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33 - Mindfulness-Based Interventions Applied to Addiction Treatments

from Part V - Ongoing and Future Research Directions

Published online by Cambridge University Press:  13 July 2020

By
Afton Kechter  and
David S. Black
Edited by
Steve Sussman
Steve Sussman
Affiliation:
University of Southern California
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Summary

Mindfulness-based interventions (MBIs), founded on the meditation practices outlined in the Mindfulness-Based Stress Reduction (MBSR) program and historically rooted in contemplative traditions, offer one mental framework to address the unique needs of individuals suffering from the causes and consequences of substance and behavioral addictions. MBIs are considered a third wave of empirically tested psychotherapies following behavioral therapy and cognitive-behavioral therapy, respectively. MBI-proposed targets of change include self-regulation, self-exploration, and self-liberation; together, an important set of mental capacities or skills to break the cycle of addiction. In this chapter, we describe the development of MBIs adapted for a variety of addictions. We focus on MBIs for substance use disorders (SUD) and binge-eating disorder (BED) due to similarities in addictive and neurobiological processes (both may be considered substance addictions, BED as a proxy for food addiction), though other behavioral addictions are also discussed. We then critically review leading experimental trials that test the efficacy of MBIs on mechanisms of addiction and substance use behavior among people diagnosed with SUD and BED. Based on results available to date, treatment effects from MBIs are on par with other clinically accepted treatments. However, several methodological limitations make interpretation of the internal validity and reliability of these results difficult to assess. We discuss strengths and limitations of the state of evidence to date and provide suggestions for future research with an emphasis on treatment fidelity and its role in improving the validity of future study findings. We expect our synthesis to inform the public on the value of applying MBIs to remediate the causes and consequences of addictive behavior.

Keywords

mindfulnessawarenessacceptanceMBISMBSRsubstancesbinge eating disordergamblinginternetworkaholism
Type
Chapter
Information
The Cambridge Handbook of Substance and Behavioral Addictions , pp. 409 - 417
Publisher: Cambridge University Press
Print publication year: 2020

