Skip to main content
Top
Gepubliceerd in: Mindfulness 6/2016

22-07-2016 | ORIGINAL PAPER

Effectiveness of Mindfulness-Based Relapse Prevention for Co-occurring Substance Use and Depression Disorders

Auteurs: Mehdi Zemestani, Cristina Ottaviani

Gepubliceerd in: Mindfulness | Uitgave 6/2016

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

Depression and substance use disorders are highly comorbid and have significant clinical and public health implications. The current study was conducted in Iran with the aim to evaluate the effectiveness of an 8-week outpatient mindfulness-based relapse prevention (MBRP) program compared to treatment as usual (TAU) for substance use disorders with comorbid depression. Participants were 74 adults with substance use disorders randomly assigned to either MBRP (n = 37) or TAU (n = 37). Scores on the Beck Depression Inventory (BDI-II), Beck Anxiety Inventory (BAI), and Penn Alcohol Craving Scale (PACS) were used as outcome measures. Assessments were administered pre-intervention, post-intervention, and at a 2-month follow-up. Effectiveness of MBRP was supported by significantly lower post-intervention rates of depression, anxiety, and craving in those who received MBRP as compared to those in TAU. In the MBRP group, these beneficial effects were stable at follow-up. Results suggest that MBRP could be implemented as an effective intervention for patients with comorbid depression and substance use disorders.
Literatuur
go back to reference American Psychiatric Association (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev). Washington, DC. American Psychiatric Association (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev). Washington, DC.
go back to reference Baker, T. B., Piper, M. E., McCarthy, D. E., Majeskie, M. R., & Fiore, M. C. (2004). Addiction motivation reformulated: an affective processing model of negative reinforcement. Psychological Review, 111, 33–51.CrossRefPubMed Baker, T. B., Piper, M. E., McCarthy, D. E., Majeskie, M. R., & Fiore, M. C. (2004). Addiction motivation reformulated: an affective processing model of negative reinforcement. Psychological Review, 111, 33–51.CrossRefPubMed
go back to reference 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, 893–897.CrossRefPubMed 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, 893–897.CrossRefPubMed
go back to reference Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Beck Depression Inventory–II. San Antonio: Psychological Corporation. Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Beck Depression Inventory–II. San Antonio: Psychological Corporation.
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: clinician’s guide to evidence base and applications. San Diego, CA: 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: clinician’s guide to evidence base and applications. San Diego, CA: Academic Press.
go back to reference Bowen, S., Chawla, N., Collins, S. E., Witkiewitz, K., Hsu, S., Grow, J., et al. (2009). Mindfulness-based relapse prevention for substance use disorders: a pilot efficacy trial. Substance Abuse, 30, 295–305.CrossRefPubMedPubMedCentral Bowen, S., Chawla, N., Collins, S. E., Witkiewitz, K., Hsu, S., Grow, J., et al. (2009). Mindfulness-based relapse prevention for substance use disorders: a pilot efficacy trial. Substance Abuse, 30, 295–305.CrossRefPubMedPubMedCentral
go back to reference Bowen, S., Witkiewitz, K., Chawla, N., & Grow, J. (2011). Integrating mindfulness meditation and cognitive behavioral traditions for the long-term treatment of addictive behaviors. Journal of Clinical Outcomes Management, 18, 473–479. Bowen, S., Witkiewitz, K., Chawla, N., & Grow, J. (2011). Integrating mindfulness meditation and cognitive behavioral traditions for the long-term treatment of addictive behaviors. Journal of Clinical Outcomes Management, 18, 473–479.
