Skip to main content
Top
Published in: Addiction Science & Clinical Practice 1/2018

Open Access 01-12-2018 | Review

Mindfulness-based treatment of addiction: current state of the field and envisioning the next wave of research

Authors: Eric L. Garland, Matthew O. Howard

Published in: Addiction Science & Clinical Practice | Issue 1/2018

Login to get access

Abstract

Contemporary advances in addiction neuroscience have paralleled increasing interest in the ancient mental training practice of mindfulness meditation as a potential therapy for addiction. In the past decade, mindfulness-based interventions (MBIs) have been studied as a treatment for an array addictive behaviors, including drinking, smoking, opioid misuse, and use of illicit substances like cocaine and heroin. This article reviews current research evaluating MBIs as a treatment for addiction, with a focus on findings pertaining to clinical outcomes and biobehavioral mechanisms. Studies indicate that MBIs reduce substance misuse and craving by modulating cognitive, affective, and psychophysiological processes integral to self-regulation and reward processing. This integrative review provides the basis for manifold recommendations regarding the next wave of research needed to firmly establish the efficacy of MBIs and elucidate the mechanistic pathways by which these therapies ameliorate addiction. Issues pertaining to MBI treatment optimization and sequencing, dissemination and implementation, dose–response relationships, and research rigor and reproducibility are discussed.
Literature
1.
go back to reference Koob GF, Volkow ND. Neurobiology of addiction: a neurocircuitry analysis. Lancet Psychiatry. 2016;3(8):760–73.CrossRefPubMed Koob GF, Volkow ND. Neurobiology of addiction: a neurocircuitry analysis. Lancet Psychiatry. 2016;3(8):760–73.CrossRefPubMed
2.
go back to reference Kabat-Zinn J. Full catastrophe living. NY: Delacorte Press; 1990 453 pp. Kabat-Zinn J. Full catastrophe living. NY: Delacorte Press; 1990 453 pp.
3.
go back to reference Segal Z, Williams JM, Teasdale JD. Mindfulness-based cognitive therapy for depression. New York: The Guilford Press; 2002. Segal Z, Williams JM, Teasdale JD. Mindfulness-based cognitive therapy for depression. New York: The Guilford Press; 2002.
4.
go back to reference Goldberg SB, Tucker RP, Greene PA, Davidson RJ, Wampold BE, Kearney DJ, et al. Mindfulness-based interventions for psychiatric disorders: a systematic review and meta-analysis. Clin Psychol Rev. 2018;59:52–60.CrossRefPubMed Goldberg SB, Tucker RP, Greene PA, Davidson RJ, Wampold BE, Kearney DJ, et al. Mindfulness-based interventions for psychiatric disorders: a systematic review and meta-analysis. Clin Psychol Rev. 2018;59:52–60.CrossRefPubMed
5.
go back to reference Bowen S, Chawla N, Marlatt GA. Mindfulness-based relapse prevention for addictive behaviors. New York: Guilford Press; 2010. Bowen S, Chawla N, Marlatt GA. Mindfulness-based relapse prevention for addictive behaviors. New York: Guilford Press; 2010.
6.
go back to reference Garland EL. Mindfulness-oriented recovery enhancement for addiction, stress, and pain. Washington, DC: NASW Press; 2013. Garland EL. Mindfulness-oriented recovery enhancement for addiction, stress, and pain. Washington, DC: NASW Press; 2013.
10.
go back to reference Tang Y-Y, Hölzel BK, Posner MI. The neuroscience of mindfulness meditation. Nat Rev Neurosci. 2015;16(4):213–25.CrossRefPubMed Tang Y-Y, Hölzel BK, Posner MI. The neuroscience of mindfulness meditation. Nat Rev Neurosci. 2015;16(4):213–25.CrossRefPubMed
11.
go back to reference Kiken LG, Garland EL, Bluth K, Palsson OS, Gaylord SA. From a state to a trait: trajectories of state mindfulness in meditation during intervention predict changes in trait mindfulness. Pers Individ Dif. 2015;81:41–6.CrossRefPubMedPubMedCentral Kiken LG, Garland EL, Bluth K, Palsson OS, Gaylord SA. From a state to a trait: trajectories of state mindfulness in meditation during intervention predict changes in trait mindfulness. Pers Individ Dif. 2015;81:41–6.CrossRefPubMedPubMedCentral
12.
go back to reference Gu J, Strauss C, Bond R, Cavanagh K. How do mindfulness-based cognitive therapy and mindfulness-based stress reduction improve mental health and wellbeing? A systematic review and meta-analysis of mediation studies. Clin Psychol Rev. 2015;37:1–12.CrossRefPubMed Gu J, Strauss C, Bond R, Cavanagh K. How do mindfulness-based cognitive therapy and mindfulness-based stress reduction improve mental health and wellbeing? A systematic review and meta-analysis of mediation studies. Clin Psychol Rev. 2015;37:1–12.CrossRefPubMed
13.
