Cynthia J Price1, Elaine Adams Thompson2, Sheila Crowell3, Kenneth Pike2. 1. Department of Biobehavioral Nursing and Health Informatics, University of Washington, Seattle, WA 98195, USA. Electronic address: cynthiap@uw.edu. 2. Department of Psychosocial and Community Health Nursing, University of Washington, Seattle, WA 98195, USA. 3. Department of Psychology, University of Utah, Salt Lake City, UT, 84112, USA.
Abstract
BACKGROUND: Training in interoceptive awareness is a promising behavioral approach for improving substance use disorder (SUD) treatment. This study examined the longitudinal effects of Mindful Awareness in Body-oriented Therapy (MABT) as an adjunct to women's SUD treatment. MABT teaches interoceptive awareness skills to promote self-care and emotion regulation. METHODS:Women in intensive outpatient treatment for SUD at three community clinics were recruited and randomly assigned to one of three study conditions Treatment as Usual (TAU) + MABT, TAU + Women's Health Education (WHE), and TAU only. Four assessments were delivered over one year (N = 187) baseline, 3, 6 and 12 months to examine primary outcome of percent days abstinent from substance use, and secondary outcomes of emotion dysregulation, craving, psychological distress, mindfulness and interoceptive awareness. Changes in outcomes across time were assessed using multilevel mixed effects linear regression. RESULTS: Substance use improved significantly for MABT vs. TAU at 6 months and 12 months. Positive longitudinal effects on secondary outcomes for MABT were evident on respiratory sinus arrhythmia (RSA), a physiological index of emotion regulation; on craving; and on interoceptive awareness skills. Analyses based on participants who completed >75% of the intervention sessions revealed additional immediate significant improvements for MABT vs. TAU and WHE on depressive symptoms and emotion regulation difficulties and longitudinal improvement on mindfulness skills. CONCLUSIONS: Results show MABT to be efficacious for longitudinal health outcomes to support women's recovery as an adjunct to community-based SUD treatment.
RCT Entities:
BACKGROUND: Training in interoceptive awareness is a promising behavioral approach for improving substance use disorder (SUD) treatment. This study examined the longitudinal effects of Mindful Awareness in Body-oriented Therapy (MABT) as an adjunct to women's SUD treatment. MABT teaches interoceptive awareness skills to promote self-care and emotion regulation. METHODS:Women in intensive outpatient treatment for SUD at three community clinics were recruited and randomly assigned to one of three study conditions Treatment as Usual (TAU) + MABT, TAU + Women's Health Education (WHE), and TAU only. Four assessments were delivered over one year (N = 187) baseline, 3, 6 and 12 months to examine primary outcome of percent days abstinent from substance use, and secondary outcomes of emotion dysregulation, craving, psychological distress, mindfulness and interoceptive awareness. Changes in outcomes across time were assessed using multilevel mixed effects linear regression. RESULTS: Substance use improved significantly for MABT vs. TAU at 6 months and 12 months. Positive longitudinal effects on secondary outcomes for MABT were evident on respiratory sinus arrhythmia (RSA), a physiological index of emotion regulation; on craving; and on interoceptive awareness skills. Analyses based on participants who completed >75% of the intervention sessions revealed additional immediate significant improvements for MABT vs. TAU and WHE on depressive symptoms and emotion regulation difficulties and longitudinal improvement on mindfulness skills. CONCLUSIONS: Results show MABT to be efficacious for longitudinal health outcomes to support women's recovery as an adjunct to community-based SUD treatment.
Authors: J Hayano; Y Sakakibara; A Yamada; M Yamada; S Mukai; T Fujinami; K Yokoyama; Y Watanabe; K Takata Journal: Am J Cardiol Date: 1991-01-15 Impact factor: 2.778
Authors: Norman Farb; Jennifer Daubenmier; Cynthia J Price; Tim Gard; Catherine Kerr; Barnaby D Dunn; Anne Carolyn Klein; Martin P Paulus; Wolf E Mehling Journal: Front Psychol Date: 2015-06-09
Authors: Margaret M Gorvine; Tiffany F Haynes; S Alexandra Marshall; Cari J Clark; Nakita N Lovelady; Nickolas D Zaller Journal: Integr Med (Encinitas) Date: 2021-06
Authors: Simon B Goldberg; Brian Pace; Matas Griskaitis; Reinhard Willutzki; Nicole Skoetz; Sven Thoenes; Aleksandra E Zgierska; Susanne Rösner Journal: Cochrane Database Syst Rev Date: 2021-10-20
Authors: Marius Schmitz; Katja Bertsch; Annette Löffler; Sylvia Steinmann; Sabine C Herpertz; Robin Bekrater-Bodmann Journal: Borderline Personal Disord Emot Dysregul Date: 2021-05-17
Authors: Madison Niermeyer; Douglas Ball; Michael Green; Bradley Jensen; Laura Pace; Robert Shingleton; Bradley Fawver; Stephen K Trapp Journal: Transl Behav Med Date: 2021-10-23 Impact factor: 3.626
Authors: Helen Y Weng; Jack L Feldman; Lorenzo Leggio; Vitaly Napadow; Jeanie Park; Cynthia J Price Journal: Trends Neurosci Date: 2021-01 Impact factor: 16.978
Authors: Paweł Wiśniewski; Pierre Maurage; Andrzej Jakubczyk; Elisa M Trucco; Hubert Suszek; Maciej Kopera Journal: Prog Neuropsychopharmacol Biol Psychiatry Date: 2021-07-03 Impact factor: 5.067
Authors: Lydia Brown; Alora A Rando; Kristina Eichel; Nicholas T Van Dam; Christopher M Celano; Jeff C Huffman; Meg E Morris Journal: Psychosom Med Date: 2021 Jul-Aug 01 Impact factor: 4.312