Top

Mindfulness

Tip

Swipe om te navigeren naar een ander artikel

Gepubliceerd in:

23-07-2020 | ORIGINAL PAPER

Approach Coping and Substance Use Outcomes Following Mindfulness-Based Relapse Prevention Among Individuals with Negative Affect Symptomatology

Auteurs: Corey Roos, Sarah Bowen, Katie Witkiewitz

Gepubliceerd in: Mindfulness | Uitgave 10/2020

Abstract

Objectives

Mindfulness-based relapse prevention (MBRP) for substance use disorders (SUDs) appears to be particularly effective among individuals with high levels of co-occurring affective symptoms. We sought to understand whether changes in approach and avoidance coping may explain the effects of MBRP among this subpopulation.

Methods

The sample included 286 individuals with SUDs randomized to MBRP, relapse prevention (RP), or treatment as usual (TAU) as an aftercare treatment. We conducted conditional indirect effect models with treatment condition as the predictor, baseline affective symptoms as the moderator, changes in approach and avoidance coping over time from baseline through 6 months post-treatment as mediators, and substance use and substance-related problems at 12 months post-treatment as the outcome. Affective symptomatology at baseline was modeled as a latent factor indicated by depression, anxiety, and PTSD symptoms. Change in approach and avoidance coping were modeled using latent growth curve analyses.

Results

We found significant conditional indirect effects of MBRP, such that the interaction of MBRP vs. TAU by affective symptoms predicted increases in approach coping, which in turn predicted fewer heavy drinking days and substance-related problems at month 12. Follow-up analyses showed that increases in approach coping mediated the therapeutic effect of MBRP on these outcomes among those with high, but not low or moderate, affective symptoms. We did not find indirect or conditional indirect effects when comparing RP with TAU, or when avoidance coping was the mediator.

Conclusions

The pronounced therapeutic effects of MBRP among individuals with SUD and relatively higher negative affective symptoms may be due to increases in approach coping over time.

vorige artikel Self-Compassion and Symptoms of Depression and Anxiety in Chinese Cancer Patients: the Mediating Role of Illness Perceptions

volgende artikel Mindfulness Meditation Weakens Attachment to Self: Evidence from a Self vs Other Binding Task

Alleen toegankelijk voor geautoriseerde gebruikers

Acosta, M. C., Possemato, K., Maisto, S. A., Marsch, L. A., Barrie, K., Lantinga, L., Fong, C., Xie, H., Grabinski, M., & Rosenblum, A. (2017). Web-delivered CBT reduces heavy drinking in OEF-OIF veterans in primary care with symptomatic substance use and PTSD. Behavior Therapy, 48(2), 262–276. PubMed

Beck, A. T., & Steer, R. A. (1993). Beck anxiety inventory: BAI. Psychological Corporation.

Beck, A. T., Epstein, N., Brown, G., & Steer, R. A. (1988). An inventory for measuring clinical anxiety: psychometric properties. Journal of Consulting and Clinical Psychology, 56(6), 893–897. PubMed

Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Beck depression inventory-II. San Antonio, 78(2), 490–498.

Blanchard, K. A., Morgenstern, J., Morgan, T. J., Lobouvie, E. W., & Bux, D. A. (2003). Assessing consequences of substance use: psychometric properties of the inventory of drug use consequences. Psychology of Addictive Behaviors, 17(4), 328–331. PubMed

Bowen, S., Chawla, N., Collins, S. E., Witkiewitz, K., Hsu, S., Grow, J., Clifasefi, S., Garner, M., Douglass, A., Larimer, M. E., & Marlatt, A. (2009). Mindfulness-based relapse prevention for substance use disorders: a pilot efficacy trial. Substance Abuse, 30(4), 295–305. PubMed

Bowen, S., Chawla, N., & Marlatt, G. A. (2011). Mindfulness-based relapse prevention for addictive behaviors: a clinician’s guide. Guilford Press.

Bowen, S., Witkiewitz, K., Clifasefi, S. L., Grow, J., Chawla, N., Hsu, S. H., Carroll, H. A., Harrop, E., Collins, S. E., Lustyk, M. K., & Larimer, M. E. (2014). Relative efficacy of mindfulness-based relapse prevention, standard relapse prevention, and treatment as usual for substance use disorders: a randomized clinical trial. JAMA Psychiatry, 71(5), 547–556.

Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84(4), 822–848.

Brown, D. B., Bravo, A. J., Roos, C. R., & Pearson, M. R. (2015). Five facets of mindfulness and psychological health: evaluating a psychological model of the mechanisms of mindfulness. Mindfulness, 6(5), 1021–1032. PubMed

Carver, C. S., & Connor-Smith, J. (2010). Personality and coping. Annual Review of Psychology, 61, 679–704. PubMed

Chung, T., Langenbucher, J., Labouvie, E., Pandina, R. J., & Moos, R. H. (2001). Changes in alcoholic patients' coping responses predict 12-month treatment outcomes. Journal of Consulting and Clinical Psychology, 69(1), 92–100. PubMed

Cousin, G., & Crane, C. (2016). Changes in disengagement coping mediate changes in affect following mindfulness-based cognitive therapy in a non-clinical sample. British Journal of Psychology, 107(3), 434–447. PubMed

Creswell, J. D., & Lindsay, E. K. (2014). How does mindfulness training affect health? A mindfulness stress buffering account. Current Directions in Psychological Science, 23(6), 401–407.

de Vibe, M., Solhaug, I., Rosenvinge, J. H., Tyssen, R., Hanley, A., & Garland, E. (2018). Six-year positive effects of a mindfulness-based intervention on mindfulness, coping and well-being in medical and psychology students; results from a randomized controlled trial. PLoS One, 13(4), e0196053. PubMedPubMedCentral

Donald, J. N., & Atkins, P. W. (2016). Mindfulness and coping with stress: do levels of perceived stress matter? Mindfulness, 7(6), 1423–1436.

Falk, C. F., & Biesanz, J. C. (2016). Two cross-platform programs for inferences and interval estimation about indirect effects in mediational models. SAGE Open, 6(1), 2158244015625445.

Finney, J. W., Noyes, C. A., Coutts, A. I., & Moos, R. H. (1998). Evaluating substance abuse treatment process models: I. changes on proximal outcome variables during 12-step and cognitive-behavioral treatment. Journal of Studies on Alcohol, 59(4), 371–380. PubMed

Garland, E., Gaylord, S., & Park, J. (2009). The role of mindfulness in positive reappraisal. Explore, 5(1), 37–44. PubMed

Garland, E. L., Gaylord, S. A., & Fredrickson, B. L. (2011). Positive reappraisal mediates the stress-reductive effects of mindfulness: an upward spiral process. Mindfulness, 2(1), 59–67.

Garland, E. L., Manusov, E. G., Froeliger, B., Kelly, A., Williams, J. M., & Howard, M. O. (2014). Mindfulness-oriented recovery enhancement for chronic pain and prescription opioid misuse: results from an early-stage randomized controlled trial. Journal of Consulting and Clinical Psychology, 82(3), 448–459. PubMedPubMedCentral

Garland, E. L., Farb, N. A., Goldin, P. R., & Fredrickson, B. L. (2015a). Mindfulness broadens awareness and builds eudaimonic meaning: a process model of mindful positive emotion regulation. Psychological Inquiry, 26(4), 293–314. PubMedPubMedCentral

Garland, E. L., Geschwind, N., Peeters, F., & Wichers, M. (2015b). Mindfulness training promotes upward spirals of positive affect and cognition: multilevel and autoregressive latent trajectory modeling analyses. Frontiers in Psychology, 6, 1–15.

Garland, E. L., Hanley, A. W., Baker, A. K., & Howard, M. O. (2017a). Biobehavioral mechanisms of mindfulness as a treatment for chronic stress: an RDoC perspective. Chronic Stress, 1, 1–14.