go back to reference Fox KC, Nijeboer S, Dixon ML, Floman JL, Ellamil M, Rumak SP, et al. Is meditation associated with altered brain structure? A systematic review and meta-analysis of morphometric neuroimaging in meditation practitioners. Neurosci Biobehav Rev. 2014;43:48–73.CrossRefPubMed Fox KC, Nijeboer S, Dixon ML, Floman JL, Ellamil M, Rumak SP, et al. Is meditation associated with altered brain structure? A systematic review and meta-analysis of morphometric neuroimaging in meditation practitioners. Neurosci Biobehav Rev. 2014;43:48–73.CrossRefPubMed
14.
go back to reference Baer RA, Smith GT, Hopkins J, Krietemeyer J, Toney L. Using self-report assessment methods to explore facets of mindfulness. Assessment. 2006;13(1):27–45.CrossRefPubMed Baer RA, Smith GT, Hopkins J, Krietemeyer J, Toney L. Using self-report assessment methods to explore facets of mindfulness. Assessment. 2006;13(1):27–45.CrossRefPubMed
15.
go back to reference Anicha CL, Ode S, Moeller SK, Robinson MD. Toward a cognitive view of trait mindfulness: distinct cognitive skills predict Its observing and nonreactivity Facets. J Pers. 2012;80(2):255–85.CrossRefPubMed Anicha CL, Ode S, Moeller SK, Robinson MD. Toward a cognitive view of trait mindfulness: distinct cognitive skills predict Its observing and nonreactivity Facets. J Pers. 2012;80(2):255–85.CrossRefPubMed
16.
go back to reference Karyadi KA, VanderVeen JD, Cyders MA. A meta-analysis of the relationship between trait mindfulness and substance use behaviors. Drug Alcohol Depend. 2014;143(Supplement C):1–10.CrossRefPubMedPubMedCentral Karyadi KA, VanderVeen JD, Cyders MA. A meta-analysis of the relationship between trait mindfulness and substance use behaviors. Drug Alcohol Depend. 2014;143(Supplement C):1–10.CrossRefPubMedPubMedCentral
17.
go back to reference Garland EL, Roberts-Lewis A, Kelley K, Tronnier C, Hanley A. Cognitive and affective mechanisms linking trait mindfulness to craving among individuals in addiction recovery. Subst Use Misuse. 2014;49(5):525–35.CrossRefPubMed Garland EL, Roberts-Lewis A, Kelley K, Tronnier C, Hanley A. Cognitive and affective mechanisms linking trait mindfulness to craving among individuals in addiction recovery. Subst Use Misuse. 2014;49(5):525–35.CrossRefPubMed
18.
19.
go back to reference Garland EL, Boettiger CA, Gaylord S, Chanon VW, Howard MO. Mindfulness is inversely associated with alcohol attentional bias among recovering alcohol-dependent adults. Cognit Ther Res. 2012;36(5):441–50.CrossRefPubMed Garland EL, Boettiger CA, Gaylord S, Chanon VW, Howard MO. Mindfulness is inversely associated with alcohol attentional bias among recovering alcohol-dependent adults. Cognit Ther Res. 2012;36(5):441–50.CrossRefPubMed
20.
go back to reference Langer EJ. Matters of mind: mindfulness/mindlessness in perspective. Conscious Cogn. 1992;1(3):289–305.CrossRef Langer EJ. Matters of mind: mindfulness/mindlessness in perspective. Conscious Cogn. 1992;1(3):289–305.CrossRef
21.
go back to reference Tiffany ST. A cognitive model of drug urges and drug-use behavior: role of automatic and nonautomatic processes. Psychol Rev. 1990;97:147–68.CrossRefPubMed Tiffany ST. A cognitive model of drug urges and drug-use behavior: role of automatic and nonautomatic processes. Psychol Rev. 1990;97:147–68.CrossRefPubMed
23.
go back to reference 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;1373(1):25–37.CrossRefPubMedPubMedCentral 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;1373(1):25–37.CrossRefPubMedPubMedCentral
25.
go back to reference Wadlinger HA, Isaacowitz DM. Fixing our focus: training attention to regulate emotion. Soc Psychol Rev. 2010;15:75–102. Wadlinger HA, Isaacowitz DM. Fixing our focus: training attention to regulate emotion. Soc Psychol Rev. 2010;15:75–102.
26.
go back to reference Hong PY, Lishner DA, Han KH, Huss EA. The positive impact of mindful eating on expectations of food liking. Mindfulness. 2011;2(2):103–13.CrossRef Hong PY, Lishner DA, Han KH, Huss EA. The positive impact of mindful eating on expectations of food liking. Mindfulness. 2011;2(2):103–13.CrossRef
27.
go back to reference Hong PY, Lishner DA, Han KH. Mindfulness and eating: an experiment examining the effect of mindful raisin eating on the enjoyment of sampled food. Mindfulness. 2014;5(1):80–7.CrossRef Hong PY, Lishner DA, Han KH. Mindfulness and eating: an experiment examining the effect of mindful raisin eating on the enjoyment of sampled food. Mindfulness. 2014;5(1):80–7.CrossRef
28.
