Skip to main content
Top
Published in: BMC Psychiatry 1/2016

Open Access 01-12-2016 | Study protocol

Association between motor timing and treatment outcomes in patients with alcohol and/or cocaine use disorder in a rehabilitation program

Authors: S. Y. Young, Y. Delevoye-Turrell, J. J. J. van Hoof, A. E. Goudriaan, S. Seedat

Published in: BMC Psychiatry | Issue 1/2016

Login to get access

Abstract

Background

Individuals with Substance Use Disorders (SUDs) have disruptions in the brain’s dopaminergic (DA) system and the functioning of its target neural substrates (striatum and prefrontal cortex). These substrates are important for the normal processing of reward, inhibitory control and motivation. Cognitive deficits in attention, impulsivity and working memory have been found in individuals with SUDs and are predictors of poor SUD treatment outcomes and relapse in alcohol and cocaine dependence specifically. Furthermore, the DA system and accompanying neural substrates play a key role in the timing of motor acts (motor timing). Motor timing deficits have been found in DA system related disorders and more recently also in individuals with SUDs. Motor timing is found to correlate with attention, impulsivity and working memory deficits. To our knowledge motor timing, with regards to treatment outcome and relapse, has not been investigated in populations with SUDs.

Methods/Design

This study aims to investigate motor timing and its relation to treatment response (at 8 weeks) and relapse (at 12 months) in cocaine and/or alcohol dependent individuals. The tested sensitivity values of motor timing parameters will be compared to a battery of neurocognitive tests, owing to the novelty of the motor task battery, the confounding effects of attention and working memory on motor timing paradigms, and high impulsivity levels found in individuals with SUDs.

