Mindful Awareness in Body-Oriented Therapy for Women's Substance Abuse Treatment
| Status: | Completed |
|---|---|
| Conditions: | Psychiatric |
| Therapuetic Areas: | Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 11/21/2018 |
| Start Date: | October 2008 |
| End Date: | March 2011 |
The primary purpose of this exploratory and developmental study is to evaluate a mind-body
intervention for relapse prevention for women in addiction treatment. The proposed
intervention, Mindful Awareness in Body-Oriented Therapy (MABT), is a novel mind-body
intervention designed to enhance embodiment and to facilitate mindfulness through the
combination of massage, body awareness exercises and the acquisition of mindfulness skills.
The treatment goals of MABT include reduction of avoidant coping responses, increase of
emotional-regulation, and decrease of trauma symptoms through access to and acceptance (vs.
avoidance) of sensory and emotional experience. These are thought to be important for relapse
prevention given the positive association between stress, negative affect and relapse; and
risk of relapse associated with PTSD symptoms. Mind-body interventions in relapse prevention
are of increased clinical and scientific interest, particularly for the potential to overcome
automatic response patterns that are associated with lapse and relapse in substance use
treatment. This proposal falls within the current NIDA research portfolio focus on the
development of interventions that will help people better cope with stress, negative affect,
and trauma.
Specific Aims:
- Aim 1: To examine feasibility of recruitment to and retention in MABT as an adjunct to
substance abuse treatment. Specifically, to describe a) study enrollment and barriers to
recruitment, b) sample characteristics, c) response to randomization, d) session
attendance, and e) loss to follow-up.
- Aim 2: To describe MABT acceptability to study participants and substance abuse
treatment staff.
- Aim 3: To compare the effect of body-oriented therapy plus treatment-as-usual vs.
treatment-as-usual only on reported days abstinent for overall substance use and primary
drug use among women receiving substance abuse treatment, in order to estimate the
effect size. Secondary analyses will examine for intervention effects on related
outcomes including days abstinence on biochemical screens for substance use, body
connection indicators, avoidant coping, stress reactivity, co-morbid psychological
distress, and physical well-being.
intervention for relapse prevention for women in addiction treatment. The proposed
intervention, Mindful Awareness in Body-Oriented Therapy (MABT), is a novel mind-body
intervention designed to enhance embodiment and to facilitate mindfulness through the
combination of massage, body awareness exercises and the acquisition of mindfulness skills.
The treatment goals of MABT include reduction of avoidant coping responses, increase of
emotional-regulation, and decrease of trauma symptoms through access to and acceptance (vs.
avoidance) of sensory and emotional experience. These are thought to be important for relapse
prevention given the positive association between stress, negative affect and relapse; and
risk of relapse associated with PTSD symptoms. Mind-body interventions in relapse prevention
are of increased clinical and scientific interest, particularly for the potential to overcome
automatic response patterns that are associated with lapse and relapse in substance use
treatment. This proposal falls within the current NIDA research portfolio focus on the
development of interventions that will help people better cope with stress, negative affect,
and trauma.
Specific Aims:
- Aim 1: To examine feasibility of recruitment to and retention in MABT as an adjunct to
substance abuse treatment. Specifically, to describe a) study enrollment and barriers to
recruitment, b) sample characteristics, c) response to randomization, d) session
attendance, and e) loss to follow-up.
- Aim 2: To describe MABT acceptability to study participants and substance abuse
treatment staff.
- Aim 3: To compare the effect of body-oriented therapy plus treatment-as-usual vs.
treatment-as-usual only on reported days abstinent for overall substance use and primary
drug use among women receiving substance abuse treatment, in order to estimate the
effect size. Secondary analyses will examine for intervention effects on related
outcomes including days abstinence on biochemical screens for substance use, body
connection indicators, avoidant coping, stress reactivity, co-morbid psychological
distress, and physical well-being.
Inclusion Criteria:
- Female
- enrolled in weeks 1-3 of Residence XII inpatient program
- plans continued out-patient treatment at Residence XII
- willing to sign release to contact the Residence XII mental health therapist in the
case of concern regarding participant safety and well being
- willing to forgo (non-study) body therapy between baseline and post-intervention
assessment (3 months)
- willing to accept random assignment to study treatment conditions
Exclusion Criteria:
- Current domestic violence
- Pregnant
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