go back to reference Geschwind N, Peeters F, Drukker M, van Os J, Wichers M. Mindfulness training increases momentary positive emotions and reward experience in adults vulnerable to depression: a randomized controlled trial. J Consult Clin Psychol. 2011;79(5):618.CrossRefPubMed Geschwind N, Peeters F, Drukker M, van Os J, Wichers M. Mindfulness training increases momentary positive emotions and reward experience in adults vulnerable to depression: a randomized controlled trial. J Consult Clin Psychol. 2011;79(5):618.CrossRefPubMed
29.
go back to reference Garland EL, Farb NA, Goldin PR, Fredrickson BL. Mindfulness broadens awareness and builds eudaimonic meaning: a process model of mindful positive emotion regulation. Psychol Inq. 2015;26(4):293–314.CrossRefPubMedPubMedCentral Garland EL, Farb NA, Goldin PR, Fredrickson BL. Mindfulness broadens awareness and builds eudaimonic meaning: a process model of mindful positive emotion regulation. Psychol Inq. 2015;26(4):293–314.CrossRefPubMedPubMedCentral
30.
go back to reference Garland EL, Froeliger B, Howard MO. Effects of mindfulness-oriented recovery enhancement on reward responsiveness and opioid cue-reactivity. Psychopharmacology. 2014;231(16):3229–38.CrossRefPubMedPubMedCentral Garland EL, Froeliger B, Howard MO. Effects of mindfulness-oriented recovery enhancement on reward responsiveness and opioid cue-reactivity. Psychopharmacology. 2014;231(16):3229–38.CrossRefPubMedPubMedCentral
31.
go back to reference Garland EL, Froeliger B, Howard MO. Neurophysiological evidence for remediation of reward processing deficits in chronic pain and opioid misuse following treatment with mindfulness-oriented recovery enhancement: exploratory ERP findings from a pilot RCT. J Behav Med. 2015;38(2):327–36.CrossRefPubMed Garland EL, Froeliger B, Howard MO. Neurophysiological evidence for remediation of reward processing deficits in chronic pain and opioid misuse following treatment with mindfulness-oriented recovery enhancement: exploratory ERP findings from a pilot RCT. J Behav Med. 2015;38(2):327–36.CrossRefPubMed
32.
go back to reference Garland EL. Mindfulness-oriented recovery enhancement modulates neurocognitive mechanisms and reward system function in addiction, stress, and pain. New York, NY: In Sloan Kettering Memorial Hospital; 2015. Garland EL. Mindfulness-oriented recovery enhancement modulates neurocognitive mechanisms and reward system function in addiction, stress, and pain. New York, NY: In Sloan Kettering Memorial Hospital; 2015.
33.
go back to reference Garland EL, Bryan CJ, Finan PH, Thomas EA, Priddy SE, Riquino MR, et al. Pain, hedonic regulation, and opioid misuse: modulation of momentary experience by mindfulness-oriented recovery enhancement in opioid-treated chronic pain patients. Drug Alcohol Depend. 2017;173:S65–72.CrossRefPubMed Garland EL, Bryan CJ, Finan PH, Thomas EA, Priddy SE, Riquino MR, et al. Pain, hedonic regulation, and opioid misuse: modulation of momentary experience by mindfulness-oriented recovery enhancement in opioid-treated chronic pain patients. Drug Alcohol Depend. 2017;173:S65–72.CrossRefPubMed
34.
go back to reference Froeliger B, Mathew AR, McConnell PA, Eichberg C, Saladin ME, Carpenter MJ, et al. Restructuring reward mechanisms in nicotine addiction: a pilot fMRI study of mindfulness-oriented recovery enhancement for cigarette smokers. Evid Based Complement Alternat Med. 2017;8(2017):e7018014. Froeliger B, Mathew AR, McConnell PA, Eichberg C, Saladin ME, Carpenter MJ, et al. Restructuring reward mechanisms in nicotine addiction: a pilot fMRI study of mindfulness-oriented recovery enhancement for cigarette smokers. Evid Based Complement Alternat Med. 2017;8(2017):e7018014.
35.
go back to reference Alfonso JP, Caracuel A, Delgado-Pastor LC, Verdejo-García A. Combined goal management training and mindfulness meditation improve executive functions and decision-making performance in abstinent polysubstance abusers. Drug Alcohol Depend. 2011;117(1):78–81.CrossRefPubMed Alfonso JP, Caracuel A, Delgado-Pastor LC, Verdejo-García A. Combined goal management training and mindfulness meditation improve executive functions and decision-making performance in abstinent polysubstance abusers. Drug Alcohol Depend. 2011;117(1):78–81.CrossRefPubMed
36.
go back to reference Valls-Serrano C, Caracuel A, Verdejo-Garcia A. Goal management training and mindfulness meditation improve executive functions and transfer to ecological tasks of daily life in polysubstance users enrolled in therapeutic community treatment. Drug Alcohol Depend. 2016;1(165):9–14.CrossRef Valls-Serrano C, Caracuel A, Verdejo-Garcia A. Goal management training and mindfulness meditation improve executive functions and transfer to ecological tasks of daily life in polysubstance users enrolled in therapeutic community treatment. Drug Alcohol Depend. 2016;1(165):9–14.CrossRef
37.