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References

American Psychiatric Association [APA] (2013). Diagnostic and Statistical Manual of Mental Disorders (5th edition). Arlington, VA: American Psychiatric Association.Google Scholar
Avena, N. M. (2011). Food and addiction: implications and relevance to eating disorders and obesity. Current Drug Abuse Reviews, 4(3), 131–132.CrossRefGoogle ScholarPubMed
Avena, N. M. & Bocarsly, M. E. (2012). Dysregulation of brain reward systems in eating disorders: Neurochemical information from animal models of binge eating, bulimia nervosa, and anorexia nervosa. Neuropharmacology, 63(1), 87–96.Google Scholar
Avena, N. M. & Gold, M. S. (2011). Food and addiction – sugars, fats and hedonic overeating. Addiction, 106(7), 1214–1215. doi:10.1111/j.1360-0443.2011.03373.xGoogle Scholar
Avena, N. M., Gold, J. A., Kroll, C. & Gold, M. S. (2012). Further developments in the neurobiology of food and addiction: update on the state of the science. Nutrition, 28(4), 341–343. doi:10.1016/j.nut.2011.11.002CrossRefGoogle ScholarPubMed
Bass, C., Van Nevel, J. & Swart, J. (2014). A comparison between dialectical behavior therapy, mode deactivation therapy, cognitive behavioral therapy, and acceptance and commitment therapy in the treatment of adolescents. The International Journal of Behavioral Consultation and Therapy, 9(2), 4.CrossRefGoogle Scholar
Bellg, A. J., Borrelli, B., Resnick, B., et al. (2004). Enhancing treatment fidelity in health behavior change studies: best practices and recommendations from the NIH Behavior Change Consortium. Health Psychology, 23(5), 443–451. doi:10.1037/0278-6133.23.5.443CrossRefGoogle ScholarPubMed
Black, D. S. (2012). Mindfulness and substance use intervention. Substance Use & Misuse, 47(3), 199–201. doi:10.3109/10826084.2011.635461Google Scholar
Black, D. S. (2014). Mindfulness-based interventions: an antidote to suffering in the context of substance use, misuse, and addiction. Substance Use & Misuse, 49(5), 487–491. doi:10.3109/10826084.2014.860749CrossRefGoogle ScholarPubMed
Blaszczynski, A., Maccallum, F. & Joukhador, J. (2001). A comparative evaluation of imaginal desensitisation and group cognitive therapy in the treatment of pathological gambling. In Coman, G. (Ed.), Lessons of the Past: Proceedings of the 10th Conference of the National Association for Gambling Studies. Victoria, Australia: National Association for Gambling Studies, pp. 40–49.Google Scholar
Borrelli, B. (2011). The assessment, monitoring, and enhancement of treatment fidelity in public health clinical trials. Journal of Public Health Dentistry, 71, S52–S63.CrossRefGoogle ScholarPubMed
Bowen, S., Chawla, N., Collins, S. E., et al. (2009). Mindfulness-based relapse prevention for substance use disorders: a pilot efficacy trial. Substance Abuse, 30(4), 295–305. doi:10.1080/08897070903250084CrossRefGoogle ScholarPubMed
Breitenstein, S. M., Gross, D., Garvey, C. A., et al. (2010). Implementation fidelity in community-based interventions. Research in Nursing & Health, 33(2), 164–173. doi:10.1002/nur.20373Google Scholar
Brewer, J. A. (2017). The Craving Mind : From Cigarettes to Smartphones to Love – Why We Get Hooked and How We Can Break Bad Habits. New Haven: Yale University Press.Google Scholar
Brewer, J. A., Elwafi, H. M. & Davis, J. H. (2013). Craving to quit: psychological models and neurobiological mechanisms of mindfulness training as treatment for addictions. Psychology of Addictive Behaviors, 27(2), 366–379. doi:10.1037/a0028490CrossRefGoogle ScholarPubMed
Carroll, C., Patterson, M., Wood, S., et al. (2007). A conceptual framework for implementation fidelity. Implementation Science, 2, 40. doi:10.1186/1748-5908-2-40Google Scholar
Christensen, D. R., Dowling, N. A., Jackson, A. C., et al. (2013). A proof of concept for using brief dialectical behavior therapy as a treatment for problem gambling. Behaviour Change, 30, 117–137.Google Scholar
Criscitelli, K. & Avena, N. M. (2016). The neurobiological and behavioral overlaps of nicotine and food addiction. Preventive Medicine, 92, 82–89. doi:10.1016/j.ypmed.2016.08.009CrossRefGoogle ScholarPubMed
de Lisle, S. M., Dowling, N. A. & Allen, J. S. (2011). Mindfulness-based cognitive therapy for problem gambling. Clinical Case Studies, 10, 210–228.CrossRefGoogle Scholar
