ABSTRACT
Introduction: Many studies have revealed that drug addicted individuals exhibit impaired performance on executive function tests but a few studies have been conducted on executive functions of drug addicts in Iran. To contribute to this understanding, the present study was designed to assess some domains related to executive functions including cognitive flexibility, attention and speed of mental processing in a sample of drug addicts in comparison with a sample of non-drug addicts. Methods: 155 male addicts between 25 to 35 years of age were selected from outpatient addiction clinics in Karaj, Iran. This group consisted of 3 subgroups of opium [n=40], hydrochloride heroin [n=63], and methamphetamine [n=52] addicts. A control group was selected matching the drug addicts in gender, age, education and scio-economic status and included 130 healthy non-drug taking males. A battery of standardized executive function tests including the Color trail making test, Stroop color word test, and Symbol digit modalities test were administered. Data analysis was conducted by performing Co-variance [MANCOVA] in SPSS.v.16.0. Results: The study findings indicated that the group of drug addicted subjects performed significantly worse compared with the controls on all executive measures. There were also significant differences among the 3 subgroups. The/GURFKORULGHheroin group had the worst performance LQcomparLVRQ with the methamphetamine and opium groups respectively. Drug addicted subjects with longer duration of drug addiction were much worse on all measures in Fomparison with drug addicted subjects with shorter duration of drug addiction. Discussion: The study results confirmed that the functions of specific brain regions underlying cognitive flexibility, attention and speed of mental processing were significantly impaired in the group of drug addicted subjects. These impairments were also significantly related to type of drug used and duration of drug addiction that may contribute to most of behavioral disturbances found in drug addicts and need specific attention for intervention and treatment programs
ABSTRACT
Introduction: Coping responses are complex dynamic behavioral reactions that involve reciprocal influences between emotion and cognition but cognitive studies in Iran have less emphasized coping responses of methamphetamine dependent individuals to distressing situations. To address this aim, the current study was designed to investigate the coping responses of a group of methamphetamine dependent women in comparison with a group of healthy women. Methods: 80 women with mean age 24[SD=6.8] years who met DSM.IV-TR criteria for methamphetamine dependence were recruited from the department of psychostimulant use treatment program of Rojan psychiatric center and 4 other local clinics in Tehran, Iran and were matched with a sample of 80 non-drug taking women. First, demographics and details of substance use were completed based on items elicited from Addiction Severity Index [ASI], then the Persian version of Billings and Moos Coping Checklist was completed by participants in each group. Data was further analyzed by performing independent sample t-test and logistic regression model in SPSS.v.16.0. Results: The study findings indicated that the methamphetamine dependent group applied less problem-solving response and had lower reliance on seeking social support and cognitive evaluation compared with the controls. In addition, the methamphetamine dependent group applied significantly more emotional and physical control oriented responses compared with the controls. Discussion: The study results yielded that coping responses of the methamphetamine dependent group were less problem-focused strategies which show an impaired aspect of cognitive functioning which is subject to clinical and treatment implications. Study in the context of identifying aspects that are fundamental to understanding the neural mechanisms underlying emotioncognition interactions in the paradigm of coping responses is discussed
ABSTRACT
Methamphetamine [MA] is a highly addictive psychostimulant drug with crucial impacts on individuals on various levels. Exposure to methamphetamineassociated cues in laboratory can elicit measureable craving and autonomic reactivity in most individuals with methamphetamine dependence and the cue reactivity can model how craving would result in continued drug seeking behaviors and relapse in real environments but study on this notion is still limited. In this brief article, the authors review studies on cue-induced craving in human methamphetamine- dependent subjects in a laboratory-based approach. Craving for methamphetamine is elicited by a variety of methods in laboratory such as paraphernalia, verbal and visual cues and imaginary scripts. In this article, we review the studies applying different cues as main methods of craving incubation in laboratory settings. The brief reviewed literature provides strong evidence that craving for methamphetamine in laboratory conditions is significantly evoked by different cues. Cue-induced craving has important treatment and clinical implications for psychotherapists and clinicians when we consider the role of induced craving in evoking intense desire or urge to use methamphetamine after or during a period of successful craving prevention program. Elicited craving for methamphetamine in laboratory conditions is significantly influenced by methamphetamine-associated cues and results in rapid craving response toward methamphetamine use. This notion can be used as a main core for laboratory-based assessment of treatment efficacy for methamphetamine-dependent patients. In addition, the laboratory settings for studying craving can bridge the gap between somehow-non-reliable preclinical animal model studies and budget demanding randomized clinical trials
ABSTRACT
Research on assessing craving in laboratory settings often involves inducing and then measuring craving in subjects. Cue-induced craving is studied in laboratory settings using the cue reactivity paradigm, in which drug-related photos, videos, evocative scripts, olfactory cues, and paraphernalia may induce craving. Cueinduced craving evoked by drug-related stimuli could be associated with relapse and recurrence of drug addiction. In this article, the authors review different methods of assessing craving in laboratory settings and explain how human laboratory settings can bridge the gap between randomized clinical trials [RCTs] and animal models on pharmacological treatments for drug dependence. The brief reviewed literature provides strong evidence that laboratory-based studies of craving may improve our understanding of how subjective reports of drug craving are related to objective measures of drug abuse and laboratory settings provide an opportunity to measure the degree to which they co-vary during pharmacological interventions. This issue has important implications in clinical studies
ABSTRACT
Introduction: Drug addiction could lead to severe impairments in executive and neurocognitive functions but study on the impact of hydrochloride heroin on executive functions has remained in infancy in Iran. The aim of this study was to examine the relationship between addiction to hydrochloride heroin and executive functioning in several cognitive domains including mental flexibility, abstract reasoning, impulsivity, and attention. Methods: A total of 60 cases of young male addicts aged 18 to 21 were recruited from outpatient addiction clinics in Karaj city and were matched with 60 non-drug using controls. A test battery including the Wisconsin Card Sorting Test [WCST], Porteus Maze Test [PMQS], Serial Seven Subtraction Test [SSST], and Color Trails Test [CTT] were administered respectively. Results: The patient group showed more problems in impulse control compared with the control group, while mental flexibility, abstract reasoning and attention were not affected. Discussion: The findings indicated that addiction to hydrochloride heroin had a negative effect on impulse control. This issue could reflect the role of impaired inhibitory control on drug-seeking behaviors and relapse. Special treatment programs must be tailored to control impulsivity among addicts to hydrochloride heroin during treatment