Percorrer por autor "Lopes, Jessica"
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- Effectiveness of Mindfulness-Based Relapse Prevention in Individuals with Substance Use Disorders: A Systematic ReviewPublication . Ramadas, E.; Lima; Caetano, Tânia; Lopes, Jessica; Dixe, Maria dos AnjosObjectives: This systematic review aimed to understand the current state of the art about the effectiveness of mindfulness-based relapse prevention (MBRP) on individuals with substance use disorders (SUD), taking into account not only SUD variables (e.g., cravings, frequency of use) but also other relevant clinical variables (e.g., anxiety and depressive symptoms, quality of life). Methods: A comprehensive search of electronic databases was conducted to identify studies that investigate MBRP interventions on individuals with SUD. Studies that met the inclusion criteria were synthesized and assessed using systematic review methods. Results: Thirteen studies were included in the present review. The methodological quality of the included studies was moderately strong. Nine studies (69.2%) used the traditional 16 h MBRP program. Six studies (46.1%) chose to use a co-intervention treatment ranging from the treatment as usual (TAU) to cognitive behavioral therapy. All but one study indicated that their interventions produced positive effects on at least one addiction outcome measure. None of the interventions were evaluated across different settings or populations. Conclusions: Despite some heterogeneity regarding the type of MBRP program used, results support the effectiveness of these interventions in the SUD population, especially in reducing cravings, decreasing the frequency of use, and improving depressive symptoms.
- Effectiveness of smartphone interventions as continuing care for substance use disorders: A systematic reviewPublication . Ramadas, Eduardo; de Lima, Margarida Pedroso; Caetano, Tânia; Lopes, Jessica; Dixe, Maria dos Anjos RodriguesAs a chronic disease with consistent relapse rates, substance use disorders (SUD) require a continuity-of-care approach. Unfortunately, many patients do not have access to continuing care. This systematic review analysed the current scientific knowledge to better understand if app-based smartphone interventions can be an effective alternative. The databases Cochrane Library, PubMed, Web of Science, and PsycINFO were used to find experimental and quasi-experimental studies investigating the effectiveness of a smartphone intervention in individuals who had completed treatment for SUD. After removing duplicates, a total of 1488 studies were screened, with 48 being selected for a full-text review. Four studies met all the criteria, with one other being added by identification through other resources, making a total of 5 studies included in the present review. Out of the four studies using a control group, only one found no significant differences in favour of the experimental group. That study used an active control group and compared the smartphone intervention to its therapeutic group equivalent. There were no significant differences between the two experimental groups. Overall, the results indicate that app-based smartphone interventions can be an effective alternative to traditional forms of continuing care. However, literature is still scarce, and more research needs to be made on this subject. This systematic review is registered at PROSPERO with the identifier [CRD42021272070].
- Substance abuse and susceptibility to false memory formation: A systematic review and meta-analysisPublication . Caetano, Tânia; Pinho, Maria Salomé; Ramadas, Eduardo; Lopes, Jessica; Areosa, Timóteo; Ferreira, Daniela; Dixe, Maria dos AnjosBackground: Substance abuse has an impact on various cognitive domains, including memory. Even though this impact has been extensively examined across different subdomains, false memory has been sparsely studied. This systematic review and meta-analysis seek to synthesize the current scientific data concerning false memory formation in individuals with a history of substance abuse. Methods: PubMed, Scopus, the Cochrane Library, Web of Science, and PsycINFO were searched to identify all experimental and observational studies in English, Portuguese, and Spanish. Studies were then examined by four independent reviewers and, if they met the inclusion criteria, assessed for their quality. The Cochrane Risk of Bias Tool for randomized controlled trials (RCT) and the Joanna Briggs Institute (JBI) critical appraisal checklists for quasi-experimental and analytic cross-sectional studies were used to assess the risk of bias. Results: From the 443 screened studies, 27 (and two more from other sources) were considered eligible for full-text review. A final 18 studies were included in the present review. Of these, 10 were conducted with alcoholics or heavy drinkers, four focused on ecstasy/polydrug users, three were done with cannabis users and one focused on methadone maintenance patients with current cocaine dependence. Regarding false memory type, 15 studies focused on false recognition/recall, and three on provoked confabulation. Conclusions: None but one of the studies considering false recognition/recall of critical lures found any significant differences between individuals with a history of substance abuse and healthy controls. However, most of the studies taking into account false recognition/recall of related and unrelated events found that individuals with a history of substance abuse showed significantly higher rates of false memories than controls. Future research should continue to consider different types of false memories as well as their potential association with relevant clinical variables. Systematic review registration: https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=266503, identifier: CRD42021266503. Copyright © 2023 Caetano, Pinho, Ramadas, Lopes, Areosa, Ferreira and Dixe.
- VRainSUD: Content validation of a Cognitive Training Program using the Delphi MethodPublication . Caetano, Tânia; Pinho, Maria Salomé; Freire, Hugo; Mota, Dany; Ramadas, Eduardo; Lopes, Jessica; Dixe, Maria dos Anjos; Ballin, Daniel; Macredie, Robert D.Substance abuse has undeniable effects on several cognitive domains, with these associated deficits contributing to poorer treatment outcomes in substance use disorders (SUD). Cognitive training programs (CTPs) address these cognitive deficits, contributing to improved treatment outcomes. The main goal of this study was to validate the content of VRainSUD, a CTP virtual reality-based platform and a mobile follow-up application that proposes to reduce cognitive deficits in SUD. The Delphi method was used to reach a consensus on each of the program’s characteristics (e.g., structure, cognitive training tasks). A panel of experts was invited to participate in the content validation by answering two rounds of questions (scale and free-text boxes) regarding the program. Changes were made between the rounds according to the results of the first round. The consensus was defined as at least 70% of the experts agreeing on the validity of a characteristic. From 39 invited experts, 11 completed the first round, and 6 completed both rounds. The structure of the program reached a consensus on the first round, along with most tasks (with the exception of two mobile application tasks). Significant changes were made following the feedback received, namely turning the program personalizable, and adding positive feedback to the tasks in order to improve adherence and engagement. The Delphi method was a valuable tool to improve VRainSUD. The experts’ opinions validated main features and informed important additional changes, highlighting the importance of expert feedback in the development of cognitive interventions.