go back to reference Bowen, S., Witkiewitz, K., Clifasefi, S. L., Grow, J., Chawla, N., Hsu, S. H., et al. (2014b). 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, 547–556.CrossRefPubMedPubMedCentral Bowen, S., Witkiewitz, K., Clifasefi, S. L., Grow, J., Chawla, N., Hsu, S. H., et al. (2014b). 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, 547–556.CrossRefPubMedPubMedCentral
go back to reference Brewer, J. A., Bowen, S., Smith, J. T., Marlatt, G. A., & Potenza, M. N. (2010). Mindfulness based treatments for co-occurring depression and substance use disorders: what can we learn from the brain? Addiction, 105, 1698–1706.CrossRefPubMedPubMedCentral Brewer, J. A., Bowen, S., Smith, J. T., Marlatt, G. A., & Potenza, M. N. (2010). Mindfulness based treatments for co-occurring depression and substance use disorders: what can we learn from the brain? Addiction, 105, 1698–1706.CrossRefPubMedPubMedCentral
go back to reference Brewer, J. A., Sinha, R., Chen, J. A., Michalsen, R. N., Babuscio, T. A., Nich, C., et al. (2009). Mindfulness training and stress reactivity in substance abuse: results from a randomized, controlled stage I pilot study. Substance Abuse, 30, 306–317.CrossRefPubMedPubMedCentral Brewer, J. A., Sinha, R., Chen, J. A., Michalsen, R. N., Babuscio, T. A., Nich, C., et al. (2009). Mindfulness training and stress reactivity in substance abuse: results from a randomized, controlled stage I pilot study. Substance Abuse, 30, 306–317.CrossRefPubMedPubMedCentral
go back to reference Brown, R. A., Monti, P. M., Myers, M. G., Martin, R. A., Rivinus, T. M., Dubreuil, M. E., et al. (1998). Depression among cocaine abusers in treatment: relation to cocaine and alcohol use and treatment outcome. American Journal of Psychiatry, 155, 220–225.PubMed Brown, R. A., Monti, P. M., Myers, M. G., Martin, R. A., Rivinus, T. M., Dubreuil, M. E., et al. (1998). Depression among cocaine abusers in treatment: relation to cocaine and alcohol use and treatment outcome. American Journal of Psychiatry, 155, 220–225.PubMed
go back to reference Dagher, R. K., & Green, K. M. (2015). Does depression and substance abuse co-morbidity affect socioeconomic status? Evidence from a prospective study of urban African Americans. Psychiatry Research, 225, 115–121.CrossRefPubMed Dagher, R. K., & Green, K. M. (2015). Does depression and substance abuse co-morbidity affect socioeconomic status? Evidence from a prospective study of urban African Americans. Psychiatry Research, 225, 115–121.CrossRefPubMed
go back to reference Daughters, S. B., Braun, A. R., Sargeant, M. N., Reynolds, E. K., Hopko, D. R., Blanco, C., et al. (2008). Effectiveness of a brief behavioral treatment for inner-city illicit drug users with elevated depressive symptoms: the life enhancement treatment for substance use (LETS Act!). Journal of Clinical Psychiatry, 69, 122–129.CrossRefPubMed Daughters, S. B., Braun, A. R., Sargeant, M. N., Reynolds, E. K., Hopko, D. R., Blanco, C., et al. (2008). Effectiveness of a brief behavioral treatment for inner-city illicit drug users with elevated depressive symptoms: the life enhancement treatment for substance use (LETS Act!). Journal of Clinical Psychiatry, 69, 122–129.CrossRefPubMed
go back to reference Ellis, A., & MacLaren, C. (2005). Rational emotive behavior therapy: a therapist’s guide. Atascadero, CA: Impact Publishers. Ellis, A., & MacLaren, C. (2005). Rational emotive behavior therapy: a therapist’s guide. Atascadero, CA: Impact Publishers.
go back to reference Fata, L., Birashk, B., Atef-Vahid, M. K., & Dabson, K. S. (2005). Meaning assignment structures/schema, emotional states and cognitive processing of emotional information: comparing two conceptual frameworks. Iranian Journal of Psychiatry and Clinical Psychology, 11, 312–326. Fata, L., Birashk, B., Atef-Vahid, M. K., & Dabson, K. S. (2005). Meaning assignment structures/schema, emotional states and cognitive processing of emotional information: comparing two conceptual frameworks. Iranian Journal of Psychiatry and Clinical Psychology, 11, 312–326.
