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Gepubliceerd in: Mindfulness 8/2019

21-02-2019 | ORIGINAL PAPER

Individual Gender and Group Gender Composition as Predictors of Differential Benefit from Mindfulness-Based Relapse Prevention for Substance Use Disorders

Auteurs: Corey R Roos, Elena Stein, Sarah Bowen, Katie Witkiewitz

Gepubliceerd in: Mindfulness | Uitgave 8/2019

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Abstract

Objectives

Mindfulness-based relapse prevention (MBRP) is an effective group-based aftercare treatment for substance use disorders (SUDs), yet few studies have examined moderators of MBRP efficacy. This secondary data analysis evaluated individual gender and group gender composition (e.g., proportion of women relative to men in each therapy group) as treatment moderators of MBRP.

Methods

The analysis sample included 186 individuals with SUDs randomized to MBRP or relapse prevention (RP) as an aftercare treatment. Outcomes included number of heavy drinking days and drug use days at the 12-month follow-up.

Results

There were no treatment moderation effects for models with heavy drinking days as the outcome (all ps > .05). Group gender composition, but not individual gender, moderated the effect of treatment condition on drug use days (p < .01). Individuals who received MBRP had significantly fewer drug use days at 12 months than those who received RP, but only among individuals in therapy groups comprising one-third or more women (p < 0.0001). Specifically, all women and men who received MBRP in groups with one third or more women were abstinent from drugs at month 12, whereas those in RP groups with one third or more women had an average of about eight drug use days at month 12 (corresponding to a large between-treatment condition effect size).

