Relative Efficacy of Mindfulness-Based Relapse Prevention, Standard Relapse Prevention, and Treatment as Usual for Substance Use Disorders

Bowen, Sarah; Witkiewitz, Katie; Clifasefi, Seema L.; Grow, Joel; Chawla, Neharika; Hsu, Sharon; Carroll, Haley A.; Harrop, Erin N.; Collins, Susan E.; Lustyk, M. Kathleen B.; Larimer, Mary E.

doi:10.1001/jamapsychiatry.2013.4546

Cited by 557 publications

(414 citation statements)

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“…More than 80 % of addicted individuals fail to seek treatment, which might reflect impairments in recognition of severity of disorder [28,29]. There is preliminary evidence that mindfulness meditation can reduce substance use, perhaps through one or more of these hypothesized pathways [51,52]. For example, one study of mindfulness-naive smokers demonstrated reduced connectivity between craving-related brain regions during a mindfulness condition compared to passive viewing of smoking-related images during cigarette craving [53], suggesting a functional decoupling of involved regions.…”

Section: Clinical Studies and Implications Of The Translational Prevementioning

confidence: 99%

“…Recently, a few rigorous and randomized studies started to test the effect of mindfulness meditation on addiction [51,52]. For example, compared to treatment as usual (12-step programming and psychoeducation), eight weekly group sessions of mindfulness-based relapse prevention resulted in significantly lower risk of relapse to substance use and heavy drinking among participants [51].…”

Section: Clinical Studies and Implications Of The Translational Prevementioning

confidence: 99%

“…For example, compared to treatment as usual (12-step programming and psychoeducation), eight weekly group sessions of mindfulness-based relapse prevention resulted in significantly lower risk of relapse to substance use and heavy drinking among participants [51]. Similarly, a recent randomized study of IBMT tested whether this mindfulness intervention reduced smoking [52].…”

Section: Clinical Studies and Implications Of The Translational Prevementioning

confidence: 99%

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A translational neuroscience perspective on mindfulness meditation as a prevention strategy

Tang

Leve

2015

Behav. Med. Pract. Policy Res.

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Mindfulness meditation research mainly focuses on psychological outcomes such as behavioral, cognitive, and emotional functioning. However, the neuroscience literature on mindfulness meditation has grown in recent years. This paper provides an overview of relevant neuroscience and psychological research on the effects of mindfulness meditation. We propose a translational prevention framework of mindfulness and its effects. Drawing upon the principles of prevention science, this framework integrates neuroscience and prevention research and postulates underlying brain regulatory mechanisms that explain the impact of mindfulness on psychological outcomes via self-regulation mechanisms linked to underlying brain systems. We conclude by discussing potential clinical and practice implications of this model and directions for future research.

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Section: Clinical Studies and Implications Of The Translational Prevementioning

confidence: 99%

Section: Clinical Studies and Implications Of The Translational Prevementioning

confidence: 99%

Section: Clinical Studies and Implications Of The Translational Prevementioning

confidence: 99%

See 1 more Smart Citation

A translational neuroscience perspective on mindfulness meditation as a prevention strategy

Tang

Leve

2015

Behav. Med. Pract. Policy Res.

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“…Kabat-Zinn (2003, p. 145) described mindfulness as "the awareness that emerges through paying attention on purpose, in the present moment, and nonjudgmentally to the unfolding of experience moment by moment." Mindfulness-based relapse prevention combines mindfulness strategies with relapse prevention techniques to help people with substance use disorders increase their awareness of, and ability to resists craving by paying attentions to thoughts, emotions, and environments that lead to using substances (Bowen et al, 2014). In the effort to address some of the reluctance to internalize the admonishment that accompanies the perceived "problem-based" cognitive behavioral therapy modalities, mindfulness foregrounds personal responsibility and agency, and the agent is empowered by their capacity for growth, rather than shame.…”

Section: Mindfulness-based Interventions 1971-presentmentioning

confidence: 99%

An historical review of racial bias in prison-based substance abuse treatment design

Kerrison

2017

Journal of Offender Rehabilitation

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This study leverages critical race and legal epidemiological frameworks to illustrate the race-based historical evolution of U.S. rehabilitation paradigms directed at imprisoned heroin and opioid users. What began as a racist early-20th-century federal antinarcotic trafficking effort has since assumed a state-based treatment agenda whose programmatic operations are largely based in correctional settings disproportionately reserved for poor substance abusers of color. Even in contemporary carceral facilities, where incarcerated populations are teeming with White addicts, in the aggregate, White drug abusers have been protected from the depraved, incorrigible, and inherently pathological drug-using caricature assigned to their non-White counterparts. This historical examination demonstrates how links between broader drug policy and prison-based drug treatment support a legally codified White supremacist narrative that erodes health and wellbeing for program participants of color, and the communities to which they inevitably return.