Garland, E. L. & Howard, M. O. (2018). Mindfulness-based treatment of addiction: current state of the field and envisioning the next wave of research. Addiction Science & Clinical Practice, 13(1), 14. doi:10.1186/s13722-018-0115-3CrossRefGoogle ScholarPubMed
Garland, E. L., Froeliger, B. & Howard, M. O. (2014a). Mindfulness training targets neurocognitive mechanisms of addiction at the attention-appraisal-emotion interface. Front Psychiatry, 4, 173. doi:10.3389/fpsyt.2013.00173Google Scholar
Garland, E., Gaylord, S. & Park, J. (2009). The role of mindfulness in positive reappraisal. Explore (NY), 5(1), 37–44. doi:10.1016/j.explore.2008.10.001CrossRefGoogle ScholarPubMed
Garland, E. L., Manusov, E. G., Froeliger, B., et al. (2014b). Mindfulness-oriented recovery enhancement for chronic pain and prescription opioid misuse: results from an early-stage randomized controlled trial. Journal of Consulting and Clinical Psychology, 82(3), 448–459. doi:10.1037/a0035798CrossRefGoogle ScholarPubMed
Godfrey, K., Gallo, M. & Afari, L. . (2015). Mindfulness-based interventions for binge eating: A systematic review and meta-analysis. Journal of Behavioral Medicine, 38(2), 348–362.Google Scholar
Gould, L. F., Dariotis, J. K., Greenberg, M. T. & Mendelson, T. (2016). Assessing fidelity of implementation (FOI) for school-based mindfulness and yoga interventions: A systematic review. Mindfulness (NY), 7(1), 5–33. doi:10.1007/s12671-015-0395-6CrossRefGoogle ScholarPubMed
Grant, S., Colaiaco, B., Motala, A., et al. (2017). Mindfulness-based relapse prevention for substance use disorders: A systematic review and meta-analysis. Journal of Addiction Medicine, 11(5), 386–396.CrossRefGoogle ScholarPubMed
Greeson, J., Garland, E. L. & Black, D. S. (2014). Mindfulness: A transtherapeutic approach for transdiagnostic mental processes. In Amanda Ie, C. T. N. & Langer, E. J. (Eds.), The Wiley Blackwell Handbook of Mindfulness (1st edition). John Wiley & Sons, Ltd.Google Scholar
Kabat-Zinn, J. (1982). An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: Theoretical considerations and preliminary results. General Hospital Psychiatry, 4(1), 33–47. https://doi.org/10.1016/0163-8343(82)90026-3Google Scholar
Kabat-Zinn, J. (2003). Mindfulness-based interventions in context: Past, present, and future. Clinical Psychology: Science and Practice, 10, 144–156.Google Scholar
Kabat-Zinn, J. (2013). Full Catastrophe Living : Using the Wisdom of Your Body and Mind to Face Stress, Pain, and Illness – Revised and Updated Edition. New York: Bantam Books.Google Scholar
Katterman, S. N., Kleinman, B. M., Hood, M. M., Nackers, L. M. & Corsica, J. A. (2014). Mindfulness meditation as an intervention for binge eating, emotional eating, and weight loss: A systematic review. Eating Behaviors, 15(2), 197–204.Google Scholar
Kechter, A., Amaro, H. & Black, D. S. (2019). Reporting of treatment fidelity in mindfulness-based intervention trials: A review and new tool using NIH behavior change consortium guidelines. Mindfulness, 10(2), 215–233.Google Scholar
Kelly, T., Yang, W., Chen, C. S., Reynolds, K. & He, J. (2008). Global burden of obesity in 2005 and projections to 2030. International Journal of Obesity, 32(9), 1431–1437. doi:10.1038/ijo.2008.102Google Scholar
Kiecolt-Glaser, J. K. (2010). Stress, food, and inflammation: Psychoneuroimmunology and nutrition at the cutting edge. Psychosomatic Medicine, 72(4), 365–369. doi:10.1097/PSY.0b013e3181dbf489CrossRefGoogle ScholarPubMed
Kristeller, J. L. & Wolever, R. Q. (2011). Mindfulness-based eating awareness training for treating binge eating disorder: The conceptual foundation. Eating Disorders, 19(1), 49–61. doi:10.1080/10640266.2011.533605Google Scholar
Kristeller, J., Wolever, R. Q. & Sheets, V. (2014). Mindfulness-based eating awareness training (MB-EAT) for binge eating: A randomized clinical trial. Mindfulness. http://dx.doi.org/10.1007/s12671-012-0179-1Google Scholar
Lazarus, R. S. & Folkman, S. . (1984). Stress, Appraisal, and Coping. New York: Springer.Google Scholar
Leventhal, A. M. & Zvolensky, M. J. (2015). Anxiety, depression, and cigarette smoking: A transdiagnostic vulnerability framework to understanding emotion-smoking comorbidity. Psychological Bulletin, 141(1), 176–212. doi:10.1037/bul0000003Google Scholar
