Immediate Effects of Interoceptive Awareness Training through Mindful Awareness in Body-oriented Therapy (MABT) for Women in Substance Use Disorder Treatment.
Author: Price CJ1, Thompson EA2, Crowell SE3, Pike K4, Cheng SC5, Parent S1, Hooven C4
Affiliation:
1a Department of Biobehavioral Nursing and Health Informatics , University of Washington , Seattle WA USA.
2b Department of Psychosocial and Community Health Nursing , University of Washington , Seattle , WA USA.
3c Department of Psychology , University of Utah , Salt Lake City , UT , USA.
4d Nursing and Healthcare Leadership Program , University of Washington , Tacoma , WA USA.
5e Nursing and Healthcare Leadership , University of Washington , Tacoma , WA.
Conference/Journal: Subst Abus.
Date published: 2018 Jun 27
Other:
Volume ID: 1-44 , Special Notes: doi: 10.1080/08897077.2018.1488335. [Epub ahead of print] , Word Count: 278
BACKGROUND: Sensory information gained through interoceptive awareness may play an important role in affective behavior and successful inhibition of drug use. This study examined the immediate pre-post effects of the mind-body intervention Mindful Awareness in Body-oriented Therapy (MABT) as an adjunct to women's substance use disorder (SUD) treatment. MABT teaches interoceptive awareness skills to promote self-care and emotion regulation.
METHODS: Women in intensive outpatient treatment (IOP) for chemical dependency (N =217) at three community clinics in the Pacific NW of the United States were recruited and randomly assigned to one of three study conditions: MABT + Treatment as Usual (TAU), Women's Health Education (WHE) +TAU (active control condition), and TAU only. At baseline and three months post-intervention, assessments were made of interoceptive awareness skills and mindfulness, emotion regulation (self-report and psychophysiological measures), symptomatic distress (depression and trauma-related symptoms), and substance use (days abstinent) and craving. Changes in outcomes across time were assessed using multilevel mixed effects linear regression.
RESULTS: Findings based on an intent-to-treat approach demonstrated significant improvements in interoceptive awareness and mindfulness skills, emotion dysregulation (self-report and psychophysiology), and days abstinent for women who received MABT compared to the other study groups. Additional analyses based on participants who completed the major components of MABT (at least 75% of the intervention sessions) revealed these same improvements as well as reductions in depressive symptoms and substance craving.
CONCLUSIONS: Findings that interoceptive training is associated with health outcomes for women in SUD treatment are consistent with emerging neurocognitive models that link interoception to emotion regulation and to related health outcomes, providing knowledge critical to supporting and improving SUD treatment.
KEYWORDS: Complementary Therapies; Emotion Regulation; Interoception; Mindfulness; Substance Use Disorder; Treatment; Women
PMID: 29949455 DOI: 10.1080/08897077.2018.1488335
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