Change in Stress Levels Following Mindfulness-based Stress Reduction in a Therapeutic Community

Marcus, Marianne T.; Fine, Paul; Moeller, F. Gerard; Khan, Myrna M.; Pitts, Kathleen; Swank, Paul R.; Liehr, Patricia

doi:10.1097/00132576-200302030-00001

Cited by 93 publications

(76 citation statements)

References 41 publications

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“…Originally designed to teach patients with chronic physical and mental problems how to improve their health and lives, MBSR is now being used as an adjunct to treatment in a wide range of disorders. With the exception of prior studies by the current authors (Marcus, Fine, & Kouzekanani, 2001;Marcus et al, 2003), there are no reports of MBSR with clients in recovery from substance use disorders in therapeutic community treatment. Yet, MBSR holds particular promise for clients in this setting because it is a generic approach to stress reduction focusing on commonalities among individuals, emphasizing common human experiences such as breathing, proprioception, thoughts, and emotions.…”

Section: Mindfulness-based Stress Reductionmentioning

confidence: 67%

Behavioral Therapies Trials

et al. 2007

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Section: Mindfulness-based Stress Reductionmentioning

confidence: 67%

Behavioral Therapies Trials

et al. 2007

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“…Likewise, during the last decade, other MBIs have been adapted for SUDs such as acceptance and commitment therapy (ACT; e.g., [36][37][38]), spiritual self-schema therapy (e.g., [39][40][41]), dialectical behavior therapy (e.g., [42][43][44]), mindfulness-based stress reduction (MBSR; e.g., [45]), and Vipassana Meditation (e.g., [46][47][48]). …”

Section: Doi: 101159/000490762mentioning

confidence: 99%

The Clinical Efficacy of Mindfulness-Based Treatments for Alcohol and Drugs Use Disorders: A Meta-Analytic Review of Randomized and Nonrandomized Controlled Trials

2018

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Introduction:The current study aims to evaluate if and to what extent mindfulness-based interventions (MBIs) could promote an incremental effectiveness compared to interventions usually provided in clinical practice to treat Alcohol and Drugs Use Disorders. In line with this aim, we accomplished a meta-analytic review of randomized and nonrandomized controlled trials, considering primary and secondary outcomes that comprehensively operationalize treatment efficacy. Methods: We conducted the online research up to August 31st 2017. Adequate procedures for Cohen's d computation were applied. Heterogeneity indexes, moderators, bias of publication, and Orwin's fail-safe number were also estimated. Results: Thirty-seven studies were included (n = 3,531 patients). We observed null effect sizes for attrition rate and overall mental health. Small effect sizes were detected in abstinence, levels of perceived stress, and avoidance coping strategies. Moderate effect sizes were revealed in anxiety and depressive symptoms. Large effect sizes were associated to levels of perceived craving, negative affectivity, and post-traumatic symptoms. Conclusion: MBIs seemed to show clinically significant advantages compared to other clinical approaches in relation to specific primary and secondary outcomes. Conversely, treatment retention was independent of the therapeutic approach.

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“…For long-term meditators, no longitudinal data were gathered. Compared to novices, long-term meditators reported significantly fewer sleep complaints (t 19 …”

Section: Sleepmentioning

confidence: 99%

“…Results showed that the MBSR program was associated with decreased cortisol secretion along with decreased stress and mood disturbance. Marcus et al [19] assessed morning cortisol levels of 21 psychiatric outpatients suffering from addictive disorders at the beginning and at the end of an 8-week MBSR program; the authors were able to show that awakening salivary cortisol levels were significantly lower at the end of the 8-week MBSR program. In contrast, Galantino et al [20] could not find any beneficial effects on cortisol secretion of an 8-week MBSR program for 84 employees.…”

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Influence of Mindfulness Practice on Cortisol and Sleep in Long-Term and Short-Term Meditators

et al. 2012

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Background: There is growing scientific interest in assessing the biological correlates of non-pharmacological interventions such as mindfulness. Examinations of the beneficial effects of mindfulness on hypothalamus-pituitary-adrenocortical system activity (HPA SA) and sleep are sparse. The aim of the present study was to explore the impact of long- and short-term meditation experience on HPA SA and sleep. Method: There were 20 participants, 9 of whom had long-term experience in meditation (mean = 264 months) and 11 novices. Novices underwent an 8-week course in Mindfulness-Based Stress Reduction (MBSR), and cortisol samples were taken in the lab at the beginning and end of the course. To assess the cortisol awakening response, 4 morning cortisol samples were collected. Sleep and mindfulness were assessed by self-rating questionnaires. Results: Among participants with long-term meditation experience, morning cortisol decreased with length of experience. For novices, after an 8-week introductory MBSR course, morning cortisol levels had decreased, while both sleep and self-attribution of mindfulness significantly improved. Cortisol levels did not, however, change between the beginning and end of individual MBSR sessions. Conclusions: The pattern of results lends support to the view that MBSR/meditation has a favorable influence both on biomarkers of stress regulation, such as cortisol secretion, and on sleep.

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Change in Stress Levels Following Mindfulness-based Stress Reduction in a Therapeutic Community

Cited by 93 publications

References 41 publications

Behavioral Therapies Trials

Behavioral Therapies Trials

The Clinical Efficacy of Mindfulness-Based Treatments for Alcohol and Drugs Use Disorders: A Meta-Analytic Review of Randomized and Nonrandomized Controlled Trials

Influence of Mindfulness Practice on Cortisol and Sleep in Long-Term and Short-Term Meditators

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