchment Area (ECA) Study.
Comorbidity of addictive and severe mental disorders was highest in the prison population, most notably with antisocial personality, schizophrenia, and bipolar disorders.
A meta-analysis of cognitive remediation in schizophrenia.
Cognitive remediation produces moderate improvements in cognitive performance and, when combined with psychiatric rehabilitation, also improves functional outcomes.
Neurocognition as a predictor of response to evidence-based psychosocial interventions in schizophrenia: what is the state of the evidence?
  • M. Kurtz
  • Psychology, Medicine
    Clinical psychology review
  • 2011
A synthetic, critical literature review of studies of performance on neurocognitive tests as a predictor of response to evidence-based behavioral treatment in schizophrenia revealed that attention and memory measured at study entry were most frequently linked to proximal measures of progress in social skill training programs and comprehensive, integrated programs of psychosocial rehabilitation.
Cognitive Training and Work Therapy for the Treatment of Verbal Learning and Memory Deficits in Veterans With Alcohol Use Disorders
It is demonstrated that cognitive training within the context of another activating intervention (work therapy) may have efficacy in remediating verbal learning and memory deficits in patients with alcohol use disorder.
A meta-analysis of cognitive remediation for schizophrenia: methodology and effect sizes.
Cognitive remediation benefits people with schizophrenia, and when combined with psychiatric rehabilitation, this benefit generalizes to functioning, relative to rehabilitation alone.