Abstract
OPINION article Front. Psychiatry, 21 July 2021Sec. Addictive Disorders https://doi.org/10.3389/fpsyt.2021.692645
Highlights
Continuous maladaptive drug-related memories that are resistant to extinction and cause drug-seeking behaviors to be triggered are known to be one of the hallmarks of drug addiction [1]
Given the key contribution of future decision-making in four main phases of addiction, interventions that effectively target aberrant decision-making and effectuate foreseeing the steps leading to recovery are crucial additions to reshape those aspects of cognitive processing modified in aid of Cue-Exposure Therapies (CET) and memory reconsolidation prospectively [26]. In this opinion paper and for the first time, we propose a new framework as a cognitive intervention termed Cue-induced Retrieval and Reconsolidation with Episodic Foresight (CIREF) for utilizing a combination of episodic future thinking with cue-induced memory reconsolidation to confer greater benefits by adding a future-oriented cognitive training modality
Considering the aforementioned positive effects, the current paper proposes a new framework for integrating EFT with cue-induced memory reconsolidation in the context of addiction treatment
Summary
Continuous maladaptive drug-related memories that are resistant to extinction and cause drug-seeking behaviors to be triggered are known to be one of the hallmarks of drug addiction [1]. According to Pavlovian conditioning, consequent exposure to these stimuli ( called drug cues) activates the original memories and evokes craving This enhanced retrieval co-occurs with the activation of limbic cortico-striatal pathways involved in reward processing [3]. Different research groups suggested various treatment strategies during the last decade to modulate these memories In this short opinion paper, we propose a novel framework titled “Cue-induced Retrieval and Reconsolidation with Episodic Foresight” (CIREF) that aims to combine three different cognitive interventions, i.e., cue-exposure, memory reconsolidation, and episodic future thinking, to reshape these maladaptive drug-related memories toward more adaptive memories to support addiction recovery
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