Mindfulness-Based Stress Reduction in Therapeutic Community Treatment: A Stage 1 Trial

Marcus, Marianne T.; Schmitz, Joy M.; Moeller, Gerald L.; Liehr, Patricia; Cron, Stanley G.; Swank, Paul R.; Bankston, Susan; Carroll, Deidra D.; Granmayeh, L. Kian

doi:10.1080/00952990902823079

Cited by 38 publications

(32 citation statements)

References 15 publications

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“…18 There are several ongoing larger clinical trials assessing efficacy of meditation-based approaches, including Mindfulness Based Relapse Prevention, for adults with SUDs. 19 …”

mentioning

confidence: 99%

Mindfulness Meditation for Alcohol Relapse Prevention: A Feasibility Pilot Study

Zgierska

Rabago

Zuelsdorff

et al. 2008

Journal of Addiction Medicine

161

112

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Objectives Meditation is a promising treatment for alcohol dependence. This 16-week prospective case series was designed to gather preliminary data about the efficacy of meditation for relapse prevention and to evaluate study methods feasibility. Methods Nineteen adult alcohol-dependent graduates of an intensive outpatient program were enrolled. Fifteen subjects completed the 8-week meditation course supplemented by at-home meditation and “standard of care” therapy. Outcome measures included surveys and 2 stress-responsive biomarkers. Results Subjects (N = 19, 38.4 standard deviation [SD] = 8.6-year-old) were abstinent for 30.9 (SD = 22.2) days at enrollment. Completers (N = 15) attended 82% of meditation course sessions and meditated on average 4.6 (SD = 1.1) days per week; they were abstinent on 94.5% (SD = 7.4) of study days, with 47% reporting complete abstinence and 47% reporting 1 or more heavy drinking days. Their severity of depression, anxiety, stress (P < 0.05), and craving (P < 0.08), documented relapse triggers, decreased, and the degree of mindfulness increased (P < 0.05). The meditation course was rated as a “very important” (8.7/10, SD = 1.8) and “useful relapse prevention tool” (8.5/10, SD = 2.1); participants reported being “very likely” to continue meditating (9.0/10, SD = 1.5). “Gaining skills to reduce stress,” “coping with craving,” and “good group support” were the most common qualitative comments about the course value. Compared with baseline, at 16 weeks, interleukin-6 levels decreased (N = 12, P = 0.05); cortisol levels (N = 10) were reduced but not significantly. There were no adverse events or side effects. Conclusions Meditation may be an effective adjunctive therapy for relapse prevention in alcohol dependence, worthy of investigation in a larger trial. The study methods are appropriate for such a trial.

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“…18 There are several ongoing larger clinical trials assessing efficacy of meditation-based approaches, including Mindfulness Based Relapse Prevention, for adults with SUDs. 19 …”

mentioning

confidence: 99%

Mindfulness Meditation for Alcohol Relapse Prevention: A Feasibility Pilot Study

Zgierska

Rabago

Zuelsdorff

et al. 2008

Journal of Addiction Medicine

161

112

View full text Add to dashboard Cite

show abstract

“…As part of a stage 1 trial, clients at a residential TC who received a MBTC intervention as part of their overall program were evaluated by staff for level of participation in MBTC sessions (a composite of session attendance and the extent to which the participant was engaged in the class). This rating of session participation was associated with a decreased likelihood of treatment center dropout (Marcus et al, 2009). However, when compared to a historical control group that received treatment as usual the MBTC group was not significantly different in either stress level or time to treatment center dropout (Marcus et al, 2009).…”

Section: Mindfulness-based Treatment Approaches In Addictionmentioning

confidence: 95%

“…This rating of session participation was associated with a decreased likelihood of treatment center dropout (Marcus et al, 2009). However, when compared to a historical control group that received treatment as usual the MBTC group was not significantly different in either stress level or time to treatment center dropout (Marcus et al, 2009). The MBSR treatment model incorporating components of cognitive therapy, known as mindfulness-based cognitive therapy (MBCT), was developed to reduce relapse in recurrent depression (Teasdale et al, 2000).…”

Section: Mindfulness-based Treatment Approaches In Addictionmentioning

confidence: 99%

Buddhist Mindfulness as an Influence in Recent Empirical CBT Approaches to Addiction: Convergence with the Alcoholics Anonymous Model

Dermatis

Egelko

2014

Alcoholism Treatment Quarterly

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“…While previous studies have assessed effects of changes in mood in mindfulness-based treatment (Alterman, et al, 2004;Marcus, Schmitz, Moeller, Liehr, Cron, Swank, et al, 2009), these other potentially significant mechanisms of MBRP are worth examination.…”

Section: Predictors Of Relapse: Negative Affect Self-efficacy and Omentioning

confidence: 97%

Psychosocial outcomes of mindfulness-based relapse prevention in incarcerated substance abusers in Taiwan: A preliminary study

Lee

Bowen

An-Fu³

2010

Journal of Substance Use

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Introduction: The current study evaluated effects of an adapted version of Mindfulness-Based Relapse Prevention (MBRP) on several psychosocial indices in a sample of incarcerated adult males with substance use disorders. Method: This study used a 2 (baseline vs post-session) × 2 (MBRP vs. treatment-as-usual (TAU) mixed design. Twenty-four incarcerated individuals with a history of substance abuse were randomly assigned to either MBRP or TAU. At pre-and post-session assessment points, participants completed the Drug Use Identification Disorders Test-Extended (DUDIT-E), the Drug Avoidance Self-Efficacy Scale (DASE) and positive/negative outcome expectancies (Ep/En). The Beck Depression Inventory-II (BDI-II) was completed in each weekly session of MBRP. MANOVA and repeated measures ANOVA examined changes between and within subjects, with the significant level set at 0.05. Results: No between-group differences were found on positive outcome expectancies or self-efficacy. Differences BDI-II scores among MBRP participants showed a downward trend over time. A Group × Time effect emerged for negative outcome expectancies, with significant differences between groups at post-course assessment. Conclusions: Results from this randomized trial suggest pre-to post-intervention trend-level effects of MBRP on depression, and significant group differences over time and at post-course on negative outcome expectancies, with the MBRP group reporting increases.

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Mindfulness-Based Stress Reduction in Therapeutic Community Treatment: A Stage 1 Trial

Abstract: The association between retention and level of stress on intake as well as level of participation in MBTC provides support for further research on integrating MBTC into therapeutic community treatment.

Cited by 38 publications

References 15 publications

Mindfulness Meditation for Alcohol Relapse Prevention: A Feasibility Pilot Study

Mindfulness Meditation for Alcohol Relapse Prevention: A Feasibility Pilot Study

Buddhist Mindfulness as an Influence in Recent Empirical CBT Approaches to Addiction: Convergence with the Alcoholics Anonymous Model

Psychosocial outcomes of mindfulness-based relapse prevention in incarcerated substance abusers in Taiwan: A preliminary study

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