Skip to main content
main-content
Top

Tip

Swipe om te navigeren naar een ander artikel

Gepubliceerd in: Mindfulness 2/2018

30-08-2017 | ORIGINAL PAPER

Mindfulness-Based Relapse Prevention for Substance Use Disorders: Effects on Cardiac Vagal Control and Craving Under Stress

Auteurs: Haley Carroll, M. Kathleen B. Lustyk

Gepubliceerd in: Mindfulness | Uitgave 2/2018

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

Mindfulness-based relapse prevention (MBRP) is a therapy for addictive behaviors that incorporates cognitive-behavioral relapse prevention (RP) skills with mindfulness training to increase awareness and skillful action in high-risk situations. Stress is a common reason reported for substance use relapse, and using physiological measures to measure stress engagement may help us identify mechanisms of clinical improvement. Specifically, salutatory changes in HF-HRV post-treatment may serve as a marker of treatment efficacy. We investigated tonic and phasic heart rate variability (HRV) to a cognitive stressor (i.e., arithmetic challenge) following 8 weeks of RP, MBRP, or post-detox treatment known as treatment as usual (TAU; n = 34). MBRP was related to higher levels of tonic and phasic HF-HRV, lower levels of anxiety, and lower heart rate reactivity (than TAU only) compared to RP and TAU. This suggests that those who completed MBRP are engaging with stress, but perhaps in a more adaptive, flexible manner. MBRP is associated with higher cardiac vagal control and lower stress/anxious reactivity. Given that negative emotions are an important component of relapse, these results lend further support to say that mindfulness may be helpful for those with substance use disorders.
Literatuur
go back to reference Aiken, L., & West, S. (1991). Multiple regression: testing and interpreting interactions. Newbury Park: Sage Publications. Aiken, L., & West, S. (1991). Multiple regression: testing and interpreting interactions. Newbury Park: Sage Publications.
go back to reference Balogh, S., Fitzpatrick, D. F., Hendricks, S. E., & Paige, S. R. (1993). Increases in heart rate variability with successful treatment in patients with major depressive disorder. Psychopharmacology Bulletin, 29(2), 201–206. PubMed Balogh, S., Fitzpatrick, D. F., Hendricks, S. E., & Paige, S. R. (1993). Increases in heart rate variability with successful treatment in patients with major depressive disorder. Psychopharmacology Bulletin, 29(2), 201–206. PubMed
go back to reference Beauchaine, T. (2001). Vagal tone, development, and Gray’s motivational theory: toward an integrated model of autonomic nervous system functioning in psychopathology. Development and Psychopathology, 13, 183–214. CrossRefPubMed Beauchaine, T. (2001). Vagal tone, development, and Gray’s motivational theory: toward an integrated model of autonomic nervous system functioning in psychopathology. Development and Psychopathology, 13, 183–214. CrossRefPubMed
go back to reference Bernston, G. G., Bigger, T., Eckberg, D. L., Grossman, P., Kaufmann, P. G., Malik, M., … Van de Molen, M. W. (1997). Heart rate variability: origins, methods, and interpretive caveats. Psychophsyiology, 34, 623–648. Bernston, G. G., Bigger, T., Eckberg, D. L., Grossman, P., Kaufmann, P. G., Malik, M., … Van de Molen, M. W. (1997). Heart rate variability: origins, methods, and interpretive caveats. Psychophsyiology, 34, 623–648.
go back to reference Bowen, S., Chawla, N., Marlatt, G. A., & Parks, G. A. (2010). Mindfulness-based relapse prevention. New York: Guilford. Bowen, S., Chawla, N., Marlatt, G. A., & Parks, G. A. (2010). Mindfulness-based relapse prevention. New York: Guilford.
go back to reference Brady, K., & Sinha, R. (2005). Co-occurring mental and substance use disorders: the neurobiological effects of chronic stress. American Journal of Psychiatry, 162, 1483–1493. CrossRefPubMed Brady, K., & Sinha, R. (2005). Co-occurring mental and substance use disorders: the neurobiological effects of chronic stress. American Journal of Psychiatry, 162, 1483–1493. CrossRefPubMed
