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High-quantity and frequency alcohol use is associated with a variety of negative consequences and outcomes. While treatment approaches that emphasize effective coping and self-efficacy have yielded favorable abstinence and reduction rates, relapse continues to be prevalent in this population. A common predictor of adolescent relapse is high-intensity urges to use alcohol. Therefore, it is important to identify effective coping skills that combat alcohol-related urges in order to improve the effectiveness of alcohol treatments. Urge surfing is a mindfulness skill that promotes attending to cravings and urges in high-risk situations rather than avoiding them. Urge surfing is supported as an effective coping skill for adult alcohol, tobacco, and other drug use; however, research on urge surfing with adolescent alcohol users is limited. This study investigated the utility of adding urge surfing as aftercare following a school-based intervention. Hypotheses predicted that urge surfing provided as aftercare to a standard alcohol treatment intervention would continue to improve alcohol use outcomes (e.g., reduced frequency and quantity) as compared to waitlist control. Sixty-seven adolescents (aged 14–18; M = 16.34, SD = 1.07) were randomly assigned to waitlist control (n = 31) or 4 weeks of urge surfing (n = 36). Participants represented a variety of ethnic backgrounds including Caucasian (64 %), Asian/Pacific Islander (12 %), Hispanic (9 %), multiethnic (9 %), African American (4 %), and Native American (2 %). Adolescents completed pre- and posttest assessments for alcohol quantity and frequency. Repeated measures design evaluated differences for alcohol use outcomes. Results indicated significant treatment effects for alcohol frequency, Wilks’ ∧ = .95, F(1, 52) = 3.00, p = .08, multivariate η 2 = .06 and quantity, Wilks’ ∧ = .95, F(1, 52) = 2.67, p = .10, multivariate η 2 = .05. Results suggest that urge surfing improved effectiveness of alcohol use outcomes when provided as aftercare.
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Arata, C. M., Stafford, J., & Tims, M. (2003). High school drinking and its consequences. Adolescence, 38(151), 567–579. PubMed
Bowen, S., Witkiewitz K., Clifasefi S. L., Grow J., Chawla N., Hsu S. H., … Larimer M. (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), 547–56.
Brown, S. A., Myers, M. G., Lippke, L., Tapert, S. F., Stewart, D. G., & Vik, P. W. (1998). Psychometric evaluation of the customary drinking and drug use record (CDDR): a measure of adolescent alcohol and drug involvement. Journal of Studies on Alcohol, 59(4), 427–438.
Himelstein, S., Saul, S., & Garcia-Romeu, A. (2015). Does mindfulness meditation increase effectiveness of substance abuse treatment with incarcerated youth? A pilot randomized controlled trial. Mindfulness, 6, 1472–1480. doi: 10.1007/s12671-015-0431-6.
Lloyd, A. (2003). Urge surfing. In W. T. O’ Donohue, J. E. Fisher, & S. C. Hayes (Eds.), Cognitive behavior therapy: applying empirically supported techniques in your practice (pp. 451–455). Hoboken, NJ, US: John Wiley & Sons Inc.
Marlatt, G. A., & Gordon, J. R. (Eds.). (1985). Relapse prevention: maintenance in the treatment of addictive behaviors. New York: Guilford Press.
Marlatt, G. A. (1994). Addiction, mindfulness, and acceptance. In S. C. Hayes, N. S. Jacobson, V. M. Follette, & M. J. Dougher (Eds.), Acceptance and change: content and context in psychotherapy (pp. 175–197). Reno, NV: Context Press.
Witkiewitz, K., Marlatt, G. A., & Walker, D. (2005). Mindfulness-based relapse prevention for alcohol and substance use disorders. Journal of Cognitive Psychotherapy: In International Quarterly, 19(3), 211–228. CrossRef
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(3), 165–173. doi: 10.1097/ADM.0b013e31816f8546.
- Urge Surfing as Aftercare in Adolescent Alcohol Use: a Randomized Control Trial
Jennifer S. Harris
David G. Stewart
Brayden C. Stanton
- Springer US