go back to reference Feldman, G. (2007). Cognitive and behavioral therapies for depression: overview, new directions, and practical recommendations for dissemination. Psychiatry Clinics of North America, 30, 39–50.CrossRef Feldman, G. (2007). Cognitive and behavioral therapies for depression: overview, new directions, and practical recommendations for dissemination. Psychiatry Clinics of North America, 30, 39–50.CrossRef
go back to reference Finney, J. W., & Moos, R. H. (2002). Psychosocial treatments for alcohol use disorders. In P. E. Nathan & J. M. Gorman (Eds.), A guide to treatments that work. New York, NY: Oxford University Press. Finney, J. W., & Moos, R. H. (2002). Psychosocial treatments for alcohol use disorders. In P. E. Nathan & J. M. Gorman (Eds.), A guide to treatments that work. New York, NY: Oxford University Press.
go back to reference First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (1997). Structured clinical interview for DSM–IV Axis I disorders. Washington, DC: American Psychiatric Press. First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (1997). Structured clinical interview for DSM–IV Axis I disorders. Washington, DC: American Psychiatric Press.
go back to reference Flannery, B. A., Volpicelli, J. R., & Pettinati, H. M. (1999). Psychometric properties of the Penn Alcohol Craving Scale. Alcoholism: Clinical and Experimental Research, 23, 1289–1295.CrossRef Flannery, B. A., Volpicelli, J. R., & Pettinati, H. M. (1999). Psychometric properties of the Penn Alcohol Craving Scale. Alcoholism: Clinical and Experimental Research, 23, 1289–1295.CrossRef
go back to reference Goldner, E. M., Lusted, A. L., Roerecke, M., Rehm, J., & Fischer, B. (2014). Prevalence of Axis-1 psychiatric (with focus on depression and anxiety) disorder and symptomatology among non-medical prescription opioid users in substance use treatment: systematic review and meta-analyses. Addictive Behaviors, 39, 520–531.CrossRefPubMed Goldner, E. M., Lusted, A. L., Roerecke, M., Rehm, J., & Fischer, B. (2014). Prevalence of Axis-1 psychiatric (with focus on depression and anxiety) disorder and symptomatology among non-medical prescription opioid users in substance use treatment: systematic review and meta-analyses. Addictive Behaviors, 39, 520–531.CrossRefPubMed
go back to reference Ghorbani, N., Cunningham, C. J., & Watson, P. J. (2010). Comparative analysis of integrative self-knowledge, mindfulness, and private self-consciousness in predicting responses to stress in Iran. International Journal of Psychology, 45, 147–154.CrossRefPubMed Ghorbani, N., Cunningham, C. J., & Watson, P. J. (2010). Comparative analysis of integrative self-knowledge, mindfulness, and private self-consciousness in predicting responses to stress in Iran. International Journal of Psychology, 45, 147–154.CrossRefPubMed
go back to reference Ghorbani, N., Watson, P. J., & Weathington, B. L. (2009). Mindfulness in Iran and the United States: cross-cultural structural complexity and parallel relationships with psychological adjustment. Current Psychology, 28, 211–224.CrossRef Ghorbani, N., Watson, P. J., & Weathington, B. L. (2009). Mindfulness in Iran and the United States: cross-cultural structural complexity and parallel relationships with psychological adjustment. Current Psychology, 28, 211–224.CrossRef
go back to reference Gorski, T. T. (2007). The Gorski-Cenaps model for recovery and relapse prevention. Missouri: Herald House/Independence Press. Gorski, T. T. (2007). The Gorski-Cenaps model for recovery and relapse prevention. Missouri: Herald House/Independence Press.
go back to reference Hayes, S. C., Strosahl, K., Wilson, K. G., Bissett, R. T., Pistorello, J., Toarmino, D., et al. (2004). Measuring experiential avoidance: a preliminary test of a working model. Psychological Record, 54, 553–579. Hayes, S. C., Strosahl, K., Wilson, K. G., Bissett, R. T., Pistorello, J., Toarmino, D., et al. (2004). Measuring experiential avoidance: a preliminary test of a working model. Psychological Record, 54, 553–579.