go back to reference Brownwell, K., Marlatt, G. A., Lichtenstein, E., & Wilson, G. T. (1986). Understanding and preventing relapse. American Psychologist, 41, 765–782. CrossRef Brownwell, K., Marlatt, G. A., Lichtenstein, E., & Wilson, G. T. (1986). Understanding and preventing relapse. American Psychologist, 41, 765–782. CrossRef
go back to reference Bylsma, L., Salomon, K., Taylor-Clift, A., Morris, B. H., & Rottenberg, J. (2014). Respiratory sinus arrhythmia reactivity in current and remitted major depressive disorder. Psychosomatic Medicine, 76, 66–73. CrossRefPubMed Bylsma, L., Salomon, K., Taylor-Clift, A., Morris, B. H., & Rottenberg, J. (2014). Respiratory sinus arrhythmia reactivity in current and remitted major depressive disorder. Psychosomatic Medicine, 76, 66–73. CrossRefPubMed
go back to reference Carpenter, M. J., Upadhyaya, H. P., LaRowe, S. D., Saladin, M. E., & Brady, K. (2006). Menstrual cycle phase effects on nicotine withdrawal and cigarette craving: a review. Nicotine & Tobacco Research, 8, 627–638. CrossRef Carpenter, M. J., Upadhyaya, H. P., LaRowe, S. D., Saladin, M. E., & Brady, K. (2006). Menstrual cycle phase effects on nicotine withdrawal and cigarette craving: a review. Nicotine & Tobacco Research, 8, 627–638. CrossRef
go back to reference Castaldo, R., Melillo, P., Casterta, M., Triassi, M., & Pecchia, L. (2015). Acute mental stress assessment via short term HRV analysis in healthy adults: a systematic review with meta-analysis. Biomedical Signal Processing and Control, 18, 370–377. CrossRef Castaldo, R., Melillo, P., Casterta, M., Triassi, M., & Pecchia, L. (2015). Acute mental stress assessment via short term HRV analysis in healthy adults: a systematic review with meta-analysis. Biomedical Signal Processing and Control, 18, 370–377. CrossRef
go back to reference Chalmers, J. A., Quintana, D. S., Maree, J., Abbott, A., & Kemp, A. H. (2014). Anxiety disorders are associated with reduced heart rate variability: a meta-analysis. Frontiers in Psychiatry, 5(80), 1–11. Chalmers, J. A., Quintana, D. S., Maree, J., Abbott, A., & Kemp, A. H. (2014). Anxiety disorders are associated with reduced heart rate variability: a meta-analysis. Frontiers in Psychiatry, 5(80), 1–11.
go back to reference Cohen, H., Kotler, M., Matar, M. A., Kaplan, Z., Miodownik, H., & Cassuto, Y. (1997). Power spectral analysis of heart rate variability in posttraumatic stress disorder patients. Biological Psychiatry, 41, 627–629. CrossRefPubMed Cohen, H., Kotler, M., Matar, M. A., Kaplan, Z., Miodownik, H., & Cassuto, Y. (1997). Power spectral analysis of heart rate variability in posttraumatic stress disorder patients. Biological Psychiatry, 41, 627–629. CrossRefPubMed
go back to reference Cohen, H., Kotler, M., Matar, M. A., Kaplan, Z., Lowenthal, U., Miodownik, H., & Cassuto, Y. (1998). Analysis of heart rate variability in posttraumatic stress disorder patients in response to a trauma-related reminder. Biological Psychiatry, 44, 1054–1059. CrossRefPubMed Cohen, H., Kotler, M., Matar, M. A., Kaplan, Z., Lowenthal, U., Miodownik, H., & Cassuto, Y. (1998). Analysis of heart rate variability in posttraumatic stress disorder patients in response to a trauma-related reminder. Biological Psychiatry, 44, 1054–1059. CrossRefPubMed
go back to reference Conrad, M., Gorka, S. M., & Kassel, J. (2015). Smoking’s effects on respiratory sinus arrhythmia in adolescent smokers. International Journal of Psychophysiology, 97, 8–13. CrossRefPubMedPubMedCentral Conrad, M., Gorka, S. M., & Kassel, J. (2015). Smoking’s effects on respiratory sinus arrhythmia in adolescent smokers. International Journal of Psychophysiology, 97, 8–13. CrossRefPubMedPubMedCentral
