Joint versus separate inpatient rehabilitation treatment for patients with alcohol use disorder or drug use disorder : an observational study

Background: In many national treatment systems, patients with alcohol use disorders (AUD) and those with drug use disorders (DUD) are treated separately, while other systems provide joint treatment for both kinds of substance use disorders (SUDs). Regarding long-term rehabilitation treatment of DUD and AUD patients, there is however a lack of empirical studies on the comparison between a separate versus joint treatment modality. Methods: Data were gathered from 2 rehabilitation units located in small towns from the same German region. One unit provided treatment to a mixed group of AUD and DUD patients, while the other unit treated the 2 groups separately. Staffing, funding, and treatment programs were otherwise similar between facilities. Data were gathered from standardized routine documentation and standardized interviews. In order to understand correlates of premature treatment termination, a logistic regression analysis was performed, with treatment modality and type of SUD as main predictors, and a range of patient characteristics as covariates. Results: Patients (N=319) were diagnosed with AUD (48%), DUD (34%), or AUD plus DUD (18%). Patients in joint treatment showed a higher prevalence of lapses during treatment than those in separate treatment (26% versus 12%; p=0.009), but there was no significant difference in the prevalence of premature terminations (38% versus 44%, p=0.26). Treatment modality and interaction between modality and type of SUD was not significantly associated with premature termination. Joint treatment completers showed higher satisfaction with treatment than separate treatment completers ( p<0.001). Conclusion: We found no evidence here for a difference between treatment modalities in terms of premature termination rate. Satisfaction level was higher in those who completed joint treatment compared to separate treatment.Peer reviewe

Better together? Social distance affects joint probability discounting

Deciding together is common in our everyday life. However, the process of this joint decision-making plays out across different levels, for example language, intonation, or non-verbal behaviour. Here we focused on non-verbal interaction dynamics between two participants in probability discounting. We applied a gamified decision-making task in which participants performed a series of choices between a small but safe and a large but risky reward. In two experiments, we found that joint decision-making resulted in lower discounting and higher efficiency. In order to understand the underlying mechanisms in greater detail, we studied through which process this variation occurred and whether this process would be modulated by the social distance between both participants. Our findings suggested that socially close participants managed to reduce their discounting by interactive processes while socially distant participants were influenced by the social context itself. However, a higher level of efficiency was achieved through interactive processes for both groups. In summary, this study served as a fine-grained investigation of collaborative interaction processes and its significant impact on the outcome of choices with probabilistic consequences. [Abstract copyright: © 2022. The Author(s).

Is value-based choice repetition susceptible to medial frontal transcranial direct current stimulation (tDCS)? A preregistered study.

Funder: Technische Universität Dresden (1019)In value-based decision making, people have to weigh different options based on their subjective value. This process, however, also is influenced by choice biases, such as choice repetition: in a series of choices, people are more likely to repeat their decision than to switch to a different choice. Previously, it was shown that transcranial direct current stimulation (tDCS) can affect such choice biases. We applied tDCS over the medial prefrontal cortex to investigate whether tDCS can alter choice repetition in value-based decision making. In a preregistered study, we applied anodal, cathodal, and sham tDCS stimulation to 52 participants. While we found robust choice repetition effects, we did not find support for an effect of tDCS stimulation. We discuss these findings within the larger scope of the tDCS literature and highlight the potential roles of interindividual variability and current density strength

Lost to translation: How design factors of the mouse-tracking procedure impact the inference from action to cognition

From an embodiment perspective, action and cognition influence each other constantly. This interaction has been utilized in mouse-tracking studies to infer cognitive states from movements, assuming a continuous manifestation of cognitive processing into movement. However, it is mostly unknown how this manifestation is affected by the variety of possible design choices in mouse-tracking paradigms. Here we studied how three design factors impact the manifestation of cognition into movement in a Simon task with mouse tracking. We varied the response selection (i.e., with or without clicking), the ratio between hand and mouse cursor movement, and the location of the response boxes. The results show that all design factors can blur or even prevent the manifestation of cognition into movement, as reflected by a reduction in movement consistency and action dynamics, as well as by the adoption of unsuitable movement strategies. We conclude that deliberate and careful design choices in mouse-tracking experiments are crucial to ensuring a continuous manifestation of cognition in movement. We discuss the importance of developing a standard practice in the design of mouse-tracking experiments

Novel Synthetic Opioids (NSO) Use in Opioid Dependents Entering Detoxification Treatment