go back to reference Huang, B., Dawson, D. A., Stinson, F. S., Hasin, D. S., Ruan, W. J., Saha, T. D., et al. (2006). Prevalence, correlates, and comorbidity of nonmedical prescription drug use and drug use disorders in the United States: results of the National Epidemiologic Survey on alcohol and related conditions. Journal of Clinical Psychiatry, 67, 1062–1073.CrossRefPubMed Huang, B., Dawson, D. A., Stinson, F. S., Hasin, D. S., Ruan, W. J., Saha, T. D., et al. (2006). Prevalence, correlates, and comorbidity of nonmedical prescription drug use and drug use disorders in the United States: results of the National Epidemiologic Survey on alcohol and related conditions. Journal of Clinical Psychiatry, 67, 1062–1073.CrossRefPubMed
go back to reference Kabat-Zinn, J. (1982). An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: theoretical considerations and preliminary results. General Hospital Psychiatry, 4, 33–47.CrossRefPubMed Kabat-Zinn, J. (1982). An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: theoretical considerations and preliminary results. General Hospital Psychiatry, 4, 33–47.CrossRefPubMed
go back to reference Kabat-Zinn, J. (2002). Guided mindfulness meditation [audio CD]. Lexington, MA: Sounds True, Incorporated. Kabat-Zinn, J. (2002). Guided mindfulness meditation [audio CD]. Lexington, MA: Sounds True, Incorporated.
go back to reference Kaviani, H., Javaheri, F., & Hatami, N. (2011). Mindfulness-based cognitive therapy (MBCT) reduces depression and anxiety induced by real stressful setting in non-clinical population. International Journal of Psychology and Psychological Therapy, 11, 285–296. Kaviani, H., Javaheri, F., & Hatami, N. (2011). Mindfulness-based cognitive therapy (MBCT) reduces depression and anxiety induced by real stressful setting in non-clinical population. International Journal of Psychology and Psychological Therapy, 11, 285–296.
go back to reference Kaviani, H., & Mousavi, A. S. (2008). Psychometric properties of the Persian version of Beck Anxiety Inventory (BAI). Tehran University Medical Journal, 65, 136–140. Kaviani, H., & Mousavi, A. S. (2008). Psychometric properties of the Persian version of Beck Anxiety Inventory (BAI). Tehran University Medical Journal, 65, 136–140.
go back to reference Kessler, R. C., Berglund, P., Demler, O., Jin, R., Koretz, D., Merikangas, K. R., et al. (2003). The epidemiology of major depressive disorder: results from the National Comorbidity Survey Replication (NCS-R). JAMA, 289, 3095–3105.CrossRefPubMed Kessler, R. C., Berglund, P., Demler, O., Jin, R., Koretz, D., Merikangas, K. R., et al. (2003). The epidemiology of major depressive disorder: results from the National Comorbidity Survey Replication (NCS-R). JAMA, 289, 3095–3105.CrossRefPubMed
go back to reference Magidson, J. F., Gorka, S. M., MacPherson, L. M., Hopko, D. R., Blanco, C., Lejuez, et al. (2011). Examining the effect of the Life Enhancement Treatment for Substance Use (LETS ACT) on residential substance abuse treatment retention. Addictive Behaviors, 36, 615–623.CrossRefPubMedPubMedCentral Magidson, J. F., Gorka, S. M., MacPherson, L. M., Hopko, D. R., Blanco, C., Lejuez, et al. (2011). Examining the effect of the Life Enhancement Treatment for Substance Use (LETS ACT) on residential substance abuse treatment retention. Addictive Behaviors, 36, 615–623.CrossRefPubMedPubMedCentral
go back to reference Marks, I. (1997). Behavior therapy for obsessive-compulsive disorder: a decade of progress. Canadian Journal of Psychiatry, 42, 1021–1027.PubMed Marks, I. (1997). Behavior therapy for obsessive-compulsive disorder: a decade of progress. Canadian Journal of Psychiatry, 42, 1021–1027.PubMed
go back to reference Marlatt, G. A., & Donovan, D. M. (2005). Relapse prevention: maintenance strategies in the treatment of addictive behaviors. New York, NY: Guilford Press. Marlatt, G. A., & Donovan, D. M. (2005). Relapse prevention: maintenance strategies in the treatment of addictive behaviors. New York, NY: Guilford Press.
