Mindfulness Based Relapse Prevention: Efficacy and Mechanisms
| Status: | Archived |
|---|---|
| Conditions: | Psychiatric |
| Therapuetic Areas: | Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | Any |
| Updated: | 7/1/2011 |
| Start Date: | October 2009 |
| End Date: | July 2011 |
The broad, long-term objective of the proposed randomized clinical trial is to evaluate the
efficacy, moderators and mechanisms of change of two cognitive-behavioral aftercare
treatments for alcohol and other drug (AOD) use disorders in preventing AOD relapse compared
to treatment as usual (TAU) offered in the community. The two cognitive-behavioral aftercare
treatments are relapse prevention (RP) and Mindfulness-Based Relapse Prevention (MBRP),
which integrates mindfulness meditation and RP aftercare components.
Relapse to alcohol and other drug use (AOD) following treatment continues to be a costly
problem for individual, society, and the substance abuse treatment community, and thus
warrants the continued development of innovative and efficacious interventions designed to
prevent AOD relapse. Mindfulness based relapse prevention (MBRP; Bowen, Chawla, & Marlatt,
2008) is one such promising intervention: it incorporates mindfulness meditation on the
foundation of cognitive-behavioral relapse prevention (RP;Daley & Marlatt, 2006). RP is an
established substance abuse treatment, yet as treatment developers, we believe RP can
continue to be enhanced. Based on the results of an initial pilot trial, MBRP has
demonstrated both feasibility and empirical promise as an aftercare treatment for AOD
disorders in further enhancing long-term behavior change and reducing risk of relapse and
related consequences. In the proposed study, MBRP and RP will be compared to the treatment
as usual (TAU) as delivered by the Recovery Centers of King County (RCKC), in a population
of individuals who have received community-based intensive inpatient (IP) or outpatient
(IOP) treatment. RCKC is a community treatment agency that provides a range of addiction
treatment services and has previously supported our efforts to recruit and retain sufficient
numbers of the target population. The proposed study will examine whether structured
mindfulness practice results in fewer AOD use days and fewer problems related to AOD use
compared to TAU over a longer-term followup than in the previous pilot study. Given the high
prevalence of AOD abuse in the population and the high rates of relapse following AOD
treatment, the proposed research will provide a valuable next step in evaluating the
efficacy of MBRP as an aftercare treatment for AOD disorders and in understanding the
mechanisms of treatment efficacy. To our knowledge, no prior substance abuse treatment
studies have evaluated the effect of adding a mindfulness-based component (e.g., MBRP) to an
existing empirically supported treatment (i.e., RP).
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