Race/ethnicity and racial group composition moderate the effectiveness of mindfulness-based relapse prevention for substance use disorder

Greenfield, Brenna L.; Roos, Corey R.; Hagler, Kylee J.; Stein, Elena R.; Bowen, Sarah; Witkiewitz, Katie

doi:10.1016/j.addbeh.2018.02.010

Cited by 32 publications

(31 citation statements)

References 33 publications

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“…These populations include trauma survivors, 423 , 424 ethno-racial minorities 425 , 426 (particularly those who identify as African American, Latinx, or indigenous), sexual or gender minorities, 166 , 427 , 428 refugee/immigrant populations, 429 and those at the intersection of these marginalized groups. 430 While MBPs may be beneficial for addressing difficulties experienced by these populations (e.g., mindfulness-based relapse prevention may be more effective when delivered within groups composed primarily of ethnic/racial minorities), 431 , 432 the current research base disproportionately represents well-educated, Caucasian, economically advantaged individuals. 166 , 425 The paucity of ethno-racial diversity in both MBP researchers 433 and MBP research participants 166 , 425 mirrors the lack of diversity in psychological and biomedical research.…”

Section: Discussionmentioning

confidence: 99%

Mindfulness and Behavior Change

Schuman‐Olivier

Trombka

Lovas

et al. 2020

Harv Rev Psychiatry

178

102

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Initiating and maintaining behavior change is key to the prevention and treatment of most preventable chronic medical and psychiatric illnesses. The cultivation of mindfulness, involving acceptance and nonjudgment of present-moment experience, often results in transformative health behavior change. Neural systems involved in motivation and learning have an important role to play. A theoretical model of mindfulness that integrates these mechanisms with the cognitive, emotional, and self-related processes commonly described, while applying an integrated model to health behavior change, is needed. This integrative review (1) defines mindfulness and describes the mindfulness-based intervention movement, (2) synthesizes the neuroscience of mindfulness and integrates motivation and learning mechanisms within a mindful self-regulation model for understanding the complex effects of mindfulness on behavior change, and (3) synthesizes current clinical research evaluating the effects of mindfulness-based interventions targeting health behaviors relevant to psychiatric care. The review provides insight into the limitations of current research and proposes potential mechanisms to be tested in future research and targeted in clinical practice to enhance the impact of mindfulness on behavior change.

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Section: Discussionmentioning

confidence: 99%

Mindfulness and Behavior Change

Schuman‐Olivier

Trombka

Lovas

et al. 2020

Harv Rev Psychiatry

178

102

View full text Add to dashboard Cite

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“…The latent mindfulness factor was not invariant across the two samples, indicating that the measurement of mindfulness was not equivalent across studies. Greenfield et al, 2018 [ 37 ] MBRP: 8, 120-min sessions Relapse prevention (RP): 8, 120-min sessions. Topics included self-efficacy, coping skills, goal setting, problem solving, and social support.…”

Section: Resultsmentioning

confidence: 99%

“…With respect to racial/ethnic identity, Greenfield and colleagues conducted a secondary analysis of the initial MBRP pilot trial [55] examining the role of individual identity and racial/ethnic group composition among individuals receiving an MBRP intervention after discharge from an intensive outpatient unit or inpatient treatment [37]. White participants in the MBRP condition had lower heavy drinking days relative to relapse prevention (control condition), but no treatment difference in drug use days.…”

Section: Moderators Of Treatment Outcomementioning

confidence: 99%

Mindfulness-based programs for substance use disorders: a systematic review of manualized treatments

Korecki

Schwebel

Votaw

et al. 2020

Subst Abuse Treat Prev Policy

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Background: Substance use disorders are prevalent and returning to substance use (i.e., relapse) following treatment is common, underscoring the need for effective treatments that will help individuals maintain long-term reductions in substance use. Mindfulness-based interventions (MBIs) have been increasingly developed and evaluated for the treatment of substance use disorders. The aim of this article was to update a systematic review conducted by Li et al. in 2017 on the outcomes of randomized control trials of MBIs for substance use disorders. In addition, we provided a session-by-session examination of the most widely used MBI protocols. Methods: We conducted a comprehensive literature search of the PubMed, PsycINFO, and Web of Science databases from January of 2016 through April of 2020. Studies were included based on the following criteria: 1) examined the effects of an MBI, 2) employed a randomized controlled trial design with repeated measures, including secondary data analyses of randomized controlled trials, and 3) enrolled participants seeking treatment for substance use disorders. Results: The search identified 902 publications and 30 studies were eligible for inclusion and data extraction. MBIs appear to be as effective as existing evidence-based treatments for substance use disorders at reducing the frequency and quantity of alcohol and drug use, substance-related problems, craving for substance use, and at increasing the rate of abstinence. Conclusions: Future directions include additional large scale randomized controlled trials, investigation of the most suitable settings and protocols, examination of patient populations that may benefit most from MBIs, and dissemination and implementation research.

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“…We decided to include studies since 2016, as some studies published this year may not have been considered in the previous review. Regarding the country of origin, seven studies (53.8.5%) were carried out in the United States [19,20,[26][27][28][29][30], four (30.7%) in Iran [31][32][33][34], and two (15.3%) in France [22,35]. The sample sizes ranged from 6 to 191.…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

Effectiveness of Mindfulness-Based Relapse Prevention in Individuals with Substance Use Disorders: A Systematic Review

Ramadas

Lima

Caetano

et al. 2021

Behavioral Sciences

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Objectives: This systematic review aimed to understand the current state of the art about the effectiveness of mindfulness-based relapse prevention (MBRP) on individuals with substance use disorders (SUD), taking into account not only SUD variables (e.g., cravings, frequency of use) but also other relevant clinical variables (e.g., anxiety and depressive symptoms, quality of life). Methods: A comprehensive search of electronic databases was conducted to identify studies that investigate MBRP interventions on individuals with SUD. Studies that met the inclusion criteria were synthesized and assessed using systematic review methods. Results: Thirteen studies were included in the present review. The methodological quality of the included studies was moderately strong. Nine studies (69.2%) used the traditional 16 h MBRP program. Six studies (46.1%) chose to use a co-intervention treatment ranging from the treatment as usual (TAU) to cognitive behavioral therapy. All but one study indicated that their interventions produced positive effects on at least one addiction outcome measure. None of the interventions were evaluated across different settings or populations. Conclusions: Despite some heterogeneity regarding the type of MBRP program used, results support the effectiveness of these interventions in the SUD population, especially in reducing cravings, decreasing the frequency of use, and improving depressive symptoms.

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Race/ethnicity and racial group composition moderate the effectiveness of mindfulness-based relapse prevention for substance use disorder

Cited by 32 publications

References 33 publications

Mindfulness and Behavior Change

Mindfulness and Behavior Change

Mindfulness-based programs for substance use disorders: a systematic review of manualized treatments

Effectiveness of Mindfulness-Based Relapse Prevention in Individuals with Substance Use Disorders: A Systematic Review

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