Top

Mindfulness

Gepubliceerd in:

07-06-2023 | ORIGINAL PAPER

“I Use the Meditation to Calm Myself Instead of Reaching for a Cigarette”: Qualitative Study of Mindfulness-Based Addiction Treatment Among Diverse Adults

Auteurs: Charlayne A. Scarlett, Courtney Strosnider, Hala Elahi, Mark Dannenfelser, Ashli Owen-Smith, Claire A. Spears

Gepubliceerd in: Mindfulness | Uitgave 6/2023

Abstract

Objectives

Research is needed to understand experiences with mindfulness-based treatments for addictions among diverse and underrepresented populations. This study examined qualitative data from a racially/ethnically and socioeconomically diverse group of participants who received mindfulness-based addiction treatment (MBAT) for smoking cessation.

Method

Participants were n = 28 adult smokers (50% Black or African American, 32.1% White, 14.3% more than one race; 57.1% annual income ≤ US$30,000) who received eight weekly 2-hr MBAT group sessions and provided with nicotine patches to help them quit smoking. Participants then engaged in individual in-depth interviews describing their experiences and suggestions for improvement. Interviews were transcribed verbatim and coded using NVivo 11.

Results

Relevant themes included descriptions of mindfulness in participants’ own words; experiences with group sessions (e.g., perceived social support); experiences with personal mindfulness practice (including barriers and facilitators); and perceived benefits of mindfulness (e.g., management of cravings and stress; applicability to other health behavior changes).

Conclusions

Overall, MBAT was perceived by a diverse sample of adults as being helpful for quitting smoking and in other aspects of their lives. Participant suggestions for improving the program included ways to introduce mindfulness to those without prior experience and leveraging technology to enhance interventions.

Preregistration

This study is not preregistered.

vorige artikel How Self-Compassion Operates within Individuals: An Examination of Latent Profiles of State Self-Compassion in the U.S. and Japan

volgende artikel Mindfulness Facets Differentially Mediate the Relationship Between Adverse Childhood Experiences and Cannabis Use Severity

Adams, C. E., Cano, M. A., Heppner, W. L., Stewart, D. W., Correa-Fernández, V., Vidrine, J. I., Li, Y., Cinciripini, P. M., Ahluwalia, J. S., & Wetter, D. W. (2015). Testing a moderated mediation model of mindfulness, psychosocial stress, and alcohol use among African American smokers. Mindfulness, 6(2), 315–325. https://doi.org/10.1007/s12671-013-0263-1CrossRefPubMed

Alizadehgoradel, J., Imani, S., Nejati, V., Vanderhasselt, M.-A., Molaei, B., Salehinejad, M. A., Ahmadi, S., & Taherifard, M. (2021). Improved executive functions and reduced craving in youths with methamphetamine addiction: Evidence from combined transcranial direct current stimulation with mindfulness treatment. Clinical Psychopharmacology and Neuroscience, 19(4), 653–668. https://doi.org/10.9758/cpn.2021.19.4.653CrossRefPubMedPubMedCentral

Babb, S., Malarcher, A., Schauer, G., Asman, K., & Jamal, A. (2017). Quitting smoking among adults United States 2000–2015. MMWR Morbidity and Mortality Weekly Report, 65(52), 1457–1464. https://doi.org/10.15585/mmwr.mm6552a1CrossRefPubMed

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(1), 33–51. https://doi.org/10.1037/0033-295X.111.1.33CrossRefPubMed

Bermudez, D., Benjamin, M. T., Porter, S. E., Saunders, P. A., Myers, N. A. L., & Dutton, M. A. (2013). A qualitative analysis of beginning mindfulness experiences for women with post-traumatic stress disorder and a history of intimate partner violence. Complementary Therapies in Clinical Practice, 19(2), 104–108. https://doi.org/10.1016/j.ctcp.2013.02.004CrossRefPubMed

Bowen, S., & Marlatt, A. (2009). Surfing the urge: Brief mindfulness-based intervention for college student smokers. Psychology of Addictive Behaviors, 23(4), 666–671. https://doi.org/10.1037/a0017127CrossRefPubMed

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. https://doi.org/10.1001/jamapsychiatry.2013.4546CrossRefPubMedPubMedCentral

Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oaCrossRef

Brewer, J. A., Mallik, S., Babuscio, T. A., Nich, C., Johnson, H. E., Deleone, C. M., Minnix-Cotton, C. A., Byrne, S. A., Kober, H., Weinstein, A. J., Carroll, K. M., & Rounsaville, B. J. (2011). Mindfulness training for smoking cessation: Results from a randomized controlled trial. Drug and Alcohol Dependence, 119(1–2), 72–80. https://doi.org/10.1016/j.drugalcdep.2011.05.027CrossRefPubMedPubMedCentral

Brewer, J. A., Elwafi, H. M., & Davis, J. H. (2013). Craving to quit: Psychological models and neurobiological mechanisms of mindfulness training as treatment for addictions. Psychology of Addictive Behaviors, 27(2), 366–379. https://doi.org/10.1037/a0028490CrossRefPubMed

Charlot, M., D’Amico, S., Luo, M., Gemei, A., Kathuria, H., & Gardiner, P. (2019). Feasibility and acceptability of mindfulness-based group visits for smoking cessation in low-socioeconomic status and minority smokers with cancer. Journal of Alternative and Complementary Medicine, 25(7), 762–769. https://doi.org/10.1089/acm.2019.0016CrossRefPubMedPubMedCentral

Cho, Y. J., Thrasher, J. F., Yong, H.-H., Szklo, A. S., O’Connor, R. J., Bansal-Travers, M., Hammond, D., Fong, G. T., Hardin, J., & Borland, R. (2018). Path analysis of warning label effects on negative emotions and quit attempts: A longitudinal study of smokers in Australia, Canada, Mexico, and the US. Social Science & Medicine, 197, 226–234. https://doi.org/10.1016/j.socscimed.2017.10.003CrossRef

Davis, J. M., Goldberg, S. B., Anderson, M. C., Manley, A. R., Smith, S. S., & Baker, T. B. (2014a). Randomized trial on mindfulness training for smokers targeted to a disadvantaged population. Substance Use & Misuse, 49(5), 571–585. https://doi.org/10.3109/10826084.2013.770025CrossRef

Davis, J. M., Manley, A. R., Goldberg, S. B., Smith, S. S., & Jorenby, D. E. (2014b). Randomized trial comparing mindfulness training for smokers to a matched control. Journal of Substance Abuse Treatment, 47(3), 213–221. https://doi.org/10.1016/j.jsat.2014.04.005CrossRefPubMedPubMedCentral

Dingle, T., & Bowen, S. (2021). Evaluating substance use treatment efficacy for younger and older adults. Addictive Behaviors, 112, 106618. https://doi.org/10.1016/j.addbeh.2020.106618CrossRefPubMed

Dutton, M. A., Bermudez, D., Matas, A., Majid, H., & Myers, N. L. (2013). Mindfulness-based stress reduction for low-income, predominantly African American women with PTSD and a history of intimate partner violence. Cognitive and Behavioral Practice, 20(1), 23–32. https://doi.org/10.1016/j.cbpra.2011.08.003CrossRefPubMed

Elwafi, H. M., Witkiewitz, K., Mallik, S., Thornhill, T. A., & Brewer, J. A. (2013). Mindfulness training for smoking cessation: Moderation of the relationship between craving and cigarette use. Drug and Alcohol Dependence, 130(1–3), 222–229. https://doi.org/10.1016/j.drugalcdep.2012.11.015CrossRefPubMed

Froeliger, B., Mathew, A. R., McConnell, P. A., Eichberg, C., Saladin, M. E., Carpenter, M. J., & Garland, E. L. (2017). Restructuring reward mechanisms in nicotine addiction: A pilot fMRI study of mindfulness-oriented recovery enhancement for cigarette smokers. Evidence-Based Complementary and Alternative Medicine (ECAM), 2017, 7018014. https://doi.org/10.1155/2017/7018014

Garland, E. L., Gaylord, S. A., Boettiger, C. A., & Howard, M. O. (2010). Mindfulness training modifies cognitive, affective, and physiological mechanisms implicated in alcohol dependence: Results of a randomized controlled pilot trial. Journal of Psychoactive Drugs, 42(2), 177–192. https://doi.org/10.1080/02791072.2010.10400690CrossRefPubMedPubMedCentral

