Table 3.
RDoC Domains | RDoC Constructs | Neurocognitive Symptoms | Examples of Strategies and Exercises |
---|---|---|---|
| |||
Negative valence system | Acute threat Potential threat |
Anxious feeling Anhedonia Attentional bias to threat |
Exposure to avoided situations Reappraisal of negative cognitions Reducing environmental cues that activate negative emotions |
Positive valence system | Reward valuation Willingness to work Initial responsiveness to reward attainment |
Hypervaluation of the substance- related stimuli Reluctance to do previously enjoyable activities |
Engage in pleasant or reinforcing activities Remind oneself of previous positive memories Savor current positive experiences Engage in altruistic behaviors |
Cognitive system | Attention Memory Movement and speech Decision making and control |
Attentional bias to substance-related stimuli Difficulties in multitasking Impairment of shifting attention Memory deficits in recalling recent information Difficulties in finding right words Impairment in coordination and dexterity Making impulsive decisions Mood instability Interoceptive impairment |
Use compensatory strategies (calendar use, mnemonic strategies, paraphrase) Stay cognitively active (through doing brain games, taking classes to learn new information) Practice mindfulness |
Social processes | Perception of self Perception of others Social communications |
Lack of self-awareness Denial of disease Refusing to receive treatment Overestimation of one’s power to control consumption Difficulties in self-expression Low ability to interpret social cues Difficulties in making friends |
Engage in social activities Utilize one’s social support Practicing communication skills Reappraise negative cognitions about the self or others Practice compassion for others |
Arousal and regulatory system | Sleep–wakefulness Arousal |
Sleep–wake dysregulation Sleep-time hyperarousal Day-time hypoarousal |
Sleep hygiene practices Staying consistent with activities of daily living (e.g., showering) Practicing relaxation techniques (progressive muscle relaxation, spa activities) |
The content presented in posters 1 and 3 (Fig. 2, right and left panels) is specifically designed based on RDoC model, while poster 2 includes general health strategies for early abstinence.