Discussion

This research will contribute to current knowledge of neuropsychological deficits associated with treatment response in SUDs and possibly provide an opportunity to individualize and modify currently available treatments through the possible prognostic value of motor task performance in cocaine and/or alcohol dependent individuals.
Literature
3.
go back to reference Bechara A. Decision making, impulse control and loss of willpower to resist drugs: a neurocognitive perspective. Nat Neurosci. 2005;8:1458–63.CrossRefPubMed Bechara A. Decision making, impulse control and loss of willpower to resist drugs: a neurocognitive perspective. Nat Neurosci. 2005;8:1458–63.CrossRefPubMed
4.
go back to reference Goldstein RZ, Volkow ND. Dysfunction of the prefrontal cortex in addiction: neuroimaging findings and clinical implications. Nat. Rev. Neurosci. [Internet]. Nat Publ Group. 2011;12:652–69. doi:10.1038/nrn3119. Goldstein RZ, Volkow ND. Dysfunction of the prefrontal cortex in addiction: neuroimaging findings and clinical implications. Nat. Rev. Neurosci. [Internet]. Nat Publ Group. 2011;12:652–69. doi:10.​1038/​nrn3119.
5.
go back to reference Kalivas PW, Volkow N, Seamans J. Unmanageable motivation in addiction: A pathology in prefrontal-accumbens glutamate transmission. Neuron. 2005;45:647–50.CrossRefPubMed Kalivas PW, Volkow N, Seamans J. Unmanageable motivation in addiction: A pathology in prefrontal-accumbens glutamate transmission. Neuron. 2005;45:647–50.CrossRefPubMed
6.
go back to reference Leeman RF, Potenza MN. Similarities and differences between pathological gambling and substance use disorders: A focus on impulsivity and compulsivity. Psychopharmacology (Berl). 2012;219:469–90.CrossRef Leeman RF, Potenza MN. Similarities and differences between pathological gambling and substance use disorders: A focus on impulsivity and compulsivity. Psychopharmacology (Berl). 2012;219:469–90.CrossRef
9.
go back to reference Arce E, Santisteban C. Impulsivity: A review. Psicothema. 2006;18:213–20.PubMed Arce E, Santisteban C. Impulsivity: A review. Psicothema. 2006;18:213–20.PubMed
11.
go back to reference Volkow ND, Fowler JS, Wang GJ. The addicted human brain viewed in the light of imaging studies: Brain circuits and treatment strategies. Neuropharmacology. 2004;47:3–13.CrossRefPubMed Volkow ND, Fowler JS, Wang GJ. The addicted human brain viewed in the light of imaging studies: Brain circuits and treatment strategies. Neuropharmacology. 2004;47:3–13.CrossRefPubMed
13.
go back to reference Wittmann M, Leland DS, Churan J, Paulus MP. Impaired time perception and motor timing in stimulant-dependent subjects. Drug Alcohol Depend. 2007;90:183–92.CrossRefPubMedPubMedCentral Wittmann M, Leland DS, Churan J, Paulus MP. Impaired time perception and motor timing in stimulant-dependent subjects. Drug Alcohol Depend. 2007;90:183–92.CrossRefPubMedPubMedCentral
17.
go back to reference Hommel B. Acquisition and control of voluntary action. Volunt Action Brains, Minds, Soc. 2003;34–48 Hommel B. Acquisition and control of voluntary action. Volunt Action Brains, Minds, Soc. 2003;34–48
18.
go back to reference Logan GD, Cowan WB. On the ability to inhibit thought and action: A theory of an act of control. Psychol Rev. 1984;91:295–327.CrossRef Logan GD, Cowan WB. On the ability to inhibit thought and action: A theory of an act of control. Psychol Rev. 1984;91:295–327.CrossRef
19.
go back to reference Prinz W. Perception and action planning. Eur J Cogn Psychol. 1997;9:129–54.CrossRef Prinz W. Perception and action planning. Eur J Cogn Psychol. 1997;9:129–54.CrossRef
20.
22.
go back to reference Stevens L, Verdejo-García A, Goudriaan AE, Roeyers H, Dom G, Vanderplasschen W. Impulsivity as a vulnerability factor for poor addiction treatment outcomes: A review of neurocognitive findings among individuals with substance use disorders. J Subst Abuse Treat [Internet] Elsevier Inc. 2014;47:58–72. Available from: http://dx.doi.org/10.1016/j.jsat.2014.01.008. Accessed 26 July 2016.CrossRef Stevens L, Verdejo-García A, Goudriaan AE, Roeyers H, Dom G, Vanderplasschen W. Impulsivity as a vulnerability factor for poor addiction treatment outcomes: A review of neurocognitive findings among individuals with substance use disorders. J Subst Abuse Treat [Internet] Elsevier Inc. 2014;47:58–72. Available from: http://​dx.​doi.​org/​10.​1016/​j.​jsat.​2014.​01.​008. Accessed 26 July 2016.CrossRef
23.
go back to reference Aharonovich E, Nunes E, Hasin D. Cognitive impairment, retention and abstinence among cocaine abusers in cognitive-behavioral treatment. Drug Alcohol Depend. 2003;71:207–11.CrossRefPubMed Aharonovich E, Nunes E, Hasin D. Cognitive impairment, retention and abstinence among cocaine abusers in cognitive-behavioral treatment. Drug Alcohol Depend. 2003;71:207–11.CrossRefPubMed
24.
go back to reference Aharonovich E, Hasin DS, Brooks AC, Liu X, Bisaga A, Nunes EV. Cognitive deficits predict low treatment retention in cocaine dependent patients. Drug Alcohol Depend. 2006;81:313–22.CrossRefPubMed Aharonovich E, Hasin DS, Brooks AC, Liu X, Bisaga A, Nunes EV. Cognitive deficits predict low treatment retention in cocaine dependent patients. Drug Alcohol Depend. 2006;81:313–22.CrossRefPubMed
26.
28.
go back to reference American Psychiatric Association. Diagnostic and statistical manual of mental disorders. Am J Psychiatry. 2000 American Psychiatric Association. Diagnostic and statistical manual of mental disorders. Am J Psychiatry. 2000
29.
