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Third-Wave Behavioral Therapies for the Co-Occurrence of PTSD and Substance Use Disorders
Published in Anka A. Vujanovic, Sudie E. Back, Posttraumatic Stress and Substance Use Disorders, 2019
Christopher R. Berghoff, Matthew T. Tull
Another substance-oriented MBI is mindfulness-oriented recovery enhancement (MORE; Garland, 2013, 2016; Garland et al., 2014). MORE is a group intervention delivered over eight to ten sessions. Much like MBRP, the two-hour sessions include mindfulness training and didactic instruction that support the use of mindfulness skills for identification of triggers and cravings, as well as the development of acceptance. Mindfulness homework is brief (e.g., 15 minutes daily) compared to most other MBIs. MORE also implements cognitive restructuring training to improve regulation of negative emotions, as well as savoring strategies (e.g., mindfully focusing attention on positive emotional responses to rewarding experiences) designed to enhance positive emotions and salience of naturally occurring rewards.
Mindfulness Therapies for Food Addiction
Published in Joan Ifland, Marianne T. Marcus, Harry G. Preuss, Processed Food Addiction: Foundations, Assessment, and Recovery, 2017
Marcus (2015) reviewed the literature on mindfulness-based approaches to SUDs, including MBSR, MBCT, DBT, ACT and recent modifications developed specifically for substance-abusing populations, MBRP (Witkiewitz et al., 2005), mindfulness-based therapeutic community treatment (Marcus et al., 2009), and mindfulness-oriented recovery enhancement (Garland et al., 2010). The various psychological constructs targeted in these studies included stress, craving, acceptance, thought suppression, acting with awareness, emotional reactivity, and negative affect, characteristics that are also associated with food addiction and other eating disorders. Overall, the results of the studies reviewed indicated that mindfulness is promising for the treatment of SUDs, but more rigorous research is needed.
A Systematic Review of Psychosocial Interventions in Treatment of Opioid Addiction
Published in Journal of Social Work Practice in the Addictions, 2018
Several types of psychosocial interventions were compared within the various articles. All but one of the studies included in this review used random assignment to treatment conditions (Barry, Cutter, Beitel, Liong, & Schottenfeld, 2015). As seen in Table 1, the most common psychosocial intervention studied was cognitive-behavioral therapy (CBT), which was compared in 6 of the 14 studies (Barry et al., 2015; Fiellin et al., 2013; Lander, Gurka, Marshalek, Riffon, & Sullivan, 2015; Ling et al., 2013; Moore et al., 2016; Otto et al., 2014). Other types of psychosocial interventions compared included mindfulness-oriented recovery enhancement (MORE), therapy groups, contingency management (CM), Web-based counseling, CBT for interoceptive cues (CBT–IC), acceptance and commitment therapy (ACT), distress tolerance (DT), and support groups (Garland et al., 2014; Ling et al., 2013; Otto et al., 2014; Smallwood, Potter, & Robin, 2016; Stein et al., 2015; Stotts et al., 2012; Weiss et al., 2011).
Reappraisal deficits promote craving and emotional distress among chronic pain patients at risk for prescription opioid misuse
Published in Journal of Addictive Diseases, 2018
Eric L. Garland, Adam W. Hanley, Carter E. Bedford, Jon-Kar Zubieta, Matthew O. Howard, Yoshio Nakamura, Gary W. Donaldson, Brett Froeliger
In that regard, reappraisal is a fundamental component of cognitive behavioral therapy (CBT), and evidence suggests that CBT can reduce pain-related functional interference (49,50) and opioid misuse (51) among chronic pain patients. A more recently-developed therapeutic program, Mindfulness Oriented Recovery Enhancement (MORE), integrates mindfulness training with reappraisal to augment reappraisal efficacy by virtue of the facilitative effects of mindfulness on attentional control and metacognitive awareness (52). Results from a randomized controlled trial demonstrate that MORE increases reappraisal, reduces pain, and decreases opioid misuse and craving among chronic pain patients (53). Findings from the current, cross-sectional examination could be bolstered and extended by investigating treatment-related increases in reappraisal capacity as a mediator of the effects of biobehavioral therapies on opioid misuse among chronic pain patients.
Therapeutic mechanisms of Mindfulness-Oriented Recovery Enhancement for internet gaming disorder: Reducing craving and addictive behavior by targeting cognitive processes
Published in Journal of Addictive Diseases, 2018
Wen Li, Eric L. Garland, Matthew O. Howard
Individuals with IGD may experience impaired physical health (7), psychiatric comorbidities (3, 8), loss of employment and relationships (9), financial debt (10), and suicidal ideation (11). The growing prevalence of IGD coupled with evidence of its adverse consequences suggest a pressing need for interventions with young adults, particularly college students, that prevent this addictive behavior from leading to more severe psychosocial outcomes. To our knowledge, few studies have evaluated mindfulness-based interventions for IGD. A randomized controlled trial (RCT) examining the efficacy of an adapted group mindfulness treatment (i.e., Mindfulness-Oriented Recovery Enhancement [MORE]) in young adults with IGD found that MORE significantly reduced signs and symptoms of IGD, as well as decreased video game craving and maladaptive gaming-related cognitions by 3-month follow-up compared to an active support group (SG) control condition (12). A quasi-experimental study found that a group intervention combining reality therapy and mindfulness meditation training significantly reduced the severity of IGD and intertemporal decision impulsivity in young adults with IGD at posttreatment (13). Despite an increasing number of conceptual articles describing potential mechanisms of mindfulness treatment for IGD (14,15), no study has empirically examined therapeutic mechanisms by which mindfulness practice leads to changes in IGD.