Jordan P Davis1, Nicholas Barr1, Emily R Dworkin2, Tara M Dumas3, Benjamin Berey4, Graham DiGuiseppi1, Baruch Rael Cahn5. 1. Department of Children, Youth, and Families Suzanne Dworak-Peck School of Social Work, University of Southern California, 669 W 34th Street, Los Angeles, CA 90089, USA. 2. Center for the Study of Health and Risk Behaviors, University of Washington, Seattle, WA, USA. 3. Department of Psychology, Huron University College at Western University, London, ON, Canada. 4. Department of Health Education and Behavior, University of Florida, Gainesville, FL, USA. 5. Department of Psychiatry and Behavioral Sciences, Brain and Creativity Institute, USC Center for Mindfulness Science, University of Southern California, Los Angeles, CA, USA.
Abstract
OBJECTIVES: Impulsivity has been identified as an important construct in predicting the initiation and maintenance of substance use among at-risk populations. Interventions emphasizing mindfulness strategies appear particularly promising in reducing substance use and marking change in various aspects of impulsivity. METHODS: The current study used a rolling group mindfulness-based relapse prevention (MBRP) intervention for young adults in residential substance use disorder treatment. We examined change in impulsivity facets measured by the S-UPPS for youth randomly assigned to MBRP (n = 45) versus those assigned to treatment as usual plus 12 step/self-help (n = 34). We also examined how change in impulsivity mediated changes in substance use post-treatment. RESULTS: In general, results indicated that MBRP is effective at reducing facets of trait impulsivity in treatment-seeking individuals with SUDs. Only positive and negative urgency mediated the relation between treatment assignment and substance use. CONCLUSIONS: MBRP is a viable and useful intervention for young adults in residential treatment for substance use disorders and can aid in marked change in facets of impulsivity. Both positive and negative urgency were significant mechanisms of change in reducing substance use following treatment. Results are discussed focused on the utility of MRBP as a clinical intervention for at-risk, marginalized, and young adults.
OBJECTIVES: Impulsivity has been identified as an important construct in predicting the initiation and maintenance of substance use among at-risk populations. Interventions emphasizing mindfulness strategies appear particularly promising in reducing substance use and marking change in various aspects of impulsivity. METHODS: The current study used a rolling group mindfulness-based relapse prevention (MBRP) intervention for young adults in residential substance use disorder treatment. We examined change in impulsivity facets measured by the S-UPPS for youth randomly assigned to MBRP (n = 45) versus those assigned to treatment as usual plus 12 step/self-help (n = 34). We also examined how change in impulsivity mediated changes in substance use post-treatment. RESULTS: In general, results indicated that MBRP is effective at reducing facets of trait impulsivity in treatment-seeking individuals with SUDs. Only positive and negative urgency mediated the relation between treatment assignment and substance use. CONCLUSIONS: MBRP is a viable and useful intervention for young adults in residential treatment for substance use disorders and can aid in marked change in facets of impulsivity. Both positive and negative urgency were significant mechanisms of change in reducing substance use following treatment. Results are discussed focused on the utility of MRBP as a clinical intervention for at-risk, marginalized, and young adults.
Entities:
Keywords:
Addiction treatment; Drug use; Emotion regulation; Impulsivity; Mindfulness; Self-regulation
Authors: Jordan P Davis; Daniel Berry; Tara M Dumas; Ellen Ritter; Douglas C Smith; Christopher Menard; Brent W Roberts Journal: J Subst Abuse Treat Date: 2018-05-20
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