Mindfulness Training and Stress Reactivity in Substance Abuse: Results from a Randomized, Controlled Stage I Pilot Study
- 1 October 2009
- journal article
- research article
- Published by SAGE Publications in Substance Abuse
- Vol. 30 (4), 306-317
- https://doi.org/10.1080/08897070903250241
Abstract
Stress is important in substance use disorders (SUDs). Mindfulness training (MT) has shown promise for stress-related maladies. No studies have compared MT to empirically validated treatments for SUDs. The goals of this study were to assess MT compared to cognitive behavioral therapy (CBT) in substance use and treatment acceptability, and specificity of MT compared to CBT in targeting stress reactivity. Thirty-six individuals with alcohol and/or cocaine use disorders were randomly assigned to receive group MT or CBT in an outpatient setting. Drug use was assessed weekly. After treatment, responses to personalized stress provocation were measured. Fourteen individuals completed treatment. There were no differences in treatment satisfaction or drug use between groups. The laboratory paradigm suggested reduced psychological and physiological indices of stress during provocation in MT compared to CBT. This pilot study provides evidence of the feasibility of MT in treating SUDs and suggests that MT may be efficacious in targeting stress.Keywords
This publication has 53 references indexed in Scilit:
- Pretreatment Brain Activation During Stroop Task Is Associated with Outcomes in Cocaine-Dependent PatientsBiological Psychiatry, 2008
- Enhanced Negative Emotion and Alcohol Craving, and Altered Physiological Responses Following Stress and Cue Exposure in Alcohol Dependent IndividualsNeuropsychopharmacology, 2008
- A Pilot Study Comparing the Effects of Mindfulness-Based and Cognitive-Behavioral Stress ReductionThe Journal of Alternative and Complementary Medicine, 2008
- Effects of gender and cigarette smoking on reactivity to psychological and pharmacological stress provocationPsychoneuroendocrinology, 2008
- Construct Validity of the Five Facet Mindfulness Questionnaire in Meditating and Nonmeditating SamplesAssessment, 2008
- The role of thought suppression in the relationship between mindfulness meditation and alcohol useAddictive Behaviors, 2007
- Protection and Damage from Acute and Chronic Stress: Allostasis and Allostatic Overload and Relevance to the Pathophysiology of Psychiatric DisordersAnnals of the New York Academy of Sciences, 2004
- Buddhist philosophy and the treatment of addictive behaviorCognitive and Behavioral Practice, 2002
- Metacognitive awareness and prevention of relapse in depression: Empirical evidence.Journal of Consulting and Clinical Psychology, 2002
- Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy.Journal of Consulting and Clinical Psychology, 2000