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“…Moreover, mindfulness has consistently been found to underlie the success of this intervention for relapse prevention in depression, as it is the key element of the related treatment program (Teasdale et al, 2000;Ma and Teasdale 2004), as also seen in meta-analyses of this issue (Hofmann et al 2010;Fjorback et al 2012). (5) Addictions have been also studied in relation to mindfulness (Chiesa and Serretti, 2014), especially alcohol addiction (Marlatt and Chawla 2007), craving reduction (Witkiewitz and Bowen 2010) and relapse prevention (Bowen et al 2014). (6) Mindfulness has been examined in relation to eating disorders (Mateos Rodríguez et al 2014), for compulsive over-eating (Kristeller and Wolever 2011;Telch et al 2001), bulimia nervosa (Tapper et al 2009) and to a lesser extent for anorexia nervosa (Heffner et al 2002).…”

Section: Research Findings and Research Dilemmasmentioning

confidence: 99%

Applications of Mindfulness in Psychotherapy – Contemporary Dilemmas

Škodlar

2016

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Mindfulness has without doubt been the fastest spreading and most popular concept in psychotherapy in the last two decades. Its influence exceeds that of any other individual concept or approach in modern psychotherapy. However, there are many dilemmas, open questions and controversies related to this rapid, almost fanatic spread, which obviously compensates for a certain lack in modern Euro-and Americo-centric societies. Similarly, we are witnessing in the West a lack of reflection, a process of limitless idealization, and the search for a panacea. This all flows with a tint of colonialism, presumptuously taking over ideas, concepts and techniques without a proper study of the primary sources, and with all the accompanying negative side-effects: profiteering, self-promotion, unethical conduct, empty promises of instant rewards, and so on. In the present paper, the development of interest in mindfulness in psychotherapy, as well as the research findings and dilemmas, and concepts and mechanisms of applying mindfulness in psychotherapy, will be reviewed. The main purpose of the paper is to contribute to the critical reflection in studying and applying mindfulness in psychotherapy. Keywords: mindfulness, meditation, psychotherapy, psychotherapy research IzvlečekČuječnost je v zadnjih dveh desetletjih zagotovo koncept, ki se najhitreje širi in je najbolj odmeven v psihoterapiji. Je vplivnejši od kateregakoli drugega posameznega koncepta ali pristopa v sodobni psihoterapiji. Vendar so ob tem hitrem, skoraj fanatičnem širjenju, ki očitno nadomešča določena pomanjkanja v sodobnih evropskih ali ameriških družbah, prisotne številne dileme, odprta vprašanja in razhajanja. Prav tako smo na Zahodu priča pomanjkanju refleksije, procesu brezmejne idealizacije in iskanju panaceje. Vse to poteka z določeno stopnjo kolonialistične naravnanosti, ki samozaverovano jemlje ideje, koncepte in tehnike, brez poglobljenega študija primarnih virov in z vsemi negativnimi stranskimi učinki, kot so dobičkarstvo, samo-promocija, neetično ravnanje, prazne obljube o takojšnjem uspehu ipd. V pričujočem besedilu so predstavljeni razvoj zanimanja za čuječnost v psihoterapiji, izsledki raziskav in dileme v raziskovanju ter koncepti in mehanizmi * Borut ŠKODLAR, Associate Professor, University Psychiatric Clinic Ljubljana.

show abstract

Relative Efficacy of Mindfulness-Based Relapse Prevention, Standard Relapse Prevention, and Treatment as Usual for Substance Use Disorders

Cited by 557 publications

References 70 publications

A translational neuroscience perspective on mindfulness meditation as a prevention strategy

A translational neuroscience perspective on mindfulness meditation as a prevention strategy

An historical review of racial bias in prison-based substance abuse treatment design

Applications of Mindfulness in Psychotherapy – Contemporary Dilemmas

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