go back to reference Spears CA, Hedeker D, Li L, Wu C, Anderson NK, Houchins SC, et al. Mechanisms underlying mindfulness-based addiction treatment versus cognitive behavioral therapy and usual care for smoking cessation. J Consult Clin Psychol. 2017;85(11):1029.CrossRefPubMed Spears CA, Hedeker D, Li L, Wu C, Anderson NK, Houchins SC, et al. Mechanisms underlying mindfulness-based addiction treatment versus cognitive behavioral therapy and usual care for smoking cessation. J Consult Clin Psychol. 2017;85(11):1029.CrossRefPubMed
39.
go back to reference Witkiewitz K, Bowen S, Douglas H, Hsu SH. Mindfulness-based relapse prevention for substance craving. Addict Behav. 2013;38(2):1563–71.CrossRefPubMed Witkiewitz K, Bowen S, Douglas H, Hsu SH. Mindfulness-based relapse prevention for substance craving. Addict Behav. 2013;38(2):1563–71.CrossRefPubMed
40.
go back to reference Garland EL, Roberts-Lewis A, Tronnier CD, Graves R, Kelley K. Mindfulness-oriented recovery enhancement versus CBT for co-occurring substance dependence, traumatic stress, and psychiatric disorders: proximal outcomes from a pragmatic randomized trial. Behav Res Ther. 2016;77:7–16.CrossRefPubMed Garland EL, Roberts-Lewis A, Tronnier CD, Graves R, Kelley K. Mindfulness-oriented recovery enhancement versus CBT for co-occurring substance dependence, traumatic stress, and psychiatric disorders: proximal outcomes from a pragmatic randomized trial. Behav Res Ther. 2016;77:7–16.CrossRefPubMed
41.
go back to reference Garland EL, Manusov EG, Froeliger B, Kelly A, Williams JM, Howard MO. Mindfulness-oriented recovery enhancement for chronic pain and prescription opioid misuse: results from an early-stage randomized controlled trial. J Consult Clin Psychol. 2014;82(3):448.CrossRefPubMedPubMedCentral Garland EL, Manusov EG, Froeliger B, Kelly A, Williams JM, Howard MO. Mindfulness-oriented recovery enhancement for chronic pain and prescription opioid misuse: results from an early-stage randomized controlled trial. J Consult Clin Psychol. 2014;82(3):448.CrossRefPubMedPubMedCentral
44.
go back to reference Thayer JF, Lane RD. A model of neurovisceral integration in emotion regulation and dysregulation. J Affect Disord. 2000;61(3):201–16.CrossRefPubMed Thayer JF, Lane RD. A model of neurovisceral integration in emotion regulation and dysregulation. J Affect Disord. 2000;61(3):201–16.CrossRefPubMed
45.
go back to reference Carroll H, Lustyk MKB. Mindfulness-based relapse prevention for substance use disorders: effects on cardiac vagal control and craving under stress. Mindfulness. 2017;30:1–12. Carroll H, Lustyk MKB. Mindfulness-based relapse prevention for substance use disorders: effects on cardiac vagal control and craving under stress. Mindfulness. 2017;30:1–12.
46.
go back to reference Brewer JA, Sinha R, Chen JA, Michalsen RN, Babuscio TA, Nich C, et al. Mindfulness training and stress reactivity in substance abuse: results from a randomized, controlled stage I pilot study. Subst Abus. 2009;30:306–17.CrossRefPubMedPubMedCentral Brewer JA, Sinha R, Chen JA, Michalsen RN, Babuscio TA, Nich C, et al. Mindfulness training and stress reactivity in substance abuse: results from a randomized, controlled stage I pilot study. Subst Abus. 2009;30:306–17.CrossRefPubMedPubMedCentral
47.
go back to reference Paz R, Zvielli A, Goldstein P, Bernstein A. Brief mindfulness training de-couples the anxiogenic effects of distress intolerance on reactivity to and recovery from stress among deprived smokers. Behav Res Ther. 2017;95(Supplement C):117–27.CrossRefPubMed Paz R, Zvielli A, Goldstein P, Bernstein A. Brief mindfulness training de-couples the anxiogenic effects of distress intolerance on reactivity to and recovery from stress among deprived smokers. Behav Res Ther. 2017;95(Supplement C):117–27.CrossRefPubMed
48.
go back to reference Garland EL, Gaylord SA, Boettiger CA, Howard MO. Mindfulness training modifies cognitive, affective, and physiological mechanisms implicated in alcohol dependence: results of a randomized controlled pilot trial. J Psychoactive Drugs. 2010;42(2):177–92.CrossRefPubMedPubMedCentral Garland EL, Gaylord SA, Boettiger CA, Howard MO. Mindfulness training modifies cognitive, affective, and physiological mechanisms implicated in alcohol dependence: results of a randomized controlled pilot trial. J Psychoactive Drugs. 2010;42(2):177–92.CrossRefPubMedPubMedCentral
49.
