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09-07-2022 | ORIGINAL PAPER

Self-Efficacy as a Potential Mechanism of Behavior Change in Mindfulness-Based Relapse Prevention

Auteurs: David I. K. Moniz-Lewis, Elena R. Stein, Sarah Bowen, Katie Witkiewitz

Gepubliceerd in: Mindfulness | Uitgave 9/2022

Abstract

Objectives

Self-efficacy, the belief in one’s ability to moderate or abstain from heavy drinking and drug use, predicts outcomes following substance use disorder (SUD) treatment. The current study examined whether self-efficacy was associated with treatment outcomes in a trial of mindfulness-based relapse prevention (MBRP), cognitive-behavioral relapse prevention (RP), and treatment as usual (TAU). We hypothesized self-efficacy would mediate the effects of treatment on substance use outcomes.

Methods

Secondary analyses of a randomized clinical trial of MBRP, RP, versus TAU among individuals with SUD in an aftercare setting (n = 286; 71.5% male; 42.1% non-White) were performed. Change in self-efficacy, measured via the Drug Taking Confidence Questionnaire at baseline, post-treatment, 6-month follow-up, and 12-month follow-up, was examined using latent growth mediation models on 12-month heavy drinking and drug use.

Results

Greater self-efficacy at post-treatment and increases in self-efficacy over time predicted a significantly higher probability of no drug use and no heavy drinking at 12-month follow-up. Greater self-efficacy at post-treatment was also associated with significantly fewer days of heavy drinking among those who drank, and mediated the association between treatment condition and probability of no drug use and fewer heavy drinking days at 12-month follow-up. Those who received MBRP had the highest self-efficacy at post-treatment, which was associated with greater probability of no drug use and fewer heavy drinking days.

Conclusions

Self-efficacy is an important treatment target for individuals with SUD. These results highlight the potential utility of MBRP in improving self-efficacy and suggest self-efficacy may be one mechanism by which MBRP is effective.

Parent Trial Registration

https://ClinicalTrials.gov; registration number: NCT01159535.

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Titel: Self-Efficacy as a Potential Mechanism of Behavior Change in Mindfulness-Based Relapse Prevention
Auteurs: David I. K. Moniz-Lewis
Elena R. Stein
Sarah Bowen
Katie Witkiewitz
Publicatiedatum: 09-07-2022
Uitgeverij: Springer US
Gepubliceerd in: Mindfulness / Uitgave 9/2022
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI: https://doi.org/10.1007/s12671-022-01946-z

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