Garland, E. L., Hanley, A. W., Goldin, P. R., & Gross, J. J. (2017b). Testing the mindfulness-to-meaning theory: evidence for mindful positive emotion regulation from a reanalysis of longitudinal data. PLoS One, 12(12), e0187727. PubMedPubMedCentral

Garland, E. L., Thielking, P., Thomas, E. A., Coombs, M., White, S., Lombardi, J., & Beck, A. (2017c). Linking dispositional mindfulness and positive psychological processes in cancer survivorship: a multivariate path analytic test of the mindfulness-to-meaning theory. Psycho-oncology, 26(5), 686–692. PubMed

Glasner-Edwards, S., Mooney, L. J., Ang, A., Garneau, H. C., Hartwell, E., Brecht, M. L., & Rawson, R. A. (2017). Mindfulness-based relapse prevention for stimulant dependent adults: a pilot randomized clinical trial. Mindfulness, 8(1), 126–135. PubMed

Goldberg, S. B., Tucker, R. P., Greene, P. A., Davidson, R. J., Wampold, B. E., Kearney, D. J., & Simpson, T. L. (2018). Mindfulness-based interventions for psychiatric disorders: a systematic review and meta-analysis. Clinical Psychology Review, 59, 52–60. PubMed

Gossop, M., Darke, S., Griffiths, P., Hando, J., Powis, B., Hall, W., & Strang, J. (1995). The severity of dependence scale (SDS): psychometric properties of the SDS in English and Australian samples of heroin, cocaine and amphetamine users. Addiction, 90(5), 607–614. PubMed

Grant, S., Colaiaco, B., Motala, A., Shanman, R., Booth, M., Sorbero, M., & Hempel, S. (2017). Mindfulness-based relapse prevention for substance use disorders: a systematic review and meta-analysis. Journal of Addiction Medicine, 11(5), 386–396. PubMedPubMedCentral

Greenfield, B. L., Roos, C., Hagler, K. J., Stein, E., Bowen, S., & Witkiewitz, K. A. (2018). Race/ethnicity and racial group composition moderate the effectiveness of mindfulness-based relapse prevention for substance use disorder. Addictive Behaviors, 81, 96–103. PubMedPubMedCentral

Halland, E., de Vibe, M., Solhaug, I., Friborg, O., Rosenvinge, J. H., Tyssen, R., Sørlie, T., & Bjørndal, A. (2015). Mindfulness training improves problem-focused coping in psychology and medical students: results from a randomized controlled trial. College Student Journal, 49(3), 387–398.

Hallgren, K. A., & Witkiewitz, K. (2013). Missing data in alcohol clinical trials: a comparison of methods. Alcoholism: Clinical and Experimental Research, 37(12), 2152–2160.

Hanley, A., Garland, E. L., & Black, D. S. (2014). Use of mindful reappraisal coping among meditation practitioners. Journal of Clinical Psychology, 70(3), 294–301. PubMed

Hanley, A. W., Garland, E. L., & Tedeschi, R. G. (2017). Relating dispositional mindfulness, contemplative practice, and positive reappraisal with posttraumatic cognitive coping, stress, and growth. Psychological Trauma: Theory, Research, Practice, and Policy, 9(5), 526–536.

Hayes, A. F., & Rockwood, N. J. (2017). Regression-based statistical mediation and moderation analysis in clinical research: observations, recommendations, and implementation. Behaviour Research and Therapy, 98, 39–57. PubMed

Henderson, V. P., Clemow, L., Massion, A. O., Hurley, T. G., Druker, S., & Hébert, J. R. (2012). The effects of mindfulness-based stress reduction on psychosocial outcomes and quality of life in early-stage breast cancer patients: a randomized trial. Breast Cancer Research and Treatment, 131(1), 99–109. PubMed

Hu, L. t., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Structural Equation Modeling, 6(1), 1–55.

Kazdin, A. E. (2007). Mediators and mechanisms of change in psychotherapy research. Annual Review of Clinical Psycholology, 3, 1–27.

Kiluk, B. D., Nich, C., Babuscio, T., & Carroll, K. M. (2010). Quality versus quantity: acquisition of coping skills following computerized cognitive–behavioral therapy for substance use disorders. Addiction, 105(12), 2120–2127. PubMedPubMedCentral

Kuyken, W., Warren, F. C., Taylor, R. S., Whalley, B., Crane, C., Bondolfi, G., Hayes, R., Huijbers, M., Ma, H., Schweizer, S., Segal, Z., Speckens, A., Teasdale, J. D., Van Heeringen, K., Williams, M., Byford, S., Byng, R., & Dalgleish, T. (2016). Efficacy of mindfulness-based cognitive therapy in prevention of depressive relapse: an individual patient data meta-analysis from randomized trials. JAMA Psychiatry, 73(6), 565–574. PubMed

Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping: Springer publishing company.