go back to reference McKay, J. R., Pettinati, H. M., Morrison, R., Feeley, M., Mulvaney, F. D., & Gallop, R. (2002). Relation of depression diagnoses to 2-year outcomes in cocaine-dependent patients in a randomized continuing care study. Psychology of Addictive Behaviors, 16, 225–235.CrossRefPubMed McKay, J. R., Pettinati, H. M., Morrison, R., Feeley, M., Mulvaney, F. D., & Gallop, R. (2002). Relation of depression diagnoses to 2-year outcomes in cocaine-dependent patients in a randomized continuing care study. Psychology of Addictive Behaviors, 16, 225–235.CrossRefPubMed
go back to reference Murphy, C. M., Stojek, M. K., Few, L. R., Rothbaum, A. O., & Mackillop, J. (2014). Craving as an alcohol use disorder symptom in DSM-5: an empirical examination in a treatment-seeking sample. Experimental and Clinical Psychopharmacology, 22, 43–49.CrossRefPubMedPubMedCentral Murphy, C. M., Stojek, M. K., Few, L. R., Rothbaum, A. O., & Mackillop, J. (2014). Craving as an alcohol use disorder symptom in DSM-5: an empirical examination in a treatment-seeking sample. Experimental and Clinical Psychopharmacology, 22, 43–49.CrossRefPubMedPubMedCentral
go back to reference Noorbala, F., Borjali, A., Ahmadian-Attari, M. M., & Noorbala, A. A. (2013). Effectiveness of compassionate mind training on depression, anxiety, and self-criticism in a group of Iranian depressed patients. Iranian Journal of Psychiatry, 8, 113–117.PubMedPubMedCentral Noorbala, F., Borjali, A., Ahmadian-Attari, M. M., & Noorbala, A. A. (2013). Effectiveness of compassionate mind training on depression, anxiety, and self-criticism in a group of Iranian depressed patients. Iranian Journal of Psychiatry, 8, 113–117.PubMedPubMedCentral
go back to reference Nunes, E. V., Sullivan, M. A., & Levin, F. R. (2004). Treatment of depression in patients with opiate dependence. Biological Psychiatry, 56, 793–802.CrossRefPubMed Nunes, E. V., Sullivan, M. A., & Levin, F. R. (2004). Treatment of depression in patients with opiate dependence. Biological Psychiatry, 56, 793–802.CrossRefPubMed
go back to reference Quyen, Q. T., & Brent, M. (2007). Treatments for patients with dual diagnosis: a review. Alcoholism: Clinical and Experimental Research, 31, 513–536. Quyen, Q. T., & Brent, M. (2007). Treatments for patients with dual diagnosis: a review. Alcoholism: Clinical and Experimental Research, 31, 513–536.
go back to reference Rounsaville, B. J., Anton, S. F., Carroll, K., Budde, D., Prusoff, B. A., & Gawin, F. (1991). Psychiatric diagnoses of treatment-seeking cocaine abusers. Archives of General Psychiatry, 48, 43–51.CrossRefPubMed Rounsaville, B. J., Anton, S. F., Carroll, K., Budde, D., Prusoff, B. A., & Gawin, F. (1991). Psychiatric diagnoses of treatment-seeking cocaine abusers. Archives of General Psychiatry, 48, 43–51.CrossRefPubMed
go back to reference Segal, Z., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness based cognitive therapy for depression: a new approach to preventing relapse. New York, NY: The Guilford Press. Segal, Z., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness based cognitive therapy for depression: a new approach to preventing relapse. New York, NY: The Guilford Press.