Conclusions

Group-based MBRP may be more efficacious than group-based RP, particularly when women compose at least one third of the therapy group. Further research is warranted on gender and group gender composition as moderators of MBRP.
Literatuur
go back to reference Bobzean, S. A. M., DeNobrega, A. K., & Perrotti, L. I. (2014). Sex differences in the neurobiology of drug addiction. Experimental Neurology, 259, 64–74. CrossRefPubMed Bobzean, S. A. M., DeNobrega, A. K., & Perrotti, L. I. (2014). Sex differences in the neurobiology of drug addiction. Experimental Neurology, 259, 64–74. CrossRefPubMed
go back to reference Borenstein, M., Hedges, L. V., Higgins, J. P. T., & Rothstein, H. R. (2009). Converting among effect sizes: Introduction to meta-analysis. New York: Wiley Borenstein, M., Hedges, L. V., Higgins, J. P. T., & Rothstein, H. R. (2009). Converting among effect sizes: Introduction to meta-analysis. New York: Wiley
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(4), 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(4), 295–305. CrossRefPubMedPubMedCentral
go back to reference Bowen, S., Chawla, N., & Marlatt, G. A. (2011). Mindfulness-based relapse prevention for addictive behaviors. New York: Guilford Press. Bowen, S., Chawla, N., & Marlatt, G. A. (2011). Mindfulness-based relapse prevention for addictive behaviors. New York: Guilford Press.
go back to reference Bowen, S., Witkiewitz, K., Clifasefi, S. L., Grow, J., Chawla, N., Hsu, S. H., & Carroll, H. A. (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. CrossRefPubMedPubMedCentral Bowen, S., Witkiewitz, K., Clifasefi, S. L., Grow, J., Chawla, N., Hsu, S. H., & Carroll, H. A. (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. CrossRefPubMedPubMedCentral
go back to reference Burlingame, G. M., McClendon, D. T., & Alonso, J. (2011). Cohesion in group therapy. Psychotherapy Relationships That Work: Evidence-Based Responsiveness, 48(1), 34–42. Burlingame, G. M., McClendon, D. T., & Alonso, J. (2011). Cohesion in group therapy. Psychotherapy Relationships That Work: Evidence-Based Responsiveness, 48(1), 34–42.
go back to reference Cummings, A. M., Gallop, R. J., & Greenfield, S. F. (2010). Self-efficacy and substance use outcomes for women in single-gender versus mixed-gender group treatment. Journal of Groups in Addiction & Recovery, 5(1), 4–16. CrossRef Cummings, A. M., Gallop, R. J., & Greenfield, S. F. (2010). Self-efficacy and substance use outcomes for women in single-gender versus mixed-gender group treatment. Journal of Groups in Addiction & Recovery, 5(1), 4–16. CrossRef
go back to reference Curşeu, P. L., & Sari, K. (2015). The effects of gender variety and power disparity on group cognitive complexity in collaborative learning groups. Interactive Learning Environments, 23(4), 425–436. CrossRef Curşeu, P. L., & Sari, K. (2015). The effects of gender variety and power disparity on group cognitive complexity in collaborative learning groups. Interactive Learning Environments, 23(4), 425–436. CrossRef
go back to reference Curşeu, P. L., Pluut, H., Boroş, S., & Meslec, N. (2015). The magic of collective emotional intelligence in learning groups: no guys needed for the spell! British Journal of Psychology, 106(2), 217–234. CrossRefPubMed Curşeu, P. L., Pluut, H., Boroş, S., & Meslec, N. (2015). The magic of collective emotional intelligence in learning groups: no guys needed for the spell! British Journal of Psychology, 106(2), 217–234. CrossRefPubMed
go back to reference Garcia, T., Bacio, G., Tomlinson, K., Ladd, B., & Anderson, K. (2015). Effects of sex composition on group processes in alcohol prevention groups for teens. Experimental and Clinical Psychopharmacology, 23(4), 275–283. CrossRefPubMedPubMedCentral Garcia, T., Bacio, G., Tomlinson, K., Ladd, B., & Anderson, K. (2015). Effects of sex composition on group processes in alcohol prevention groups for teens. Experimental and Clinical Psychopharmacology, 23(4), 275–283. CrossRefPubMedPubMedCentral
go back to reference 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. 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.
go back to reference Greenfield, S. F., Brooks, A. J., Gordon, S. M., Green, C. A., Kropp, F., McHugh, R. K., et al. (2007a). Substance abuse treatment entry, retention, and outcome in women: a review of the literature. Drug and Alcohol Dependence, 86(1), 1–21. CrossRefPubMed Greenfield, S. F., Brooks, A. J., Gordon, S. M., Green, C. A., Kropp, F., McHugh, R. K., et al. (2007a). Substance abuse treatment entry, retention, and outcome in women: a review of the literature. Drug and Alcohol Dependence, 86(1), 1–21. CrossRefPubMed
go back to reference Greenfield, S. F., Trucco, E. M., McHugh, R. K., Lincoln, M., & Gallop, R. J. (2007b). The women’s recovery group study: a stage I trial of women-focused group therapy for substance use disorders versus mixed-gender group drug counseling. Drug and Alcohol Dependence, 90(1), 39–47. CrossRefPubMedPubMedCentral Greenfield, S. F., Trucco, E. M., McHugh, R. K., Lincoln, M., & Gallop, R. J. (2007b). The women’s recovery group study: a stage I trial of women-focused group therapy for substance use disorders versus mixed-gender group drug counseling. Drug and Alcohol Dependence, 90(1), 39–47. CrossRefPubMedPubMedCentral
