Mindfulness Based Intervention for 21-Year-Old with Substance Use
Keywords:
Substance Use Disorders, Mindfulness Based Intervention, Heroin Withdrawal Relapse PreventionAbstract
Substance Use Disorders (SUDs) are a global psychiatric problem associated with a high mortality and morbidity rate. Consequently, contemporary advances in addiction have generated the potential for assessing the efficacy of Mindfulness Based Interventions (MBIs) for treating those with SUDs and their Relapse Prevention. The current case study focuses on a 21-year-old married man referred with the presenting complaints of intake and withdrawal of Heroin. His symptoms fulfilled the criteria of Heroin Withdrawal Disorder and he is currently in a controlled environment. The assessment was carried out through a clinical interview with the client, behavioral observation, Mental Status Examination (MSE) and the subjective rating of symptoms. Formal assessments were also carried out. The management plan was devised to build and maintain an excellent therapeutic alliance. The psychotherapeutic intervention was applied, primarily focusing on the use of MBI that improved symptoms.
References
A. Beck, A. Rosenthal, M. Auriacombe, and N. Romanczuk-Seiferth, “(Neuro)therapeutic Approaches in the Field of Alcohol Use Disorders,” Curr. Addict. Reports, vol. 7, no. 3, pp. 252–259, 2020, doi: 10.1007/s40429-020-00324-w.
M. L. Dossett, G. L. Fricchione, and H. Benson, “A New Era for Mind–Body Medicine,” N. Engl. J. Med., vol. 382, no. 15, pp. 1390–1391, Apr. 2020, doi: 10.1056/NEJMP1917461/SUPPL_FILE/NEJMP1917461_DISCLOSURES.PDF.
S. Liu, R. J. Dolan, and A. Heinz, “Translation of Computational Psychiatry in the Context of Addiction,” JAMA Psychiatry, vol. 77, no. 11, pp. 1099–1100, Nov. 2020, doi: 10.1001/JAMAPSYCHIATRY.2020.1637.
L. Hogarth, “Addiction is driven by excessive goal-directed drug choice under negative affect: translational critique of habit and compulsion theory,” Neuropsychopharmacol. 2020 455, vol. 45, no. 5, pp. 720–735, Jan. 2020, doi: 10.1038/s41386-020-0600-8.
R. Adinda and D. R. Bintari, “Mindfulness-Based Stress Reduction (MBSR) Group Intervention to Reduce Burnout among Caregivers in Nursing Home,” J. Educ. Heal. Community Psychol., vol. 9, no. 2, 2020, doi: 10.12928/jehcp.v9i2.15874.
A. Rosenthal, M. E. Levin, E. L. Garland, and N. Romanczuk-Seiferth, “Mindfulness in Treatment Approaches for Addiction — Underlying Mechanisms and Future Directions,” Curr. Addict. Reports, vol. 8, no. 2, pp. 282–297, 2021, doi: 10.1007/s40429-021-00372-w.
H. Chen et al., “Effects of Loving-Kindness Meditation on Doctors’ Mindfulness, Empathy, and Communication Skills,” Int. J. Environ. Res. Public Heal. 2021, Vol. 18, Page 4033, vol. 18, no. 8, p. 4033, Apr. 2021, doi: 10.3390/IJERPH18084033.
Kabat-Zinn Jon, “Wherever You Go, There You Are: Mindfulness Meditation in Everyday Life by Jon Kabat-Zinn | Goodreads,” p. 304, 2005, Accessed: Aug. 22, 2022. [Online]. Available: https://www.goodreads.com/book/show/14096.Wherever_You_Go_There_You_Are
S. Bowen, N. Chawla, J. Grow, and G. A. Marlatt, “Mindfulness-based relapse prevention for addictive behaviors: A clinician’s guide, 2nd ed,” 2021, Accessed: Aug. 22, 2022. [Online]. Available: https://search.ebscohost.com/login.aspx?direct=true&db=psyh&AN=2021-07868-000&site=ehost-live
E. L. Garland, B. Froeliger, and M. O. Howard, “Mindfulness training targets neurocognitive mechanisms of addiction at the attention-appraisal-emotion interface,” Front. Psychiatry, vol. 4, no. JAN, 2014, doi: 10.3389/FPSYT.2013.00173/FULL.