go back to reference Dawson, D. A., Grant, B. F., Stinson, F. S., Chou, P. S., Huang, B., & Ruan, W. (2005). Recovery from DSM-IV alcohol dependence: United States, 2001–2002. Addiction, 100(3), 281–292. CrossRefPubMed Dawson, D. A., Grant, B. F., Stinson, F. S., Chou, P. S., Huang, B., & Ruan, W. (2005). Recovery from DSM-IV alcohol dependence: United States, 2001–2002. Addiction, 100(3), 281–292. CrossRefPubMed
go back to reference Diagnostic and statistical manual of mental disorders: DSM-5. (2013). Washington DC: American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-5. (2013). Washington DC: American Psychiatric Association.
go back to reference Ditto, B., Eclache, M., & Goldman, N. (2006). Short-term autonomic and cardiovascular effects of mindfulness body scan meditation. Annals of Behavioral Medicine, 32(3), 227–234. CrossRefPubMed Ditto, B., Eclache, M., & Goldman, N. (2006). Short-term autonomic and cardiovascular effects of mindfulness body scan meditation. Annals of Behavioral Medicine, 32(3), 227–234. CrossRefPubMed
go back to reference Fox, H. C., & Sinha, R. (2009). Sex differences in drug-related stress-system changes: implications for treatment in substance-abusing women. Harvard Review of Psychiatry, 17, 103–119. CrossRefPubMedPubMedCentral Fox, H. C., & Sinha, R. (2009). Sex differences in drug-related stress-system changes: implications for treatment in substance-abusing women. Harvard Review of Psychiatry, 17, 103–119. CrossRefPubMedPubMedCentral
go back to reference Friedman, B., & Thayer, J. F. (1998). Autonomic balance revisited: panic anxiety and heart rate variability. Journal of Psychiatric Research, 44, 133–151. Friedman, B., & Thayer, J. F. (1998). Autonomic balance revisited: panic anxiety and heart rate variability. Journal of Psychiatric Research, 44, 133–151.
go back to reference Gronwall, D. M. A. (1977). Paced auditory serial-addition task: a measure of recovery from concussion. Perceptual and Motor Skills, 44, 367–373. CrossRefPubMed Gronwall, D. M. A. (1977). Paced auditory serial-addition task: a measure of recovery from concussion. Perceptual and Motor Skills, 44, 367–373. CrossRefPubMed
go back to reference Grossman, P., & Taylor, E. W. (2007). Toward understanding respiratory sinus arrhythmia: relations to cardiac vagal tone, evolution and biobehavioral functions. Biological Psychology, 74, 263–285. CrossRefPubMed Grossman, P., & Taylor, E. W. (2007). Toward understanding respiratory sinus arrhythmia: relations to cardiac vagal tone, evolution and biobehavioral functions. Biological Psychology, 74, 263–285. CrossRefPubMed
go back to reference Kabat-Zinn, J. (1990). Full catastrophe living: using the wisdom of your mind and body to face stress, pain, and illness. New York: Delacorte. Kabat-Zinn, J. (1990). Full catastrophe living: using the wisdom of your mind and body to face stress, pain, and illness. New York: Delacorte.
go back to reference Koob, G. F. (2008). A role for brain stress systems in addiction. Psychology, 83, 84–92. Koob, G. F. (2008). A role for brain stress systems in addiction. Psychology, 83, 84–92.
go back to reference Marlatt, G. A., & Donovan, D. M. (2005). Relapse prevention: maintenance strategies in the treatment of addictive behaviors. New York: Guilford. Marlatt, G. A., & Donovan, D. M. (2005). Relapse prevention: maintenance strategies in the treatment of addictive behaviors. New York: Guilford.
go back to reference Marlatt, G. A., & Gordon, J. R. (1985). Relapse prevention: a self-control strategy for the maintenance of behavior change. New York: Guilford. Marlatt, G. A., & Gordon, J. R. (1985). Relapse prevention: a self-control strategy for the maintenance of behavior change. New York: Guilford.
go back to reference McLellan, A. T., Lewis, D. C., O’Brien, C. P., & Kleber, H. D. (2000). Drug dependence, a chronic medical illness: implications for treatment, insurance, and outcomes evaluation. JAMA, 284, 1689–1695. CrossRefPubMed McLellan, A. T., Lewis, D. C., O’Brien, C. P., & Kleber, H. D. (2000). Drug dependence, a chronic medical illness: implications for treatment, insurance, and outcomes evaluation. JAMA, 284, 1689–1695. CrossRefPubMed
