Effectiveness of Mindfulness-Based Group Therapy Compared to the Usual Opioid Dependence Treatment
Objective: This study investigated the effectiveness of mindfulness-based group therapy (MBGT) compared to the usual opioid dependence treatment (TAU).Thirty outpatients meeting the DSM-IV-TR criteria for opioid dependence from Iranian National Center for Addiction Studies (INCAS) were randomly assigned into experimental (Mindfulness-Based Group Therapy) and control groups (the Usual Treatment).The experimental group undertook eight weeks of intervention, but the control group received the usual treatment according to the INCAS program.
Methods:The Five Factor Mindfulness Questionnaire (FFMQ) and the Addiction Sevier Index (ASI) were administered at pre-treatment and post-treatment assessment periods. Thirteen patients from the experimental group and 15 from the control group completed post-test assessments.
Results:The results of MANCOVA revealed an increase in mean scores in observing, describing, acting with awareness, non-judging, non-reacting, and decrease in mean scores of alcohol and opium in MBGT patient group.
Conclusion:The effectiveness of MBGT, compared to the usual treatment, was discussed in this paper as a selective protocol in the health care setting for substance use disorders.
Behavior Research and Therapy 2008. 46: 1170-1175.
Jöreskog KG, Sörbom D. LISREL 8: User’s Reference Guide. Scientific Software, Inc., Chicago. 2003.
Kang YS, Choi SY, Ryu E. The effectiveness of a stress coping program based on mindfulness meditation on the stress, anxiety, and depression experienced by nursing students in Korea. Nurse Educ Today 2009; 29: 538-543.
Leigh J, Bowen S, Marlatt GA. Spirituality, mindfulness and substance abuse. Addictive Behaviors 2005; 30:1335–1341. 26. McLellan A, Kushner H, Metzger D, Peters S, Smith I, Graham G et al. Fifth edition of the addiction severity index. Journal of Substance Abuse Treatment 1992; 9: 199-213.
Ministry of Health and Medical Education. National Protocol for Treatment of Opioid Dependence with Opioid Agonist Medications. 2nd Ed. Substance Abuse Prevention and Treatment Office (SAPTO). Bureau of Psychosocial Health and Addiction. Iran, Tehran: Ministry of Health and Medical Education Pulications; 2006.
Morone NE, Lynch CP, Losasso VJ, Liebe K, Greco CM. Mindfulness to Reduce Psychosocial Stress. Mindfulness 2012; 3: 22-29.
Potek R. Mindfulness as a school-based prevention program and its effect on adolescent stress, anxiety and emotion regulation. NEW YORK UNIVERSITY, 2012.
Segal Z, Williams JMG, Teasdale J. Mindfulness-based cognitive therapy for depression. New York: Guilford Press; 2002.
Tabachnick BG, Fidell LS. Using multivariate statistics. 5th eds. New York: HarperCollins; 2007.
Wegner DM, Schneider DJ, Carter SR, White TL. Paradoxical effects of thought suppression. J Pers Soc Psychol. 1987. 53:5–13.
Wegner DM, Schneider DJ, Knutson B, McMahon SR. Polluting the stream of consciousness: the effects of thought suppression on the mind’s environment. Cognit Ther Res 1991; 15:141–151.
Yasami MT, Shahmohammadi D, Naghavi M, Bagheri-Yazdi A, Zojaji A, Rahimi-Movaghar A. Epidemiology of drug abuse in I.R. Iran. Tehran: Ministry of Health and Drug Control Headquarters; 2002.
Zgierska A, Rabago D, Zuelsdorff M, Coe C, Miller M, Fleming M. Mindfulness Meditation for Alcohol Relapse Prevention: A Feasibility Pilot Study. Journal of Addiction Medicine. 2008; 2:165-173.