© 2022 Specka, Kuhlmann, Bonnet, Sawazki, Schaaf, Kühnhold, Steinert, Grigoleit, Eich, Zeiske, Niedersteberg, Steiner, Schifano and Scherbaum. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). https://creativecommons.org/licenses/by/4.0/Introduction: Over the last decade, the use of New/Novel Synthetic Opioids (NSO) has emerged as an increasing problem, and especially so in the USA. However, only little is known about the prevalence and history of NSO use in European heroin dependents. Method: A cross-sectional multicenter study, carried out with the means of both standardized interviews and urine toxicology enhanced screening, in a sample of opioid addicted patients referred for an in-patient detoxification treatment. Results: Sample size included here n = 256 patients; prior to admission, 63.7% were prescribed with an opioid maintenance treatment. Lifetime use of heroin and opioid analgesics was reported by 99.2 and 30.4%, respectively. Lifetime NSO/fentanyl use was reported by 8.7% (n = 22); a regular use was reported by 1.6% (n = 4), and ingestion over the 30 days prior to admission by 0.8% (n = 2). Most typically, patients had started with a regular consumption of heroin, followed by maintenance opioids; opioid analgesics; and by NSO. Self-reported data were corroborated by the toxicology screenings carried out; no evidence was here identified for the presence of heroin being contaminated by fentanyl/derivatives. Discussion: NSO and also opioid analgesics did not play a relevant role in the development and the course of opioid/opioid use disorders in German patients referred for an inpatient detoxification treatment.Peer reviewe

Let's play with Statistics!: Implementierung einer studierendenzentrierten multimedialen Lernumgebung unter Einsatz von R-Shiny Apps und Videos

Das E-Learning Modul MUVE-STAT (Statistische Grundbegriffe und Grundlagen multivariater Verfahren) ermöglicht Psychologiestudierenden einen anwendungsorientierten und interaktiven Erwerb statistischer Methodenkenntnisse. Die Inhalte umfassen anschauliche Darstellungen statistischer Grundbegriffe bis hin zur Anwendung multivariater Verfahren. MUVE-STAT soll Lehrende und Studierende in unterschiedlichen, insbesondere in interdisziplinären Bachelorstudiengängen unterstützen und eine erfolgreiche Fortsetzung des Studiums im Rahmen eines konsekutiven Masterstudiengangs, wie dem Studiengang „Psychologie: Human Performance in Socio- Technical Systems” (HPSTS) an der TU Dresden, gewährleisten

Genetic Contribution to Alcohol Dependence: Investigation of a Heterogeneous German Sample of Individuals with Alcohol Dependence, Chronic Alcoholic Pancreatitis, and Alcohol-Related Cirrhosis

The present study investigated the genetic contribution to alcohol dependence (AD) using genome-wide association data from three German samples. These comprised patients with: (i) AD; (ii) chronic alcoholic pancreatitis (ACP); and (iii) alcohol-related liver cirrhosis (ALC). Single marker, gene-based, and pathway analyses were conducted. A significant association was detected for the ADH1B locus in a gene-based approach (puncorrected = 1.2 × 10−6; pcorrected = 0.020). This was driven by the AD subsample. No association with ADH1B was found in the combined ACP + ALC sample. On first inspection, this seems surprising, since ADH1B is a robustly replicated risk gene for AD and may therefore be expected to be associated also with subgroups of AD patients. The negative finding in the ACP + ALC sample, however, may reflect genetic stratification as well as random fluctuation of allele frequencies in the cases and controls, demonstrating the importance of large samples in which the phenotype is well assessed

Eleven strategies for making reproducible research and open science training the norm at research institutions

Across disciplines, researchers increasingly recognize that open science and reproducible research practices may accelerate scientific progress by allowing others to reuse research outputs and by promoting rigorous research that is more likely to yield trustworthy results. While initiatives, training programs, and funder policies encourage researchers to adopt reproducible research and open science practices, these practices are uncommon inmanyfields. Researchers need training to integrate these practicesinto their daily work. We organized a virtual brainstorming event, in collaboration with the German Reproducibility Network, to discuss strategies for making reproducible research and open science training the norm at research institutions. Here, weoutline eleven strategies, concentrated in three areas:(1)offering training, (2)adapting research assessment criteria and program requirements, and (3) building communities. We provide a brief overview of each strategy, offer tips for implementation,and provide links to resources. Our goal is toencourage members of the research community to think creatively about the many ways they can contribute and collaborate to build communities,and make reproducible research and open sciencetraining the norm. Researchers may act in their roles as scientists, supervisors, mentors, instructors, and members of curriculum, hiring or evaluation committees. Institutionalleadership and research administration andsupport staff can accelerate progress by implementing change across their institution