go back to reference Goldberg SB, Manley AR, Smith SS, Greeson JM, Russell E, Van Uum S, et al. Hair cortisol as a biomarker of stress in mindfulness training for smokers. J Altern Complement Med. 2014;20(8):630–4.CrossRefPubMedPubMedCentral Goldberg SB, Manley AR, Smith SS, Greeson JM, Russell E, Van Uum S, et al. Hair cortisol as a biomarker of stress in mindfulness training for smokers. J Altern Complement Med. 2014;20(8):630–4.CrossRefPubMedPubMedCentral
50.
go back to reference Marcus MT, Fine PM, Moeller FG, Khan MM, Pitts K, Swank PR, et al. Change in stress levels following mindfulness-based stress reduction in a therapeutic community. Addict Disord Their Treat. 2003;2(3):63.CrossRef Marcus MT, Fine PM, Moeller FG, Khan MM, Pitts K, Swank PR, et al. Change in stress levels following mindfulness-based stress reduction in a therapeutic community. Addict Disord Their Treat. 2003;2(3):63.CrossRef
51.
go back to reference Kober H, Brewer JA, Height KL, Sinha R. Neural stress reactivity relates to smoking outcomes and differentiates between mindfulness and cognitive-behavioral treatments. Neuroimage. 2017;151(Supplement C):4–13.CrossRefPubMed Kober H, Brewer JA, Height KL, Sinha R. Neural stress reactivity relates to smoking outcomes and differentiates between mindfulness and cognitive-behavioral treatments. Neuroimage. 2017;151(Supplement C):4–13.CrossRefPubMed
52.
go back to reference Garland EL, Baker AK, Howard MO. Mindfulness-oriented recovery enhancement reduces opioid attentional bias among prescription opioid-treated chronic pain patients. J Soc Soc Work Res. 2017;28:493–509.CrossRef Garland EL, Baker AK, Howard MO. Mindfulness-oriented recovery enhancement reduces opioid attentional bias among prescription opioid-treated chronic pain patients. J Soc Soc Work Res. 2017;28:493–509.CrossRef
53.
go back to reference Westbrook C, Creswell JD, Tabibnia G, Julson E, Kober H, Tindle HA. Mindful attention reduces neural and self-reported cue-induced craving in smokers. Soc Cogn Affect Neurosci. 2011;8(1):73–84.CrossRefPubMedPubMedCentral Westbrook C, Creswell JD, Tabibnia G, Julson E, Kober H, Tindle HA. Mindful attention reduces neural and self-reported cue-induced craving in smokers. Soc Cogn Affect Neurosci. 2011;8(1):73–84.CrossRefPubMedPubMedCentral
54.
go back to reference Davis JM, Manley AR, Goldberg SB, Smith SS, Jorenby DE. Randomized trial comparing mindfulness training for smokers to a matched control. J Subst Abuse Treat. 2014;47(3):213–21.CrossRefPubMedPubMedCentral Davis JM, Manley AR, Goldberg SB, Smith SS, Jorenby DE. Randomized trial comparing mindfulness training for smokers to a matched control. J Subst Abuse Treat. 2014;47(3):213–21.CrossRefPubMedPubMedCentral
55.
go back to reference Bowen S, Marlatt A. Surfing the urge: brief mindfulness-based intervention for college student smokers. Psychol Addict Behav J Soc Psychol Addict Behav. 2009;23(4):666–71.CrossRef Bowen S, Marlatt A. Surfing the urge: brief mindfulness-based intervention for college student smokers. Psychol Addict Behav J Soc Psychol Addict Behav. 2009;23(4):666–71.CrossRef
56.
go back to reference Witkiewitz K, Bowen S. Depression, craving, and substance use following a randomized trial of mindfulness-based relapse prevention. J Consult Clin Psychol. 2010;78(3):362.CrossRefPubMedPubMedCentral Witkiewitz K, Bowen S. Depression, craving, and substance use following a randomized trial of mindfulness-based relapse prevention. J Consult Clin Psychol. 2010;78(3):362.CrossRefPubMedPubMedCentral
57.
go back to reference Elwafi HM, Witkiewitz K, Mallik S, Thornhill TA IV, Brewer JA. Mindfulness training for smoking cessation: moderation of the relationship between craving and cigarette use. Drug Alcohol Depend. 2013;130(1):222–9.CrossRefPubMed Elwafi HM, Witkiewitz K, Mallik S, Thornhill TA IV, Brewer JA. Mindfulness training for smoking cessation: moderation of the relationship between craving and cigarette use. Drug Alcohol Depend. 2013;130(1):222–9.CrossRefPubMed
58.
go back to reference Garland EL, Carter K, Ropes K, Howard MO. Thought suppression, impaired regulation of urges, and addiction-Stroop predict affect-modulated cue-reactivity among alcohol dependent adults. Biol Psychol. 2012;89(1):87–93.CrossRefPubMed Garland EL, Carter K, Ropes K, Howard MO. Thought suppression, impaired regulation of urges, and addiction-Stroop predict affect-modulated cue-reactivity among alcohol dependent adults. Biol Psychol. 2012;89(1):87–93.CrossRefPubMed
59.
