Implementation of a Mindfulness Intervention for Women in Treatment for Opioid Use Disorder and Its Effects on Depression Symptoms

Alexander, Karen; Kronk, Rebecca; Sekula, Kathleen; Short, Vanessa L.; Abatemarco, Diane J.

doi:10.1080/01612840.2019.1585499

Cited by 9 publications

(4 citation statements)

References 35 publications

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“…Treatment effects were discernible by late pregnancy, peaked at 8 weeks postpartum, and dissipated by 24 weeks postpartum. 8/13 Quasi-experimental Study Design Alexander, Kronk, Sekula, Short, & Abatemarco (2019) Pregnant or parenting women ( N = 73) I: ( n = 65) C: ( n = 8) MAT for OUD (Methadone) Depression (BDI-II) Intrapersonal: Mind/body 12-week mindfulness-based program in addition to comprehensive OUD treatment Control: Standard comprehensive OUD treatment alone There was a significant decrease in total depression scores for the intervention group and a non-significant increase in depression scores for the control group. Those with low/mild depression scores in intervention experienced less of a difference in depression scores than those with mod/severe depression scores.…”

Section: Methodsmentioning

confidence: 99%

Non-pharmacologic interventions to improve depression and anxiety among pregnant and parenting women who use substances: An integrative literature review

Darlington

Compton

Teitelman

et al. 2022

Drug and Alcohol Dependence Reports

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Section: Methodsmentioning

confidence: 99%

Non-pharmacologic interventions to improve depression and anxiety among pregnant and parenting women who use substances: An integrative literature review

Darlington

Compton

Teitelman

et al. 2022

Drug and Alcohol Dependence Reports

Self Cite

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“…The team found that the MBP intervention led to clinically significant improvements in the quality of parenting behaviors. The team also found that the MBP intervention resulted in a significant decrease in general stress (as measured by the Perceived Stress Scale-10; Cohen et al, 1983), parental distress [as measured by the parenting stress index-short form (Abiden, 1995;Short et al, 2017)], and depression symptoms (Alexander et al, 2019).…”

Section: Mbis Address Substance Use and Promote Attentive Caregivingmentioning

confidence: 98%

An Integrated Mechanistic Model of Mindfulness-Oriented Recovery Enhancement for Opioid-Exposed Mother–Infant Dyads

et al. 2021

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A growing body of neurobiological and psychological research sheds light on the mechanisms underlying the development and maintenance of opioid use disorder and its relation to parenting behavior. Perinatal opioid use is associated with risks for women and children, including increased risk of child maltreatment. Drawing from extant data, here we provide an integrated mechanistic model of perinatal opioid use, parenting behavior, infant attachment, and child well-being to inform the development and adaptation of behavioral interventions for opioid-exposed mother–infant dyads. The model posits that recurrent perinatal opioid use may lead to increased stress sensitivity and reward dysregulation for some mothers, resulting in decreased perceived salience of infant cues, disengaged parenting behavior, disrupted infant attachment, and decreased child well-being. We conclude with a discussion of Mindfulness-Oriented Recovery Enhancement as a means of addressing mechanisms undergirding perinatal opioid use, parenting, and attachment, presenting evidence on the efficacy and therapeutic mechanisms of mindfulness. As perinatal opioid use increases in the United States, empirically informed models can be used to guide treatment development research and address this growing concern.

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“…In understanding that OUD is indeed a brain disorder and a chronic life-time struggle—like diabetes—involving physiological, psychological and spiritual aspects, frontline modalities could benefit by the incorporation of alternatives like rTMS [ 12 , 13 ]. There is continual benefit from the use of both Cognitive Behavioral Therapy, Mindfulness, and other psychological approaches such as trauma therapy and even Unilateral Transcranial Photo biomodulation [ 14 , 15 , 16 ]. Certainly, there is good evidence that religiosity and spirituality have positive neurochemical benefits at the brain reward circuitry resulting in significantly reduced relapse [ 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 ].…”

Section: Introductionmentioning

confidence: 99%

Positive Clinical Outcomes for Severe Reported Pain Using Robust Non-Addictive Home Electrotherapy—A Case-Series

Bajaj

Han

Elman

et al. 2023

JPM

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The North American opioid epidemic has resulted in over 800,000 related premature overdose fatalities since 2000, with the United States leading the world in highest opioid deaths per capita. Despite increased federal funding in recent years, intended to address this crisis, opioid overdose mortality has continued to increase. Legally prescribed opioids also chronically induce a problematic reduction in affect. While an ideal analgesic has yet to be developed, some effective multimodal non-opioid pharmacological regimens for acute pain management are being more widely utilized. Some investigators have suggested that a safer and more scientifically sound approach might be to induce “dopamine homeostasis” through non-pharmacological approaches, since opioid use even for acute pain of short duration is now being strongly questioned. There is also increasing evidence suggesting that some more robust forms of electrotherapy could be applied as an effective adjunct to avoid the problems associated with opioids. This 4-patient case-series presents such an approach to treatment of severe pain. All 4 of these chiropractic treatment cases involved a component of knee osteoarthritis, in addition to other reported areas of pain. Each patient engaged in a home recovery strategy using H-Wave® device stimulation (HWDS) to address residual extremity issues following treatment of spinal subluxation and other standard treatments. A simple statistical analysis was conducted to determine the change in pain scores (Visual Analogue Scale) of pre and post electrotherapy treatments, resulting in significant reductions in self-reported pain (p-value = 0.0002). Three of the four patients continued using the home therapy device long-term as determined by a post-analysis questionnaire. This small case-series demonstrated notably positive outcomes, suggesting consideration of home use of HWDS for safe, non-pharmacological and non-addictive treatment of severe pain.

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Implementation of a Mindfulness Intervention for Women in Treatment for Opioid Use Disorder and Its Effects on Depression Symptoms

Cited by 9 publications

References 35 publications

Non-pharmacologic interventions to improve depression and anxiety among pregnant and parenting women who use substances: An integrative literature review

Non-pharmacologic interventions to improve depression and anxiety among pregnant and parenting women who use substances: An integrative literature review

An Integrated Mechanistic Model of Mindfulness-Oriented Recovery Enhancement for Opioid-Exposed Mother–Infant Dyads

Positive Clinical Outcomes for Severe Reported Pain Using Robust Non-Addictive Home Electrotherapy—A Case-Series

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