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This study developed a Mindfulness-based Relapse Prevention targeting craving. Based on the Randomized Controlled Trial design, 600 adult USD females and 600 adult USD males with methamphetamine, heroin, or ketamine in Intervention group(MBI) , the matched 250 subjects in Control group and 250 healthy matched controls (HC) participated in this study, 1200 adult USD subjects of Intervention group received the 8-week Group mindfulness intervention performed by psychiatrists. SUD patients were assessed three times, before, during(1-2 weeks after the MBI began), and after the intervention by a variety of clinical variables, cognitive task(reginal segmental task),fMRI and blood test to verify the effectiveness of the intervention method, attempting to expand the model of addiction and mindfulness.
The Group Mindfulness-based intervention adhered to structured formal procedures, conducted by psychiatrists, and was scheduled once a week, where each session spans for two hours, interspersed with a 10-minute break. Starting from the second intervention, the previous intervention's contents and home practice were reviewed at the beginning of each subsequent intervention.
Based on the Randomized Controlled Trial design, the evaluation time nodes for clinical variables, cognitive task(reginal segmental task),fMRI and blood test were baseline (before intervention), 1-2 weeks after intervention began, and after intervention. All clinical variable scales were presented in paper form, the questions were clearly explained by researchers.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Mindfulness-Based Relapse Prevention | Experimental | 250 adult USD females of Intervention group received the 8-week Group mindfulness intervention performed by psychiatrists，and were assessed three times, before, during(1-2 weeks after the MBI began), and after the intervention by a variety of clinical variables, cognitive task(reginal segmental task),fMRI and blood test to verify the effectiveness of the intervention method, attempting to expand the model of addiction and mindfulness. |
|
| Control group | No Intervention | the matched 250 females in Control group were assessed by the by a variety of clinical variables, cognitive task(reginal segmental task),FMRI and blood test. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Mindfulness-based Relapse Prevention | Behavioral | 250 adult USD females of Intervention group received the 8-week Group mindfulness intervention performed by psychiatrists. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Patient Health Questionnaire-Depression Scale (PHQ-9) | A quick depression assessment. The minimum score is 0 and maximum is 27. Higher scores indicate higher levels of depression. Minimal depression: scores 1-4. Mild depression: scores 5-9. Moderate depression: scores 10-14. Moderately severe depression: 15-19. Severe depression: 20-27. | before, during(1-2 weeks after the mindfulness-based intervention began), and immediately after the intervention |
| Beck Anxiety Inventory (BAI-21) | Anxiety Assessment with 21 items. Minimum score is 0, and maximum is 63. The higher scores indicate higher levels of anxiety. | before, during(1-2 weeks after the mindfulness-based intervention began), and immediately after the intervention |
| region segmental task | correct rate of reginal segmental task | before and immediately after the mindfulness-based intervention |
| fMRI | Brain structure and brain function | before, during(1-2 weeks after the mindfulness-based intervention began), and immediately after the intervention |
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Inclusion Criteria:
Exclusion Criteria:
Female
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| Name | Affiliation | Role |
|---|---|---|
| Yanhui Liao, MD | Sir Run Run Shaw Hospital | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sir Run Run Shaw Hospital | Hangzhou | Zhejiang | 310000 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28857574 | Result | Carroll KM, Kiluk BD. Cognitive behavioral interventions for alcohol and drug use disorders: Through the stage model and back again. Psychol Addict Behav. 2017 Dec;31(8):847-861. doi: 10.1037/adb0000311. Epub 2017 Aug 31. | |
| Result | Da Silva Roggi P M, Da Gama M F N, Neves F S, et al. Update on treatment of craving in patients with addiction using cognitive behavioral therapy | ||
| 32446925 |
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Due to ethical and privacy consideration, IPD might not be shared
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| ID | Term |
|---|---|
| D019966 | Substance-Related Disorders |
| D016739 | Behavior, Addictive |
| D001008 | Anxiety Disorders |
| D003863 | Depression |
| ID | Term |
|---|---|
| D064419 | Chemically-Induced Disorders |
| D001523 | Mental Disorders |
| D003192 | Compulsive Behavior |
| D007175 | Impulsive Behavior |
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| Result |
| Mohan UR, Watrous AJ, Miller JF, Lega BC, Sperling MR, Worrell GA, Gross RE, Zaghloul KA, Jobst BC, Davis KA, Sheth SA, Stein JM, Das SR, Gorniak R, Wanda PA, Rizzuto DS, Kahana MJ, Jacobs J. The effects of direct brain stimulation in humans depend on frequency, amplitude, and white-matter proximity. Brain Stimul. 2020 Sep-Oct;13(5):1183-1195. doi: 10.1016/j.brs.2020.05.009. Epub 2020 May 21. |