go back to reference Moss AC, Erskine JA, Albery IP, Allen JR, Georgiou GJ. To suppress, or not to suppress? That is repression: controlling intrusive thoughts in addictive behaviour. Addict Behav. 2015;44:65–70.CrossRefPubMed Moss AC, Erskine JA, Albery IP, Allen JR, Georgiou GJ. To suppress, or not to suppress? That is repression: controlling intrusive thoughts in addictive behaviour. Addict Behav. 2015;44:65–70.CrossRefPubMed
60.
go back to reference Bowen S, Witkiewitz K, Dillworth TM, Marlatt GA. The role of thought suppression in the relationship between mindfulness meditation and alcohol use. Addict Behav. 2007;32(10):2324–8.CrossRefPubMedPubMedCentral Bowen S, Witkiewitz K, Dillworth TM, Marlatt GA. The role of thought suppression in the relationship between mindfulness meditation and alcohol use. Addict Behav. 2007;32(10):2324–8.CrossRefPubMedPubMedCentral
61.
go back to reference Zgierska A, Rabago D, Chawla N, Kushner K, Koehler R, Marlatt A. Mindfulness meditation for substance use disorders: a systematic review. Subst Abuse. 2009;30(4):266–94.CrossRef Zgierska A, Rabago D, Chawla N, Kushner K, Koehler R, Marlatt A. Mindfulness meditation for substance use disorders: a systematic review. Subst Abuse. 2009;30(4):266–94.CrossRef
62.
go back to reference Katz D, Toner B. A systematic review of gender differences in the effectiveness of mindfulness-based treatments for substance use disorders. Mindfulness. 2013;4(4):318–31.CrossRef Katz D, Toner B. A systematic review of gender differences in the effectiveness of mindfulness-based treatments for substance use disorders. Mindfulness. 2013;4(4):318–31.CrossRef
63.
go back to reference Chiesa A, Serretti A. Are mindfulness-based interventions effective for substance use disorders? A systematic review of the evidence. Subst Use Misuse. 2014;49(5):492–512.CrossRefPubMed Chiesa A, Serretti A. Are mindfulness-based interventions effective for substance use disorders? A systematic review of the evidence. Subst Use Misuse. 2014;49(5):492–512.CrossRefPubMed
64.
go back to reference Li W, Howard MO, Garland EL, McGovern P, Lazar M. Mindfulness treatment for substance misuse: a systematic review and meta-analysis. J Subst Abuse Treat. 2017;75:62–96.CrossRefPubMed Li W, Howard MO, Garland EL, McGovern P, Lazar M. Mindfulness treatment for substance misuse: a systematic review and meta-analysis. J Subst Abuse Treat. 2017;75:62–96.CrossRefPubMed
65.
go back to reference Mermelstein LC, Garske JP. A brief mindfulness intervention for college student binge drinkers: a pilot study. Psychol Addict Behav. 2015;29(2):259.CrossRefPubMed Mermelstein LC, Garske JP. A brief mindfulness intervention for college student binge drinkers: a pilot study. Psychol Addict Behav. 2015;29(2):259.CrossRefPubMed
66.
go back to reference Spears CA, Hedeker D, Li L, Wu C, Anderson NK, Houchins SC, et al. Mechanisms underlying mindfulness-based addiction treatment versus cognitive behavioral therapy and usual care for smoking cessation. J Consult Clin Psychol. 2017;85(11):1029.CrossRefPubMed Spears CA, Hedeker D, Li L, Wu C, Anderson NK, Houchins SC, et al. Mechanisms underlying mindfulness-based addiction treatment versus cognitive behavioral therapy and usual care for smoking cessation. J Consult Clin Psychol. 2017;85(11):1029.CrossRefPubMed
67.
go back to reference Garland EL, Howard MO. Mindfulness-oriented recovery enhancement reduces pain attentional bias in chronic pain patients. Psychother Psychosom. 2013;82(5):311–8.CrossRefPubMed Garland EL, Howard MO. Mindfulness-oriented recovery enhancement reduces pain attentional bias in chronic pain patients. Psychother Psychosom. 2013;82(5):311–8.CrossRefPubMed
68.
go back to reference Brewer JA, Mallik S, Babuscio TA, Nich C, Johnson HE, Deleone CM, et al. Mindfulness training for smoking cessation: results from a randomized controlled trial. Drug Alcohol Depend. 2011;119(1):72–80.CrossRefPubMedPubMedCentral Brewer JA, Mallik S, Babuscio TA, Nich C, Johnson HE, Deleone CM, et al. Mindfulness training for smoking cessation: results from a randomized controlled trial. Drug Alcohol Depend. 2011;119(1):72–80.CrossRefPubMedPubMedCentral
69.
go back to reference de Dios MA, Herman DS, Britton WB, Hagerty CE, Anderson BJ, Stein MD. Motivational and mindfulness intervention for young adult female marijuana users. J Subst Abuse Treat. 2012;42(1):56–64.CrossRefPubMed de Dios MA, Herman DS, Britton WB, Hagerty CE, Anderson BJ, Stein MD. Motivational and mindfulness intervention for young adult female marijuana users. J Subst Abuse Treat. 2012;42(1):56–64.CrossRefPubMed
70.