go back to reference Shapiro, S. (2009). The integration of mindfulness and psychology. Journal of Clinical Psychology, 65, 555–560.CrossRefPubMed Shapiro, S. (2009). The integration of mindfulness and psychology. Journal of Clinical Psychology, 65, 555–560.CrossRefPubMed
go back to reference Sharifi, V., Assadi, S. M., Mohammadi, M. R., Amini, H., Kaviani, H., Semnani, Y., et al. (2009). Translation of the structured clinical interview for diagnostic and statistical manual of mental disorders, fourth edition: psychometric properties. Comprehensive Psychiatry, 50, 86–91.CrossRefPubMed Sharifi, V., Assadi, S. M., Mohammadi, M. R., Amini, H., Kaviani, H., Semnani, Y., et al. (2009). Translation of the structured clinical interview for diagnostic and statistical manual of mental disorders, fourth edition: psychometric properties. Comprehensive Psychiatry, 50, 86–91.CrossRefPubMed
go back to reference Steininger, M. Y. Y. (2010). The United States and Iran: different values and attitudes toward nature. Lanham, MD: University Press of America. Steininger, M. Y. Y. (2010). The United States and Iran: different values and attitudes toward nature. Lanham, MD: University Press of America.
go back to reference Tate, S. R., Brown, S. A., Unrod, M., & Ramo, D. E. (2004). Context of relapse for substance- dependent adults with and without comorbid psychiatric disorders. Addictive Behavior, 29, 1707–1724.CrossRef Tate, S. R., Brown, S. A., Unrod, M., & Ramo, D. E. (2004). Context of relapse for substance- dependent adults with and without comorbid psychiatric disorders. Addictive Behavior, 29, 1707–1724.CrossRef
go back to reference Vieten, C., Astin, J. A., Buscemi, R., & Galloway, G. P. (2010). Development of an acceptance-based coping intervention for alcohol dependence relapse prevention. Substance Abuse, 31, 108–116.CrossRefPubMed Vieten, C., Astin, J. A., Buscemi, R., & Galloway, G. P. (2010). Development of an acceptance-based coping intervention for alcohol dependence relapse prevention. Substance Abuse, 31, 108–116.CrossRefPubMed
go back to reference Volkow, N. D. (2004). The reality of comorbidity: depression and drug abuse. Biological Psychiatry, 56, 714–717.CrossRefPubMed Volkow, N. D. (2004). The reality of comorbidity: depression and drug abuse. Biological Psychiatry, 56, 714–717.CrossRefPubMed
go back to reference 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, 362–374.CrossRefPubMedPubMedCentral 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, 362–374.CrossRefPubMedPubMedCentral
go back to reference Zgierska, A., Rabago, D., Zuelsdorff, M., Coe, C., Miller, M., & Fleming, M. (2008). Mindfulness meditation for alcohol relapse prevention: a feasibility pilot study. Journal of Addiction Medicine, 2, 165–173.CrossRefPubMedPubMedCentral Zgierska, A., Rabago, D., Zuelsdorff, M., Coe, C., Miller, M., & Fleming, M. (2008). Mindfulness meditation for alcohol relapse prevention: a feasibility pilot study. Journal of Addiction Medicine, 2, 165–173.CrossRefPubMedPubMedCentral
Metagegevens
Titel
Effectiveness of Mindfulness-Based Relapse Prevention for Co-occurring Substance Use and Depression Disorders
Auteurs
Mehdi Zemestani
Cristina Ottaviani
Publicatiedatum
22-07-2016
Uitgeverij
Springer US
Gepubliceerd in
Mindfulness / Uitgave 6/2016
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI
https://doi.org/10.1007/s12671-016-0576-y

Andere artikelen Uitgave 6/2016

Mindfulness 6/2016 Naar de uitgave