I. Zollars, T. I. Poirier, and J. Pailden, “Effects of mindfulness meditation on mindfulness, mental well-being, and perceived stress,” Curr. Pharm. Teach. Learn., vol. 11, no. 10, pp. 1022–1028, Oct. 2019, doi: 10.1016/J.CPTL.2019.06.005.
J. R. Korecki, F. J. Schwebel, V. R. Votaw, and K. Witkiewitz, “Mindfulness-based programs for substance use disorders: a systematic review of manualized treatments,” Subst. Abus. Treat. Prev. Policy, vol. 15, no. 1, pp. 1–37, Jul. 2020, doi: 10.1186/S13011-020-00293-3/TABLES/2.
Y. Y. Tang, P. Askari, and C. Choi, “Brief mindfulness training increased glutamate metabolism in the anterior cingulate cortex,” Neuroreport, pp. 1142–1145, Nov. 2020, doi: 10.1097/WNR.0000000000001527.
C. C. Yang et al., “Alterations in Brain Structure and Amplitude of Low-frequency after 8 weeks of Mindfulness Meditation Training in Meditation-Naïve Subjects,” Sci. Reports 2019 91, vol. 9, no. 1, pp. 1–10, Jul. 2019, doi: 10.1038/s41598-019-47470-4.
G. M. de Sousa, G. L. de Lima-Araújo, D. B. de Araújo, and M. B. C. de Sousa, “Brief mindfulness-based training and mindfulness trait attenuate psychological stress in university students: a randomized controlled trial,” BMC Psychol., vol. 9, no. 1, pp. 1–14, Dec. 2021, doi: 10.1186/S40359-021-00520-X/TABLES/3.
M. Bellosta-Batalla, M. del Carmen Blanco-Gandía, M. Rodríguez-Arias, A. Cebolla, J. Pérez-Blasco, and L. Moya-Albiol, “Brief mindfulness session improves mood and increases salivary oxytocin in psychology students,” Stress Heal., vol. 36, no. 4, pp. 469–477, Oct. 2020, doi: 10.1002/SMI.2942.
American Psychiatric Association, “Diagnostic and Statistical Manual of Mental Disorders,” Mar. 2022, doi: 10.1176/APPI.BOOKS.9780890425787.
E. Colvin, B. Gardner, P. R. Labelle, and D. Santor, “The Automaticity of Positive and Negative Thinking: A Scoping Review of Mental Habits,” Cognit. Ther. Res., vol. 45, no. 6, pp. 1037–1063, Dec. 2021, doi: 10.1007/S10608-021-10218-4.
A. Sibalis, K. Milligan, C. Pun, T. McKeough, L. A. Schmidt, and S. J. Segalowitz, “An EEG Investigation of the Attention-Related Impact of Mindfulness Training in Youth With ADHD: Outcomes and Methodological Considerations,” J. Atten. Disord., vol. 23, no. 7, pp. 733–743, 2019, doi: 10.1177/1087054717719535.
E. L. Garland, R. M. Atchley, A. W. Hanley, J. K. Zubieta, and B. Froeliger, “Mindfulness-Oriented Recovery Enhancement remediates hedonic dysregulation in opioid users: Neural and affective evidence of target engagement,” Sci. Adv., vol. 5, no. 10, pp. 1–13, 2019, doi: 10.1126/sciadv.aax1569.
A. W. Hanley and E. L. Garland, “Salivary measurement and mindfulness-based modulation of prescription opioid cue-reactivity,” Drug Alcohol Depend., vol. 217, p. 108351, Dec. 2020, doi: 10.1016/J.DRUGALCDEP.2020.108351.
E. L. Garland, M. A. Bryan, S. E. Priddy, M. R. Riquino, B. Froeliger, and M. O. Howard, “Effects of Mindfulness-Oriented Recovery Enhancement Versus Social Support on Negative Affective Interference During Inhibitory Control Among Opioid-Treated Chronic Pain Patients: A Pilot Mechanistic Study,” Ann. Behav. Med., vol. 53, no. 10, pp. 865–876, Aug. 2019, doi: 10.1093/ABM/KAY096.