go back to reference Middleton, H. C., & Ashby, M. (1995). Clinical recovery from panic disorder is associated with evidence of changes in cardiovascular regulation. Acta Psychiatrica Scandinavica, 91, 108–113. CrossRefPubMed Middleton, H. C., & Ashby, M. (1995). Clinical recovery from panic disorder is associated with evidence of changes in cardiovascular regulation. Acta Psychiatrica Scandinavica, 91, 108–113. CrossRefPubMed
go back to reference Minami, J., Ishimitsu, T., & Matsuoka, H. (1999). Effects of smoking cessation on blood pressure and heart rate variability in habitual smokers. Hypertension, 33(1), 586–590. CrossRefPubMed Minami, J., Ishimitsu, T., & Matsuoka, H. (1999). Effects of smoking cessation on blood pressure and heart rate variability in habitual smokers. Hypertension, 33(1), 586–590. CrossRefPubMed
go back to reference Otto, M., Powers, M., & Fischmann, D. (2005). Emotional exposure in the treatment of substance use disorders: conceptual model, evidence, and future directions. Clinical Psychology Review, 25, 824–839. CrossRefPubMed Otto, M., Powers, M., & Fischmann, D. (2005). Emotional exposure in the treatment of substance use disorders: conceptual model, evidence, and future directions. Clinical Psychology Review, 25, 824–839. CrossRefPubMed
go back to reference Porges, S. W. (2005). A phylogenetic perspective. In C. S. Carter, L. Ahnert, K. E. Grossmann, & S. B. Hrdy (Eds.), Attachment and bonding: A new synthesis (pp. 33–54). Cambridge: MIT Press. Porges, S. W. (2005). A phylogenetic perspective. In C. S. Carter, L. Ahnert, K. E. Grossmann, & S. B. Hrdy (Eds.), Attachment and bonding: A new synthesis (pp. 33–54). Cambridge: MIT Press.
go back to reference Quintana, D. S., Guastella, A. J., McGregor, I. S., Hickie, I. B., & Kemp, A. H. (2013). Heart rate variability predicts alcohol craving in alcohol dependent outpatients: further evidence for HRV as a psychophysiological marker of self-regulation. Drug and Alcohol Dependence, 132, 395–398. CrossRefPubMed Quintana, D. S., Guastella, A. J., McGregor, I. S., Hickie, I. B., & Kemp, A. H. (2013). Heart rate variability predicts alcohol craving in alcohol dependent outpatients: further evidence for HRV as a psychophysiological marker of self-regulation. Drug and Alcohol Dependence, 132, 395–398. CrossRefPubMed
go back to reference Rehm, J., Mathers, C., Popova, S., Thavorncharoensap, M., Teerawattananon, Y., & Patra, J. (2009). Global burden of disease and injury and economic cost attributable to alcohol use and alcohol-use disorders. The Lancet, 373, 2223–2233. CrossRef Rehm, J., Mathers, C., Popova, S., Thavorncharoensap, M., Teerawattananon, Y., & Patra, J. (2009). Global burden of disease and injury and economic cost attributable to alcohol use and alcohol-use disorders. The Lancet, 373, 2223–2233. CrossRef
go back to reference Results from the 2009 National Survey on Drug Use and Health: Volume I. Summary of national findings. Office of Applied Studies, NSDUH Series H-38A, HHS. (2010) (Vol. Publication, No. SMA 10–4586). Rockville, MD: SAMSHA. Results from the 2009 National Survey on Drug Use and Health: Volume I. Summary of national findings. Office of Applied Studies, NSDUH Series H-38A, HHS. (2010) (Vol. Publication, No. SMA 10–4586). Rockville, MD: SAMSHA.
go back to reference Rossy, L. A., & Thayer, J. F. (1998). Fitness and gender-related differences in heart period variability. Psychosomatic Medicine, 60(6), 773–781. CrossRefPubMed Rossy, L. A., & Thayer, J. F. (1998). Fitness and gender-related differences in heart period variability. Psychosomatic Medicine, 60(6), 773–781. CrossRefPubMed
go back to reference Sarang, P., & Telles, S. (2006). Effects of two yoga based relaxation techniques on heart rate variability (HRV). International Journal of Stress Management, 13, 460–475. CrossRef Sarang, P., & Telles, S. (2006). Effects of two yoga based relaxation techniques on heart rate variability (HRV). International Journal of Stress Management, 13, 460–475. CrossRef