go back to reference Schippers GM, Broekman TG, Buchholz A, Koeter MWJ, Van Den Brink W. Measurements in the addictions for triage and evaluation (MATE): An instrument based on the world health organization family of international classifications. Addiction. 2010;105:862–71.CrossRefPubMed Schippers GM, Broekman TG, Buchholz A, Koeter MWJ, Van Den Brink W. Measurements in the addictions for triage and evaluation (MATE): An instrument based on the world health organization family of international classifications. Addiction. 2010;105:862–71.CrossRefPubMed
30.
go back to reference Lecrubier Y, Sheehan D, Weiller E, Amorim P, Bonora I, Sheehan K, Janavs JDG. The M.I.N.I. International Neuropsychiatric Interview (M.I.N.I.) A Short Diagnostic Structured Interview: Reliability and Validity According to the CIDI. Eur Psychiatry. 1997;12:224–31.CrossRef Lecrubier Y, Sheehan D, Weiller E, Amorim P, Bonora I, Sheehan K, Janavs JDG. The M.I.N.I. International Neuropsychiatric Interview (M.I.N.I.) A Short Diagnostic Structured Interview: Reliability and Validity According to the CIDI. Eur Psychiatry. 1997;12:224–31.CrossRef
32.
go back to reference Lundin A, Hallgren M, Balliu N, Forsell Y. The use of alcohol use disorders identification test (AUDIT) in detecting alcohol use disorder and risk drinking in the general population: validation of AUDIT using schedules for clinical assessment in neuropsychiatry. Alcohol Clin Exp Res [Internet]. 2015;39:58–65. [cited 2015 Jul 3] Available from, http://onlinelibrary.wiley.com/doi/10.1111/acer.12593/abstract. Accessed 26 July 2016. Lundin A, Hallgren M, Balliu N, Forsell Y. The use of alcohol use disorders identification test (AUDIT) in detecting alcohol use disorder and risk drinking in the general population: validation of AUDIT using schedules for clinical assessment in neuropsychiatry. Alcohol Clin Exp Res [Internet]. 2015;39:58–65. [cited 2015 Jul 3] Available from, http://​onlinelibrary.​wiley.​com/​doi/​10.​1111/​acer.​12593/​abstract. Accessed 26 July 2016.
36.
go back to reference Beck AT, Steer RA, Carbin MG. Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clin Psychol Rev. 1988;8:77–100.CrossRef Beck AT, Steer RA, Carbin MG. Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clin Psychol Rev. 1988;8:77–100.CrossRef
39.
go back to reference Muriel Deutsch Lezak, Diane B. Howieson, Erin D. Bigler and DT. Neuropsychological Assessment. 2012. Muriel Deutsch Lezak, Diane B. Howieson, Erin D. Bigler and DT. Neuropsychological Assessment. 2012.
40.
go back to reference Band GPH, van der Molen MW, Logan GD. Horse-race model simulations of the stop-signal procedure. Acta Psychol (Amst). 2003;112:105–42.CrossRef Band GPH, van der Molen MW, Logan GD. Horse-race model simulations of the stop-signal procedure. Acta Psychol (Amst). 2003;112:105–42.CrossRef
42.
go back to reference Dione M, Delevoye-turrell PY, Wing PA, Bartolo A, Elliott M. Executive Abilities For The Planning Of Sequential Motor Actions Performed Under Time And Space Constraints: A Visuo-Spatial Tapping Task Committee. 2013. Dione M, Delevoye-turrell PY, Wing PA, Bartolo A, Elliott M. Executive Abilities For The Planning Of Sequential Motor Actions Performed Under Time And Space Constraints: A Visuo-Spatial Tapping Task Committee. 2013.
43.
go back to reference Dione MC, Ott L, Delevoye-turrell Y. Planning ahead through space and time : from neuropsychology to motor control. 2005. p. 2207–12. Dione MC, Ott L, Delevoye-turrell Y. Planning ahead through space and time : from neuropsychology to motor control. 2005. p. 2207–12.
45.
go back to reference Delevoye-Turrell Y, Giersch A, Wing AM, Danion J-M. Motor fluency deficits in the sequencing of actions in schizophrenia. J Abnorm Psychol. 2007;116:56–64.CrossRefPubMed Delevoye-Turrell Y, Giersch A, Wing AM, Danion J-M. Motor fluency deficits in the sequencing of actions in schizophrenia. J Abnorm Psychol. 2007;116:56–64.CrossRefPubMed
47.
go back to reference Brown SW. Attentional resources in timing: interference effects in concurrent temporal and nontemporal working memory tasks. Percept Psychophys. 1997;59:1118–40.CrossRefPubMed Brown SW. Attentional resources in timing: interference effects in concurrent temporal and nontemporal working memory tasks. Percept Psychophys. 1997;59:1118–40.CrossRefPubMed
49.
go back to reference Radua J, Pozo NO D, Gómez J, Guillen-Grima F, Ortuño F. Meta-analysis of functional neuroimaging studies indicates that an increase of cognitive difficulty during executive tasks engages brain regions associated with time perception. Neuropsychologia [Internet] Elsevier. 2014;58:14–22. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24709569. Accessed 26 July 2016.CrossRef Radua J, Pozo NO D, Gómez J, Guillen-Grima F, Ortuño F. Meta-analysis of functional neuroimaging studies indicates that an increase of cognitive difficulty during executive tasks engages brain regions associated with time perception. Neuropsychologia [Internet] Elsevier. 2014;58:14–22. Available from: http://​www.​ncbi.​nlm.​nih.​gov/​pubmed/​24709569. Accessed 26 July 2016.CrossRef
Metadata
Title
Association between motor timing and treatment outcomes in patients with alcohol and/or cocaine use disorder in a rehabilitation program
Authors
S. Y. Young
Y. Delevoye-Turrell
J. J. J. van Hoof
A. E. Goudriaan
S. Seedat
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2016
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/s12888-016-0968-5

Other articles of this Issue 1/2016

BMC Psychiatry 1/2016 Go to the issue