Garland, E. L., Roberts-Lewis, A., Tronnier, C. D., Graves, R., & Kelley, K. (2016). Mindfulness-oriented recovery enhancement versus CBT for co-occurring substance dependence, traumatic stress, and psychiatric disorders: Proximal outcomes from a pragmatic randomized trial. Behaviour Research and Therapy, 77, 7–16. https://doi.org/10.1016/j.brat.2015.11.012CrossRefPubMed

Garland, E. L., Hanley, A. W., Kline, A., & Cooperman, N. A. (2019). Mindfulness-Oriented Recovery Enhancement reduces opioid craving among individuals with opioid use disorder and chronic pain in medication assisted treatment: Ecological momentary assessments from a stage 1 randomized controlled trial. Drug and Alcohol Dependence, 203, 61–65. https://doi.org/10.1016/j.drugalcdep.2019.07.007CrossRefPubMedPubMedCentral

Hall, S. M., Humfleet, G. L., Reus, V. I., Muñoz, R. F., & Cullen, J. (2004). Extended nortriptyline and psychological treatment for cigarette smoking. The American Journal of Psychiatry, 161(11), 2100–2107. https://doi.org/10.1176/appi.ajp.161.11.2100CrossRefPubMed

Hastings, G., Stead, M., & Webb, J. (2004). Fear appeals in social marketing: Strategic and ethical reasons for concern. Psychology & Marketing, 21(11), 961–986. https://doi.org/10.1002/mar.20043CrossRef

Hayes, S. C., Strosahl, K., Wilson, K. G., Bissett, R. T., Pistorello, J., Toarmino, D., Polusny, M. A., Dykstra, T. A., Batten, S. V., Bergan, J., Stewart, S. H., Zvolensky, M. J., Eifert, G. H., Bond, F. W., Forsyth, J. P., Karekla, M., & McCurry, S. M. (2004). Measuring experiential avoidance: A preliminary test of a working model. Psychological Record, 54(4), 553–578. https://doi.org/10.1007/BF03395492CrossRef

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(1), 33–47. https://doi.org/10.1016/0163-8343(82)90026-3CrossRefPubMed

Kabat-Zinn, J. (2005). Full catastrophe living: Using the wisdom of your body and mind to face stress, pain and illness. Delta Trade Paperbacks.

Kendzor, D. E., Costello, T. J., Li, Y., Vidrine, J. I., Mazas, C. A., Reitzel, L. R., Cinciripini, P. M., Cofta-Woerpel, L. M., Businelle, M. S., & Wetter, D. W. (2008). Race/ethnicity and multiple cancer risk factors among individuals seeking smoking cessation treatment. Cancer Epidemiology, Biomarkers & Prevention, 17(11), 2937–2945. https://doi.org/10.1158/1055-9965.EPI-07-2795CrossRef

Li, W., Howard, M. O., Garland, E. L., McGovern, P., & Lazar, M. (2017). Mindfulness treatment for substance misuse: A systematic review and meta-analysis. Journal of Substance Abuse Treatment, 75, 62–96. https://doi.org/10.1016/j.jsat.2017.01.008CrossRefPubMed

Ludwig, D. S., & Kabat-Zinn, J. (2008). Mindfulness in medicine. JAMA, 300(11), 1350–1352. https://doi.org/10.1001/jama.300.11.1350CrossRefPubMed

National Center for Chronic Disease Prevention and Health Promotion (US) Office on Smoking and Health. (2014). The Health Consequences of Smoking—50 Years of Progress: A Report of the Surgeon General. Centers for Disease Control and Prevention (US). https://www.ncbi.nlm.nih.gov/books/NBK179276/

Oikonomou, M. T., Arvanitis, M., & Sokolove, R. L. (2016). Mindfulness training for smoking cessation: A meta-analysis of randomized-controlled trials. Journal of Health Psychology, 22(14), 1841–1850. https://doi.org/10.1177/1359105316637667CrossRefPubMed