go back to reference Murphy TJ, Pagano RR, Marlatt GA. Lifestyle modification with heavy alcohol drinkers: effects of aerobic exercise and meditation. Addict Behav. 1986;11:175–86.CrossRefPubMed Murphy TJ, Pagano RR, Marlatt GA. Lifestyle modification with heavy alcohol drinkers: effects of aerobic exercise and meditation. Addict Behav. 1986;11:175–86.CrossRefPubMed
71.
go back to reference Onken LS, Carroll KM, Shoham V, Cuthbert BN, Riddle M. Reenvisioning clinical science unifying the discipline to improve the public health. Clin Psychol Sci. 2014;2(1):22–34.CrossRefPubMedPubMedCentral Onken LS, Carroll KM, Shoham V, Cuthbert BN, Riddle M. Reenvisioning clinical science unifying the discipline to improve the public health. Clin Psychol Sci. 2014;2(1):22–34.CrossRefPubMedPubMedCentral
72.
go back to reference Roos CR, Bowen S, Witkiewitz K. Baseline patterns of substance use disorder severity and depression and anxiety symptoms moderate the efficacy of mindfulness-based relapse prevention. J Consult Clin Psychol. 2017;85(11):1041.CrossRefPubMed Roos CR, Bowen S, Witkiewitz K. Baseline patterns of substance use disorder severity and depression and anxiety symptoms moderate the efficacy of mindfulness-based relapse prevention. J Consult Clin Psychol. 2017;85(11):1041.CrossRefPubMed
73.
go back to reference 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;27(2):351.CrossRefPubMed 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;27(2):351.CrossRefPubMed
74.
go back to reference Garland EL, Gaylord SA, Palsson O, Faurot K, Mann JD, Whitehead WE. Therapeutic mechanisms of a mindfulness-based treatment for IBS: effects on visceral sensitivity, catastrophizing, and affective processing of pain sensations. J Behav Med. 2012;35(6):591–602.CrossRefPubMed Garland EL, Gaylord SA, Palsson O, Faurot K, Mann JD, Whitehead WE. Therapeutic mechanisms of a mindfulness-based treatment for IBS: effects on visceral sensitivity, catastrophizing, and affective processing of pain sensations. J Behav Med. 2012;35(6):591–602.CrossRefPubMed
75.
go back to reference Garland EL, Howard MO, Zubieta J-K, Froeliger B. Restructuring hedonic dysregulation in chronic pain and prescription opioid misuse: effects of mindfulness-oriented recovery enhancement on responsiveness to drug cues and natural rewards. Psychother Psychosom. 2017;86(2):111–2.CrossRefPubMedPubMedCentral Garland EL, Howard MO, Zubieta J-K, Froeliger B. Restructuring hedonic dysregulation in chronic pain and prescription opioid misuse: effects of mindfulness-oriented recovery enhancement on responsiveness to drug cues and natural rewards. Psychother Psychosom. 2017;86(2):111–2.CrossRefPubMedPubMedCentral
76.
go back to reference Van Lutterveld R, Houlihan SD, Pal P, Sacchet MD, McFarlane-Blake C, Patel PR, et al. Source-space EEG neurofeedback links subjective experience with brain activity during effortless awareness meditation. Neuroimage. 2017;151:117–27.CrossRefPubMed Van Lutterveld R, Houlihan SD, Pal P, Sacchet MD, McFarlane-Blake C, Patel PR, et al. Source-space EEG neurofeedback links subjective experience with brain activity during effortless awareness meditation. Neuroimage. 2017;151:117–27.CrossRefPubMed
77.
go back to reference Collins LM, Nahum-Shani I, Almirall D. Optimization of behavioral dynamic treatment regimens based on the sequential, multiple assignment, randomized trial (SMART). Clin Trials. 2014;11(4):426–34.CrossRefPubMedPubMedCentral Collins LM, Nahum-Shani I, Almirall D. Optimization of behavioral dynamic treatment regimens based on the sequential, multiple assignment, randomized trial (SMART). Clin Trials. 2014;11(4):426–34.CrossRefPubMedPubMedCentral
78.
go back to reference Collins LM, Baker TB, Mermelstein RJ, Piper ME, Jorenby DE, Smith SS, et al. The multiphase optimization strategy for engineering effective tobacco use interventions. Ann Behav Med. 2011;41(2):208–26.CrossRefPubMedPubMedCentral Collins LM, Baker TB, Mermelstein RJ, Piper ME, Jorenby DE, Smith SS, et al. The multiphase optimization strategy for engineering effective tobacco use interventions. Ann Behav Med. 2011;41(2):208–26.CrossRefPubMedPubMedCentral
79.
go back to reference Shonin E, Van Gordon W, Griffiths MD. Are there risks associated with using mindfulness for the treatment of psychopathology? Clin Pract. 2014;11(4):389–92.CrossRef Shonin E, Van Gordon W, Griffiths MD. Are there risks associated with using mindfulness for the treatment of psychopathology? Clin Pract. 2014;11(4):389–92.CrossRef
80.
