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Translation of associative learning models into extinction reminders delivered via mobile phones during cue exposure interventions for substance use.

Publication ,  Journal Article
Rosenthal, MZ; Kutlu, MG
Published in: Psychol Addict Behav
September 2014

Despite experimental findings and some treatment research supporting the use of cues as a means to induce and extinguish cravings, interventions using cue exposure have not been well integrated into contemporary substance abuse treatments. A primary problem with exposure-based interventions for addiction is that after learning not to use substances in the presence of addiction cues inside the clinic (i.e., extinction), stimuli in the naturalistic setting outside the clinic may continue to elicit craving, drug use, or other maladaptive conditioned responses. For exposure-based substance use interventions to be efficacious, new approaches are needed that can prevent relapse by directly generalizing learning from the therapeutic setting into naturalistic settings associated with a high risk for relapse. Basic research suggests that extinction reminders (ERs) can be paired with the context of learning new and more adaptive conditioned responses to substance abuse cues in exposure therapies for addiction. Using mobile phones and automated dialing and data collection software, ERs can be delivered in everyday high-risk settings to inhibit conditioned responses to substance-use-related stimuli. In this review, we describe how associative learning mechanisms (e.g., conditioned inhibition) can inform how ERs are conceptualized, learned, and implemented to prevent substance use when delivered via mobile phones. This approach, exposure with portable reminders of extinction, is introduced as an adjunctive intervention that uses brief automated ERs between clinic visits when individuals are in high-risk settings for drug use.

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Published In

Psychol Addict Behav

DOI

EISSN

1939-1501

Publication Date

September 2014

Volume

28

Issue

3

Start / End Page

863 / 871

Location

United States

Related Subject Headings

  • Substance-Related Disorders
  • Substance Abuse
  • Reminder Systems
  • Models, Psychological
  • Humans
  • Extinction, Psychological
  • Cues
  • Conditioning, Classical
  • Cell Phone
  • Association Learning
 

Citation

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Rosenthal, M. Z., & Kutlu, M. G. (2014). Translation of associative learning models into extinction reminders delivered via mobile phones during cue exposure interventions for substance use. Psychol Addict Behav, 28(3), 863–871. https://doi.org/10.1037/a0037082
Rosenthal, M Zachary, and Munir G. Kutlu. “Translation of associative learning models into extinction reminders delivered via mobile phones during cue exposure interventions for substance use.Psychol Addict Behav 28, no. 3 (September 2014): 863–71. https://doi.org/10.1037/a0037082.
Rosenthal, M. Zachary, and Munir G. Kutlu. “Translation of associative learning models into extinction reminders delivered via mobile phones during cue exposure interventions for substance use.Psychol Addict Behav, vol. 28, no. 3, Sept. 2014, pp. 863–71. Pubmed, doi:10.1037/a0037082.

Published In

Psychol Addict Behav

DOI

EISSN

1939-1501

Publication Date

September 2014

Volume

28

Issue

3

Start / End Page

863 / 871

Location

United States

Related Subject Headings

  • Substance-Related Disorders
  • Substance Abuse
  • Reminder Systems
  • Models, Psychological
  • Humans
  • Extinction, Psychological
  • Cues
  • Conditioning, Classical
  • Cell Phone
  • Association Learning