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. 2019 Oct;10(10):1997-2009.
doi: 10.1007/s12671-019-01164-0. Epub 2019 May 6.

Effect of Mindfulness-Based Relapse Prevention on Impulsivity Trajectories Among Young Adults in Residential Substance Use Disorder Treatment

Jordan P Davis  1 , Nicholas Barr  1 , Emily R Dworkin  2 , Tara M Dumas  3 , Benjamin Berey  4 , Graham DiGuiseppi  1 , Baruch Rael Cahn  5
Affiliations

Effect of Mindfulness-Based Relapse Prevention on Impulsivity Trajectories Among Young Adults in Residential Substance Use Disorder Treatment

Jordan P Davis et al. Mindfulness (N Y). 2019 Oct.

Abstract

Objectives: Impulsivity has been identified as an important construct in predicting the initiation and maintenance of substance use among at-risk populations. Interventions emphasizing mindfulness strategies appear particularly promising in reducing substance use and marking change in various aspects of impulsivity.

Methods: The current study used a rolling group mindfulness-based relapse prevention (MBRP) intervention for young adults in residential substance use disorder treatment. We examined change in impulsivity facets measured by the S-UPPS for youth randomly assigned to MBRP (n = 45) versus those assigned to treatment as usual plus 12 step/self-help (n = 34). We also examined how change in impulsivity mediated changes in substance use post-treatment.

Results: In general, results indicated that MBRP is effective at reducing facets of trait impulsivity in treatment-seeking individuals with SUDs. Only positive and negative urgency mediated the relation between treatment assignment and substance use.

Conclusions: MBRP is a viable and useful intervention for young adults in residential treatment for substance use disorders and can aid in marked change in facets of impulsivity. Both positive and negative urgency were significant mechanisms of change in reducing substance use following treatment. Results are discussed focused on the utility of MRBP as a clinical intervention for at-risk, marginalized, and young adults.

Keywords: Addiction treatment; Drug use; Emotion regulation; Impulsivity; Mindfulness; Self-regulation.

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Conflict of interest statement

Conflict of Interest The authors declare that they have no conflict of interest.

Figures

Fig. 1
Fig. 1
Change in negative and positive urgency (assessed biweekly) across experimental conditions
Fig. 2
Fig. 2
Change in UPPS subscales (assessed bi-weekly) across experimental conditions
See this image and copyright information in PMC

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