Skip to main content
Top
Gepubliceerd in: Mindfulness 10/2019

06-05-2019 | ORIGINAL PAPER

Effect of Mindfulness-Based Relapse Prevention on Impulsivity Trajectories Among Young Adults in Residential Substance Use Disorder Treatment

Auteurs: Jordan P. Davis, Nicholas Barr, Emily R. Dworkin, Tara M. Dumas, Benjamin Berey, Graham DiGuiseppi, Baruch Rael Cahn

Gepubliceerd in: Mindfulness | Uitgave 10/2019

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Objectives

Impulsivity has been identified as an important construct in predicting the initiation and maintenance of substance use among at-risk populations. Interventions emphasizing mindfulness strategies appear particularly promising in reducing substance use and marking change in various aspects of impulsivity.

Methods

The current study used a rolling group mindfulness-based relapse prevention (MBRP) intervention for young adults in residential substance use disorder treatment. We examined change in impulsivity facets measured by the S-UPPS for youth randomly assigned to MBRP (n = 45) versus those assigned to treatment as usual plus 12 step/self-help (n = 34). We also examined how change in impulsivity mediated changes in substance use post-treatment.

Results

In general, results indicated that MBRP is effective at reducing facets of trait impulsivity in treatment-seeking individuals with SUDs. Only positive and negative urgency mediated the relation between treatment assignment and substance use.