R. Shuai, A. E. Bakou, L. Hardy, and L. Hogarth, “Ultra-brief breath counting (mindfulness) training promotes recovery from stress-induced alcohol-seeking in student drinkers,” Addict. Behav., vol. 102, p. 106141, Mar. 2020, doi: 10.1016/J.ADDBEH.2019.106141.
D. R. Brown et al., “Decreases in the Late Positive Potential to Alcohol Images Among Alcohol Treatment Seekers Following Mindfulness-Based Relapse Prevention,” Alcohol Alcohol., vol. 55, no. 1, pp. 78–85, Feb. 2020, doi: 10.1093/ALCALC/AGZ096.
Y. Y. Hsiao, D. Tofighi, E. S. Kruger, M. Lee Van Horn, D. P. MacKinnon, and K. Witkiewitz, “The (Lack of) Replication of Self-Reported Mindfulness as a Mechanism of Change in Mindfulness-Based Relapse Prevention for Substance Use Disorders,” Mindfulness (N. Y)., vol. 10, no. 4, pp. 724–736, Apr. 2019, doi: 10.1007/S12671-018-1023-Z.
A. Rosenthal et al., “Volumetric Prefrontal Cortex Alterations in Patients With Alcohol Dependence and the Involvement of Self-Control,” Alcohol. Clin. Exp. Res., vol. 43, no. 12, pp. 2514–2524, Dec. 2019, doi: 10.1111/ACER.14211.
E. L. Garland, A. W. Hanley, A. Kline, and N. A. Cooperman, “Mindfulness-Oriented Recovery Enhancement reduces opioid craving among individuals with opioid use disorder and chronic pain in medication assisted treatment: Ecological momentary assessments from a stage 1 randomized controlled trial,” Drug Alcohol Depend., vol. 203, pp. 61–65, Oct. 2019, doi: 10.1016/J.DRUGALCDEP.2019.07.007.
K. A. Garrison et al., “Craving to Quit: A Randomized Controlled Trial of Smartphone App–Based Mindfulness Training for Smoking Cessation,” Nicotine Tob. Res., vol. 22, no. 3, pp. 324–331, Mar. 2020, doi: 10.1093/NTR/NTY126.
M. L. Dixon, M. Girn, and K. Christoff, “Brain Network Organization During Mindful Acceptance of Emotions,” bioRxiv, no. March, p. 2020.03.31.018697, 2020, doi: 10.1101/2020.03.31.018697.
X. R. Zhao et al., “Mindfulness-based cognitive therapy is associated with distinct resting-state neural patterns in patients with generalized anxiety disorder,” Asia-Pacific Psychiatry, vol. 11, no. 4, p. e12368, Dec. 2019, doi: 10.1111/APPY.12368.
K. S. Young, C. F. Sandman, and M. G. Craske, “Positive and negative emotion regulation in adolescence: links to anxiety and depression,” Brain Sci., vol. 9, no. 4, 2019, doi: 10.3390/brainsci9040076.
A. Heinz et al., “Addiction Research Consortium: Losing and regaining control over drug intake (ReCoDe)—From trajectories to mechanisms and interventions,” Addict. Biol., vol. 25, no. 2, p. e12866, Mar. 2020, doi: 10.1111/ADB.12866.
J. P. Pozuelos, B. R. Mead, M. R. Rueda, and P. Malinowski, “Short-term mindful breath awareness training improves inhibitory control and response monitoring,” Prog. Brain Res., vol. 244, pp. 137–163, Jan. 2019, doi: 10.1016/BS.PBR.2018.10.019.
J. T. Quaglia et al., “Brief mindfulness training enhances cognitive control in socioemotional contexts: Behavioral and neural evidence,” PLoS One, vol. 14, no. 7, p. e0219862, Jun. 2019, doi: 10.1371/JOURNAL.PONE.0219862.
E. L. Garland et al., “Mindfulness-oriented recovery enhancement reduces opioid misuse risk via analgesic and positive psychological mechanisms: A randomized controlled trial,” J. Consult. Clin. Psychol., vol. 87, no. 10, pp. 927–940, Oct. 2019, doi: 10.1037/CCP0000390.
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