Lévesque, A., Campbell, A. N., Pavlicova, M., Hu, M.-C., Walker, R., McClure, E. A., Ghitza, U. E., Bailey, G., Stitzer, M., & Nunes, E. V. (2017). Coping strategies as a mediator of internet-delivered psychosocial treatment: secondary analysis from a NIDA CTN multisite effectiveness trial. Addictive Behaviors, 65, 74–80. PubMed

Lindsay, E. K., & Creswell, J. D. (2017). Mechanisms of mindfulness training: monitor and acceptance theory (MAT). Clinical Psychology Review, 51, 48–59. PubMed

Longabaugh, R., & Magill, M. (2011). Recent advances in behavioral addiction treatments: Focusing on mechanisms of change. Current Psychiatry Reports, 13(5), 382–389. PubMedPubMedCentral

MacKinnon, D. P., Lockwood, C. M., Hoffman, J. M., West, S. G., & Sheets, V. (2002). A comparison of methods to test mediation and other intervening variable effects. Psychological Methods, 7(1), 83–104. PubMedPubMedCentral

Marlatt, G. A., & Donovan, D. M. (2005). Relapse prevention: maintenance strategies in the treatment of addictive behaviors. Guilford press.

Moggi, F., Ouimette, P. C., Moos, R. H., & Finney, J. W. (1999). Dual diagnosis patients in substance abuse treatment: relationship of general coping and substance-specific coping to 1-year outcomes. Addiction, 94(12), 1805–1816. PubMed

Monti, P. M. (2002). Treating alcohol dependence: a coping skills training guide. Guilford press.

Moos, R. H. (1988). Life stressors and coping resources influence health and well-being. Psychological Assessment, 4, 133–158.

Moos, R. H., & Holahan, C. J. (2003). Dispositional and contextual perspectives on coping: toward an integrative framework. Journal of Clinical Psychology, 59(12), 1387–1403. PubMed

Moos, R. H., Brennan, P. L., Fondacaro, M. R., & Moos, B. S. (1990). Approach and avoidance coping responses among older problem and nonproblem drinkers. Psychology and Aging, 5(1), 31–40. PubMed

Muthén, L., & Muthén, B. (2018). Mplus user’s guide. Version 8; 2017.

Ouimette, P. C., Finney, J. W., Gima, K., & Moos, R. H. (1999). A comparative evaluation of substance abuse treatment III. Examining mechanisms underlying patient-treatment matching hypotheses for 12-step and cognitive-behavioral treatments for substance abuse. Alcoholism: Clinical and Experimental Research, 23(3), 545–551.

Piet, J., & Hougaard, E. (2011). The effect of mindfulness-based cognitive therapy for prevention of relapse in recurrent major depressive disorder: a systematic review and meta-analysis. Clinical Psychology Review, 31(6), 1032–1040. PubMed

Preacher, K. J., & Kelley, K. (2011). Effect size measures for mediation models: quantitative strategies for communicating indirect effects. Psychological Methods, 16(2), 93–115. PubMed

Rayan, A., & Ahmad, M. (2016). Effectiveness of mindfulness-based interventions on quality of life and positive reappraisal coping among parents of children with autism spectrum disorder. Research in Developmental Disabilities, 55, 185–196. PubMed

Roos, C. R., & Witkiewitz, K. (2017). A contextual model of self-regulation change mechanisms among individuals with addictive disorders. Clinical Psychology Review, 57, 117–128. PubMedPubMedCentral

Roos, C. R., Bowen, S., & Witkiewitz, K. (2017a). Baseline patterns of substance use disorder severity and depression and anxiety symptoms moderate the efficacy of mindfulness-based relapse prevention. Journal of Consulting and Clinical Psychology, 85(11), 1041–1051. PubMedPubMedCentral

Roos, C. R., Maisto, S. A., & Witkiewitz, K. (2017b). Coping mediates the effects of cognitive–behavioral therapy for alcohol use disorder among out-patient clients in project MATCH when dependence severity is high. Addiction, 112(9), 1547–1557. PubMedPubMedCentral

Roos, C. R., Stein, E., Bowen, S., & Witkiewitz, K. (2019). Individual gender and group gender composition as predictors of differential benefit from mindfulness-based relapse prevention for substance use disorders. Mindfulness, 10(8), 1560–1567.

