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. 2023 Aug 13;20(16):6571.
doi: 10.3390/ijerph20166571.

Association of Loneliness and Mindfulness in Substance Use Treatment Retention

Johnathan M Herczyk  1 , Keith J Zullig  1 , Stephen M Davis  2 , Jennifer Mallow  3 , Gerald R Hobbs  4 , Danielle M Davidov  1 , Laura R Lander  5 , Laurie Theeke  6
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Association of Loneliness and Mindfulness in Substance Use Treatment Retention

Johnathan M Herczyk et al. Int J Environ Res Public Health. .

Abstract

Elevated mental illness prevalence complicates efforts designed to address the opioid crisis in Appalachia. The recovery community acknowledges that loneliness impacts mood and engagement in care factors; however, the predictive relationship between loneliness and retention in medication-assisted outpatient treatment programs has not been explored. Our objectives were to identify associations between mental health factors and retention in treatment and elucidate treatment retention odds. Data were collected from eighty participants (n = 57 retained, n = 23 not retained) of a mindfulness-based relapse prevention (MBRP) intervention for individuals receiving medication for opioid use disorder (MOUD) in Appalachia. Loneliness, depression, and anxiety did not differ between the retained and not retained, nor did they predict not being retained; however, mindfulness was significantly lower among those not retained in treatment compared to those retained (OR = 0.956, 95% CI (0.912-1.00), and p < 0.05). Preliminary findings provide evidence for mindfulness training integration as part of effective treatment, with aims to further elucidate the effectiveness of mindfulness therapies on symptom reduction in co-occurring mental health disorders, loneliness, and MOUD treatment retention.

Keywords: MOUD; intervention strategies; loneliness; mental health; mindfulness; retention.

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Conflict of interest statement

The authors declare no conflict of interest.

References

    1. CDC National Center for Health Statistics Wide-Ranging Online Data for Epidemiologic Research (WONDER) 2021. [(accessed on 6 August 2021)]; Available online: http://wonder.cdc.gov/
    1. Guy G.P., Jr., Zhang K., Bohm M.K., Losby J., Lewis B., Young R., Murphy L.B., Dowell D. Morbidity and Mortality Weekly Report Vital Signs: Changes in Opioid Prescribing in the United States, 2006–2015. Morb. Mortal. Wkly. Rep. 2015;66:697–704. doi: 10.15585/mmwr.mm6626a4. - DOI - PMC - PubMed
    1. CDC National Center for Injury Prevention and Control Strategies and Partnerships. [(accessed on 26 June 2022)]; Available online: https://www.cdc.gov/drugoverdose/strategies/index.html.
    1. CDC National Center for Health Statistics U.S. Overdose Deaths in 2021 Increased Half as Much as in 2020—But Are Still Up 15% [(accessed on 27 June 2022)]; Available online: https://www.cdc.gov/nchs/pressroom/nchs_press_releases/2022/202205.htm.
    1. Substance Abuse and Mental Health Services Administration Key Substance Use and Mental Health Indicators in the United States: Results from the 2021 National Survey on Drug Use and Health. (Department of Health and Human Services) HHS; Washington, DC, USA: 2022. HHS Publication No. PEP22-07-01-005, NSDUH Series H-57.

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