Mindfulness-Based Relapse Prevention for Substance Use Disorders: A Pilot Efficacy Trial

Addictive Behaviors Research Center, Department of Psychology, University of Washington, Seattle, Washington, USA.
Substance Abuse (Impact Factor: 1.62). 10/2009; 30(4):295-305. DOI: 10.1080/08897070903250084
Source: PubMed

ABSTRACT The current study is the first randomized-controlled trial evaluating the feasibility and initial efficacy of an 8-week outpatient Mindfulness-Based Relapse Prevention (MBRP) program as compared to treatment as usual (TAU). Participants were 168 adults with substance use disorders who had recently completed intensive inpatient or outpatient treatment. Assessments were administered pre-intervention, post-intervention, and 2 and 4 months post-intervention. Feasibility of MBRP was demonstrated by consistent homework compliance, attendance, and participant satisfaction. Initial efficacy was supported by significantly lower rates of substance use in those who received MBRP as compared to those in TAU over the 4-month post-intervention period. Additionally, MBRP participants demonstrated greater decreases in craving, and increases in acceptance and acting with awareness as compared to TAU. Results from this initial trial support the feasibility and initial efficacy of MBRP as an aftercare approach for individuals who have recently completed an intensive treatment for substance use disorders.

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Available from: Susan E Collins, Sep 26, 2015
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    • "Alongside the development of mindfulness-based interventions , researchers have also studied mindfulness as a dispositional trait (Brown and Ryan 2003). Importantly, research indicates that meditation experience is positively related to trait mindfulness (Baer et al. 2008) and that trait mindfulness can be increased through mindfulness meditation training (Bowen et al. 2009; Carmody and Baer 2008). Furthermore, trait mindfulness has been shown to be related to decreased depressive symptoms, anxiety symptoms, stress, and alcoholrelated outcomes (Bowlin and Baer 2012; Cash and Whittingham 2010; Lyvers et al. 2013; Ostafin et al. 2013; Pearson et al. 2014; Weinstein et al. 2009). "
    Mindfulness 10/2015; 6(5). DOI:10.1007/s12671-014-0349-4
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    • "To test the hypothesized reductions in behaviors, we followed studies that compared a specific amount of time prior to treatment to the same amount of time after completion (Bowen et al., 2009; Wupperman et al., 2012). Table 1 provides the means and standard deviations for the primary variables across time. "
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    ABSTRACT: Objectives Disorders of behavioral dysregulation often involve more than one dsyregulated behavior (e.g., drug abuse and aggression, alcohol abuse and gambling). The high co-occurrence suggests the need of a transdiagnostic treatment that can be customized to target multiple specific behaviors.Method The current pilot study compared a 20-week, individual transdiagnostic therapy (mindfulness and modification therapy [MMT]) versus treatment as usual (TAU) in targeting alcohol problems, drug use, physical aggression, and verbal aggression in self-referred women. Assessments were administered at baseline, post-intervention, and 2-month follow-up.ResultsWilcoxon signed-ranked tests and multilevel modeling showed that MMT (n = 13) displayed (a) significant and large decreases in alcohol/drug use, physical aggression, and verbal aggression; (b) significantly greater decreases in alcohol/drug use and physical aggression than did TAU (n = 8); and (c) minimal-to-no deterioration of effects at follow-up. Both conditions showed significant decreases in verbal aggression, with no statistically significant difference between conditions. MMT also displayed greater improvements in mindfulness.Conclusions Preliminary findings support the feasibility and efficacy of MMT in decreasing multiple dysregulated behaviors.
    Journal of Clinical Psychology 09/2015; in press. DOI:10.1002/jclp.22213 · 2.12 Impact Factor
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    • "From a review of the Swedish landscape of services for substance use disorders treatment performed at the purpose of this thesis it appeared that mainly three types of interventions for substance use disorders are provided in the Swedish context:12-steps program, CBT and Acceptance Commitment Therapy (ACT). Only a few facilities in Sweden offer MBIs for the treatment of substance use disorders, although them being an alternative to traditional treatment methods (Bowen et al., 2009) and their underlying ideologies (e.g., Bayles, 2014; Global Commission on Drug Policy, 2011; 2014; Marlatt, 2002). "
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    ABSTRACT: Mindfulness and mindfulness-based interventions (MBIs) have been applied in numerous fields from behavioral medicine, nursing and psychiatry, to psychology and social work. Research on mindfulness and MBIs is increasingly providing evidence of the efficacy and benefits of MBIs for the treatment of a vast array of conditions. Yet, the application of mindfulness in the field of social work is still at its initial stages and among the most recent areas of its application includes the treatment of substance use disorders. However, the current research on mindfulness is based on epistemological and methodological stances that allow only a partial investigation of the phenomenon, as it is primary focused on the evaluation of the effectiveness of mindfulness and MBIs or in the search of its underlying neurological mechanism. The aim of this work is to employ the experience of five Swedish practitioners to understand the influence of mindfulness in the social work therapeutic relationship, and exploring the advantages and challenges that MBIs offer in the treatment of substance use disorders in the Swedish context. The aim is pursued relying on a descriptive phenomenological research design. The main findings of this work suggest: (a) the suitability of phenomenology in theorizing mindfulness and MBIs within the therapeutic encounter and in the treatment of substance use disorders; (b) the body is the main tool in the process of understanding one’s own emotional and cognitive life in the therapeutic work with mindfulness and MBIs; (c) the compassionate, accepting and non-judging features of mindfulness and MBIs offer a valuable ideological alternative to the zero tolerance model and the treatment methods that characterize the Swedish drug policy; (d) mindfulness is not merely a therapeutic tool but represents an overreaching aspect of the life of its practitioners, whether they are social workers or clients
    06/2015, Degree: School of Social Work, Master of Science in Global Studies, Graduate School, Supervisor: Roberto Scaramuzzino
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