Conclusions

MBRP is a viable and useful intervention for young adults in residential treatment for substance use disorders and can aid in marked change in facets of impulsivity. Both positive and negative urgency were significant mechanisms of change in reducing substance use following treatment. Results are discussed focused on the utility of MRBP as a clinical intervention for at-risk, marginalized, and young adults.
Literatuur
go back to reference Bowen, S., Chawla, N., & Witkiewitz, K. (2014a). Mindfulness-based relapse prevention for addictive behaviors. In R. A. Baer (Ed.), Mindfulness-based treatment approaches (Second ed., pp. 141–157). San Diego: Academic Press. Bowen, S., Chawla, N., & Witkiewitz, K. (2014a). Mindfulness-based relapse prevention for addictive behaviors. In R. A. Baer (Ed.), Mindfulness-based treatment approaches (Second ed., pp. 141–157). San Diego: Academic Press.
go back to reference Buchan, B. J., M L. D., Tims, F. M., & Diamond, G. S. (2002). Cannabis use: consistency and validity of self-report, on-site urine testing and laboratory testing. Addiction, 97(Suppl 1), 98–108.CrossRefPubMed Buchan, B. J., M L. D., Tims, F. M., & Diamond, G. S. (2002). Cannabis use: consistency and validity of self-report, on-site urine testing and laboratory testing. Addiction, 97(Suppl 1), 98–108.CrossRefPubMed
go back to reference Fillmore, M. T., & Weafer, J. (2013). Behavioral inhibition and addiction. In J. MacKillop & H. de Wit (Eds.), The Wiley-Blackwell handbook of addiction psychopharmacology (pp. 135–164). Chichester: Wiley-Blackwell.CrossRef Fillmore, M. T., & Weafer, J. (2013). Behavioral inhibition and addiction. In J. MacKillop & H. de Wit (Eds.), The Wiley-Blackwell handbook of addiction psychopharmacology (pp. 135–164). Chichester: Wiley-Blackwell.CrossRef
go back to reference Grimm, K. J., Ram, N., & Estabrook, R. (2017). Growth modeling: structural equation and multilevel modeling approaches. New York: Guilford Press. Grimm, K. J., Ram, N., & Estabrook, R. (2017). Growth modeling: structural equation and multilevel modeling approaches. New York: Guilford Press.
go back to reference Hjorthøj, C. R., Hjorthøj, A. R., & Nordentoft, M. (2012). Validity of timeline follow-back for self-reported use of cannabis and other illicit substances—systematic review and meta-analysis. Addictive Behaviors, 37(3), 225–233.CrossRefPubMed Hjorthøj, C. R., Hjorthøj, A. R., & Nordentoft, M. (2012). Validity of timeline follow-back for self-reported use of cannabis and other illicit substances—systematic review and meta-analysis. Addictive Behaviors, 37(3), 225–233.CrossRefPubMed
go back to reference Kober, H., Mende-Siedlecki, P., Kross, E. F., Weber, J., Mischel, W., Hart, C. L., & Ochsner, K. N. (2010). Prefrontal–striatal pathway underlies cognitive regulation of craving. Proceedings of the National Academy of Sciences, 107(33), 14811–14816.CrossRef Kober, H., Mende-Siedlecki, P., Kross, E. F., Weber, J., Mischel, W., Hart, C. L., & Ochsner, K. N. (2010). Prefrontal–striatal pathway underlies cognitive regulation of craving. Proceedings of the National Academy of Sciences, 107(33), 14811–14816.CrossRef
go back to reference Lipsey, M. W., & Wilson, D. B. (2001). Practical meta-analysis. Thousand Oaks: Sage Publications. Lipsey, M. W., & Wilson, D. B. (2001). Practical meta-analysis. Thousand Oaks: Sage Publications.
go back to reference Lynam, D. R., Smith, G. T., Whiteside, S. P., & Cyders, M. A. (2006). The UPPS-P: assessing five personality pathways to impulsive behavior (technical report). West Lafayette: Purdue University. Lynam, D. R., Smith, G. T., Whiteside, S. P., & Cyders, M. A. (2006). The UPPS-P: assessing five personality pathways to impulsive behavior (technical report). West Lafayette: Purdue University.
go back to reference Müller, S. E., Weijers, H. G., Böning, J., & Wiesbeck, G. A. (2008). Personality traits predict treatment outcome in alcohol-dependent patients. Neuropsychobiology, 57(4), 159–164.CrossRefPubMed Müller, S. E., Weijers, H. G., Böning, J., & Wiesbeck, G. A. (2008). Personality traits predict treatment outcome in alcohol-dependent patients. Neuropsychobiology, 57(4), 159–164.CrossRefPubMed
go back to reference Muthén, L. K., & Muthén, B. O. (1998-2012). Mplus user's guide (Seventh ed.). Los Angeles: Muthén & Muthén. Muthén, L. K., & Muthén, B. O. (1998-2012). Mplus user's guide (Seventh ed.). Los Angeles: Muthén & Muthén.
go back to reference Roos, C. R., Kirouac, M., Stein, E., Wilson, A. D., Bowen, S., & Witkiewitz, K. (2018). An open trial of rolling admission mindfulness-based relapse prevention (rolling MBRP): feasibility, acceptability, dose-response relations, and mechanisms. Mindfulness. https://doi.org/10.1007/s12671-018-1054-5. Roos, C. R., Kirouac, M., Stein, E., Wilson, A. D., Bowen, S., & Witkiewitz, K. (2018). An open trial of rolling admission mindfulness-based relapse prevention (rolling MBRP): feasibility, acceptability, dose-response relations, and mechanisms. Mindfulness. https://​doi.​org/​10.​1007/​s12671-018-1054-5.
go back to reference Steinberg, L., Albert, D., Cauffman, E., Banich, M., Graham, S., & Woolard, J. (2008). Age differences in sensation seeking and impulsivity as indexed by behavior and self-report: evidence for a dual systems model. Developmental Psychology, 44(6), 1764–1778. https://doi.org/10.1037/a0012955.CrossRefPubMed Steinberg, L., Albert, D., Cauffman, E., Banich, M., Graham, S., & Woolard, J. (2008). Age differences in sensation seeking and impulsivity as indexed by behavior and self-report: evidence for a dual systems model. Developmental Psychology, 44(6), 1764–1778. https://​doi.​org/​10.​1037/​a0012955.CrossRefPubMed
go back to reference Winhusen, T., Lewis, D., Adinoff, B., Brigham, G., Kropp, F., Donovan, D. M., et al. (2013). Impulsivity is associated with treatment non-completion in cocaine-and methamphetamine-dependent patients but differs in nature as a function of stimulant-dependence diagnosis. Journal of Substance Abuse Treatment, 44(5), 541–547.CrossRefPubMedPubMedCentral Winhusen, T., Lewis, D., Adinoff, B., Brigham, G., Kropp, F., Donovan, D. M., et al. (2013). Impulsivity is associated with treatment non-completion in cocaine-and methamphetamine-dependent patients but differs in nature as a function of stimulant-dependence diagnosis. Journal of Substance Abuse Treatment, 44(5), 541–547.CrossRefPubMedPubMedCentral
go back to reference Witkiewitz, K., Warner, K., Sully, B., Barricks, A., Stauffer, C., Thompson, B. L., et al. (2014). Randomized trial comparing mindfulness-based relapse prevention with relapse prevention for women offenders at a residential addiction treatment center. Substance Use & Misuse, 49(5), 536–546. https://doi.org/10.3109/10826084.2013.856922.CrossRef Witkiewitz, K., Warner, K., Sully, B., Barricks, A., Stauffer, C., Thompson, B. L., et al. (2014). Randomized trial comparing mindfulness-based relapse prevention with relapse prevention for women offenders at a residential addiction treatment center. Substance Use & Misuse, 49(5), 536–546. https://​doi.​org/​10.​3109/​10826084.​2013.​856922.CrossRef
go back to reference Yaghubi, M., Zargar, F., & Akbari, H. (2017). Comparing effectiveness of mindfulness-based relapse prevention with treatment as usual on impulsivity and relapse for methadone-treated patients: a randomized clinical trial. Addiction and Health, 9(3), 156–165.PubMed Yaghubi, M., Zargar, F., & Akbari, H. (2017). Comparing effectiveness of mindfulness-based relapse prevention with treatment as usual on impulsivity and relapse for methadone-treated patients: a randomized clinical trial. Addiction and Health, 9(3), 156–165.PubMed
Metagegevens
Titel
Effect of Mindfulness-Based Relapse Prevention on Impulsivity Trajectories Among Young Adults in Residential Substance Use Disorder Treatment
Auteurs
Jordan P. Davis
Nicholas Barr
Emily R. Dworkin
Tara M. Dumas
Benjamin Berey
Graham DiGuiseppi
Baruch Rael Cahn
Publicatiedatum
06-05-2019
Uitgeverij
Springer US
Gepubliceerd in
Mindfulness / Uitgave 10/2019
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI
https://doi.org/10.1007/s12671-019-01164-0

Andere artikelen Uitgave 10/2019

Mindfulness 10/2019 Naar de uitgave