Depression, Craving, and Substance Use Following a Randomized Trial of Mindfulness-Based Relapse Prevention

Autor/inn/en	Witkiewitz, Katie; Bowen, Sarah
Titel	Depression, Craving, and Substance Use Following a Randomized Trial of Mindfulness-Based Relapse Prevention
Quelle	In: Journal of Consulting and Clinical Psychology, 78 (2010) 3, S.362-374 (13 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0022-006X
DOI	10.1037/a0019172
Schlagwörter	Control Groups; Substance Abuse; Intervention; Prevention; Depression (Psychology); Symptoms (Individual Disorders); Prediction; Outcomes of Treatment; Alcohol Abuse; Cognitive Restructuring; Behavior Modification; Therapy; Metacognition; Rehabilitation; Beck Depression Inventory + Suchen Sie Ihr Suchwort? Drug use; Drug consomption; Drogenkonsum; Prävention; Vorbeugung; Psychiatrische Symptomatik; Vorhersage; Behaviour modification; Verhaltensänderung; Therapie; Meta cognitive ability; Meta-cognition; Metakognitive Fähigkeit; Metakognition
Abstract	Objective: A strong relation between negative affect and craving has been demonstrated in laboratory and clinical studies, with depressive symptomatology showing particularly strong links to craving and substance abuse relapse. Mindfulness-based relapse prevention (MBRP), shown to be efficacious for reduction of substance use, uses mindfulness-based practices to teach alternative responses to emotional discomfort and lessen the conditioned response of craving in the presence of depressive symptoms. The goal in the current study was to examine the relation between measures of depressive symptoms, craving, and substance use following MBRP. Method: Individuals with substance use disorders (N = 168; mean age 40.45 years, SD = 10.28; 36.3% female; 46.4% non-White) were recruited after intensive stabilization, then randomly assigned to either 8 weekly sessions of MBRP or a treatment-as-usual control group. Approximately 73% of the sample was retained at the final 4-month follow-up assessment. Results: Results confirmed a moderated-mediation effect, whereby craving mediated the relation between depressive symptoms (Beck Depression Inventory) and substance use (Timeline Follow-Back) among the treatment-as-usual group but not among MBRP participants. MBRP attenuated the relation between postintervention depressive symptoms and craving (Penn Alcohol Craving Scale) 2 months following the intervention (f[superscript 2] = 0.21). This moderation effect predicted substance use 4 months following the intervention (f[superscript 2] = 0.18). Conclusion: MBRP appears to influence cognitive and behavioral responses to depressive symptoms, partially explaining reductions in postintervention substance use among the MBRP group. Although results are preliminary, the current study provides evidence for the value of incorporating mindfulness practice into substance abuse treatment and identifies a potential mechanism of change following MBRP. (Contains 3 footnotes, 3 tables, and 4 figures.) (As Provided).
Anmerkungen	American Psychological Association. Journals Department, 750 First Street NE, Washington, DC 20002-4242. Tel: 800-374-2721; Tel: 202-336-5510; Fax: 202-336-5502; e-mail: order@apa.org; Web site: http://www.apa.org/publications
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10