Mindfulness-Based Relapse Prevention for Methadone Maintenance: A Feasibility Trial

Bowen, Sarah; Somohano, Vanessa C.; Rutkie, Rachel E.; Manuel, Jacob A.; Rehder, Kristoffer

doi:10.1089/acm.2016.0417

Cited by 27 publications

(15 citation statements)

References 14 publications

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“…Given the intersection of pain with OUD and AUD, behavioral interventions that have been shown to be effective for OUD, AUD, and chronic pain are particularly appealing. For example, mindfulness-based interventions have been shown to be effective in the treatment of polysubstance use (Bowen et al, 2014; Witkiewitz et al, 2014b), opioid treated chronic pain (Garland et al, 2017), chronic pain (Veehof et al, 2016), and can be feasibly combined with methadone maintenance treatment (Bowen et al, 2017). Cognitive behavioral treatment (CBT) has long been supported as efficacious in the treatment of alcohol and SUDs (Magill and Ray, 2009) and while CBT has mixed evidence for chronic pain (Williams et al, 2012) and OUD (Fiellin et al, 2013; Moore et al, 2016), there may be advantages to offering integrated CBT treatment for pain and AUD/OUD.…”

Section: Treatment Of Comorbid Oud and Audmentioning

confidence: 99%

Alcohol and Opioid Use, Co‐Use, and Chronic Pain in the Context of the Opioid Epidemic: A Critical Review

Witkiewitz

Vowles

2018

Alcoholism Clin & Exp Res

184

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The dramatic increase in opioid misuse, opioid use disorder (OUD), and opioid-related overdose deaths in the United States has led to public outcry, policy statements, and funding initiatives. Meanwhile, alcohol misuse and alcohol use disorder (AUD) are a highly prevalent public health problem associated with considerable individual and societal costs. This study provides a critical review of alcohol and opioid misuse, including issues of prevalence, morbidity, and societal costs. We also review research on interactions between alcohol and opioid use, the influence of opioids and alcohol on AUD and OUD treatment outcomes, respectively, the role of pain in the co-use of alcohol and opioids, and treatment of comorbid OUD and AUD. Heavy drinking, opioid misuse, and chronic pain individually represent significant public health problems. Few studies have examined co-use of alcohol and opioids, but available data suggest that co-use is common and likely contributes to opioid overdose-related morbidity and mortality. Co-use of opioids and alcohol is related to worse outcomes in treatment for either substance. Finally, chronic pain frequently co-occurs with use (and co-use) of alcohol and opioids. Opioid use and alcohol use are also likely to complicate the treatment of chronic pain. Research on the interactions between alcohol and opioids, as well as treatment of the comorbid disorders is lacking. Currently, most alcohol research excludes patients with OUD and there is lack of measurement in both AUD and OUD research in relation to pain-related functioning. Research in those with chronic pain often assesses opioid use, but rarely assesses alcohol use or AUD. New research to examine the nexus of alcohol, opioids, and pain, as well as their treatment, is critically needed.

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Section: Treatment Of Comorbid Oud and Audmentioning

confidence: 99%

Alcohol and Opioid Use, Co‐Use, and Chronic Pain in the Context of the Opioid Epidemic: A Critical Review

Witkiewitz

Vowles

2018

Alcoholism Clin & Exp Res

184

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“…Indeed, one study demonstrated the feasibility and acceptability of a 6-week mindfulness-based program for methadone patients. 42 Future researchers should examine the impact of these, and other, adjunct interventions on treatment adherence and outcomes across different forms of medication-assisted treatment.…”

Section: Adjunctive Behavioral Interventions With Medication-assistedmentioning

confidence: 99%

Empirical Studies Addressing the Opioid Epidemic: An Urgent Call for Research

et al. 2018

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Opioid misuse has become one of the most pressing public health problems facing the country. In this article, we briefly review literature regarding the opioid epidemic in the United States and the negative consequences of opioid use disorder. We provide information regarding treatment and relapse using a variety of intervention approaches. We call for research on people with opioid use disorder that can contribute to a variety of areas: improving medication-assisted treatment, addressing chronic pain, examination of adjunctive behavioral interventions, overdose, high risk behaviors and infections, pregnancy, diverse populations, and other psychological factors. Collectively addressing these crucial areas of research will advance the field and help alleviate suffering and prevent death from opioid use disorder.

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“…There are limited evidence-based CAM treatments that have been adequate in controlling chronic pain, but not much on analgesic reduction [9] (Table 1). Bowen et al [25] Meditation Amatya et al [12] Pray, Religion, and Spirituality Drebenstedt [22] Biofeedback Chrousos et al [23] Guide Imaginary Day et al [24] Music Therapy Taylor et al [26] Traditional Medicine of China and India Acupressure Kumar et al [21] Eccleston et al [29] Acupuncture Wren et al [27] Wren et al [27] Ayurvedia Siddha Zhang et al [28] Summarizes most of CAM modalities used for chronic pain management and analgesic misuse prevention. Our study provides an evaluation of the effectiveness and limitations of CAM treatments in the prevention and treatment of chronic pain and analgesic reduction.…”

Section: Introductionmentioning

confidence: 99%

Complementary and Alternative Medicine: Managing Chronic Pain and Preventing Analgesic Misuse in the Community

Feng¹

2021

OJCAM

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Background: Chronic pain is one of the top causes of disability in the US. Repeated use and large dosages of analgesic medications increase the risks of side effects, misuse, and dependency. When the pain control cannot be achieved at a satisfactory level, patients may seek complementary and alternative medicine (CAM). There is a dearth of evidence-based practice research showing the effectiveness of CAM in reducing analgesic use.Objective: This pilot study provides evidence to increase awareness of CAM to improve community health and offers nonpharmacological interventions in pain management along with the prevention of analgesic misuse.Methodology: This quantitative research recruited 16 participants in an underserved community in Omaha for phase I sampling, 15 participants for beginning of phase II sampling. The participants from phase I received an education session and completed a survey. Phase II participants received six sessions of CAM education and treatments. The attitude, knowledge level, pain scores, and analgesics usages were collected and analyzed after six sessions.Results: Most health issues likely to be addressed with CAM were chronic pain. Participants increased communication about CAM practice with their providers after completion of phase II. Participants overall pain score and analgesics usage significantly decreased after six weeks of CAM education and treatment. Conclusion:After six sessions of CAM education and treatments, participant pain level and analgesic usage decreased significantly. This study is a good example of a successful intervention in an underserved community population about the effectiveness of CAM approaches on chronic pain and analgesic misuse management.

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Mindfulness-Based Relapse Prevention for Methadone Maintenance: A Feasibility Trial

Abstract: Results from this initial pilot trial support feasibility and acceptability, and provide preliminary data on outcomes for future trials of mindfulness-based approaches within the MMT community.

Cited by 27 publications

References 14 publications

Alcohol and Opioid Use, Co‐Use, and Chronic Pain in the Context of the Opioid Epidemic: A Critical Review

Alcohol and Opioid Use, Co‐Use, and Chronic Pain in the Context of the Opioid Epidemic: A Critical Review

Empirical Studies Addressing the Opioid Epidemic: An Urgent Call for Research

Complementary and Alternative Medicine: Managing Chronic Pain and Preventing Analgesic Misuse in the Community

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