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

被引:426
作者
Bowen, Sarah [1 ]
Chawla, Neharika [1 ]
Collins, Susan E. [1 ]
Witkiewitz, Katie [2 ]
Hsu, Sharon [1 ]
Grow, Joel [1 ]
Clifasefi, Seema [1 ]
Garner, Michelle [3 ]
Douglass, Anne [1 ]
Larimer, Mary E. [4 ]
Marlatt, Alan [1 ]
机构
[1] Univ Washington, Dept Psychol, Addict Behav Res Ctr, Seattle, WA 98195 USA
[2] Univ Washington, Inst Alcohol & Drug Abuse, Seattle, WA 98195 USA
[3] Univ Washington, Sch Social Work, Tacoma, WA USA
[4] Univ Washington, Dept Psychiat & Behav Sci, Seattle, WA 98195 USA
关键词
Mindfulness; meditation; relapse prevention; substance use disorders; treatment; PSYCHOMETRIC PROPERTIES; EXPERIENTIAL AVOIDANCE; COGNITIVE THERAPY; ALCOHOL-PROBLEMS; MEDITATION; THOUGHT; INTERVENTIONS; NALTREXONE; DEPRESSION; INVENTORY;
D O I
10.1080/08897070903250084
中图分类号
R194 [卫生标准、卫生检查、医药管理];
学科分类号
摘要
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.
引用
收藏
页码:295 / 305
页数:11
相关论文
共 67 条
[1]  
[Anonymous], 1990, CATASTROPHE LIVING U
[2]   Using self-report assessment methods to explore facets of mindfulness [J].
Baer, RA ;
Smith, GT ;
Hopkins, J ;
Krietemeyer, J ;
Toney, L .
ASSESSMENT, 2006, 13 (01) :27-45
[3]   Randomized controlled trial of brief cognitive-behavioural interventions among regular users of amphetamine [J].
Baker, A ;
Boggs, TG ;
Lewin, TJ .
ADDICTION, 2001, 96 (09) :1279-1287
[4]   BRIEF INTERVENTIONS FOR ALCOHOL-PROBLEMS - A REVIEW [J].
BIEN, TH ;
MILLER, WR ;
TONIGAN, JS .
ADDICTION, 1993, 88 (03) :315-336
[5]   Assessing consequences of substance use: Psychometric properties of the inventory of drug use consequences [J].
Blanchard, KA ;
Morgenstern, J ;
Morgan, TJ ;
Labouvie, EW ;
Bux, DA .
PSYCHOLOGY OF ADDICTIVE BEHAVIORS, 2003, 17 (04) :328-331
[6]   Mindfulness meditation and substance use in an incarcerated population [J].
Bowen, Sarah ;
Witkiewitz, Katie ;
Dillworth, Tiara M. ;
Chawla, Neharika ;
Simpson, Tracy L. ;
Ostafin, Brian D. ;
Larimer, Mary E. ;
Blume, Arthur W. ;
Parks, George A. ;
Marlatt, G. Alan .
PSYCHOLOGY OF ADDICTIVE BEHAVIORS, 2006, 20 (03) :343-347
[7]   An information-processing analysis of mindfulness: Implications for relapse prevention in the treatment of substance abuse [J].
Breslin, FC ;
Zack, M ;
McMain, S .
CLINICAL PSYCHOLOGY-SCIENCE AND PRACTICE, 2002, 9 (03) :275-299
[8]   A COMPARATIVE TRIAL OF PSYCHOTHERAPIES FOR AMBULATORY COCAINE ABUSERS - RELAPSE PREVENTION AND INTERPERSONAL PSYCHOTHERAPY [J].
CARROLL, KM ;
ROUNSAVILLE, BJ ;
GAWIN, FH .
AMERICAN JOURNAL OF DRUG AND ALCOHOL ABUSE, 1991, 17 (03) :229-247
[9]   Relapse prevention as a psychosocial treatment: A review of controlled clinical trials [J].
Carroll, KM .
EXPERIMENTAL AND CLINICAL PSYCHOPHARMACOLOGY, 1996, 4 (01) :46-54
[10]  
CARROLL KM, 1998, TREATING ADDICTIVE B, P217