go back to reference Sato, N., Miyake, S., Akatsu, J. L., & Kumashiro, M. (1995). Power spectral analysis of heart rate variability in healthy young women during the normal menstrual cycle. Psychosomatic Medicine, 57, 331–335. CrossRefPubMed Sato, N., Miyake, S., Akatsu, J. L., & Kumashiro, M. (1995). Power spectral analysis of heart rate variability in healthy young women during the normal menstrual cycle. Psychosomatic Medicine, 57, 331–335. CrossRefPubMed
go back to reference Sinha, R. (2007). The role of stress in addiction relapse. Current Psychiatry Reports, 9, 388–395. CrossRefPubMed Sinha, R. (2007). The role of stress in addiction relapse. Current Psychiatry Reports, 9, 388–395. CrossRefPubMed
go back to reference Sinha, R., & O’Malley, S. (1999). Craving for alcohol: findings from the clinic and the laboratory. Alcohol and Alcoholism, 34, 223–230. CrossRefPubMed Sinha, R., & O’Malley, S. (1999). Craving for alcohol: findings from the clinic and the laboratory. Alcohol and Alcoholism, 34, 223–230. CrossRefPubMed
go back to reference Spielberger, C. D., Gorsuch, R. L., & Lushene, R. E. (1982). Manual for the STAI. Spielberger, C. D., Gorsuch, R. L., & Lushene, R. E. (1982). Manual for the STAI.
go back to reference Tang, Y.-Y., Ma, Y., Fan, Y., Feng, H., Wang, J., Feng, S., … ... & Zhang, Y. (2009). Central and autonomic nervous system interaction is altered by short-term meditation. Proceedings of the National Academy of Sciences, 106(22), 8865–8870. Tang, Y.-Y., Ma, Y., Fan, Y., Feng, H., Wang, J., Feng, S., … ... & Zhang, Y. (2009). Central and autonomic nervous system interaction is altered by short-term meditation. Proceedings of the National Academy of Sciences, 106(22), 8865–8870.
go back to reference Thayer, J. F., & Lane, R. D. (2000). A model of neurovisceral integration in emotion regulation and dysregulation. Journal of Affective Disorders, 61, 201–216. CrossRefPubMed Thayer, J. F., & Lane, R. D. (2000). A model of neurovisceral integration in emotion regulation and dysregulation. Journal of Affective Disorders, 61, 201–216. CrossRefPubMed
go back to reference Thayer, J. F., Friedman, B., & Borkovec, T. (1996). Autonomic characteristics of genderalized anxiety disorder and worry. Biological Psychiatry, 39, 255–266. CrossRefPubMed Thayer, J. F., Friedman, B., & Borkovec, T. (1996). Autonomic characteristics of genderalized anxiety disorder and worry. Biological Psychiatry, 39, 255–266. CrossRefPubMed
go back to reference Thayer, J. F., Ahs, F., Fredrikson, M., Sollers, J., & Wagner, T. (2012). A meta-analysis of heart rate variability and neuroimaging studies: implications for heart rate variability as a marker of stress and health. Neuroscience & Biobehavioral Reviews, 36, 747–756. CrossRef Thayer, J. F., Ahs, F., Fredrikson, M., Sollers, J., & Wagner, T. (2012). A meta-analysis of heart rate variability and neuroimaging studies: implications for heart rate variability as a marker of stress and health. Neuroscience & Biobehavioral Reviews, 36, 747–756. CrossRef
go back to reference Witkiewitz, K., Bowen, S., Douglas, H., & Hsu, S. H. (2013). Mindfulness-based relapse prevention for substance craving. Addictive Behaviors, 38, 1563–1571. CrossRefPubMed Witkiewitz, K., Bowen, S., Douglas, H., & Hsu, S. H. (2013). Mindfulness-based relapse prevention for substance craving. Addictive Behaviors, 38, 1563–1571. CrossRefPubMed
Metagegevens
Titel
Mindfulness-Based Relapse Prevention for Substance Use Disorders: Effects on Cardiac Vagal Control and Craving Under Stress
Auteurs
Haley Carroll
M. Kathleen B. Lustyk
Publicatiedatum
30-08-2017
Uitgeverij
Springer US
Gepubliceerd in
Mindfulness / Uitgave 2/2018
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI
https://doi.org/10.1007/s12671-017-0791-1