Li, W., Garland, E. L. & Howard, M. O. (2018). Therapeutic mechanisms of Mindfulness-Oriented Recovery Enhancement for internet gaming disorder: Reducing craving and addictive behavior by targeting cognitive processes. Journal of Addictive Diseases, 37, 5–13. doi:10.1080/10550887.2018.1442617Google Scholar
Li, W., Howard, M. O., Garland, E. L., McGovern, P. & Lazar, M. (2017). Mindfulness treatment for substance misuse: A systematic review and meta-analysis. Journal of Substance Abuse Treatment, 75, 62–96.CrossRefGoogle ScholarPubMed
Lindsay, E. K. & Creswell, J. D. (2017). Mechanisms of mindfulness training: Monitor and Acceptance Theory (MAT). Clinical Psychology Review, 51, 48–59. doi:10.1016/j.cpr.2016.10.011Google Scholar
Maynard, B. R., Wilson, A. N., Labuzienski, E. & Whiting, S. W. (2018). Mindfulness-based approaches in the treatment of disordered gambling: A systematic review and meta-analysis. Research on Social Work Practice, 28(3), 348–362.Google Scholar
Murray, S., Kroll, C. & Avena, N. M. (2015). Food and addiction among the ageing population. Ageing Research Reviews, 20, 79–85. doi:10.1016/j.arr.2014.10.002CrossRefGoogle ScholarPubMed
Murray, S., Tulloch, A., Gold, M. S. & Avena, N. M. (2014). Hormonal and neural mechanisms of food reward, eating behaviour and obesity. Nature Reviews Endocrinology, 10(9), 540–552. doi:10.1038/nrendo.2014.91Google Scholar
O'Reilly, G., Cook, L., Spruijt‐Metz, D. & Black, D. (2014). Mindfulness‐based interventions for obesity‐related eating behaviours: A literature review. Obesity Reviews, 15(6), 453–461.CrossRefGoogle ScholarPubMed
Resnick, B., Bellg, A. J., Borrelli, B., et al. (2005). Examples of implementation and evaluation of treatment fidelity in the BCC studies: Where we are and where we need to go. Annals of Behavioral Medicine, 29 (Supplement), 46–54. doi:10.1207/s15324796abm2902s_8Google Scholar
SAMHSA (2017). Behavioral Health Treatments and Services. Retrieved from https://www.samhsa.gov/treatmentGoogle Scholar
Segal, Z. V., Williams, M. & Teasdale, J. (2018). Mindfulness-Based Cognitive Therapy for Depression. Guilford Publications.Google Scholar
Sinha, R. (2008). Chronic stress, drug use, and vulnerability to addiction. Annals of the New York Academy of Sciences, 1141, 105–130.CrossRefGoogle ScholarPubMed
Sussman, S. (2017). Substance and Behavioral Addictions: Concepts, Causes, and Cures. Cambridge, Great Britain: Cambridge University Press.Google Scholar
Sussman, S. & Black, D. S. (2008). Substitute addiction: A concern for researchers and practitioners. Journal of Drug Education, 38(2), 167–180. doi:10.2190/DE.38.2.eCrossRefGoogle ScholarPubMed
Sussman, S., Reynaud, M., Aubin, H. J. & Leventhal, A. M. (2011). Drug addiction, love, and the higher power. Evaluation & the Health Professions, 34(3), 362–370. doi:10.1177/0163278711401002Google Scholar
Van Gordon, W., Shonin, E., Dunn, T. J., et al. (2017). Meditation awareness training for the treatment of workaholism: A controlled trial. Journal of Behavioral Addictions, 6(2), 212–220. doi:10.1556/2006.6.2017.021CrossRefGoogle ScholarPubMed
Van Gordon, W., Shonin, E. & Griffiths, M. D. (2016). Meditation awareness training for the treatment of sex addiction: A case study. Journal of Behavioral Addictions, 5(2), 363–372. doi:10.1556/2006.5.2016.034CrossRefGoogle ScholarPubMed
Volkow, N. D., Wang, G. & Baler, R. D. (2011). Reward, dopamine, and the control of food intake: Implications for obesity. Trends in Cognitive Sciences, 15(1), 37–46.Google Scholar
Warlow, S. M., et al. (2020). Sensitization of incentive salience and the transition to addiction. In Sussman, S. (Ed.) The Cambridge Handbook of Substance and Behavioral Addictions. Cambridge, UK: Cambridge University Press, pp. 23–37.CrossRefGoogle Scholar
Witkiewitz, K. Bowen, S., Harrop, E. N., et al. (2014). Mindfulness-based treatment to prevent addictive behavior relapse: Theoretical models and hypothesized mechanisms of change. Substance Use & Misuse, 49(5), 513–524.CrossRefGoogle ScholarPubMed
Witkiewitz, K. & Marlatt, G. A. (2005). Emphasis on interpersonal factors in a dynamic model of relapse. American Psychologist, 60(4), 341–342. doi:10.1037/0003-066X.60.4.341Google Scholar
Yau, Y. H. C., Gottlieb, C. D., Krasna, L. C. & Potenza, M. N. (2014). Food addiction – Chapter 7: Evidence, evaluation, and treatment. In Behavioral Addictions, pp. 143–184.Google Scholar

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