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| 17075556 | Result | Hoppes K. The application of mindfulness-based cognitive interventions in the treatment of co-occurring addictive and mood disorders. CNS Spectr. 2006 Nov;11(11):829-51. doi: 10.1017/s1092852900014991. |
| Result | Chen P, Jindani F, Perry J, et al. Mindfulness and problem gambling treatment |
| 28727663 | Result | Grant S, Colaiaco B, Motala A, Shanman R, Booth M, Sorbero M, Hempel S. Mindfulness-based Relapse Prevention for Substance Use Disorders: A Systematic Review and Meta-analysis. J Addict Med. 2017 Sep/Oct;11(5):386-396. doi: 10.1097/ADM.0000000000000338. |
| 22775773 | Result | Witkiewitz K, Lustyk MKB, Bowen S. Retraining the addicted brain: a review of hypothesized neurobiological mechanisms of mindfulness-based relapse prevention. Psychol Addict Behav. 2013 Jun;27(2):351-365. doi: 10.1037/a0029258. Epub 2012 Jul 9. |
| Result | Chambers R, Lo B C Y, Allen N B. The impact of intensive mindfulness training on attentional control, cognitive style, and affect |
| 19904665 | Result | Bowen S, Chawla N, Collins SE, Witkiewitz K, Hsu S, Grow J, Clifasefi S, Garner M, Douglass A, Larimer ME, Marlatt A. Mindfulness-based relapse prevention for substance use disorders: a pilot efficacy trial. Subst Abus. 2009 Oct-Dec;30(4):295-305. doi: 10.1080/08897070903250084. |
| Result | Winhall J. Treating trauma and addiction with the felt sense polyvagal model: A bottom-up approach |
| 26454838 | Result | Froeliger B, McConnell PA, Stankeviciute N, McClure EA, Kalivas PW, Gray KM. The effects of N-Acetylcysteine on frontostriatal resting-state functional connectivity, withdrawal symptoms and smoking abstinence: A double-blind, placebo-controlled fMRI pilot study. Drug Alcohol Depend. 2015 Nov 1;156:234-242. doi: 10.1016/j.drugalcdep.2015.09.021. Epub 2015 Sep 26. |
| 27037786 | Result | Garland EL. Restructuring reward processing with Mindfulness-Oriented Recovery Enhancement: novel therapeutic mechanisms to remediate hedonic dysregulation in addiction, stress, and pain. Ann N Y Acad Sci. 2016 Jun;1373(1):25-37. doi: 10.1111/nyas.13034. Epub 2016 Apr 1. |
| Result | Garland E L, Bryan M A, Hanley A W, et al. Neurocognitive mechanisms of mindfulness-based interventions for addiction |
| 24595503 | Result | Garland EL, Froeliger B, Howard MO. Effects of Mindfulness-Oriented Recovery Enhancement on reward responsiveness and opioid cue-reactivity. Psychopharmacology (Berl). 2014 Aug;231(16):3229-38. doi: 10.1007/s00213-014-3504-7. Epub 2014 Mar 5. |
| Result | Kirlic N, Cohen Z, Stewart J L. Neurocircuitry of Mindfulness-Based Interventions for Substance Use Prevention and Recovery |
| Result | Parks G A, Marlatt G A. Relapse prevention therapy: A cognitive-behavioral approach |
| Result | Witkiewitz K, Marlatt G A, Walker D. Mindfulness-based relapse prevention for alcohol and substance use disorders |
| 34552539 | Result | Ramos LA, Blankers M, van Wingen G, de Bruijn T, Pauws SC, Goudriaan AE. Predicting Success of a Digital Self-Help Intervention for Alcohol and Substance Use With Machine Learning. Front Psychol. 2021 Sep 3;12:734633. doi: 10.3389/fpsyg.2021.734633. eCollection 2021. |
| 21359109 | Result | Knudsen HK, Abraham AJ, Roman PM. Adoption and implementation of medications in addiction treatment programs. J Addict Med. 2011 Mar;5(1):21-7. doi: 10.1097/ADM.0b013e3181d41ddb. |
| 26828702 | Result | Sofuoglu M, DeVito EE, Waters AJ, Carroll KM. Cognitive Function as a Transdiagnostic Treatment Target in Stimulant Use Disorders. J Dual Diagn. 2016;12(1):90-106. doi: 10.1080/15504263.2016.1146383. |
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| 29680185 | Result | Lindgren KP, Hendershot CS, Ramirez JJ, Bernat E, Rangel-Gomez M, Peterson KP, Murphy JG. A dual process perspective on advances in cognitive science and alcohol use disorder. Clin Psychol Rev. 2019 Apr;69:83-96. doi: 10.1016/j.cpr.2018.04.002. Epub 2018 Apr 11. |
| 16406196 | Result | Bradizza CM, Stasiewicz PR, Paas ND. Relapse to alcohol and drug use among individuals diagnosed with co-occurring mental health and substance use disorders: a review. Clin Psychol Rev. 2006 Mar;26(2):162-78. doi: 10.1016/j.cpr.2005.11.005. Epub 2006 Jan 6. |
| 31846653 | Result | Perales JC, King DL, Navas JF, Schimmenti A, Sescousse G, Starcevic V, van Holst RJ, Billieux J. Learning to lose control: A process-based account of behavioral addiction. Neurosci Biobehav Rev. 2020 Jan;108:771-780. doi: 10.1016/j.neubiorev.2019.12.025. Epub 2019 Dec 14. |
| 28951609 | Result | Diana M, Raij T, Melis M, Nummenmaa A, Leggio L, Bonci A. Rehabilitating the addicted brain with transcranial magnetic stimulation. Nat Rev Neurosci. 2017 Nov;18(11):685-693. doi: 10.1038/nrn.2017.113. Epub 2017 Sep 29. |
| 28501595 | Result | Taylor AMW. Corticolimbic circuitry in the modulation of chronic pain and substance abuse. Prog Neuropsychopharmacol Biol Psychiatry. 2018 Dec 20;87(Pt B):263-268. doi: 10.1016/j.pnpbp.2017.05.009. Epub 2017 May 10. |
| D001519 |
| Behavior |
| D001526 | Behavioral Symptoms |