Price, C. J., Thompson, E. A., Crowell, S., & Pike, K. (2019). Longitudinal effects of interoceptive awareness training through mindful awareness in body-oriented therapy (MABT) as an adjunct to women’s substance use disorder treatment: A randomized controlled trial. Drug and Alcohol Dependence, 198, 140–149. https://doi.org/10.1016/j.drugalcdep.2019.02.012CrossRefPubMedPubMedCentral

Rosen, R. K., Thind, H., Jennings, E., Guthrie, K. M., Williams, D. M., & Bock, B. C. (2016). Smoking does not go with yoga A qualitative study of women’s phenomenological perceptions during yoga and smoking cessation. International Journal of Yoga Therapy, 26(1), 33–41. https://doi.org/10.17761/1531-2054-26.1.33CrossRefPubMedPubMedCentral

Ruscio, A. C., Muench, C., Brede, E., & Waters, A. J. (2016). Effect of brief mindfulness practice on self-reported affect, craving, and smoking: A pilot randomized controlled trial using ecological momentary assessment. Nicotine & Tobacco Research, 18(1), 64–73. https://doi.org/10.1093/ntr/ntv074CrossRef

Schellekens, M. P. J., Tamagawa, R., Labelle, L. E., Speca, M., Stephen, J., Drysdale, E., Sample, S., Pickering, B., Dirkse, D., Savage, L. L., & Carlson, L. E. (2017). Mindfulness-Based Cancer Recovery (MBCR) versus Supportive Expressive Group Therapy (SET) for distressed breast cancer survivors: Evaluating mindfulness and social support as mediators. Journal of Behavioral Medicine, 40(3), 414–422. https://doi.org/10.1007/s10865-016-9799-6CrossRefPubMed

Shapiro, S. L., Carlson, L. E., Astin, J. A., & Freedman, B. (2006). Mechanisms of mindfulness. Journal of Clinical Psychology, 62(3), 373–386. https://doi.org/10.1002/jclp.20237CrossRefPubMed

Spears, C. A., Hedeker, D., Li, L., Wu, C., Anderson, N. K., Houchins, S. C., Vinci, C., Hoover, D. S., Vidrine, J. I., Cinciripini, P. M., Waters, A. J., & Wetter, D. W. (2017a). Mechanisms underlying mindfulness-based addiction treatment versus cognitive behavioral therapy and usual care for smoking cessation. Journal of Consulting and Clinical Psychology, 85, 1029–1040. https://doi.org/10.1037/ccp0000229CrossRefPubMedPubMedCentral

Spears, C. A., Houchins, S. C., Bamatter, W. P., Barrueco, S., Hoover, D. S., & Perskaudas, R. (2017b). Perceptions of mindfulness in a low-income, primarily African American treatment-seeking sample. Mindfulness, 8(6), 1532–1543. https://doi.org/10.1007/s12671-017-0720-3CrossRefPubMedPubMedCentral

Spears, C. A., Abroms, L. C., Glass, C. R., Hedeker, D., Eriksen, M. P., Cottrell-Daniels, C., Tran, B. Q., & Wetter, D. W. (2019a). Mindfulness-based smoking cessation enhanced with mobile technology (iQuit Mindfully): Pilot randomized controlled trial. JMIR MHealth and UHealth, 7(6), e13059. https://doi.org/10.2196/13059

Spears, C. A., Li, L., Wu, C., Vinci, C., Heppner, W. L., Hoover, D. S., Lam, C., & Wetter, D. W. (2019b). Mechanisms linking mindfulness and early smoking abstinence: An ecological momentary assessment study. Psychology of Addictive Behaviors, 33(3), 197–207. https://doi.org/10.1037/adb0000451

Szanton, S. L., Wenzel, J., Connolly, A. B., & Piferi, R. L. (2011). Examining mindfulness-based stress reduction: Perceptions from minority older adults residing in a low-income housing facility. BMC Complementary and Alternative Medicine, 11, 44. https://doi.org/10.1186/1472-6882-11-44

Tam, J., Warner, K. E., & Meza, R. (2016). Smoking and the reduced life expectancy of individuals with serious mental illness. American Journal of Preventive Medicine, 51(6), 958–966. https://doi.org/10.1016/j.amepre.2016.06.007CrossRefPubMed

