명상도서관
Unresolved Issues in the Application of Mindfulness-Based Interventions for Substance Use Disorders
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- 자료유형학술지논문
- 저자명Witkiewitz, Katie,Black, David S.
- 학회/출판사/기관명Informa Healthcare
- 출판년도2014
- 언어영어
- 학술지명/학위논문주기SUBSTANCE USE AND MISUSE
- 발행사항Vol.49No.5[2014]_x000D_
- ISBN/ISSN1082-6084
- 소개/요약The current special issue of Substance Use & Misuse on mindfulness-based interventions (MBIs) for substance use disorders includes several articles that highlight a growing area of interest among clinical researchers. Recently, Chiesa and Serretti (2013) provided an excellent systematic review of 24 studies that provide some evidence that MBIs predict greater reductions in alcohol, stimulants, marijuana, tobacco, and opiates, as compared to control groups, as well as reductions in craving and increases in mindfulness. Yet, the authors also identified several areas of weaknesses with regard to generalizability of the findings and confidence in many results given numerous methodological weaknesses (i.e., small sample sizes, methodological rigor). The authors called for replication of study findings and larger randomized controlled trials. Although not included in the Chiesa and Serretti (2013 review or the special issue, Bowen and her colleagues have recently completed the largest randomized controlled trial of an MBI for substance use disorders. Specifically, 286 individuals who had received community treatment (inpatient or intensive outpatient) were randomized to community aftercare (i.e., treatment as usual control), relapse prevention (i.e., active treatment control), or mindfulnessbased relapse prevention (MBRP, i.e., active treatment). Results indicated that both relapse prevention and MBRR were associated with better substance use outcomes (i.e., fewer drug use and heavy drinking days) at a six-month follow-up and that MBRP, but not relapse prevention, was association with better substance use outcomes at a 12month follow-up. Importantly the findings also replicated prior work conducted by the same research team (Bowen et al., 2010). As a next step for scientific study, it is critical that these findings be replicated by a separate research team.
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