go back to reference Parsons CE, Crane C, Parsons LJ, Fjorback LO, Kuyken W. Home practice in mindfulness-based cognitive therapy and mindfulness-based stress reduction: a systematic review and meta-analysis of participants’ mindfulness practice and its association with outcomes. Behav Res Ther. 2017;1(95):29–41.CrossRef Parsons CE, Crane C, Parsons LJ, Fjorback LO, Kuyken W. Home practice in mindfulness-based cognitive therapy and mindfulness-based stress reduction: a systematic review and meta-analysis of participants’ mindfulness practice and its association with outcomes. Behav Res Ther. 2017;1(95):29–41.CrossRef
81.
go back to reference Kabat-Zinn J. An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: theoretical considerations and preliminary results. Gen Hosp Psychiatry. 1982;4(1):33–47.CrossRefPubMed Kabat-Zinn J. An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: theoretical considerations and preliminary results. Gen Hosp Psychiatry. 1982;4(1):33–47.CrossRefPubMed
82.
go back to reference Carroll KM. Dissemination of evidence-based practices: how far we’ve come, and how much further we’ve got to go. Addiction. 2012;107(6):1031–3.CrossRefPubMed Carroll KM. Dissemination of evidence-based practices: how far we’ve come, and how much further we’ve got to go. Addiction. 2012;107(6):1031–3.CrossRefPubMed
83.
go back to reference Simpson DD. A conceptual framework for transferring research to practice. J Subst Abuse Treat. 2002;22(4):171–82.CrossRefPubMed Simpson DD. A conceptual framework for transferring research to practice. J Subst Abuse Treat. 2002;22(4):171–82.CrossRefPubMed
85.
go back to reference Chawla N, Collins S, Bowen S, Hsu S, Grow J, Douglass A, et al. The mindfulness-based relapse prevention adherence and competence scale: development, interrater reliability, and validity. Psychother Res. 2010;20(4):388–97.CrossRefPubMedPubMedCentral Chawla N, Collins S, Bowen S, Hsu S, Grow J, Douglass A, et al. The mindfulness-based relapse prevention adherence and competence scale: development, interrater reliability, and validity. Psychother Res. 2010;20(4):388–97.CrossRefPubMedPubMedCentral
87.
go back to reference Jacobson N, Greenley D. What is recovery? A conceptual model and explication. Psychiatr Serv. 2001;52(4):482–5.CrossRefPubMed Jacobson N, Greenley D. What is recovery? A conceptual model and explication. Psychiatr Serv. 2001;52(4):482–5.CrossRefPubMed
88.
go back to reference Garland EL, Hanley AW, Baker AK, Howard MO. Biobehavioral mechanisms of mindfulness as a treatment for chronic stress: an RDoC perspective. Chronic Stress. 2017;1(1):2470547017711912. Garland EL, Hanley AW, Baker AK, Howard MO. Biobehavioral mechanisms of mindfulness as a treatment for chronic stress: an RDoC perspective. Chronic Stress. 2017;1(1):2470547017711912.
89.
go back to reference Garland EL, Black DS. Mindfulness for chronic pain and prescription opioid misuse: novel mechanisms and unresolved issues. Subst Use Misuse. 2014;49(5):608–11.CrossRefPubMed Garland EL, Black DS. Mindfulness for chronic pain and prescription opioid misuse: novel mechanisms and unresolved issues. Subst Use Misuse. 2014;49(5):608–11.CrossRefPubMed
90.
91.
go back to reference Bowen S, Witkiewitz K, Clifasefi SL, Grow J, Chawla N, Hsu SH, et al. Relative efficacy of mindfulness-based relapse prevention, standard relapse prevention, and treatment as usual for substance use disorders: a randomized clinical trial. JAMA Psychiatry. 2014;71(5):547–56.CrossRefPubMedPubMedCentral Bowen S, Witkiewitz K, Clifasefi SL, Grow J, Chawla N, Hsu SH, et al. Relative efficacy of mindfulness-based relapse prevention, standard relapse prevention, and treatment as usual for substance use disorders: a randomized clinical trial. JAMA Psychiatry. 2014;71(5):547–56.CrossRefPubMedPubMedCentral
92.
go back to reference Spears CA, Hedeker D, Li L, Wu C, Anderson NK, Houchins SC, et al. Mechanisms underlying mindfulness-based addiction treatment versus cognitive behavioral therapy and usual care for smoking cessation. J Consult Clin Psychol [Internet]. 2017 [cited 2017 Aug 7]. https://www.ncbi.nlm.nih.gov/pubmed/28650195. Spears CA, Hedeker D, Li L, Wu C, Anderson NK, Houchins SC, et al. Mechanisms underlying mindfulness-based addiction treatment versus cognitive behavioral therapy and usual care for smoking cessation. J Consult Clin Psychol [Internet]. 2017 [cited 2017 Aug 7]. https://​www.​ncbi.​nlm.​nih.​gov/​pubmed/​28650195.
Metadata
Title
Mindfulness-based treatment of addiction: current state of the field and envisioning the next wave of research
Authors
Eric L. Garland
Matthew O. Howard
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Addiction Science & Clinical Practice / Issue 1/2018
Electronic ISSN: 1940-0640
DOI
https://doi.org/10.1186/s13722-018-0115-3

Other articles of this Issue 1/2018

Addiction Science & Clinical Practice 1/2018 Go to the issue