Teasdale, J. D., Segal, Z. V., & Williams, J. M. G. (1995). How does cognitive therapy prevent depressive relapse and why should attentional control (mindfulness) training help? Behaviour Research and Therapy, 33(1), 25–39. https://doi.org/10.1016/0005-7967(94)E0011-7CrossRefPubMed

Teasdale, J. D., Segal, Z. V., Williams, J. M. G., Ridgeway, V. A., Soulsby, J. M., & Lau, M. A. (2000). Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Journal of Consulting and Clinical Psychology, 68(4), 615–623. https://doi.org/10.1037//0022-006x.68.4.615CrossRefPubMed

U.S. National Cancer Institute. (2017). A socioecological approach to addressing tobacco-related health disparities. National Cancer Institute Tobacco Control Monograph 22. NIH Publication No. 17-CA-8035A.

Vidrine, J. I., Spears, C. A., Heppner, W. L., Reitzel, L. R., Marcus, M. T., Cinciripini, P. M., Waters, A. J., Li, Y., Nguyen, N. T. T., Cao, Y., Tindle, H. A., Fine, M., Safranek, L. V., & Wetter, D. W. (2016). Efficacy of Mindfulness-Based Addiction Treatment (MBAT) for smoking cessation and lapse recovery: A randomized clinical trial. Journal of Consulting and Clinical Psychology, 84(9), 824–838. https://doi.org/10.1037/ccp0000117CrossRefPubMedPubMedCentral

Waldron, E. M., Hong, S., Moskowitz, J. T., & Burnett-Zeigler, I. (2018). A systematic review of the demographic characteristics of participants in US-based randomized controlled trials of mindfulness-based interventions. Mindfulness, 9(6), 1671–1692. https://doi.org/10.1007/s12671-018-0920-5CrossRef

Wetter, D. W., Vidrine, J. I., Fine, M., Rowan, P. J., Reitzel, L. R., & Tindle, H. (2007). Mindfulness-Based Addiction Treatment (MBAT) manual. Unpublished manual.

Witkiewitz, K., Bowen, S., Harrop, E. N., Douglas, H., Enkema, M., & Sedgwick, C. (2014a). Mindfulness-based treatment to prevent addictive behavior relapse: Theoretical models and hypothesized mechanisms of change. Substance Use & Misuse, 49(5), 513–524. https://doi.org/10.3109/10826084.2014.891845CrossRef

Witkiewitz, K., Warner, K., Sully, B., Barricks, A., Stauffer, C., Thompson, B. L., & Luoma, J. B. (2014b). 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/10.3109/10826084.2013.856922CrossRef

Witte, K. (1992). Putting the fear back into fear appeals: The extended parallel process model. Communication Monographs, 59(4), 329–349. https://doi.org/10.1080/03637759209376276CrossRef

World Health Organization. (2017). WHO report on the global tobacco epidemic, 2017: Monitoring tobacco use and prevention policies. World Health Organization. https://apps.who.int/iris/handle/10665/255874. License: CC BY-NC-SA 3.0 IGO

Titel: “I Use the Meditation to Calm Myself Instead of Reaching for a Cigarette”: Qualitative Study of Mindfulness-Based Addiction Treatment Among Diverse Adults
Auteurs: Charlayne A. Scarlett
Courtney Strosnider
Hala Elahi
Mark Dannenfelser
Ashli Owen-Smith
Claire A. Spears
Publicatiedatum: 07-06-2023
Uitgeverij: Springer US
Gepubliceerd in: Mindfulness / Uitgave 6/2023
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI: https://doi.org/10.1007/s12671-023-02151-2

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Objectives

Method

Results

Conclusions

Preregistration

Log in om toegang te krijgen

Andere artikelen Uitgave 6/2023

Mindfulness and Academic Performance Meta-Analyses on Interventions and Correlations

A Critical Review of the Monitor and Acceptance Theory of Mindfulness

The Effect of Self-Compassion on Impulse Buying: A Randomized Controlled Trial of an Online Self-Help Intervention

How Self-Compassion Operates within Individuals: An Examination of Latent Profiles of State Self-Compassion in the U.S. and Japan

Mindfulness in Politics: A Qualitative Study on Mindfulness Training in the UK Parliament

An Online Mindfulness Program for Teachers: A Feasibility Study of the DeStress Monday at School Program