Shapiro, S. L., Carlson, L. E., Astin, J. A., & Freedman, B. (2006). Mechanisms of mindfulness. Journal of Clinical Psychology, 62(3), 373–386. PubMed

Sobell, L. C., & Sobell, M. B. (1992). Timeline follow-back. In R. Z. Litten & J. P. Allen (Eds.), Measuring alcohol consumption. Totowa, NJ: Humana Press.

Weathers, F. W., Litz, B. T., Herman, D., Huska, J., & Keane, T. (1994). The PTSD checklist-civilian version (PCL-C) (p. 10). Boston: National Center for PTSD.

Weinstein, N., Brown, K. W., & Ryan, R. M. (2009). A multi-method examination of the effects of mindfulness on stress attribution, coping, and emotional well-being. Journal of Research in Personality, 43(3), 374–385.

White, H. (1980). A heteroskedasticity-consistent covariance matrix estimator and a direct test for heteroskedasticity. Econometrica, 48(4), 817–838.

Wilson, A. D., Roos, C. R., Robinson, C. S., Stein, E. R., Manuel, J. A., Enkema, M. C., Bowen, S., & Witkiewitz, K. (2017). Mindfulness-based interventions for addictive behaviors: Implementation issues on the road ahead. Psychology of Addictive Behaviors, 31(8), 888–896. PubMedPubMedCentral

Witkiewitz, K., & Bowen, S. (2010). Depression, craving, and substance use following a randomized trial of mindfulness-based relapse prevention. Journal of Consulting and Clinical Psychology, 78(3), 362–374. PubMedPubMedCentral

Witkiewitz, K., Bowen, S., Harrop, E. N., Douglas, H., Enkema, M., & Sedgwick, C. (2014). Mindfulness-based treatment to prevent addictive behavior relapse: theoretical models and hypothesized mechanisms of change. Substance Use & Misuse, 49(5), 513–524.

Witkiewitz, K., Roos, C. R., Tofighi, D., & Van Horn, M. L. (2018). Broad coping repertoire mediates the effect of the combined behavioral intervention on alcohol outcomes in the COMBINE study: an application of latent class mediation. Journal of Studies on Alcohol and Drugs, 79(2), 199–207. PubMedPubMedCentral

Wu, I. H., & Buchanan, N. T. (2019). Pathways to vitality: the role of mindfulness and coping. Mindfulness, 10(3), 481–491.

Titel: Approach Coping and Substance Use Outcomes Following Mindfulness-Based Relapse Prevention Among Individuals with Negative Affect Symptomatology
Auteurs: Corey Roos
Sarah Bowen
Katie Witkiewitz
Publicatiedatum: 23-07-2020
Uitgeverij: Springer US
Gepubliceerd in: Mindfulness / Uitgave 10/2020
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI: https://doi.org/10.1007/s12671-020-01456-w

Mijn bibliotheek

Shop

Tips voor Mijn BSL

Bohn Stafleu van Loghum

Tip

Swipe om te navigeren naar een ander artikel

Approach Coping and Substance Use Outcomes Following Mindfulness-Based Relapse Prevention Among Individuals with Negative Affect Symptomatology

Abstract

Objectives

Methods

Results

Conclusions

Mijn bibliotheek

Shop

Tips voor Mijn BSL

Bohn Stafleu van Loghum

Tip

Swipe om te navigeren naar een ander artikel

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Objectives

Methods

Results

Conclusions

Log in om toegang te krijgen

Andere artikelen Uitgave 10/2020

The Ascendancy of the Mindful

Confronting Racism with Mindfulness

Personality Correlates of Compassion: a Cross-Cultural Analysis

Soles of the Feet Meditation Intervention for People with Intellectual Disability and Problems with Anger and Aggression—a Feasibility Study

Looking Beyond the Value of Individual Facets of Mindfulness: a Person-Centered Examination of Mindfulness

Mindfulness Meditation Weakens Attachment to Self: Evidence from a Self vs Other Binding Task