go back to reference Greenfield, S. F., Potter, J. S., Lincoln, M. F., Popuch, R. E., Kuper, L., & Gallop, R. J. (2008). High psychiatric symptom severity is a moderator of substance abuse treatment outcomes among women in single vs. mixed gender group treatment. The American Journal of Drug and Alcohol Abuse, 34(5), 594–602. CrossRefPubMedPubMedCentral Greenfield, S. F., Potter, J. S., Lincoln, M. F., Popuch, R. E., Kuper, L., & Gallop, R. J. (2008). High psychiatric symptom severity is a moderator of substance abuse treatment outcomes among women in single vs. mixed gender group treatment. The American Journal of Drug and Alcohol Abuse, 34(5), 594–602. CrossRefPubMedPubMedCentral
go back to reference Greenfield, S. F., Cummings, A. M., Kuper, L. E., Wigderson, S. B., & Koro-Ljungberg, M. (2013a). A qualitative analysis of women’s experiences in single-gender versus mixed-gender substance abuse group therapy. Substance Use & Misuse, 48(9), 750–760. CrossRef Greenfield, S. F., Cummings, A. M., Kuper, L. E., Wigderson, S. B., & Koro-Ljungberg, M. (2013a). A qualitative analysis of women’s experiences in single-gender versus mixed-gender substance abuse group therapy. Substance Use & Misuse, 48(9), 750–760. CrossRef
go back to reference Greenfield, S. F., Kuper, L. E., Cummings, A. M., Robbins, M. S., & Gallop, R. J. (2013b). Group process in the single-gender women’s recovery group compared with mixed-gender group drug counseling. Journal of Groups in Addiction & Recovery, 8, 270–293. CrossRef Greenfield, S. F., Kuper, L. E., Cummings, A. M., Robbins, M. S., & Gallop, R. J. (2013b). Group process in the single-gender women’s recovery group compared with mixed-gender group drug counseling. Journal of Groups in Addiction & Recovery, 8, 270–293. CrossRef
go back to reference Greenfield, S. F., Sugarman, D. E., Freid, C. M., Bailey, G. L., Crisafulli, M. A., Kaufman, J. S., et al. (2014). Group therapy for women with substance use disorders: results from the women’s recovery group study. Drug and Alcohol Dependence, 142, 245–253. CrossRefPubMedPubMedCentral Greenfield, S. F., Sugarman, D. E., Freid, C. M., Bailey, G. L., Crisafulli, M. A., Kaufman, J. S., et al. (2014). Group therapy for women with substance use disorders: results from the women’s recovery group study. Drug and Alcohol Dependence, 142, 245–253. CrossRefPubMedPubMedCentral
go back to reference 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. CrossRefPubMedPubMedCentral 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. CrossRefPubMedPubMedCentral
go back to reference Hernandez-Avila, C. A., Rounsaville, B. J., & Kranzler, H. R. (2004). Opioid-, cannabis- and alcohol-dependent women show more rapid progression to substance abuse treatment. Drug and Alcohol Dependence, 74(3), 265–272. CrossRefPubMed Hernandez-Avila, C. A., Rounsaville, B. J., & Kranzler, H. R. (2004). Opioid-, cannabis- and alcohol-dependent women show more rapid progression to substance abuse treatment. Drug and Alcohol Dependence, 74(3), 265–272. CrossRefPubMed
go back to reference Hyman, S. M., Paliwal, P., Chaplin, T. M., Mazure, C. M., Rounsaville, B. J., & Sinha, R. (2008). Severity of childhood trauma is predictive of cocaine relapse outcomes in women but not men. Drug and Alcohol Dependence, 92(1–3), 208–216. CrossRefPubMed Hyman, S. M., Paliwal, P., Chaplin, T. M., Mazure, C. M., Rounsaville, B. J., & Sinha, R. (2008). Severity of childhood trauma is predictive of cocaine relapse outcomes in women but not men. Drug and Alcohol Dependence, 92(1–3), 208–216. CrossRefPubMed
go back to reference Katz, D., & Toner, B. (2013). A systematic review of gender differences in the effectiveness of mindfulness-based treatments for substance use disorders. Mindfulness, 4(4), 318–331. CrossRef Katz, D., & Toner, B. (2013). A systematic review of gender differences in the effectiveness of mindfulness-based treatments for substance use disorders. Mindfulness, 4(4), 318–331. CrossRef
go back to reference Khan, S., Okuda, M., Hasin, D. S., Secades-Villa, R., Keyes, K., Lin, K.-H., et al. (2013). Gender differences in lifetime alcohol dependence: results from the national epidemiologic survey on alcohol and related conditions. Alcoholism: Clinical and Experimental Research, 37(10), 1696–1705. Khan, S., Okuda, M., Hasin, D. S., Secades-Villa, R., Keyes, K., Lin, K.-H., et al. (2013). Gender differences in lifetime alcohol dependence: results from the national epidemiologic survey on alcohol and related conditions. Alcoholism: Clinical and Experimental Research, 37(10), 1696–1705.
go back to reference 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. CrossRefPubMed 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. CrossRefPubMed
go back to reference Monti, P. M. (2002). Treating alcohol dependence: A coping skills training guide. New York: Guilford Press. Monti, P. M. (2002). Treating alcohol dependence: A coping skills training guide. New York: Guilford Press.
