1. The Impact of Inpatient Treatment on Implicit Opioid-related Cognitions
- Author
-
Olaiya, Eugene F.
- Subjects
- Behavioral Psychology, Behavioral Sciences, Behaviorial Sciences, Psychology, Quantitative Psychology, opioid, opiate, IAT, implicit association, attentional bias, substance use, women
- Abstract
Illicit opioid use is a public health problem that results in substantial costs to society. Heroin dependent women are especially at risk as opioid addiction takes a different and more deleterious trajectory in this population, including complications during pregnancy, neonatal death, engaging in risky sexual behavior and having romantic partners dissuade treatment entry. As such, efforts are needed to improve our understanding of the underlying decision-making processes that perpetuate opioid use. One potential factor are implicit opioid-related associations and their potential to override conscious decision-making efforts. The present study sought to measure the temporal stability of implicit opioid-related cognitions before and during residential treatment over a period of 30 days in a sample of opioid addicted women using a modified Implicit Association Test that included fewer classification words. A modified IAT, with fewer classification words, was used due to concerns about the effects of high cognitive load in a recently sober sample. Using a convenience sample, opioid addicted women were compared to an opioid-naive control. Results from the study indicated no differences across conditions or over time. Implicit opioid-related cognitions were not significantly different between addicted and nonaddicted populations, nor did they change after 30 days. Overall findings suggest that attentional bias, as assessed with the modified IAT, towards opioids does not significantly change as a result of substance abuse treatment, nor does it significantly differ between addicted and non-addicted populations. These results require replication using a standard IAT.
- Published
- 2019