go back to reference Muthén, L. K., & Muthén, B. (2015). Mplus. The comprehensive modelling program for applied researchers: User’s guide, 5. Los Angeles, CA: Authors. Muthén, L. K., & Muthén, B. (2015). Mplus. The comprehensive modelling program for applied researchers: User’s guide, 5. Los Angeles, CA: Authors.
go back to reference Najavits, L. M., Weiss, R. D., & Shaw, S. R. (1997). The link between substance abuse and posttraumatic stress disorder in women: a research review. The American Journal on Addictions, 6(4), 273–283. PubMed Najavits, L. M., Weiss, R. D., & Shaw, S. R. (1997). The link between substance abuse and posttraumatic stress disorder in women: a research review. The American Journal on Addictions, 6(4), 273–283. PubMed
go back to reference Sobell, L. C., & Sobell, M. B. (1992). Timeline follow-back. In R. Z. Litten & J. P. Allen (Eds.), Measuring alcohol consumption (pp. 41–72). Totowa, NJ: Humana Press. Sobell, L. C., & Sobell, M. B. (1992). Timeline follow-back. In R. Z. Litten & J. P. Allen (Eds.), Measuring alcohol consumption (pp. 41–72). Totowa, NJ: Humana Press.
go back to reference Sugarman, D. E., Wigderson, S. B., Iles, B. R., Kaufman, J. S., Fitzmaurice, G. M., Hilario, E. Y., et al. (2016). Measuring affiliation in group therapy for substance use disorders in the women’s recovery group study: does it matter whether the group is all-women or mixed-gender? American Journal on Addictions, 25(7), 573–580. CrossRefPubMed Sugarman, D. E., Wigderson, S. B., Iles, B. R., Kaufman, J. S., Fitzmaurice, G. M., Hilario, E. Y., et al. (2016). Measuring affiliation in group therapy for substance use disorders in the women’s recovery group study: does it matter whether the group is all-women or mixed-gender? American Journal on Addictions, 25(7), 573–580. CrossRefPubMed
go back to reference Walitzer, K. S., & Dearing, R. L. (2006). Gender differences in alcohol and substance use relapse. Clinical Psychology Review, 26(2), 128–148. CrossRefPubMed Walitzer, K. S., & Dearing, R. L. (2006). Gender differences in alcohol and substance use relapse. Clinical Psychology Review, 26(2), 128–148. CrossRefPubMed
go back to reference Weiss, R. D., Jaffee, W. B., de Menil, V. P., & Cogley, C. B. (2004). Group therapy for substance use disorders: what do we know? Harvard Review of Psychiatry, 12(6), 339–350. CrossRefPubMed Weiss, R. D., Jaffee, W. B., de Menil, V. P., & Cogley, C. B. (2004). Group therapy for substance use disorders: what do we know? Harvard Review of Psychiatry, 12(6), 339–350. CrossRefPubMed
go back to reference White, H. (1980). A heteroskedasticity-consistent covariance matrix estimator and a direct test for heteroskedasticity. E conometrica 48(4), 817–838. White, H. (1980). A heteroskedasticity-consistent covariance matrix estimator and a direct test for heteroskedasticity. E conometrica 48(4), 817–838.
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(3), 362–374. 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.
go back to reference Witkiewitz, K., Greenfield, B. L., & Bowen, S. (2013). Mindfulness-based relapse prevention with racial and ethnic minority women. Addictive Behaviors, 38(12), 2821–2824. Witkiewitz, K., Greenfield, B. L., & Bowen, S. (2013). Mindfulness-based relapse prevention with racial and ethnic minority women. Addictive Behaviors, 38(12), 2821–2824.
go back to reference Witkiewitz, K., Warner, K., Sully, B., Barricks, A., Stauffer, C., Thompson, B. L., & Luoma, J. B. (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. CrossRef Witkiewitz, K., Warner, K., Sully, B., Barricks, A., Stauffer, C., Thompson, B. L., & Luoma, J. B. (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. CrossRef
go back to reference Woolley, A. W., Chabris, C. F., Pentland, A., Hashmi, N., & Malone, T. W. (2010). Evidence for a collective intelligence factor in the performance of human groups. Science, 330, 686–689. CrossRefPubMed Woolley, A. W., Chabris, C. F., Pentland, A., Hashmi, N., & Malone, T. W. (2010). Evidence for a collective intelligence factor in the performance of human groups. Science, 330, 686–689. CrossRefPubMed
go back to reference Zilberman, M. L., Tavares, H., Blume, S. B., & El-Guebaly, N. (2003). Substance use disorders: sex differences and psychiatric comorbidities. The Canadian Journal of Psychiatry, 48(1), 5–13. CrossRefPubMed Zilberman, M. L., Tavares, H., Blume, S. B., & El-Guebaly, N. (2003). Substance use disorders: sex differences and psychiatric comorbidities. The Canadian Journal of Psychiatry, 48(1), 5–13. CrossRefPubMed
Metagegevens
Titel
Individual Gender and Group Gender Composition as Predictors of Differential Benefit from Mindfulness-Based Relapse Prevention for Substance Use Disorders
Auteurs
Corey R Roos
Elena Stein
Sarah Bowen
Katie Witkiewitz
Publicatiedatum
21-02-2019
Uitgeverij
Springer US
Gepubliceerd in
Mindfulness / Uitgave 8/2019
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI
https://doi.org/10.1007/s12671-019-01112-y